On July 31, 2014, CMS released the final Medicare FY 2015 payment rule for skilled nursing facilities (SNFs). The final rule adopts a net market basket update of 2.0%. The agency also discussed the status of its efforts to identify an alternative payment methodology for SNF therapy services and declined to offer a timeline for development of the new model. The final rule is effective October 1, 2014, and is expected to be published in the Federal Register on August 5, 2014. A display copy is available here.