CMMI Could Put Post-Acute Providers Back in Control of Bundled Payments

The leader of the federal government’s center for reimbursement innovation said he is considering bundled payment models where post-acute care providers could take the lead on care — but right now it’s only at the consideration stage. Adam Boehler, who leads the Center for Medicare and Medicaid Innovation (CMMI), said that there has been significant […]

‘Unreasonable’ to Think Therapy Patterns Won’t Change Under PDPM

Though experts and federal authorities alike stress that the coming change to Medicare reimbursement shouldn’t affect the levels of rehabilitation provided to skilled nursing patients, the reality is that therapy is likely to evolve. That makes it all the more important for operator to clearly tie any changes in therapy provision to clinical needs and […]

$300M Skilled Nursing Project Planned in CA; Strawberry Fields Expands Again

The Yountville Veterans Home in Yountville, Calif., is looking to build a 240-bed skilled nursing facility to replace three state-licensed care facilities on campus, including two SNFs, the Napa Valley Register reported. The project could cost $300 million, depending on the design process, campus administrator Fred Just told the publication. But he said it would […]

Meridian Closes Flurry of SNF Financings in Q1; New Nursing Facility in NC

The senior housing and health care team of Meridian Capital Group arranged for more than $500 million in financing for skilled nursing, independent living, and assisted living facilities with 17 transactions across 9 states in the first quarter of the year. The deals included $126 million in acquisition financing and equity for a 14-property SNF […]

Providers Can’t Lose Sight of ‘Where the Money Is’ Under PDPM

When it comes to the changes coming to Medicare reimbursement methodology, coding figures prominently in the discussion among skilled nursing providers. But while it’s important for SNFs to make sure staff education and training on that topic is up to date, there are several other components of reimbursement under the Patient-Driven Payment Model (PDPM) that […]

Only 32% of Skilled Nursing Providers Feel Clinically Ready for PDPM

As they get ready for the Medicare Part A reimbursement system taking effect October 1, skilled nursing providers have a high degree of confidence in the preparedness of their interdisciplinary teams. But that confidence plummets when assessing the preparedness of their clinical teams, according to a new survey from the Plano, Texas-based Reliant Rehabilitation. The […]

Ensign Adds Arizona SNF; County Nursing Home Finally Sold in Illinois

The Ensign Group (Nasdaq: ENSG) acquired the real estate and operations of the 130-bed Phoenix Mountain Post Acute skilled nursing facility, effective April 1. The community had an average occupancy rate of about 80% at the time of the acquisition, according to Jim Guschl, president of Bandera Healthcare, Inc., Ensign’s Arizona-based subsidiary. “We have admired […]

Turn-Key CEO: Why Palliative Care Must Soon Come to Skilled Nursing

Given their emphasis on rehabilitation and recovery, skilled nursing facilities aren’t typically places where patients receive palliative care. That’s despite the fact that only a small portion of nursing home residents who would benefit from such care usually receive it, according to one study published in 2017 by the Journal of the American Medical Association. […]

Johns Hopkins Reveals Inner Workings of Its Preferred Skilled Nursing Network

One academic health system found that though the process can require considerable time and resources, establishing a preferred skilled nursing facility network could provide a leg up in improving care and in implementing value-based health strategies. Johns Hopkins Medicine (JHM), an integrated care system that includes five hospitals in Maryland and the District of Columbia, […]

Bloomberg: Long-Term Care Dominates Health Care M&A in February

Long-term care deals dominated the health care mergers-and-acquisitions landscape in February, clocking in at 32 transactions, according to a Friday report from Bloomberg Law’s transactions advisory board. That number is double the next-closest sector, health care information technology and software, which racked up 16 deals for the month, according to the list compiled for Bloomberg […]

Wave of Anticipated Skilled Nursing M&A Action Still Offshore for Now

Major real estate investment trusts (REITs) with stakes in the skilled nursing world almost universally expressed optimism about the coming change in Medicare Part A reimbursement — and several predicted changes in mergers and acquisitions as a result. But the expected wave of small mom-and-pops exiting the skilled nursing industry because the Patient-Driven Payment Model […]

Georgia Skilled Nursing Facility Sells for $7.3M; $25M SNF Opens in Kentucky

Southern Health Corporation of Ellijay, Inc., a subsidiary of SunLink Health Systems (NYSE American: SSY), sold its Parkside Ellijay Nursing Home and related real estate for about $7.3 million. The net proceeds, about $6.4 million, will be retained for working capital and general corporate purposes. SunLink expects to recognize a pre-tax gain of about $2.1 […]

Shorter Stays Bring Rewards Under PDPM — But Only to a Point

Skilled nursing providers might be able to reap financial gains under the new Medicare payment model taking effect in October of this year if they can cut their average patient length of stay (LOS). But the gains will only hold until a certain point, and providers that already have shorter LOS —- such as short-term […]

Focus on Behavioral Residents Lands SNFs $10.5M to Expand Services

As the prevalence of behavioral health issues grows among the nursing home-aged population, one group of skilled nursing facilities received a major grant to help improve mental health care among its residents. CareChoice Cooperative, which is based in St. Paul, Minnesota, earlier this year received $10.5 million to bring the Resident Centered Behavioral Health (RCBH) […]

Aegis CEO Schram: Therapy Still Has Value Under PDPM, But Providers Must Be ‘On the Hook’ for Outcomes

With therapy minutes no longer driving reimbursement under the new Medicare reimbursement system taking effect on October 1, the relationship between skilled nursing facilities and rehabilitation companies is undergoing a significant metamorphosis. But the change runs deeper than the shift in revenue streams. The new system will drive new models of care and move. interactions […]

Private Equity Firm Northwind Announces New SNF Lending Platform as Part of $1B Goal

Northwind Group, a private equity firm based in New York, last week announced a new health care lending platform for providing debt and preferred equity capital to seniors housing and skilled nursing real estate owners and operators. The offerings will include first mortgage-secured loans for acquisitions, refinancings, and other bridge needs for two- to five-year […]