Three Months into PDPM, Teasing Out Therapy Opportunities — and Fixing Common Mistakes

Three months into the Patient-Driven Payment Model (PDPM), operators are still strategizing how to best streamline coding and reimbursements. Some are beginning to glean positive results with increased margins, whether it’s through an increase in more efficient group and concurrent modalities or a reduction in therapy headcounts — or both. But operators still have areas […]

Pending Part B Changes Could Have Major Impact on Nursing Home Finances, Therapy Staffing

Early returns for the new Medicare Part A reimbursement system for nursing home operators appear positive, but some industry advocates warn that more Part B pain could be coming over the next few years, both for therapists and skilled nursing providers. And although the exploding senior population represents heavy demand for therapy services, some leaders […]

CVS Health CEO: Omnicare Long-Term Care Pharmacy Business ‘Disappointing’

CVS Health (NYSE: CVS) CEO Larry Merlo this week described the health care giant’s experience with its Omnicare long-term pharmacy subsidiary, which serves nursing homes nationwide, as “disappointing.” Speaking Tuesday at the J.P. Morgan Healthcare Conference in San Francisco, Merlo made a small reference to frustrations over struggles in the long-term care space since CVS […]

Planned Strike Complicates Transfer of Bankrupt Nursing Home to New Owners

The transfer of a bankrupt nursing home in New York may soon hit another snag as a union representing the facility’s workers tentatively approved a strike in response to the potential new owner’s request to reject its labor contracts. Employees of the Bethlehem Commons Care Center in Delmar, N.Y., represented by 1199SEIU United Healthcare Workers […]

Helios’s $16M Nursing Home Deal in MA; Trilogy Health Plotting $11.7M Care Center

Helios Healthcare Advisors negotiated the $16 million sale of a 169-bed nursing home in Middlesex County, Mass. The Chicago-based Helios facilitated the transaction for an owner/operator based in New Jersey. The deal represented the buyer’s first purchase in the Massachusetts market, and proved to be a competitive sale — with more than 10 offers from […]

Avalon’s Five-SNF Pickup for $33M; Dwight’s $116M Fourth Quarter

MidCap Financial provided a $33 million mortgage for a lease-purchase option on five skilled nursing facilities in Oregon for Avalon Healthcare Group. The Salt Lake City-based Avalon operates post-acute facilities in Hawaii, Oregon, Washington, and Utah. MidCap’s Department of Housing and Urban Development (HUD) lending team will work with Avalon to begin the bridge-to-HUD refinance […]

Bundled Payments for Joint Replacements Saved Medicare Money — with No Quality Declines

A major bundled payment program for hip and knee replacement episodes has produced savings for the government without corresponding declines in quality, according to a new study — confirming the central motive behind a program that has drawn the ire of post-acute operators. The Bundled Payments for Care Improvement model (BPCI) seeks to both decrease […]

Cambridge’s $24M HUD Refinance; Senwell Arranges Ohio Bed License Swap

Cambridge Realty Capital Companies provided a pair of $24 million Department of Housing and Urban Development (HUD) loans to refinance two Ohio combination skilled nursing and senior living properties. The loan covers the the Vista Care Center of Lisbon — a 76-bed, mixed-use skilled care and assisted living facility — and Vista Center at The […]

Mixed Skilled Nursing Projections for 2020: Increased Demand, But Margin Pressure Continues

Increasing demand for skilled nursing services is a good sign for the industry, according to several experts who spoke on SNN’s annual outlook webinar, but a continued squeeze on margins may affect some facilities’ ability to keep their doors open in 2020.  Although the Patient-Driven Payment Model (PDPM) looks like good news, with increased reimbursements […]

Low Stars, Citations, Medicaid Problems: HUD Lenders Share Top Skilled Nursing Dealbreakers

Lenders who offer Department of Housing and Urban Development (HUD) loans consider skilled nursing financing to be a long-term relationship, so choosing clients carefully — and thinking about deals as partnerships for the long haul — is crucial for good-decision making. Because the federal government backs these products, which feature low interest rates and a […]

After Successful Pilot at Signature, SNF Care-Planning Initiative to Expand with $3M Grant — and Eye on Reducing Hospitalizations

Advance care planning has emerged as a key win-win for nursing home operators and their residents, improving quality of life while also helping providers avoid unnecessary and costly rehospitalizations. Backed by a multi-million-dollar grant and adopted by some major players in the skilled nursing space, a program designed to improve advance care planning opportunities — […]

Officials Seeking Skilled Nursing Telehealth Solutions — with $750K Reward

Officials in Maryland have put out a call to nursing home operators and telehealth providers, offering $750,000 to the company that can create the most expansive tech solution for the state’s post-acute and long-term care facilities. Following in the footsteps of the federal government and health systems across the country, the Maryland Health Care Commission […]

Skilled Nursing Data Breach with $14M Ransom Illustrates Industry’s Cybersecurity Problems

More than 100 nursing homes were left vulnerable, without entry to patient medical records, after their data provider experienced a breach — an example of a threat that could become more widespread in an industry not known for technological advancement. Virtual Care Provider Inc. (VCPI) last month was hit with a ransomware attack, a kind […]

After Achieving 33% Hospitalization Cut and $3.4M in Savings, Skilled Nursing Startup Expands

A care-coordination startup that has generated 33% reductions in avoidable hospitalizations and $3.4 million in net savings for nursing homes is expanding on its success with a cash injection from a non-profit research institute. Probari — formerly known as Care Revolution — focuses on treating acutely ill residents in place at nursing homes in an […]

Ford to Scale Back Skilled Nursing Transportation Arm, Shift to Autonomous Vehicles

Ford Motor Company (NYSE: F) has substantially scaled back plans for its medical transportation subsidiary GoRide Health, marking a major turn for the ambulance alternative that had targeted the skilled nursing and hospital-system spaces. TechCrunch initially reported the news this week. GoRide Health, which was launched in March 2017 with the goal of providing an […]

Embracing End-of-Life Plans Can Lead to Better Skilled Nursing Care — While Reducing Unnecessary Costs

For nursing home owners and operators, having frank conversations about residents’ end-of-life intentions, and organizing the associated paperwork proactively, is a potential way to avoid unwanted hospitalizations and the sizable costs that come with it — especially if it’s not in line with the patient’s wishes. Nursing homes are faced with tough decisions when the […]

Nearly Half of Post-Acute Staffers Have Minimal Health IT Knowledge — or None at All

Post-acute providers continue to struggle with information technology and data-sharing — particularly around care coordination and value-based payment models — a new survey from Black Book Market Research reveals. In fact, 49% of providers who were surveyed reported that their staffers had very low levels of health IT levels of understanding — or they had […]