Winners Still Outnumber Losers in Latest PDPM Analysis, But Length of Stay Trends Could Erase Rate Gains

The latest analysis of the new Medicare payment model for nursing homes again shows more operators scoring gains than suffering losses, but the change from the previous system may not be quite as straightforward — particularly as fee-for-service Medicare continues to lose ground to other payment sources. A little more than 67% of skilled nursing […]

Behavioral Health Providers Plot Conversions of Former Nursing Homes Across the Country

As 2020 begins, several mental health providers have pounced on former skilled nursing facilities, providing some concrete evidence of a trend toward repurposing post-acute real estate into behavioral health facilities. In recent years, a variety of industry-watchers have floated the idea of converting unused skilled nursing assets into behavioral health sites, including treatment centers for […]

Skilled Nursing Finance Vet: If CMS Isn’t ‘Measured’ on Medicaid Crackdown, Operators Face ‘Quite a Blow’

When it comes to the buying, selling, and financial backing of skilled nursing facilities, the new chief development officer of Senior Living Investment Brokerage has seen all angles. Steve Gilleland, who joined the Glen Ellyn, Ill.-based SLIB at the beginning of the month, worked on the lending side of skilled nursing and senior housing in […]

After Long-Term Care Drove Health M&A Growth in 2019, Investors See Deals as Key 2020 Survival Strategy

Despite the seemingly constant headwinds swirling around the post-acute and long-term care space, the sector again helped to drive overall health care deal volume in 2019 — and with more uncertainty ahead for the year, investors could turn to even more acquisitions as a way to weather the storm. Long-term care transactions came in third […]

Blueprint Pulls Off Seven-SNF Sale in Alabama; Tryko Grows Portfolio in Philadelphia

Blueprint Healthcare Real Estate Advisors late last week announced the successful sale of a seven-building skilled nursing portfolio across Alabama. The Chicago-based brokerage didn’t name the buyer or seller, though Blueprint did indicate that the portfolio went to a long-term care provider with an existing footprint in the state. The new operators plan to capitalize […]

Payment Outlook: 60% of MA Plans Cover Telehealth, 95% of Post-Acute Providers Subject to Alternate Models

The new fee-for-service Medicare model absorbed much of the oxygen around nursing home payment reform in 2019, but 2020 — as well as the years beyond — will bring a slew of alternate payment pressure to the post-acute sector. Over the next two years alone, 95% of post-acute operators will find themselves in new payment […]

LTC’s $33M Acquisition Play; KeyBank’s $21M Purchase Loan for Kentucky SNF

LTC Properties (NYSE: LTC) this week announced a $33 million portfolio acquisition that included a $13.5 million skilled nursing facility in Texas. The Westlake Village, Calif.-based real estate investment trust (REIT) purchased a 140-bed skilled nursing center in Longview, Texas, operated by HMG Healthcare of The Woodlands, Texas. HMG has a 10-year, triple-net lease on […]

Genesis Continues ACO Push with Senior Living Properties Partnership

National skilled nursing giant Genesis HealthCare (NYSE: GEN) continued its drive to bring more outside operators into its accountable care organization (ACO) this week, announcing a new accord with Senior Living Properties. Under the terms of the deal, the Fort Worth, Texas-based Senior Living Properties will see some of its buildings — along with select […]

Three Months into PDPM, Teasing Out Therapy Opportunities — and Fixing Common Mistakes

Three months into the Patient-Driven Payment Model (PDPM), operators are still strategizing how to best streamline coding and reimbursements. Some are beginning to glean positive results with increased margins, whether it’s through an increase in more efficient group and concurrent modalities or a reduction in therapy headcounts — or both. But operators still have areas […]

Skilled Nursing Operators See Disaster Ahead As CMS Takes Aim at Medicaid-Boosting Provider Taxes

The federal government has proposed a rule governing the use of Medicaid supplemental payments for nursing homes that could have drastic effects on the reimbursement they receive. But the ripples of the rule don’t stop there. They could also overhaul the taxes that providers pay in several states — taxes that in turn contribute to […]

Editor’s Take: Skilled Nursing Industry Shouldn’t Block Out the Long-Term View When Making PDPM Changes

Just about every major policy change, no matter how well intentioned, has butterfly effects that no one can foresee — along with changes that, while foreseen, still can cause real harm to real people. The news of therapy layoffs and hour reductions that swept through the skilled nursing world earlier last year fell into the […]

Skilled Nursing Executive Outlook: ‘Question of Nursing Homes’ Viability Will Continue’ in 2020

Though the early days of 2020 have brought some optimism around the state of the post-acute and long-term care industry, executives in the space continue to emphasize that the coming 12 months could bring make-or-break decisions for operators and their partners. One day after American Health Care Association (AHCA) CEO Mark Parkinson told SNN that […]

Welltower CEO DeRosa: ‘We Have Never Abandoned’ Post-Acute Care, Even in Bad Times

Despite helming a presentation that highlighted his company’s move away from health care companies that rely on government reimbursements, Welltower Inc. (NYSE: WELL) CEO Tom DeRosa this week asserted the firm’s longstanding commitment to post-acute care. “This is a business that we have never abandoned, even in the dark days of that sector, and reimbursement […]

Lancaster Pollard Closes $420M Refinance for 26 Plum Healthcare Skilled Nursing Facilities

Lancaster Pollard on Wednesday announced the completion of a $420 million portfolio refinancing for 26 skilled nursing facilities operated by Plum Healthcare Group. The transaction marked the first Department of Housing and Urban Development-backed loan transaction for the Carlsbad, Calif.-based Plum, according to a release announcing the deal. In 2018, the Columbus, Ohio-based Lancaster Pollard […]

AHCA’s Parkinson: PDPM is Running Above Budget-Neutral, But Clawbacks Aren’t Inevitable

Early analyses of the new Medicare payment model for nursing homes indicate that operators may be pulling in more money than the federal government intended — leading to widespread speculation that adjustments could be coming sometime in 2020. American Health Care Association (AHCA) president and CEO Mark Parkinson agrees with the idea that the Patient-Driven […]

CVS Health CEO: Omnicare Long-Term Care Pharmacy Business ‘Disappointing’

CVS Health (NYSE: CVS) CEO Larry Merlo this week described the health care giant’s experience with its Omnicare long-term pharmacy subsidiary, which serves nursing homes nationwide, as “disappointing.” Speaking Tuesday at the J.P. Morgan Healthcare Conference in San Francisco, Merlo made a small reference to frustrations over struggles in the long-term care space since CVS […]