ASHA is disappointed and deeply saddened to hear reports of
decisions to terminate and/or change the employment contracts of ASHA members
and other therapy professionals employed in skilled nursing facilities (SNFs) without
allowing the Patient-Driven Payment Model (PDPM) to be implemented as intended
by the Centers for Medicare & Medicaid Services (CMS). ASHA remains deeply committed
to working on implementation of the new Medicare payment system to minimize
impact on members and residents in SNFs.
PDPM was implemented in a budget neutral manner.
Reimbursement from Medicare is unchanged under PDPM relative to the previous
payment system. SNFs and rehabilitation providers have a clear obligation to
deliver the same level of care that was justified to be medically necessary
under the previous payment system. Workforce reductions are not warranted since
there are no significant reductions in reimbursement for delivering
medically necessary care.
ASHA is continuing to directly engage with the
rehabilitation providers, SNFs, and industry leaders such as the National
Association of Rehabilitation Providers and Agencies (NARA), National
Association for the Support of Long Term Care (NASL), and American Health Care Association (AHCA) to resolve issues related to PDPM
implementation that adversely affect ASHA members. ASHA is collaborating with
our colleagues at the American Occupational Therapy Association and American
Physical Therapy Association to strengthen our voice and ensure that medically
necessary patient care is being delivered and monitored effectively by CMS. CMS
is tracking the delivery of therapy minutes and precipitous changes in care
patterns are cause for audit and review.
ASHA members are encouraged to utilize the PDPM resources
available on the website to effectively advocate for the value of their
services in their SNFs. ASHA is working to respond to member needs, consistent
with our role as the professional association, through ongoing advocacy and
other forms of member support. We know each of your circumstances is unique but
if there is anything we can do to help you navigate these changes effectively
in your own SNFs, we are here to help. Feel free to contact Monica Sampson, ASHA’s
director of health care services, at firstname.lastname@example.org, for additional
information and resources.