Nursing homes prep for Medicare changes: Ho-hum fiscal updates
Published Date: 4/30/2025
Proposed Rule
Summary
Starting in fiscal year 2026, skilled nursing facilities will see updated payment rates and new rules to improve care quality. These changes affect nursing homes that get Medicare money, aiming to reward better care and make reporting easier. Facilities should get ready for new deadlines and payment updates that could impact their budgets.
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
SNF payment rates updated for FY 2026
If you operate a skilled nursing facility that receives Medicare payments, the rule updates the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) payment rates for FY 2026. These payment-rate changes could affect facility budgets beginning in fiscal year 2026.
SNF Value-Based Purchasing updates
The rule proposes updates to the Skilled Nursing Facility Value-Based Purchasing Program for FY 2026, which links payments to measures of care quality. The changes are intended to reward better care and could change incentive payments for participating facilities starting in fiscal year 2026.
SNF Quality Reporting changes
The rule proposes updates to the Skilled Nursing Facility Quality Reporting Program for FY 2026, including changes to reporting requirements and deadlines for facilities that participate in Medicare. The updates are intended to simplify reporting and affect how facilities submit quality data.
Your PRIA Score
Personalized for You
How does this regulation affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this federal register document and every other regulation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Key Dates
Department and Agencies
Take It Personal
Get Your Personalized Policy View
Start a Free Government Policy Watch to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.
Already have an account? Sign in