Home Health Care ASHA Voices Update: Troubling PDPM Effects

ASHA Voices Update: Troubling PDPM Effects

by J.D. Gray
written by
Employee Termination document

In this short, special-edition episode, we’re bringing you the stories of speech-language pathologists who experienced unexpected, negative effects on their job situations, pay, and patient treatment when the Patient Driven Payment Model, or PDPM, went into effect Oct 1.

Read full transcript on ASHA Voices Update: Troubling PDPM Effects. 

While the previous Medicare payment model in skilled nursing facilities (SNFs) reimbursed for minutes of service delivered, PDPM reimburses for services based on patient characteristics. This is meant to discourage facilities from providing more therapy than medically necessary.

A few weeks ago, we brought together a panel to look toward, and speculate on, effects of PDPM  implementation. But after PDPM went into effect, we started to hear from members. We received emails and phone calls from SLPs who were let go or who found their hours and compensation were reduced.

ASHA released a statement to express disappointment and sadness regarding the reports of SLPs losing their jobs or contracts. Last week, ASHA staff met with representatives from the U.S. Department of Health and Human Services to talk about PDPM’s implementation and evaluation.

So on this special episode, we’re bringing those voices directly to you. Listen above or subscribe to the program with Apple Podcasts, Spotify, or Google Play.

Editor’s note: As stated above, the Leader heard from many members who’ve experienced negative repercussions from PDPM. Some of them volunteered to share their stories anonymously to illustrate the variety of ways they’re being affected.

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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Beth McCann October 17, 2019 - 6:19 pm

This troubles me, because for years these large rehab companies made serious money off the backs of SLPs. I for one was paid $37.50 (in 1994) for a 1.5 hour stint at a SNF while the large rehab company claimed $270 in charges from Medicare.I had to see three Residents for 10 minutes each, write up a note and go back and see them again and write another note. Now that their profits have been cut back they are crying poor and killing the hen that laid the golden egg. I gave up working for the company because I thought their practices were unethical. I guess their lack of ethics has not improved. Profit is more important than resident care or staff relations.
Beth McCann, Ph. D.

Pam Callia October 18, 2019 - 4:27 pm

well the title of the program leads you to believe that patients are what matter but the only thing that matters to the corporations and insurance is the bottom line. My hours have been cut more than 1/2. I am going to come to work with 2 hours of work and that’s it. Sadly it will also be that way for the rest of my fellow therapist. I bet legislators and committee members and CEOs will get the amount of help they need when their physical and cognitive abilities are taken away from them by health issues just not the rest of us.

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