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SNF Therapy Payments Research

Since 1998, Medicare has paid for services provided by skilled nursing facilities (SNFs) under the Medicare Part A benefit on a per diem basis through the skilled nursing facility prospective payment system (SNF PPS).  Currently, the therapy payment rate component of the SNF PPS is based solely on the amount of therapy provided to a patient, regardless of the specific patient characteristics and care needs.   CMS has contracted with Acumen, LLC and the Brookings Institution to identify potential alternatives to the existing methodology used to pay for therapy services under the SNF PPS.  Below, we will post information about this project as it progresses.   

As an initial step, the project will review past research studies and policy issues, related to SNF PPS therapy payment and options for improving or replacing the current system of paying for SNF therapy services.  We welcome comments and ideas regarding SNF therapy payments.  These may be submitted anytime to:  

SNFTherapyPayments@cms.hhs.gov