Abuse Reporting and Owner Background Checks Loom Large in Elder Justice Hearing

Background checks for staff and better reporting for nursing home abuse loomed large in a U.S. Senate Committee on Finance hearing held Tuesday, with consumer advocates and industry representatives confirming the findings of a new report that revealed oversight gaps by the Centers for Medicare & Medicaid Services (CMS) around nursing home abuse. The report, […]

CMS Rule Allows – But Could Discourage – Arbitration Agreements in Skilled Nursing Facilities

The Centers for Medicare & Medicaid Services (CMS) has overturned an Obama-era ban on the use of pre-dispute, binding arbitration agreements by skilled nursing facilities. But providers might still think twice about using these agreements, due to certain consumer protection provisions in CMS’ final rule. In fact, the protections for SNF residents and their families […]

Legislators React to SNF Arbitration Ban Reversal: ‘New Rule Does Not Put Patients First’

The Centers for Medicare & Medicaid Services overturned a ban on skilled nursing operators using pre-dispute arbitration agreements with their residents in a final rule issued July 16, and a range of lawmakers reacted throughout the week. The ban on arbitration agreements in long-term care was implemented by the Obama administration in 2016, to strong […]

CMS’s Regulatory Delay: What’s In, What’s Out, and Why Nursing Homes Could ‘Substantially’ Reduce Costs

Skilled nursing facilities could see relief from regulatory burdens if a proposed rule from the Centers for Medicare & Medicaid Services (CMS) takes effect, and according to the agency, it could lead to millions in savings. Specifically, the rule would overhaul multiple requirements and delay the implementation of regulations related to the Quality Assurance and […]

Verma: CMS ‘Doubling Down’ on Nursing Home Safety Oversight

The Centers for Medicare & Medicaid Services (CMS) this week issued yet another new proposal aimed at overhauling federal oversight of nursing homes, and the agency’s chief reaffirmed her dedication to the issue. “The Trump administration is empowering residents and their caregivers with information about nursing home safety and quality, and we’re doubling down on […]

Parkinson: Releasing ‘Secret’ List Positive for Industry, But Nursing Homes Must Evolve — or Become a Commodity

The release of a so-called “secret” list of nursing homes considered for inclusion in a program for the nation’s worst properties sent shockwaves through the industry early last month — but the man in charge of the for-profit space’s primary trade group says the sunshine is ultimately a good thing for operators. As the skilled […]

$1M Nursing Home Funding Delay Sparks Political Spat in Maine

Maine’s Democratic Gov. Janet Mills delayed action on a bill that would have given skilled nursing facilities in the state roughly $1 million in additional Medicaid funding over the next two-year state budget, which drew criticism from Republican legislators in the state. The news was first reported by the Sun Journal last week Republicans in the […]

Boehler, Proponent of Post-Acute Care Bundles, to Leave Role as CMMI Chief

Adam Boehler will leave his position as the chief of the federal government’s top incubator for new payment models after an appointment to another office. President Trump late Wednesday nominated Boehler — who has served as director of the Center for Medicare & Medicaid Innovation (CMMI) since April 2018 — to become the CEO of […]

Bill Would Bring New Quality Measures to Skilled Nursing Value-Based Purchasing Program

A bipartisan pair of U.S. representatives late last week submitted legislation that would potentially bring new quality measures to the federal Value-Based Purchasing (VBP) program. HR 3406, introduced in the House of Representatives last Friday, would empower the Centers for Medicare & Medicaid Services (CMS) to roll out up to 10 additional metrics for inclusion […]

Lawmaker: Declining Nursing Home Bed Count ‘What We Wanted’

Medicaid-rate shortfalls and other struggles have claimed more than 30 nursing homes in Washington state since 2010, and at least one lawmaker thinks that the pruning is necessary. State Rep. Eileen Cody, who chairs the state’s House Health Care and Wellness Committee, said a drop in available nursing homes beds is “what we wanted as […]

CMS Chief Verma ‘Spending a Lot of Time on Nursing Homes’

The administrator of the Centers for Medicare & Medicaid Services (CMS) placed nursing homes among her top areas of focus for the months to come, though she provided scant few other details during a wide-ranging press conference this week. “I’m spending a lot of time on nursing homes,” Seema Verma said in a Wednesday afternoon […]

Nursing Home Strike Threat Drives Momentum for Medicaid Rate Boosts

The looming specter of a strike at nursing homes in Connecticut has prompted leaders in the state to support increases to daily Medicaid rates for institutional care. Connecticut Gov. Ned Lamont this week expressed support for three Medicaid rate boosts through 2021, a move that the CT Mirror — which first reported the news — […]

Florida’s New Medicaid Math Creates Nursing Home Winners, Losers

Florida’s new Medicaid prospective payment system for nursing homes, which took effect in October of last year, has created winners and losers among properties across the state, according to a new analysis by the USA Today Network — Florida. The PPS is designed to incentivize and reward skilled nursing facilities that make improvements in care […]

$15 Minimum Wage Creates Fault Lines Between SNFs, Employees in CT as Strike Threat Remains

A proposal to increase the minimum wage in Connecticut has employees hopeful for higher salaries — and operators worried about even tighter margins moving forward. Nursing care providers in the Constitution State, already facing the threat of a strike by about 2,500 employees at 20 facilities, have become increasingly concerned about the potential for a […]

Sitting Out Bundled Payments Could Leave Skilled Nursing Providers Far Behind

For many skilled nursing providers, the launch last week of the 2020 application period for the government’s flagship bundled-payment program was low on the list of priorities. After all, under the new Bundled Payments for Care Improvement Advanced (BPCI Advanced) model, nursing homes can’t be episode initiators, meaning hospitals and other acute-care providers are the […]

Kansas Cracks Down on Nursing Home Owners’ Finances in Wake of Skyline Collapse

The state of Kansas is set to implement stricter vetting standards for nursing home owners and investors in the wake of several high-profile receivership cases over the past year. Passed with near-unanimous support from the Republican-controlled legislature and the approval of the Democratic governor, the new law will require potential nursing home owners to submit […]