UnitedHealth’s I-SNPs Reduced Readmissions, Emergency Visits While Boosting Skilled Nursing Use

In-house Medicare Advantage plans have emerged as a hot trend in the skilled nursing space, as operators look for ways to take control over their reimbursement destiny — and a new study shows that the model could have real benefits for both patients and Medicare at large. Members enrolled in insurance giant UnitedHealthcare’s Institutional Special […]

Why Skilled Nursing Operators Can’t Bank on ‘Silver Tsunami’ — or One Good Month Under PDPM — for Relief

As the post-acute and long-term health care industry struggles through shortened lengths of stay and compressed reimbursements, an oasis has lingered just beyond the horizon: the so-called silver tsunami. If operators can wait out the current downturn, the thinking goes, the glut of baby boomers turning 80 and older over the coming years will be […]

Symphony Post Acute Expands into Michigan with Caretel Acquisitions; County SNF Hits Market for $19M

Symphony Post Acute Network expanded its footprint into the Michigan market this week with the acquisition of Caretel Inns of Brighton and Caretel Inns of Lakeland, a pair of skilled nursing and assisted living facilities. Located in Brighton and St. Joseph, Mich., respectively, the facilities blend high-end post-acute care with assisted living units, according to […]

Voters Could Decide on Medicaid Nursing Home Rate Increases in Massachusetts

A ballot initiative that would overhaul the way Massachusetts’s Medicaid program pays for nursing home services last week moved one step closer to reaching voters. The office of state attorney general Maura Healey certified a nursing home reimbursement proposal among other potential ballot questions for Bay State voters to consider in 2020, local NPR station […]

Feds Ask for $38M Judgment in Record-Setting Nursing Home Fraud Case

When the man at the center of a record-setting nursing home fraud case faces a sentencing hearing this week, he’ll also be staring down a nearly $39 million recovery judgment. The federal government has asked a judge to approve a plan that would force Philip Esformes, convicted earlier this year on 20 fraud-related counts, to […]

Inside One Hospital System’s Decision to Partner with Skilled Nursing Instead of Going It Alone

Officials at the University of Kansas Health System recently found themselves facing a familiar issue for hospital groups: To bolster their post-acute presence, and reduce costly readmissions, should they partner with an external operator or do it themselves? Each option comes with its own pros and cons. Some major health systems have gone all in […]

Diversicare Completes Kentucky Exit with 10-Building Transfer

Diversicare Healthcare Services (OTCQX: DVCR) this week announced the successful completion of a 10-building transfer that saw the skilled nursing operator exit the Kentucky market entirely. The handoff was completed on August 30, according to a release from the Brentwood, Tenn.-based provider. Diversicare had previously announced its intention to leave the Bluegrass State back in […]

CMS Expands Power to Ban Providers with ‘Problematic’ Affiliations from Medicare, Medicaid

The federal government on Thursday finalized a rule that will expand its power to remove potentially unscrupulous health care providers from Medicare and Medicaid eligibility. Under the new final rule, the Centers for Medicare & Medicaid Services (CMS) can kick providers out of the programs if they have a previous affiliation with a banned organization, […]

CMS Chief Medical Officer: More Changes Coming to Nursing Home Compare, Quality Measures

The past several years have seen sweeping overhauls of nursing home enforcement on the federal level, and the Medicare program’s top clinical officer says her agency isn’t done beefing up its efforts. Dr. Kate Goodrich, the chief medical officer for the Centers for Medicare & Medicaid Services (CMS), promised that more changes are coming to […]

Capital Funding Backs Portopiccolo’s $36.9M Pickup; $2.5M Nursing Home Property Sells for $250K

Capital Funding, LLC last week announced its involvement in a $36.9 million deal that saw The Portopiccolo Group pick up a pair of skilled nursing facilities in Virginia and Maryland. The transaction covered the Iliff Nursing and Rehabilitation Center, a 130-bed facility serving both pediatric and geriatric residents in Dunn Loring, Va., and the Fox […]

Ignite Medical Resorts Teams with University of Kansas Health in Latest Skilled Nursing Expansion

Ignite Medical Resorts continued its expansion this week with the acquisition of a 96-bed skilled nursing facility in partnership with the University of Kansas Health System. Formerly known as the Kansas City Transitional Care Center, the facility will be renamed Ignite Medical Resort, in Partnership with the University of Kansas Health System when the transfer […]

Diversicare Removed from Nasdaq Exchange, Moving Over the Counter

Diversicare Healthcare Services this week announced that its common stock has been removed from the Nasdaq exchange after officials denied an appeal of its delisting notice. The Brentwood, Tenn.-based skilled nursing operator had received an initial warning from the exchange in late December, after its market value of listed securities (MVLS) dropped below the mandatory […]

Ensign Group Board Approves Home Health, Hospice Spinoff

The board of directors for The Ensign Group (Nasdaq: ENSG) this week approved a plan to separate its skilled nursing operations from the remainder of its senior housing and care business lines. The San Juan Capistrano, Calif.-based nursing home giant will see its home health, hospice, and senior living business lines move into a new […]

AHCA: CMS Already Has Authority to Simplify Three-Day Stay Rule for Nursing Home Coverage

The leading national trade group representing for-profit skilled nursing facilities this week called on the federal government to streamline its policy on Medicare eligibility for nursing home care, arguing that officials already have the legal authority to do so. American Health Care Association president and CEO Mark Parkinson formally asked Centers for Medicare & Medicaid […]

Verma: CMS Should Reduce Survey Frequency for Top Nursing Homes, Look Beyond Monetary Penalties

The leader of the Centers for Medicare & Medicaid Services (CMS) on Wednesday continued her public push for greater nursing home oversight, promising that the agency will use data to target states with suspiciously low rates of citations — while also expressing a desire to reduce survey frequencies for top performers. CMS administrator Seema Verma […]

Unpacking the New Therapy Contract Math for Skilled Nursing Providers Under PDPM

Faced with a sea change in the Medicare reimbursement system for nursing homes, operators have spent the last year asking a key question about their therapy offerings: outsource or in-house? And if the answer is outsource, what will that relationship look like moving forward in unfamiliar payment landscape? There’s no one correct answer for contract […]

OIG Calls on New York to Crack Down on Nursing Home Safety

The federal government’s top health care watchdog has called on state officials in New York to beef up enforcement of nursing home safety rules after uncovering multiple violations in a recent audit. The Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG) this month released a report accusing the Empire State […]