CMS Star Rating Process, with Wide State Variation, Sparks Trouble for Consumers and Nursing Homes

Hundreds of nursing homes continue to maintain or display high star ratings despite Immediate Jeopardy incidents in the previous three years, and this can create headaches for both nursing homes and consumers alike. According to a Scripps News analysis released Wednesday, which takes in to account government data from February 2024 of more than 14,000 […]

TEAM Model: Hospitals in the Driver’s Seat, Nursing Homes as ‘Collaborators’ in Latest Bundled Payment Initiative

The Centers for Medicare & Medicaid Services’ (CMS) in April released a bundled payment model that is the culmination of the best aspects from such past models, all to align with the agency’s efforts to get all Medicare Fee-for-Service beneficiaries involved in value-based care by 2030. The Transforming Episode Accountability Model, or TEAM, is considered […]

Touting Local Care, Robust Pipeline, Nursing Home Giant PACS Group Shines in Q1 After IPO Debut

During its inaugural earnings call following an April debut on Wall Street, executives for PACS Group (NYSE: PACS) projected a strong year of growth ahead amid a robust pipeline as they touted the success of their company’s localized business model – one that has enabled it to successfully transform scores of struggling facilities into high […]

American Health Partners CEO Reveals ‘Secret Sauce’ for Value-Based Care in Skilled Nursing

When it comes to value-based care models and appropriate reimbursement, nursing home operators must think about the care team behind the model. Whether it’s Institutional Special Needs Plans (I-SNPs) or accountable care organizations (ACOs), a robust clinical team is crucial to aligning with positive quality outcomes. That’s according to Mike Bailey, president and CEO of […]

LTC100 Panelists Weigh in on CMS Staffing Rule’s ‘Bloodbath’, Growth Strategies, and Risk-Based Model Reimbursement

If there’s no additional funding for the minimum staffing rule, well over 5% of existing facilities will close, depending on how successfully operators can pivot to meet the standard. The rates of closure may even reach 10% to 15%, depending on the market, cautioned sector leaders attending the LTC100 conference this week. Steve Nee, CEO […]

CMS Officials Offer Glimpse Into Proposed Changes To Value-Based Purchasing for Nursing Homes

Center for Medicare & Medicaid Services (CMS) officials offered more clarity on the updates to the Value-Based Purchasing program for nursing homes, including insights into the usefulness of the facility-level early look reports and details on three new quality measures that will now be tied to incentive payments in fiscal 2025.   These proposed changes to […]

Skilled Nursing Market Faces Capital Challenges Amid Robust Deal Pipeline

Challenges in securing capital in the nursing home sector have grown over the last year even as the deal pipeline has remained steady, with success heavily dependent on the right alignment of operators, real estate, and certain regional markets. Moreover, a consolidation of skilled nursing assets among primary owner-operators is currently underway, marking a shift […]

As Omega Reports Strong Q1 Amid Economic Challenges, Execs Optimistic Yet Disappointed in Nursing Home Staffing Rule

Omega Healthcare Investors, Inc. (NYSE: OHI) reported a successful first quarter with $75 million in new investments, including real estate loans, acquisitions, and capital projects. Despite industry challenges such as the recently announced minimum staffing rule, CEO Taylor Pickett said he is satisfied with the company’s performance, citing higher interest income, improved operational metrics and […]

Ensign’s Port: CMS’ Nursing Home Staffing Rule May Be ‘Overturned or Significantly Altered’ 

Acquisitions and the federal nursing home staffing mandate were top of mind for leaders of Ensign Group (Nasdaq: ENSG), with CEO Barry Port suggesting that the highly contested national staffing rule may be overturned in federal court or thrown out altogether. “We’re encouraged to see bipartisan support in the legislature that could result in this […]

Legacy Lifecare CEO Advocates for Specialized Support To Curb Nursing Home Closures

As many nursing homes have been forced to close due to economic hardship, a greater degree of specialization in back-office function and front-office work is proving to be necessary to maintain longevity, especially for small operators. This is according to Adam Berman, President and CEO of Legacy Lifecare, which provides back-end management services to seven […]

Why Legislation For Nursing Home Agency Labor Must Focus on Pricing, Consider State and Finalized Federal Staffing Rules

States like New York have modified their staffing mandate to reward nursing homes for avoiding costly staffing agencies, although operators don’t find this legislation particularly rewarding, especially now that the national minimum staffing mandate has been finalized. Stu Almer, CEO of Gurwin Healthcare in New York, said such legislation isn’t helpful given the ongoing workforce […]

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 […]