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医疗保险计划;2017财年熟练护理设施的前瞻性支付系统与合并计费、熟练护理设施基于价值的采购计划、熟练护理设施质量报告计划以及熟练护理设施支付模式研究。最终规则。

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and SNF Payment Models Research. Final rule.

出版信息

Fed Regist. 2016 Aug 5;81(151):51969-2053.

Abstract

This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2017. In addition, it specifies a potentially preventable readmission measure for the Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP), and implements requirements for that program, including performance standards, a scoring methodology, and a review and correction process for performance information to be made public, aimed at implementing value-based purchasing for SNFs. Additionally, this final rule includes additional polices and measures in the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This final rule also responds to comments on the SNF Payment Models Research (PMR) project.

摘要

本最终规则更新了2017财年熟练护理机构(SNF)在预期支付系统(PPS)下使用的支付费率。此外,它为熟练护理机构基于价值的采购计划(SNF VBP)指定了一项潜在可预防的再入院措施,并实施了该计划的要求,包括绩效标准、评分方法以及公开绩效信息的审核和纠正程序,旨在对熟练护理机构实施基于价值的采购。此外,本最终规则在熟练护理机构质量报告计划(SNF QRP)中纳入了其他政策和措施。本最终规则还回应了关于熟练护理机构支付模式研究(PMR)项目的意见。

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