Skilled therapy is changing though. PDPM doesn’t reimburse through the amount of therapy provided. It reimburses by the need of the patient. I believe nursing is included in that budget
that was what the RUGs were supposed to do, but it was easily gamed and I don’t see why this wouldn’t be either.
The only advantage it offers, IMO, is that it allows patients with a greater variety of needs (like more nursing skill and less or no therapy) to receive care. For example, the end stage cancer patient who can’t withstand much therapy but isn’t ready to accept hospice.
