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.
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.
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.
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