Welcome to the HealthPRO Heritage Blog

HealthPRO Heritage is pleased to share details related to the significant growth and expansion of RISE Senior Living, a division supporting senior housing organizations with best-in-class health services (therapy, wellness, integrated care solutions & consulting).

On May 16, 2022, the Centers for Medicare & Medicaid Services (CMS) released the Draft OASIS-E Guidance Manual. In which CMS announced that the OASIS-E implementation has been delayed due to the public health emergency and is currently scheduled to be effective as of January 1, 2023.

CMS has always been clear about its intention for the PDPM reimbursement model to be “budget neutral,” so the 4.6% parity adjustment outlined in FY 2023 Proposed Rule comes as no surprise. For the second consecutive year, CMS is proposing a downward adjustment to SNFs’ Medicare A rates to offset ~5% increased spending created by the implementation of PDPM reimbursement in October 2019. Last year’s Proposed Rule (April 2021) outlined a 5% parity adjustment which was ultimately not included in the Final Rule for FY 2022.

Read on as our experts summarize FY 2023 Proposed Rule’s financial implications + offer guidance for our valued HealthPRO Heritage partners, as well as SNF providers, contracted with other therapy companies, too!

Questions Worth Asking

Now, more than ever, it is critical that providers achieve excellent patient outcomes for their short-term rehab patients. This includes both an excellent patient experience for “consumers,” as well as efficient and effective stays that translate to competitive lengths of stay, episodic cost, and rehospitalization rates. Short-term rehab is likely your organization’s most well-recognized deliverable, and, as such, it is judged by referral sources and your consumer market as representative of the quality of your enterprise. Successful operators reap the benefits of these excellent outcomes with improved standing in their markets, resulting in increased census. They also reap the rewards of value-based purchasing incentives which can amount to as much as 2% of their total Medicare Part A reimbursement.

As senior living organizations work toward overcoming today’s challenges, many are finding success with partnering with consulting experts from RISE Senior Living. 

In December, HealthPRO Heritage shared a white paper entitled “Four Questions to Evaluate Your Business Partners,” which provided practical considerations when reviewing current or potential vendor partnerships within the Aging Services industry. As a follow-up, we provide some of HealthPRO Heritage’s solutions to challenges facing long-term care providers today.

Since the RCS-1 Proposed Rule was released in Spring 2017, through the PDPM Final Rule and up to today, we’ve spent hundreds of hours thinking and pressure testing different ideas. We’ve had ongoing conversations with customers, colleagues, and consultants about PDPM therapy pricing. Our goal was simple: Develop a pricing approach which equally addresses and ensures the success of our patients, customers, and employees under PDPM.