On-demand webinar: SNF Value-Based Purchasing and Readmission Rates


On Oct. 1, 2018, CMS will implement the SNF Value-Based Purchasing Program (SNF VBP) as mandated by the Protecting Access to Medicare Act (PAMA). Per the new statute, 2% of every SNF’s Medicare payments will be withheld to fund incentive payments. Incentive payments will be based on a comparison of SNF hospital readmission rates between the base year of 2015 and the hospital readmission rates for the current year 2017.

Based on a comparison of the readmission rates for a particular SNF, CMS will determine an achievement score and an improvement score comparing the 2015 to the 2017 readmission rates. The higher of the two scores will be used to determine the amount of the incentive payments funneled back to the SNF. The SNF industry has already seen a decrease in hospital readmissions over the past several years and with a continued focus on this issue this trend should continue.

What you’ll learn

  • The regulatory requirements related to the SNF VBP
  • The difference between the improvement score and the achievement score and how they are determined
  • The components of the SNF readmission measure utilized in the SNF VBP program

About our speaker

Ron Orth is a registered nurse with over 25 years experience in the healthcare field with 15 of those years in the long-term care industry. His presentations on Medicare regulations, PPS, MDS and other topics of interest to the long-term care industry have been featured throughout the United States and in Canada.
Ron Orth, Relias Learning/AIS