Harmony Healthcare Blog

Case Mix Best Practices for the Skilled Nursing Facility

Posted by Matt McGarvey on Thu, Mar 05, 2015


In many states, Medicaid reimbursement is already transitioning to managed care, striking fear in the hearts of most operators and administrators - and for good reason.  Providing quality care for the Medicaid population has been part of the Skilled Nursing Facility (SNF) industry for years even with per diem reimbursements far below cost.   While not always the case, managing the Medicaid population can mean potentially delayed reimbursement and lead to more administrative hoops to jump through.

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Topics: Case Mix, Case Mix Reimbursement

The Importance of Preventing Artificially Low Case Mix Reimbursement

Posted by Matt McGarvey on Wed, Mar 19, 2014

The New York State Executive Budget, as proposed by Governor Cuomo, is considering a 2% Cap on increases in New York’s Skilled Nursing Facilities’ Case Mix Index.  The effect on SNF provider’s Medicaid reimbursement (already the largest gap between reimbursement and cost in the nation) could be significant.

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Topics: Case Mix, Case Mix Reimbursement

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