On paper, the Patient-Driven Payment Model (PDPM) will only affect one pillar of the payment equation for skilled nursing facilities. But as players start to unpack the coming rule changes, PDPM’s reach begins to extend far beyond Medicare.
Medicare Advantage and Medicaid frequently base rate calculations on the existing Medicare structure, a pair of experts noted at the American College of Health Care Administrators’ (ACHCA) annual convocation in Louisville, Ky. — and those other payers will increasingly take cues from the PDPM system once the current model goes away.
The Centers for Medicare & Medicaid Services (CMS) will no longer support the existing Resource Utilization Group (RUG) system starting in the fall of 2020, BKD director Robert Lane said Monday, causing a cascading change to the multiple ways SNFs receive reimbursements.
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George is the Chief Financial Officer and Chief Operations Officer for Odyssey Rehabilitation. He has a BBA in accounting from Eastern Kentucky University and his MBA in management from Vanderbilt University. He began his healthcare career working in the hospital setting as a Chief Accountant and progressed to both CFO and COO roles for various hospitals. George also has several years of experience in home health and physician office management services.
Most recently George was the CFO for a large multi-state rehab company and managing partner for a consulting company in the post acute health care arena. George is a member of the American College of Healthcare Executives (ACHA) and an advanced member of the Healthcare Financial Managers Association (HFMA). George is also a lifetime member of the Kentucky High School Coaches Association. He currently resides in Knoxville, TN with his wife and family.
Greg Hayes is the Managing Member and founder of Odyssey Rehabilitation. Prior to starting Odyssey Rehabilitation, Greg attended Fairmont State University where he received his Associate’s Degree as a Physical Therapy Assistant.
His career as a PTA began in a local out-patient clinic before transitioning into Long Term Care for a contract therapy company. Greg quickly moved up the ladder, becoming a Regional Assistant Manager, overseeing operations throughout WV.
In 2006, Greg decided to expand his career into ownership, and started Odyssey Rehabilitation. In a short amount of time, the company has grown to be one of the most recognizable contract therapy companies in the state of WV. Greg currently lives in Worthington, WV with his girlfriend Betsy and their four wonderful kids, Hannah, Tyler, Dillon, and Dalton. He enjoys hunting, golfing & Steelers football in addition to spending time with his family.
Greg is also the business owner of two family owned companies specializing in appliance sales and service, as well as, Twisted Oaks, an outdoor company specializing in hunting products.