In weathering the rise of managed care penetration – which has often meant lost profits – nursing homes are turning to centralized processes for handling claims, beefing up teams to handle additional documentation requests (ADRs), and closely tracking contract renewals. Rates for managed care plans like Medicare Advantage are often lower than traditional fee-for-service Medicare […]
As Florida prepares for yet another hurricane, it serves as a reminder that nursing homes in the area, as well as in other regions prone to extreme weather events, face rising risks and must maintain continued vigilance in following and developing rigorous emergency preparedness plans. Research highlights that older adults are particularly vulnerable during climate-related […]
The U.S. Supreme Court’s June decision regarding civil monetary penalties (CMPs), which allows defendants the right to present their case to a federal jury when a federal agency is seeking financial penalties, may seem like a win for nursing homes at first glance. However, many providers are unlikely to pursue this path. The CMP decision […]
Growth strategies for nursing homes can vary greatly, depending on nonprofit versus for-profit status and especially the geographic market in which an operator is currently operating. But growth and innovation – no matter the sector or region – require risk and a lot of vision to properly execute. Providers will have to reimagine a grander […]
Coming off of his first year as CEO of American Senior Communities Steve Van Camp is busy planning an Institutional Special Needs Plan (I-SNP) joint venture with five other providers in Indiana, while also devoting time and resources to meeting quality measures and outcomes among ASC facilities. Important considerations to forge ahead with these efforts […]
The timing and feasibility of the federal staffing mandate continue to haunt nursing home operators and communities, particularly those in rural areas, where providers across the health care continuum are competing to find clinical staff. Take for example, the case of a nursing home owned by Diversicare Healthcare Services in Yorktown, Texas, which is one […]
Customer service, staff wellbeing, and tackling low reimbursement rates are some of the top priorities for nursing home operators as they prepare for the future. And educating and supporting care teams is especially important in order to strategize with the quality measures that will be implemented in the coming years, as these will have an […]
An ongoing depletion of knowledgeable nursing staff at nursing homes, such as the Minimum Data Set (MDS) coordinators, is leading to errors and confusion with facility surveys and ratings. This, in turn, is impacting operations and the ability to acquire and improve distressed facilities. A high turnover among those close to the survey process is […]
At the heart of many successful workforce initiatives that nursing homes are pursuing to increase the number of workers is the push for employee well-being and a recognition that many frontline workers face fundamental and systemic barriers to entering the workforce. To that end, an organization that is enabling skilled nursing providers to grow their […]
Negotiating power with Medicare Advantage (MA) plans may become easier as nursing homes explore participation in bundled payment options such as the Transforming Episode Accountability Model (TEAM), which enables following patients through an entire episode of care. It’s a lever available to participants and collaborators to forge new contracting strategies with their MA plan and […]
As federal agencies push for ownership transparency, nursing home ownership changes have been linked to a decrease in staffing hours and in turn a drop in Five-Star rating scores, at least for a short period of time following acquisition. Most acquired facilities showed indications of financial struggles, including lower star ratings and occupancy, plus a […]
Challenges stemming from gaps in medical data along the health care continuum and a lack of seamless sharing of crucial information between nursing homes and other entities have grave consequences, especially given the more serious patient acuity levels being discharged to post-acute care facilities. And yet, this is an issue that has failed to garner […]
Building the frontline workforce continues to be crucial for the nursing home sector as the industry faces a federal minimum staffing mandate. However, barriers exist in the form of civil monetary penalties (CMPs), which can pause in-house training programs if a facility is cited, and existing staff is stretched so thin that educational demands just […]
The Centralized recruitment model is gaining momentum across long-term care communities and nursing homes, and more operators amid consolidation in the sector, are attesting to its success. Operators like Covenant Living Communities and Services understand well, however, that success is only as good as the region and setting. “I don’t necessarily think there’s a magic […]
Strong leadership translates into a stable workforce, which is one reason why executives across the nursing home sector are recognizing the urgent need for support for Administrator-in-Training (AIT) programs. High turnover among leadership is causing massive ripple effects in just about every area of the sector. But bolstering the administrator workforce has tremendous challenges. For […]
Staffing is an ongoing concern at nursing homes, but the fires are finally calming down. As Skilled Nursing News continues to monitor shifts in staffing challenges – especially with the federal staffing mandate in place – our focus has become more vigilant. Thus, we wanted to take a step back and provide our readers with […]
The rising acuity at nursing homes alongside increasingly stringent government regulation, is raising operational risk – and litigation – leaving facilities “overwhelmed” in its wake. As residents increasingly age in place for longer, they are arriving at skilled nursing facilities with more serious health conditions. This trend, combined with regulatory pressures and heightened scrutiny from […]
Growth of managed care has deepened reimbursement challenges for Covenant Living Communities and Services, much like for many providers in the nursing home sector. However, a centralized intake model launched three years ago and certain contract negotiation strategies have enabled efficient revenue cycle management. With an extensive network of communities spread across many states, the […]
When looking at the 4.2% Medicare increase in the Skilled Nursing Facility Prospective Payment System (SNF PPS) for 2025, some leaders in the space wonder if the rate calculated has been inadequate considering inflation, labor woes, and funds needed to meet the federal staffing mandate. Some even argue that rate increases are so far behind […]
As the Medicaid payment system transitions across states from RUGS to the Patient-Driven Payment Model (PDPM), nursing home operators must be wary of misconceptions – including that the transitions will always lead to additional Medicaid funds being available – while putting in place the right practices to ensure appropriate payments. The complexities of Medicaid transitions […]
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