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The first constant is that change will continue as providers redesign the care delivery to meet the needs of the customer and the industry initiatives, and the second constant is that everything a provider does is interdependent and interconnected to data and outcomes of the customer experience.
Redesign of health care service delivery is rapidly occurring. While reform can be difficult for providers, there are also great opportunities.
New Quality Measures (QMs) are added or changed frequently. In addition, new payment models use the Five-Star Quality Rating System to compare, benchmark your performance and determine reimbursement for the care and services provided. Being aware of and understanding the impact of your Five-Star Quality Rating is critical to a provider’s success.
Nursing home quality measures have four intended purposes:
The SNF VBP Program rewards skilled nursing facilities (SNFs) with incentive payments based on the quality of care they provide to Medicare beneficiaries, as measured by a hospital readmissions measure.
Under the SNF VBP Program, SNFs:
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