This session provide an overview of current industry trends from a finance and reimbursement perspective and will discuss the changes in current and future Michigan Medicaid reimbursement environment and provide insight on the potential change to the current Medicaid cost based reimbursement system, and the impact that it may have on SNF operators. It will also cover the FY 2023 update to Medicare reimbursement, the Patient-Driven Payment Model, and the Value-Based Purchasing Program (VBP). Further, it will discuss the impact of the growth in managed care utilization and market penetration and review State and regional managed care utilization and market penetration data.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation, a knowledge gain of the current Medicaid reimbursement environment in Michigan as well as potential changes to a new acuity-based system and how each may impact operations and care in LTC.

Learner Objectives:

1. Describe how Medicaid reimbursement will be handled for the period from 10/1/2021-9/30/2022 and 10/1/2022-9/30/2023?
2. Examine how Medicaid rates will be set for periods beginning 10/1/2023 and after?   
3. Discuss how providers operating in Michigan might be impacted if the State were to move away from the current cost-based reimbursement system to an acuity-based or hybrid system, and fair rental value for capital.
4. Discuss how Medicare Advantage and other Medicare replacement plans impact your bottom line.