Value-based care in post-acute settings, such as SNFs under the Skilled Nursing Facility VBP program, is a topic of debate. With adjustments to Medicare payments and the potential for rewards or penalties, SNFs face challenges in balancing care quality with financial implications. Many operators weigh the administrative burden and cost of care improvement initiatives against the modest 2% payment adjustment. Some SNFs opt to shift patients back to fee-for-service Medicare to mitigate revenue risks under Medicare Advantage (MA), highlighting the complexity of navigating value-based care models.
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