McKnight’s published an article by industry lobbyists (apologist) American Health Care Association President and CEO Mark Parkinson extolling the alleged virtues of the new Patient Directed Payment Model (PDPM).   It will be interesting to see if data bears this out on a nationwide basis.  Parkinson is happy “because we’ll be saving the system a lot of money, taking care of high-acuity patients in skilled nursing facilities as opposed to the hospital.”

Parkinson, the leader of the largest nursing home association in the country, praised CMS officials for their timely release of software and programs that eased implementation and transition issues. Upcoming quarterly earnings reports from publicly traded companies will reveal just how positive the program is for providers, he explained. Patient outcome data will come much later.

The first two months after the implementation of PDPM saw employment drops, but the trend got worse as the year came to a close — with the losses nearly quadrupling in December.  The national nursing home industry shed 6,700 jobs in December, according to the most recent set of employment data from the federal Bureau of Labor Statistics (BLS), as the overall nursing care facility workforce dipped below 1.6 million. December’s decline marks a sharp increase over the 1,700 positions lost in November and 1,300 shed in October, the first month of the new Patient-Driven Payment Model (PDPM) for Medicare reimbursements.


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