Get Ready! Four Additional SNF VBP Measures Will Impact Future Medicare Reimbursements

Programs and Resources; Medicare; Part A; CMS
 

Four additional CMS skilled nursing facility value-based purchasing (SNF VBP) measures take effect October 1, 2024 that will determine Medicare Part A rates beginning October 1, 2026. These measures are in addition to the four measures already in place that impact rates starting on October 1, 2025 

Administrators, DONs, finance, QAPI, and operations leaders should be familiar with the eight measures and understand how they impact future reimbursement rates. SNF VBP Essentials is a one-hour course that details the new CMS measures and discusses how CMS calculates VBP measures, risk adjustment, facility score and payment adjustments. The course provides instructions on using a SNF VBP prediction calculator tool (included with the course) that helps estimate the financial impact the measures will have on a nursing facility’s Medicare Part A revenue.  

The training delves into all eight measures which are:  

  • Hospital Readmissions 
  • Healthcare Acquired Infection Hospitalizations 
  • Long-stay Hospitalizations 
  • Discharge to Community 
  • Discharge Function Score 
  • Total Nurse Turnover 
  • Total Nurse Hours Per Resident Day 
  • Long-stay Falls with Major Injury 

Understanding all eight measures and adopting best practices now will help avoid Part A payment penalties and potentially boost future incentive payments.  

Registration for SNF VBP Essentials is $40 for members and $80 for non-members. The course is approved  for 1.25 NAB CEs and 1.00 contact hour through the Iowa Board of Nursing upon course completion.  

Individuals must login to ahcancalED and register for the course under their individual login. Members will need to login with their AHCA/NCAL usernames and passwords. For assistance obtaining AHCA/NCAL usernames and passwords, please e-mail educate@ahca.org with your name and facility contact information.