Who can apply?
Life plan communities are uniquely situated to maximize value and add additional revenue streams through value-based payment arrangements with managed care entities.
SNFs are only allowed to seek corrections to either the SNF’s assigned performance score or rank not the underlying readmission data as part of the Phase II Review and Correction process.
CMS issued the corrected SNF VBP Performance Score Reports to correct an error in the baseline data calculations (FY2016). Incorrect reports were removed from CASPER folders and replaced with the corrected report, which indicates “Corrected” in the Excel spreadsheet.
Whatever model the consortium aligns around will be presented to the Center for Medicare and Medicaid Innovation (CMMI) for its approval and implementation.
The report shows SNFs if they are meeting the 80% reporting threshold requirement on the SNF QRP measures during a calendar year. Failure to meet this threshold can result in a SNF having its Medicare Fee-For-Service rate reduced 2% in the forthcoming fiscal year. For this reason, SNFs should review the PTR now to see if they are below the 80% threshold on any of the measures, as they have until May 15, 2019 to make updates or corrections to their current MDS submissions for, at least, 10/1/2018 – 12/31/2018.
Here’s an overview of our work for you in December 2018.
