Creative Solutions Turns to Data Ahead of PDPM with 70-SNF Rollout

In a nod to the importance of data under the Medicare reimbursement overhaul coming October 1, a Texas skilled nursing provider is adding data analytics to all of its facilities — more than 70 throughout the Lone Star State. Creative Solutions in Healthcare, based in Fort Worth, Texas, and Real Time Medical Solutions earlier this […]

Genesis Exec: ACOs May Work Better Than I-SNPs for Skilled Nursing Facilities

Skilled nursing providers, seeking more control over their own destiny and the premium dollar, have been driving the growth of a specific subtype of Medicare Advantage plan designed for the care of patients in the institutional setting. But Jason Feuerman, senior vice president for strategic development and managed care at nationwide operator Genesis HealthCare (NYSE: […]

Medicare Advantage Hasn’t Always Prioritized Skilled Nursing — But That’s Changing

If skilled nursing facilities want to improve their relationship with managed care payers — particularly the ever-expanding Medicare Advantage plans — they have to ensure that they understand the payers’ pain points. And they have to battle the reality that in the Medicare Advantage world, post-acute barely registers on insurers’ radar screens because it’s a […]

$45M ReFi for Three Texas SNFs; Nonprofit Sells Three SNFs in N.C.

KeyBank Real Estate Capital secured $45 million in Federal Housing Authority (FHA) loans for the refinancing of three skilled nursing facilities in the state of Texas. The loans were $16 million for the 120-bed Regency-Windsor Calallen in Corpus Christi, $14.5 million for the 120-bed Regency-Bastrop Nursing & Rehabilitation Center in Bastrop and $14 million for […]

OIG: ACOs Use Three-Day Stay Waiver, Preferred Providers to Manage SNF Costs

Preferred provider networks of skilled nursing facilities, embedding staff onsite and conducting so-called “warm handoffs” were among the strategies that top accountable care organizations (ACOs) use to manage costs in the SNF and home health care setting. Because Medicare spending is expected to surpass $1.5 trillion by 2028, more than double the spending of $708 […]

How Third-Party Rehab Can Manage Risk in Tumultuous SNF World

As skilled nursing facilities navigate thin margins, payer pressure on patient length of stay and reimbursement shortfalls, the resulting financial headaches can have ripple effects for their partners. Vendors such as food service or pharmacy companies can be particularly vulnerable to a SNF’s financial struggles. But for third-party rehab companies, a tumultuous SNF world – […]

Research, Ability and Track Record: How SNFs Have to Help Referrers Under PDPM

With the Medicare reimbursement overhaul taking place in a few short months, skilled nursing facilities — ideally — are moving into the last stages of preparation and training for staff and workflow procedures. But according to post-acute care partnership strategist Mike Wetula of therapy company TMC, SNFs can’t ignore their referral partners in the process. […]

SNF Telehealth Adoption Hampered By Capital and Cultural Obstacles

Skilled nursing providers are becoming increasingly interested in telehealth technology as a way of improving clinical outcomes and reducing care costs. But systemic obstacles blocking capital investment — and SNFs’ generally narrow margins — and cultural resistance mean that it’s hard for providers to implement the technology, Lana Adzhigirey, care transformation manager at the health […]

$10M Deal in Progress for NY State Nursing Home; Turnaround Sale in Tucson

Two groups of buyers are involved in the transition of a skilled nursing facility located in Warsaw, N.Y., Buffalo Business First reported. Bartholomew Health Care Group of Rochester’s decision to sell the 80-bed East Side Nursing Home came after financial problems primarily stemming from Medicaid funding, owner A. John Bartholomew told the publication. The initial […]

Cost-Cutting Consequences: Improper Discharges Home, Financial Strain for SNFs

In a rush to find savings amid a changing payment landscape, hospitals have turned to the reduction in institutional post-acute care, especially in skilled nursing facilities. But that determination to secure savings could have unintended consequences for patients, their families, and SNFs, according to a perspective article published Wednesday in the New England Journal of […]

Pennsylvania Official Pushes for Better SNF Vetting, Warns of Workforce Crisis

The state of Pennsylvania should adopt stronger policies for vetting nursing home operators in the wake of the Skyline Healthcare collapse, a report issued Tuesday from Pennsylvania Auditor General Eugene DePasquale recommended. “Nearly 90,000 Pennsylvanians live in more than 700 nursing homes throughout the state, and they represent just a fraction of our aging population,” […]

Abuse Reporting and Owner Background Checks Loom Large in Elder Justice Hearing

Background checks for staff and better reporting for nursing home abuse loomed large in a U.S. Senate Committee on Finance hearing held Tuesday, with consumer advocates and industry representatives confirming the findings of a new report that revealed oversight gaps by the Centers for Medicare & Medicaid Services (CMS) around nursing home abuse. The report, […]

CMS Rule Allows – But Could Discourage – Arbitration Agreements in Skilled Nursing Facilities

The Centers for Medicare & Medicaid Services (CMS) has overturned an Obama-era ban on the use of pre-dispute, binding arbitration agreements by skilled nursing facilities. But providers might still think twice about using these agreements, due to certain consumer protection provisions in CMS’ final rule. In fact, the protections for SNF residents and their families […]

Number of I-SNP Plans Goes Up Almost 30% Year-Over-Year

The number of skilled nursing providers interested in becoming insurers has grown for the past several months. Now hard numbers show just how great that interest is. Special needs plans are a category within Medicare Advantage (MA) that provide a common framework for the plans that serve special-needs beneficiaries, while also expanding beneficiary choice and […]

PDPM Countdown: ‘We Are All Crossing Our Fingers and Knocking on Wood’

With the Medicare Part A reimbursement overhaul taking effect in just a few months, skilled nursing providers across the country are in countdown mode. But the clock is moving at different paces for different providers, several experts said. Some SNFs began their analysis and preparations months ago; others are barely getting started. That’s led to […]

Legislators React to SNF Arbitration Ban Reversal: ‘New Rule Does Not Put Patients First’

The Centers for Medicare & Medicaid Services overturned a ban on skilled nursing operators using pre-dispute arbitration agreements with their residents in a final rule issued July 16, and a range of lawmakers reacted throughout the week. The ban on arbitration agreements in long-term care was implemented by the Obama administration in 2016, to strong […]

New Investigation Puts Skyline Healthcare Back in the Spotlight

A new investigation has put Skyline Healthcare back in the national spotlight. An investigative report by NBC News published Friday examined the rise and fall of Skyline Healthcare, the skilled nursing company that collapsed in dramatic fashion over several months. The Wood Ridge, N.J.-based Skyline at its height owned or operated more than 100 skilled […]