Analysis
The Medicaid and CHIP Payment and Access Commission (MACPAC) convened a session to examine preliminary findings from a seven-state interview on nursing facility payment methods. Principal Policy Analyst Robert Nelb presented themes on nursing facility payment methods regarding the use of value-based payments, supplemental payments, and managed care and sought feedback on how these findings could inform future Commission work.
Overall, the Commissioners supported future work on this topic, and suggested that feasibility of value-based payments be pursued, as well as the role of supplemental payments. Commissioners also acknowledged the shortfalls the COVID-19 pandemic revealed in nursing homes and committed to exploring them in future work.