Senior with nurse talking.

Recent readmission penalties have impacted most Skilled Nursing Facility (SNF) providers. The first quality measure in SNF Value-Based Purchasing is the SNF Readmission Measure (SNFRM) – which NOW affects quality, compliance and financial outcomes for all providers across the nation.

Readmission Measure Impact

The Centers for Medicare & Medicaid Services (CMS) implemented measures to reduce avoidable hospital readmissions by lowering a year’s worth of payments to nearly 11,000 SNF providers. The financial incentives were determined by each facility’s readmission rates.

Patient Driven Payment Model

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay.

Chart indicates the number of SNFs with SNFVBP Impact Green-Bonus; Yellow-No Change; Red-Penalty. Source:

Tools and Assistance

The Great Plains Quality Innovation Network has tools, resources and educational events to help your organization improve care coordination, reduce readmission to the hospital and assist with quality improvement efforts in the long-term care/post-acute care environment.

Recorded Educational Events