The Patient Driven Payment Model is a rare bright spot in Skilled Nursing’s dreary reimbursement landscape, but storm clouds are on the horizon. CMS has proposed recalibrating SNF rates to correct for unintentional spending relative to the RUG system it replaced. The agency refers to this reduction as a “Parity Adjustment,” but in the context of a post-pandemic operating environment, the proposal reads more like a “Reimbursement Parody” to me.