Home Health Care ASHA Voices: A New Payment System, Changes in SNFs

ASHA Voices: A New Payment System, Changes in SNFs

by J.D. Gray
written by
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On Oct. 1, we’ll see a change in how Medicare reimburses for services at skilled nursing facilities, or SNFs. We’ve heard lots of questions about these changes from speech-language pathologists working in SNFs. So, we’re dedicating the entire second episode of ASHA Voices to this topic.

Listen in for a conversation about health care trends, patient outcomes, and the evolving role of clinicians in SNFs. We’ll hear from ASHA’s director of health care services and a panel of SLPs in leadership roles at rehab companies. We’ll discuss the challenges and opportunities they see in this time of change to a patient-driven payment model (PDPM).

“I think that a lot of SLPs who are suffering with maybe some symptoms of burnout in SNFs … I think that PDPM is gonna be refreshing in a sense. My hope is that SLPs will feel more empowered under PDPM, which is going to help everybody involved.”
– Melissa Collier, Director of Audit Compliance at Rehab Synergies, LLC

Read the full transcript for ASHA Voices: A New Payment System, Changes in SNFs

Meet our guests:
Monica Sampson,  director of health care services, ASHA
Melissa Collier, director of audit compliance, Rehab Synergies, LLC
Kelly Cooney, vice president of clinical compliance and training, Therapy Specialists, and president of the National Association of Rehabilitation Providers and Agencies

To hear each episode as soon as it’s released, follow the ASHA Voices page on Leader Live or subscribe to the program with Apple Podcasts, Spotify, or Google Play.

Questions or Comments? Email us at podcast@asha.org. Or leave us a voicemail at 301-296-5804. We may include your comment in an upcoming episode.

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Sonya McKenzie October 3, 2019 - 6:48 am

What is ASHA doing about new Medicare payment changes in SNF’s ? Many SLP’s are being laid off or taking pay cuts.

Bridget Murray Law October 3, 2019 - 3:44 pm

Hi Sonya, we hear you. ASHA is aware of this and is actively working with CMS and SNF companies to address these concerning layoffs and pay cuts. Please see this page to see what ASHA is doing: https://www.asha.org/News/2019/Impact-of-PDPM-on-Workforce/ In addition, I am working on a blog post about SLPs’ experiences with layoffs and pay cuts as a result of PDPM. Please let me know if you would like to be interviewed for this article or know of other SLPs who might want to be interviewed. I can withhold names of SLPs or SNFs as desired by those I interview. You may email me at bmurraylaw@asha.org. Thank you, Bridget Murray Law, Editor-in-Chief, The ASHA Leader.

Hope M October 3, 2019 - 7:44 pm

I’m saddened by the buzz-words and sugar-coating surrounding PDPM. This payment model is not refreshing in the slightest and will further the burnout for SLPs in SNFs. For myself, therapy minutes have dropped from the mid-40s range to 30-31 minutes per patient. Due to productivity, this means I have to see 14-15 patients in a 8-hour day (where previously I would see 10-11). This will absolutely lead to burnout and reduction in hours if census drops. Adding additional patients to a caseload will not refresh my view. I have 10 years of experience in SNFs and love the geriatric population; yet I am facing uncertainty in my livelihood and considering changing settings for the first time.

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