Medicare Spends Significantly More on SNF Stays Than Private Plans — With No Clinical Difference

Commercial insurance payers spend significantly less on post-acute and skilled nursing care — with much shorter SNF stays — compared with Medicare fee-for-service reimbursements. But even though Medicare pays more for post-acute care and SNF stays, there are no significant differences in readmission rates — suggesting that there may not be any clinical benefits to […]

Managed Medicaid Could Compound SNF Headaches in Kansas as Aetna Pledges Improvements

After health care providers reported a range of issues with reimbursement, one of Kansas’s three managed Medicaid insurance companies promised improvement at a recent state government hearing. “Clearly, the feedback we’ve received and some of the issues that have been brought to our attention and some of the issues we’ve seen internally have been extremely […]

$47M SNF Breaks Ground in Tennessee; $5.8M Bridge-to-HUD Loan in Ohio

Officials in Tennessee broke ground on a $47 million state veterans nursing home in a ceremony in Cleveland, Tenn., the Associated Press reported Aug. 22. The 108-bed skilled nursing facility will include six 18-bedroom residential houses linked by interior shared support spaces. The U.S. Department of Veterans Affairs is contributing a $30.5 million grant, while […]

Lorien, the ‘Nursing Home Company That Doesn’t Like Nursing Homes,’ Sees Home Services as Vital to Success

As the population of the United States ages, it’s becoming imperative for long-term care operators to come up with solutions to deal with the coming demographic wave — across a variety of settings. For Lorien Health Services — which offers a range of services from skilled nursing to assisted living to dialysis across nine facilities […]

SNFs Need to Stop Thinking of Themselves as Targets for Cuts — and Get Creative

In a health care world of payment evolution and alternative reimbursement models, skilled nursing facilities have been feeling the pinch. There’s pressure to lower length of stay from both Medicare Advantage payers and accountable care organizations (ACOs). Multiple studies have found that ACOs and bundled payment models generate savings for the Centers for Medicare & […]

A Year After SNF Closure, Illinois’s Medicaid Issues Lead to Bankruptcy for Non-Profit Operator

Because of delays by the Illinois government in processing Medicaid coverage applications, the non-profit operator of a skilled nursing facility that closed a year ago is now declaring bankruptcy. The State Journal-Register reported the news August 16th. The state of Illinois made headlines last year for a multi-million Medicaid eligibility backlog, and it already had […]

Inside an Anthem Subsidiary’s Attempt to Reward Skilled Nursing Facilities with Medicare Advantage Bonuses

Managed care and Medicare Advantage companies can be a sore spot in the skilled nursing world, but as the sector evolves, a subsidiary of a major insurer is looking at how to reward facilities for providing quality care — while keeping in mind the financial pressures that providers face. CareMore Health, a subsidiary of Medicare […]

Skilled Nursing Facilities Outpace Hospitals in Data Sharing, Technology

Though data sharing between acute and post-acute care facilities remains a frustration for operators and patients alike, the PAC space may actually be running ahead of their hospital counterparts when it comes to using in technology. That’s according to a new white paper from Toronto-based software provider PointClickCare (PCC) on patient transitions, which examined data […]

Invesque Sees Skilled Nursing Tailwinds in Wake of $25M Magnetar Joint Venture

With the new Medicare overhaul set to take effect on October 1 and the recent finalization of a Medicare rate boost for fiscal 2020, leaders at Invesque Inc. (TSX: IVQ.U) were upbeat about the future of its skilled nursing facilities in its second-quarter earnings call Thursday. In its earnings release, Invesque highlighted the formation of […]

How Three Skilled Nursing Facilities Cut Hospital Admissions by a Third

A new model for reducing unnecessary transfers from skilled nursing facilities to hospital emergency departments (ED) drastically cut hospitalizations and ED use — albeit with a very small sample size. Three SNFs made use of the Reducing Avoidable Facility Transfers (RAFT) model from January 1, 2016 and June 30, 2017, as detailed in a study […]

‘Under Siege’ for Years, SNFs Face Uphill Battle for Respect Under New Payment Models

Though skilled nursing facilities have experienced significant pain under the structures of alternative payment models such as accountable care organizations (ACOs), they still have the opportunity to show value. But it’s something of an uphill road, according to Harvard Medical School professor and Medicare Payment Advisory Commission (MedPAC) member David Grabowski. “I absolutely think that […]

Genesis Targets Increased Real Estate Ownership as CEO Touts Strength of its ACO

Genesis HealthCare (NYSE: GEN) reported improvement in its 2019 second-quarter financial results, and CEO George Hager is optimistic about the second half of the year — in part because of the skilled nursing operator’s participation in the Medicare Shared Savings Program (MSSP) as an accountable care organization (ACO). The skilled nursing giant, which operates about […]

CareTrust: Lack of Regional Knowledge Undid Trillium’s Skilled Nursing Operation in Ohio

CareTrust REIT (Nasdaq: CTRE) emphasized the importance of local knowledge for skilled nursing operators in its second-quarter earnings call held on Wednesday, both in the case of a planned operator switch in Ohio and in the skilled nursing market more broadly. Specifically, the San Clemente, Calif.-based real estate investment trust (REIT) is looking to sell […]