NY’s Medicaid Cut ‘Will Without Question Damage’ Nursing Home Finances

A workgroup authorized by the state of New York predicted dire outcomes for the Empire State’s skilled nursing facilities in a statement and recommendations delivered to various state departments on Friday. In the statement, the Nursing Home Acuity Workgroup described the planned change in methodology as “using unrepresentative resident assessment data.” Specifically, the state Department […]

Union Joins Forces with Genesis to Stave off Medicaid Cuts, Nursing Home Closures

In an unusual alliance, the Service Employees International Union (SEIU) District 1199 joined with Genesis HealthCare (NYSE: GEN) administrators in Connecticut on Thursday to stave off the closure of several skilled nursing facilities in the state due to low occupancy. Under a provision in Connecticut’s biennial budget, nursing homes that have an occupancy rate below […]

Judge Throws Out False Claims Act Case Against ManorCare Hospice Arm

A False Claims Act (FCA) case against HCR ManorCare’s Heartland hospice affiliates was dismissed with prejudice on Wednesday by Judge James Carr of the U.S. District Court for the Northern District of Ohio. The government had previously declined to intervene in the qui tam complaint made by Kathi Holloway, who worked as a regional hospice consultant […]

New Private Equity Firm Eyes ‘Good Buying Opportunity’ as Skilled Nursing Prices Cool

Private equity interest and investment in the skilled nursing space is growing as the sector goes through rounds of tumult and transformation. The trend was apparent in 2018, even though most of the private equity interest focused on senior housing. As real estate investment trusts (REITs) sold off their underperforming SNF assets, private equity buyers […]

Coding, Scoring, and Accuracy: Three Key Points of Attack for PDPM

With October 1 a few short months away, skilled nursing providers should be well into their preparations for the Patient-Driven Payment Model (PDPM), the overhaul of Medicare Part A reimbursement that’s set to take effect at the start of the new fiscal year. The new requirements include a variety of new possibilities for payment, since […]

New York Medicaid Change Could Cut Nursing Home Payments by Millions

The state of New York is proposing a change in the way it calculates the case mix that sets Medicaid reimbursements for skilled nursing facilities — with the goal of realizing $246 million in net savings. If it is finalized, that could mean a significant cut in Medicaid reimbursements for nursing home providers in the […]

Confessions of a Skilled Nursing Operator: ‘ACOs Have Been a Disaster for SNFs’

With the U.S. health care system lumbering toward value-based care and grappling with how to match payments with outcomes, accountable care organizations (ACOs) have come under the spotlight. But despite conflicting reports about their capacity to produce savings and improve care, one operator tells Skilled Nursing News that there is no doubt about one thing: […]

Cost of Nursing Home Care Consistently Outpaces Inflation, Study Finds

The out-of-pocket cost of receiving care in a nursing home has consistently grown faster than gains in consumer and medical care prices, raising questions about the affordability for seniors without Medicaid coverage or long-term care insurance, according to a study published in the journal Medical Care Research and Review. The study — which drew from […]

Welltower CEO: Calling ProMedica Joint Venture a SNF Deal is ‘Pedestrian View’

Welltower (NYSE: WELL) CEO Tom DeRosa touted a big-picture view of his company’s skilled nursing investments this week, describing post-acute services as part of a larger health care ecosystem — one that is vertically integrated and thinks holistically about care. And because of that, he’s adamant that there’s more to the real estate investment trust’s […]

‘SNF Star Ratings Matter’: Nursing Homes with High Ratings Produce Better Outcomes

Despite ongoing debate about the data used to calculate the federal government’s five-star ratings for nursing homes, a new study found that higher-rated skilled nursing facilities produce better outcomes for residents. Properties with higher ratings on provider performance report cards outperform lower-ranked SNFs on a variety of metrics, researchers from the National Bureau of Economic […]

OIG Clears Nursing Home with 93% Very High, Ultra-High Therapy After Review

In an unusual outcome, the federal government’s top health care watchdog arm publicly cleared a nursing home it suspected of providing unnecessarily intensive therapy services. The Department of Health and Human Services (HHS) this week determined that the skilled nursing facility at an Oklahoma continuing care retirement community (CCRC) properly supported all its therapy minutes […]

Altenheim CEO: More Skilled Nursing Closures Coming Unless Providers ‘Change Their Mindset’

The future of non-profits in the skilled nursing space — and the future of non-profit continuing care retirement communities — has been increasingly uncertain, if not outright bleak. Not-for-profit skilled nursing facilities were among the most notable casualties of low Medicaid rates in the state of Texas, while in New York, officials went so far […]

Ventas Backs $1.5B Refi of Colony Capital’s Health Properties; SLP’s Rural SNF Portfolio Expands to 37

Colony Capital, Inc. (NYSE: CLNY) on Thursday announced the successful refinance of a $1.73 billion consolidated loan on its health care portfolio, which includes skilled nursing facilities, senior housing properties, hospitals, and medical office buildings. The new interest-only loan totals $1.52 billion, with a five-year term and a blended interest rate of one-month LIBOR plus […]

Skilled Nursing Facilities, Therapy Provider to Pay $9.7M to Settle False Claims Act Allegations [Updated]

Physical therapy provider Quality Therapy & Consultation and four skilled nursing facilities — all in the Chicago metropolitan area — agreed to pay $9.7 million to resolve allegations of False Claims Act violations, the U.S. Attorney’s Office for the Northern District of Illinois announced Tuesday. The settlement and consent judgments resolve allegations that Quality Therapy […]