So today I want to make people aware of the good, the bad, and the ugly of PDGM. Medicare thought when they wrote these rules, they were in the best interest of the patient. Instead the rehab companies figured a way to lower employee costs and get paid a higher rate, because their cost of employee will be lower. They now laid off more therapist than unemployment is reporting because the truth is a lot of therapist are not collecting unemployment. Thousands and thousands of therapist lost their jobs back October 1, 2019. Per-diems were no longer a things. So how did this effect the patients? Instead of a acute patient getting therapy 6-7days a week for 3 hours a day in SNFs, they are getting 30mins 3 x a week mostly concurrent and groups. They are sent home in 10 days with no hope of being successful. Then they are lied to that they will get home therapy 3 x a week. Instead they are lucky to be seen 1 x a week for 5 visits, because of the new rules to PDGM that started Jan 1, 2020. This will spike the readmission rates in the hospitals. There is no continuity of care because patients are not getting the time they need with their therapist to address their problems. Medicare made a big mistake because businesses will never let therapist dictate treatment, unfortunately. Most people are looking to profit margins, which who suffers, the patient. There has been some unions formed to protect the therapist, letter written to congress but in the end who suffers is the patient. Medicare says that they are watching for dramatic changes but these companies don’t care! They do what their profit margins tells them because they don’t believe Medicare will act as they are only watching. Which I believe PT is developing a private sector who have the money, for people who don’t want to go this route. They do this to advert all the hurdles they will have to jump, to end up going no where.

This is an example post, originally published as part of Blogging University. Enroll in one of our ten programs, and start your blog right.

You’re going to publish a post today. Don’t worry about how your blog looks. Don’t worry if you haven’t given it a name yet, or you’re feeling overwhelmed. Just click the “New Post” button, and tell us why you’re here.

Why do this?

• Because it gives new readers context. What are you about? Why should they read your blog?
• Because it will help you focus you own ideas about your blog and what you’d like to do with it.

The post can be short or long, a personal intro to your life or a bloggy mission statement, a manifesto for the future or a simple outline of your the types of things you hope to publish.

To help you get started, here are a few questions:

• Why are you blogging publicly, rather than keeping a personal journal?
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• If you blog successfully throughout the next year, what would you hope to have accomplished?

You’re not locked into any of this; one of the wonderful things about blogs is how they constantly evolve as we learn, grow, and interact with one another — but it’s good to know where and why you started, and articulating your goals may just give you a few other post ideas.

Can’t think how to get started? Just write the first thing that pops into your head. Anne Lamott, author of a book on writing we love, says that you need to give yourself permission to write a “crappy first draft”. Anne makes a great point — just start writing, and worry about editing it later.

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