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Rick Scott signs nursing home reimbursement changes into law

in 2017 by

Changes to how the state’s nursing that accept Medicaid are paid are coming down the pike.

Gov. Rick Scott signed into law a wide-sweeping health care bill (SB 2514) last week that, among other things, moves the payment system to a cost-based system to a prospective payment system. The law delays the move from cost-based system to a prospective payment system by a year, giving health care officials and providers additional time to study and prepare for the shift.

“LeadingAge Florida and our high-quality, mission-driven members appreciate that the Legislature delayed implementation of the prospective payment system for a year,” said Steve Bahmer, the president and CEO of LeadingAge Florida.

The shift to a prospective payment plan, which reimburses nursing homes using a per diem rate calculated on several different components, was one of several behind-the-scenes food fights this year.

Officials with LeadingAge, which represents about 400 senior communities through the state, expressed concern that the initial proposal would shift money from high-quality nursing homes, threatening the quality of care offered in facilities across the state. But Bahmer said the group “never opposed the shift to a PPS approach.”

“However, we have consistently opposed ill-conceived plans that would damage Florida’s highest-quality nursing care providers,” said Bahmer. “The Legislature wisely delayed the implementation of the PPS to allow the further study of this important issue. Looking forward to 2018, we will work with AHCA, the Legislature, and other stakeholders to ensure that the payment system truly rewards high-quality providers.”

The Florida Health Care Association, which represents about 82 percent of the state’s nursing centers, was generally supportive of the recommendations proposed during the 2017 Legislative Session, but did seek to make some changes.

Emmett Reed, the executive director of the Florida Health Care Association, said he appreciated the organization appreciated Scott for “recognizing that a stronger reimbursement system is best for everyone involved.”

“The prospective payment system will put the focus on quality care and quality of life for Florida’s nursing center residents, and for the first time in Florida’s Medicaid history, will link nursing center reimbursement to quality outcomes,” said Reed. “On behalf of the thousands of long term caregivers working in our member centers, we commend Governor Scott for supporting PPS so they can achieve their goals of providing exceptional care and services to our state’s seniors and people with disabilities.”

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