CMS Is More Inclusive Under Trump
It appears that CMS is more inclusive under Trump administration.If you read the papers or watch the news then you would be led to believe that this new administration is trying to decimate our health system. I believe that the contrary is the case. The last administration thought that they and their academic friends new more then those doing the work on a daily basis. They ruled from on “high”.
CMS wants additional comments on the revisions to the skilled nursing case mix methodology from the industry. These revisions that were rolled out in April are designed to improve the accuracy of the current system. The changes could include replacing the existing case mix classification model and Resource Utilization Groups with a new model.
CMS recognizes that this is going to be a very big change and that the industry needs time to understand the changes and to provide their comments and suggestions to the new model before it is put into law. it is hoped that this extension will let the industry participate in the changes in a real and substantial way. It is clearly the intent of CMS to make sure that everyone who will be effected by these changes has had time to make their expert opinion known. The more input from the health care industry the greater the chances that the new model will reflect a positive change in the case mix methodology.
The industry now will have the opportunity to explain to the developers of the new payment model the effects it will have in hopes that the new model will be more user friendly and therefore better received by the providers.
I believe this reflects the new attitude between CMS and the provider groups. The public/private partnership is hoped to produce a better product for all. It should reflect cost containment for the federal government, while paying the providers based on actual costs and quality of care.
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