H.2893 An Act relative to nursing facility care

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It is critical that ACOs that contract for skilled nursing facility services provide adequate compensation to ensure quality patient care. This bill would ensure that Accountable Care Organizations (ACO) are required to reimburse a nursing facility for a Medicare ACO patient at a rate of payment no less than the Medicare rate of payment that would have applied if the nursing home had been reimbursed for care and under the Medicare program. The bill would also require Medicaid Managed Care Organizations and Medicaid Accountable Care Organizations to reimburse the nursing home for care and services provided to a MassHealth member based on the facility’s actual base year costs adjusted by an inflation factor to recognize changes in the prices of inputs, including staff wages, for providing nursing facility care. 

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Read the bill here.