Inside Rising Cyber Attacks: Tackling Insurance Hikes, Payment Disruptions at Nursing Homes

Health care cyber attacks have been an ever-present threat for providers, including nursing homes. But the most recent attacks on Change Healthcare have had ripple effects on the industry, prompting lobbying groups and federal agencies to action. The attack in February has affected cash flow and claims processes for some nursing home operators, associations said, […]

Nursing Home Staffing Rule’s Facility Assessments Strengthen Data Collection, Potentially Challenging Midsize Chains

As the long-term care industry comes to terms with the nursing home staffing mandate, there are many factors for operators to consider as they plan for the coming years. The final rule on staffing, which has been received with harsh criticism from the industry, establishes updates to facility assessment standards on top of the minimum […]

CMS Views Hardship Exemptions, Staggered Timeline as Easing Growing Pains From the Nursing Home Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) provided more details Wednesday on the implementation of facility assessments and exemptions extended to nursing homes over the final staffing rule. In a national stakeholder call, CMS officials addressed these issues as well as the possibility of modifying the minimum staffing thresholds in the future along with […]

CMS: Burdens, Closures Likely in Wake of Nursing Home Staffing Mandate But ‘Status Quo’ Is Not Acceptable

The Centers for Medicare & Medicaid Services’ (CMS) officials said Tuesday that they are confident that facilities will be able to meet the newly finalized staffing mandate’s requirements given the plan to implement it in three phases. “As the rule’s provisions are carefully calibrated and carefully phased in, we believe that with time, with the […]

‘An Extinction Event’: Industry Leaders Blast Finalized Nursing Home Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) on Monday unveiled the finalized minimum staffing standards for nursing homes, drawing sharp – and deeply apprehensive – responses from leaders in the sector. CEOs of nursing home owners and operators and leaders of industry associations were all but unanimous in their reactions; among those who spoke […]

Medicare Advantage Growth Could Normalize, but Nursing Home Leaders Call for Rate Floor and Other Changes

While Medicare Advantage (MA) has grown steadily in the last several years, leaders in the nursing home sector speculate whether increased federal regulation – and perhaps even more importantly, changes in the consumer experience – will slow its growth. This would come as a welcome development to many nursing home leaders, who have been struggling […]

Senate Hearing Focuses on Long-Term Care Worker Woes, But Provider Groups Say Related Bill ‘Misses the Mark’

Federal lawmakers have introduced the Long-Term Care Workforce Support Act, in conjunction with a hearing that took place Tuesday, hosted by the U.S. Senate Special Committee on Aging. The bill, if passed, would increase the number of direct care professionals, including in rural communities. Some associations representing the nursing home industry said the legislation managed […]

Eduro, Care Initiatives, HDG Execs: Punitive Regulatory Climate Hurts Nursing Home Providers as Staffing Mandate Looms

In light of the upcoming nursing home staffing mandate, industry leaders are concerned about how the measure will be enforced. And, they’re still trying to cope with what they describe as a punitive approach to surveys. On the plus side, labor pressures have started to ease, and workforce initiatives are bearing fruit. “It’s just hard […]

‘Aggressive’ CMS Penalties for Nursing Homes in New SNF Rule Could Be Subject To Political Swings

The Centers for Medicare & Medicaid Services (CMS) has announced proposed expansions to CMS’ existing enforcement authority – including higher fines – related to financial penalties for nursing homes. The proposed SNF rule for 2025 will allow CMS more flexibility to impose penalties, within statutory limits. The potential alterations have raised concerns about the heightened […]

CMS Value-Based Purchasing Proposals Draw Nursing Home Pushback, But ‘Stability is Welcome’

The Centers for Medicare & Medicaid Services’ (CMS) recently proposed Value-Based Purchasing Program updates include staffing provisions that are being met with provider concern, although other updates should be well received once the dust settles. Among recommended changes, CMS is proposing allowing SNFs to review and correct Payroll-Based Journal (PBJ) data beginning with the fiscal […]

How Nursing Home Operators Are Responding to Severe Transportation Challenges

Skilled nursing facilities across the United States are facing mounting challenges related to transportation services, as low reimbursement rates and financial fallout from the pandemic caused some transportation companies to shut down. The challenges are so severe that some operators are opting to eat the cost of chartering their own buses, in lieu of having […]

‘Gobbled Up’: CMS Medicare Increase for Nursing Homes Fails to Price in Dire Economic Environment, Costly Regulation

The federal government’s proposed Medicare payment increase for 2025 is not sitting well with the nursing home sector, with financial experts and operators raising concerns that the bump fails to compensate for inflation-induced operating costs – and a staffing proposal anticipated to cost in the billions each year. For some experts, the Centers for Medicare […]

Policy Moves That Are Yielding State Winners on Nursing Home Staffing Front

North Dakota has some of the highest staffing levels in the country – no small feat considering the many pockets of rural communities. The state has achieved this because of a very supportive legislative body that recognizes the value of long-term care services, including skilled nursing, operators and associations say. Garth Rydland, president and CEO […]

PruittHealth CEO Talks Shift Towards Luxury Skilled Nursing, Expansion Plans, Staffing, ‘Transparent’ Ancillaries

Neil Pruitt, CEO of PruittHealth, believes that the movement toward creating all-private rooms for residents represents an industry shift to enhancing healing experiences and improving infection control.  To that end, PruittHealth recently added a 104-bed luxury skilled nursing center in Beaufort, North Carolina, and a key feature of its layout emphasizes patient comfort and privacy […]

CMS Clarifies Updates for Skilled Nursing Facilities in FY 2025 Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) held an open door forum Tuesday, which addressed updates outlined in the proposed Skilled Nursing Facility Prospective Payment System rule (SNF PPS) for fiscal year 2025. Officials discussed payment provisions and market basket updates, along with changes to the Quality Reporting Program (QRP) and the new Social […]

‘A Lot of Noise’: Cedar Community CEO Touts Success in Rehospitalizations, Staffing Amid Medicare Advantage Challenges

As staffing challenges persist, operators are striving to make nursing homes a more attractive place to work and some simple, tried and true tactics are at play. Gauging employee well-being through annual surveys – administered quarterly for new hires – and acting on the feedback is proving to be a technique that has turned out […]

Navigating Nursing Home Profitability Amid Shifting Medicaid Rates and Operational Demands

Skilled nursing operators are grappling with a distinctive set of challenges related to managed care’s growth and lower payment rates. The average managed care rate in SNFs remains $109 less than Medicare pay rates, which, combined with a surge in managed care enrollment, has impacted reimbursement rates. In a recent webinar hosted by Plante Moran, […]