Just one day after the new Medicare payment model for nursing homes took effect, providers throughout the industry have begun showing signs of changing therapy strategies — and one of the nation’s top operators confirmed the layoff of about 585 rehab employees. A spokesperson for Genesis HealthCare (NYSE: GEN) confirmed to SNN that the company […]
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Skilled nursing providers looking for a simple answer to how managed care plans will react to the new Medicare payment model will likely have to face an inconvenient truth: It’s complicated. Private Medicare Advantage insurers didn’t have to follow the old Resource Utilization Group (RUG) model when deciding how to reimburse for skilled nursing services, […]
The long wait is over: The new Medicare payment system for nursing homes has arrived. October 1 marks the official start of the Patient-Driven Payment Model (PDPM), just about 18 months after the federal government first announced the change in April 2018. Since then, the skilled nursing industry has trained a laser focus on preparations […]
The relationship between skilled nursing facilities and their referring hospital partnerships can be a rocky one for both sides. But in an ideal world, it should be a partnership, with each willing to work together to achieve top patient and resident outcomes. For Sue Craft, the vice president of inpatient case management and post-acute services […]
The federal government issued a final rule on Thursday requiring hospitals to give patients access to more information about the post-acute provider choices available — including data on how their post-acute options perform on quality measures such as pressure ulcers, falls, and readmissions. This new rule will not have any impact on anti-steering regulations that […]
Bridging the gap between hospitals and skilled nursing facilities has been a hot topic for providers in the nursing home world for some time. But even as partnerships on patient data and care transitions move forward, there are other ways a hospital and a SNF might be able to find common ground, according to Larry […]
Just about a week after changing hands, four skilled nursing facilities in Nebraska announced plans to soon shut down amid financial difficulties that their new owners blamed on a tough overall state budget landscape. The four facilities — Blue Hill Care Center in Blue Hill, Crestview Care Center in Milford, Mory’s Haven in Columbus, and […]
Skilled nursing and senior living can seem worlds apart, with the former associated with health care and the latter with hotel-style touches like bistro dining and concierge serves. But one operator of skilled nursing facilities sees moving into assisted living as the best way to prepare for the future of both models. The Minneapolis-based Health […]
The Department of Housing and Urban Development’s (HUD) lending program for skilled nursing facilities grabbed some negative headlines earlier this year, but a key financial player in the space says that demand for the products remains strong — though the government has placed increasing focus on star ratings and care quality when underwriting deals. “The […]
As payers and hospital networks increasingly treat skilled nursing facilities as just one stop along an overall episode of care, operators in the space have received a variety of messages about how to survive: Bring data, get to know referral partners’ problems, demonstrate your worth. But a leader at a major Philadelphia-area hospital network took […]
In a U.S. health care landscape dominated by calls to shift from silos to episodic care, skilled nursing facilities have been feeling the pressure to expand their reach. For the Chicago-based Symphony Post Acute Network, that urge was a major driver behind its recent acquisition of Caretel Inns of Brighton and Caretel Inns of Lakeland, […]
Over recent years, as length of stay and reimbursement have declined in the skilled nursing space, one trend has risen steadily: the acuity of the patient population. It’s a trend that multiple executives in the skilled nursing field have observed, particularly as the industry prepares to pivot toward the new Patient-Driven Payment Model. But it’s […]
With capital chasing upside and new development dominated by high-end “medical resorts,” the availability of long-term care beds has emerged as a big-picture issue for the skilled nursing industry. While it may not be a nationwide problem just yet, certain markets — from Wisconsin to California — have begun to show the early signs of […]
With just two weeks to go before the new payment model for nursing homes takes effect, operators that have prepared for the changes could be expecting a significant boost in their Medicare reimbursements. But providers shouldn’t necessarily expect their investors to share in their optimism over the Patient-Driven Payment Model (PDPM). Over the course of […]
Formation Capital remains a heavyweight in the private investment space for senior housing and care, but its CEO says that its skilled nursing tastes have become more opportunistic as capital continues to aggressively chase available properties. The Atlanta-based Formation this past spring sold off a 12-property skilled nursing portfolio in Virginia and Pennsylvania, and CEO […]
As the post-acute and long-term health care industry struggles through shortened lengths of stay and compressed reimbursements, an oasis has lingered just beyond the horizon: the so-called silver tsunami. If operators can wait out the current downturn, the thinking goes, the glut of baby boomers turning 80 and older over the coming years will be […]
Texas’s failure to pass a program to increase Medicaid payment to skilled nursing facilities was the latest step not taken in improving the reimbursement in the Lone Star State. The legislation, which would have set up a long-term care quality provider participation program (QPPP) to funnel additional compensation to SNFs for meeting certain quality metrics, […]
Skilled nursing operators will be facing a complete overhaul of Medicare reimbursement from one day to the next when September ends. And to be ready, they need to examine their data collection practices now — from admission strategies to coding accuracy. Providers still rushing to prepare for the coming sea change need to have a […]
Officials at the University of Kansas Health System recently found themselves facing a familiar issue for hospital groups: To bolster their post-acute presence, and reduce costly readmissions, should they partner with an external operator or do it themselves? Each option comes with its own pros and cons. Some major health systems have gone all in […]
The shrinking pool of Medicare patients has long been a source of worry for skilled nursing providers, who are battling shortfalls in revenue ranging from low state reimbursement to challenges in billing private insurance companies. In particular, accountable care organizations (ACOs) have come up over and over again as some of SNF operators’ key pain […]