Congress may cut Medicaid provider taxes for nursing homes as a part of budget reconciliation, significantly impacting the sector as many providers rely on this avenue of reimbursement for crucial services and resident resources. These taxes are a key funding tool: providers pay a fee, matched by federal dollars, to support state Medicaid programs. But […]
The CEO of PruittHealth is bullish on how a newly announced partnership with another major post-acute provider will drive population health efforts while focusing the organizations on their true competition. PruittHealth and Community Health Services of Georgia (CHSGa) are the two largest post-acute care providers in the Peach State; their partnership, announced on Oct. 31, […]
Arya Health on Wednesday announced an $18.2 million Series A funding for its technology to automate scheduling, compliance tracking and hiring pipeline management for nursing homes and home health care providers. The round was led by ACME Capital, with participation from Ridge Ventures, Twelve Below, leading post-acute care providers and executives from OpenAI. The funding […]
Amid Medicare Advantage’s rise, future policy shifts – including faster prior authorization requirements and Medicaid cuts – could increase nursing homes’ challenges with uncompensated care and care transitions. Experts say proactive planning and greater technology use can help facilities ease patient transfers and reduce costly hospital delays. At a recent webinar moderated by Skilled Nursing […]
Ballad Health has filed a federal lawsuit against UnitedHealth Group (NYSE: UNH) and its insurance arm, UnitedHealthcare, over Medicare Advantage practices, including practices related to beneficiaries’ post-acute care access. Johnson City, Tennessee-based Ballad is a nonprofit health system that operates 19 hospitals in Tennessee and Virginia. The organization alleges that the United entities have “systematically […]
AI and predictive analytics speed admissions, maximize reimbursement, and free clinicians to focus on patient care Raleigh, N.C. – October 14, 2025 — Clinware, designed to enhance patient care and streamline clinical operations in post-acute facilities, today announced the launch of its AI-powered admissions and clinical workflow optimization platform, supported by $4.25 million in private […]
Leadership at Cascadia Healthcare, which operates 25 facilities in Idaho, is raising the alarm over recent back-to-back Medicaid rate cuts in the state, warning that they threaten not only facility closures but could also impact the entire health care ecosystem. Idaho lowered its Medicaid reimbursement rate by 4% on Sept. 1, after lowering rates 3% […]
This article is sponsored by Centers Health Care. As the post-acute care landscape evolves, Centers Health Care is leading the charge with a movement-focused approach that puts wellness at the heart of the resident and staff experience. What began as a creative way to promote physical activity has grown into a data-driven initiative with real […]
Omega Healthcare Investors (NYSE: OHI) raised its earnings guidance despite the bankruptcy filing of its nursing home tenant, Genesis Healthcare, with executives on Friday citing confidence in the company’s reorganization plans and ability to meet rent obligations. “With our strong acquisition pipeline, a favorable operating environment and over $2 billion in liquidity with very low […]
Rural nursing homes and hospitals are at risk of shutting down as a result of Medicaid cuts outlined in the One Big Beautiful Bill Act (OBBBA). At a regional level, Northwest Pennsylvania residents may find themselves driving further for care, with 15 nursing homes and five hospitals facing potential closure, according to a report from […]
The One Big Beautiful Bill Act (OBBBA) spared nursing homes from deep cuts, at least on the surface, carving out facilities from a provider tax reduction. But, the phasing down of provider tax for managed care organizations (MCOs) may still have an indirect impact on the industry, Macquarie Equity Research analyst Tao Qiu said in […]
The time is ripe to reconsider an integrated ACO model for dually eligible patients, many of whom need nursing home care. Integration could happen via mandated relationships between Medicare ACOs and state Medicaid agencies, especially for plans serving a high number of dual-eligible beneficiaries. Such a strategy could help the Centers for Medicare and Medicaid […]
Nursing operators, especially those who own their own facilities, are facing financial strain caused by high interest rates as they attempt to restructure existing loans. While HUD loans and loans financed through real estate investment trust (REITs) are safe from interest rate fluctuations, other forms of financing are facing higher interest rates when converting debt […]
Following President Donald Trump’s signing into law the so-called One Big Beautiful Bill, officials are beginning to tally up the fallout in Minnesota and warning that the state could lose $500 million annually in Medicaid reimbursements, significantly impacting hospitals and nursing homes. John Connolly, Minnesota’s Medicaid director, expressed concern over rising costs for both governments […]
Senate Republicans are pushing a proposal to scale back Medicaid provider taxes to help fund a sweeping budget package – but nursing homes and intermediate care facilities would be exempt from the cuts. A draft from the Senate Finance Committee proposes gradually reducing the maximum provider tax rate in Medicaid expansion states from 6% to […]
A new bill introduced by Connecticut’s legislature could upend nursing home financing, especially those facilities that opt to be financed by a real estate investment trust (REIT) or private equity group. A surge of last-minute deals in the state is underway, as owners seek to lock in grandfathered Medicaid eligibility, according to a report from […]
Proposed Medicaid cuts are spurring widespread concern among nursing home providers, as reductions would severely impact care quality, staffing, and facility operations. Activity on the Hill and a new report puts the spotlight on potential impact to stakeholders. About 92% of providers are concerned about further Medicaid cuts, according to a May report from the […]
While Medicare Advantage claim denials represent 17% of initial claim submissions, including those submitted by nursing home providers, about 57% of these denials are ultimately overturned. However, MA claim denials result in a 7% net reduction in provider MA revenue, due to the dollar-weighted share of claim denials that were not overturned, according to a […]
During a Congressional hearing held Wednesday, U.S. Department of Health & Human Services (HHS) Secretary Robert F. Kennedy Jr. defended the Trump administration’s proposed cuts to top health agencies as lawmakers questioned HHS actions under his leadership – ranging from workforce reductions at HHS to spending cuts on scientific research, including research impacting older adults […]
Legislators in Minnesota are debating deep cuts to the state’s human services budget, largely impacting nursing homes, to make up for a $6 billion budget deficit. The state’s House and Senate have until May 19 to agree on final cuts. The Senate’s version of the budget has $47 million in nursing home payment system changes, […]
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