Leg-Reg Update
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MedPAC – SNF report<br />
• Therapy -- share of days assigned to intensive therapy casemix<br />
groups continues to increase.<br />
▫ “Payments for therapy exceed the cost of therapy services”<br />
▫ RU & RV Therapy Use by Year and Percent of Days<br />
Fiscal year<br />
2002 27%<br />
2010 69%<br />
2016 83%<br />
Percent of Days Assigned to RU or<br />
RV RUGs<br />
▫ Recommendations: Eliminate the MB in FY19 & FY20<br />
▫ Direct Sec to implement a redesigned PPS in FY19<br />
▫ Direct Sec to report on the impacts of the revised PPS and make<br />
adjustments in FY21<br />
NASL Winter Conference<br />
February 7, 2018<br />
Washington, DC
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