MedPAC Comment on CMS’s Proposed Rule on the Payment System for Skilled Nursing Facilities for FY 2024

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

June 2, 2023 … MedPAC posted its Comment on CMS’s Proposed Rule on the Payment System for Skilled Nursing Facilities for FY 2024.  The comment document is 12 pages in length.

Re: File code CMS-1779-P

Dear Ms. Brooks-LaSure:

The Medicare Payment Advisory Commission (MedPAC) welcomes the opportunity to comment on the Centers for Medicare & Medicaid Services’ (CMS’s) proposed rule entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024” in the Federal Register, vol. 88, no. 68, p. 21316 (April 10, 2023). We appreciate CMS’s ongoing efforts to administer and improve the payment system for skilled nursing facilities, particularly given the many competing demands on the agency’s staff.

The Commission’s comments are organized into three main sections: (1) the proposed update to skilled nursing facility (SNF) payment rates for fiscal year (FY) 2024, including the market basket update, case-mix adjustment, and wage index adjustment; (2) the SNF quality reporting program (QRP); and (3) the SNF value-based purchasing program (VBP). I recommend that you and your team (don’t forget other colleagues) review the MedPAC comments.  It’s worth your time to see what the Commission is thinking.