Medicare Payment Advisory Commission members supported draft recommendations for a new value incentive program to reward skilled nursing facilities for good performance, and they said their lingering concerns about rewarding low-performing homes that serve high proportions of dually eligible beneficiaries could be tackled in the future through upfront payments and public reporting of nursing home performance scores. Congress directed MedPAC to review and recommend improvements to the value-based purchasing program that allocates quality bonuses to nursing homes. The commission will...