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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027
Plain English Summary
The Medicare program has made changes to how Skilled Nursing Facilities (SNFs) are paid starting in fiscal year 2027. This includes updates to the payment rates and new requirements for quality reporting and value-based purchasing for these facilities. Insurance agents should familiarize themselves with these updates to better assist clients who may be affected by these changes.
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This final rule finalizes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year (FY) 2027. This final rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.