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Advising the Congress on Medicare issues
MedPAC > Recommendations > Skilled nursing facility services

Skilled nursing facility services

March 15, 2018

The Congress should:

  • eliminate the market basket update for skilled nursing facilities for fiscal years 2019 and 2020;
  • direct the Secretary to implement a redesigned prospective payment system (PPS) in fiscal year 2019 for skilled nursing facilities; and
  • direct the Secretary to report to the Congress on the impacts of the revised PPS and make any additional adjustments to payments needed to more closely align payments with costs in fiscal year 2021.

Topics: Delivery system reforms and Post-acute care.