Plum Healthcare CEO: We’re Not Out of This Yet, Time to Rethink Reimbursement

Despite most nursing home residents being vaccinated, the skilled nursing industry is still faced with record-low occupancy, higher expenses, and regulatory uncertainty with a new administration taking the reins. Skilled Nursing News got a chance to sit down with Cory Christensen, the Chief Executive Officer of Plum Healthcare Group, to hear about how they are […]

What Biden’s $400B Plan to Shift Long-Term Care Home Could Mean for Nursing Home Operators

The shift to home was already a long-simmering trend in post-acute and long-term care, but the coronavirus pandemic kicked those prevailing patterns into a higher gear. In the short term, that took the form of increased diversions from skilled nursing facilities on the acute-to-post-acute pipeline, with patients discharged directly from the hospital to the home […]

Biden Pitches $400B Plan to Expand Medicaid Coverage of Home-Based Care Options

President Biden on Wednesday proposed a $400 billion plan designed to significantly bolster Medicaid coverage of long-term care outside of institutional settings, marking the first concrete step toward achieving a central campaign promise to support caregivers and expand access to home-based care. Pitched as part of a $2 trillion infrastructure package dubbed “the American Jobs […]

PruittHealth Rolls Out Joint Commission Accreditation at All 91 Southeast Nursing Facilities

PruittHealth last week announced that all 91 of its skilled nursing facilities in the Southeast region will be required to undergo Joint Commission Nursing Care Center Accreditation, with the facilities in Georgia slated to go first. The SNFs will be required to undergo accreditation to achieve the Gold Seal of Approval; accreditation from the Joint […]

Senate Narrowly Confirms Becerra as HHS Secretary

The U.S. Senate on Thursday confirmed California attorney general Xavier Becerra as secretary of the Department of Health and Human Services (HHS) by a 50-49 margin, almost entirely along party lines. Sen. Susan Collins of Maine was the only Republican who voted to confirm Becerra. Becerra was nominated by President Joe Biden in early December […]

Nursing Home Industry Targets RN Staffing, PPE Stockpiles in Reform Pitch — But Ownership Untouched for Now

The two largest trade groups for nursing homes proposed a policy agenda to address the systemic issues in the sector illuminated by COVID-19, with reforms centered on improving nursing hours, staff retention and infection control — in addition to increasing reimbursement from Medicaid, the largest payer for nursing home care, to cover the costs. The […]

Matros: Home Health Shifts ‘A Good Thing’ Ahead of Looming Capacity Crunch, But Nursing Homes Still Vital

Whether or not home health providers can maintain the volume they siphoned away from skilled nursing facilities during the pandemic has emerged as a top question for policymakers and financial analysts alike. A permanent shift from SNF to home could portend financial and operational chaos for a sector already battered by COVID-19, the thinking goes, […]

Cuomo Takes Aim at For-Profit Nursing Homes, Hints at Reforms for 2021

New York Gov. Andrew Cuomo’s handling of the COVID-19 crisis in nursing homes continues to make headlines amid accusations of a deliberate cover-up, but the embattled executive this week promised to explore reforms targeted at for-profit facility owners. “I have long believed that there is a tension in a for-profit nursing home, because those institutions […]

Amid Stalled HHS Confirmation, Frontrunner Emerges for CMS Chief: Report

The Biden administration is leaning toward the selection of former federal health official and current Manatt Health managing director Chiquita Brooks-LaSure for the administrator of the Centers for Medicare & Medicaid Services (CMS), Politico reported this week. Brooks-LaSure held posts at CMS and the Department of Health and Human Services (HHS) under President Obama, with […]

Richter to Lead CMS on Acting Basis Under New Biden Administration

The new Biden administration has tapped Liz Richter to lead the Centers for Medicare & Medicaid Services (CMS) on an interim basis during the presidential transition. The agency’s website currently lists Richter, who has worked at CMS in various capacities since 1990, as acting administrator. She succeeds outgoing administrator Seema Verma, who on Wednesday resigned […]

GAO: Managed Medicaid Programs for LTC Services Need National Oversight

The U.S. Government Accountability Office (GAO) has found “significant problems” with the managed long-term supports and services (MLTSS) covered by Medicaid and implemented through contracts with managed care organizations. The GAO made the discovery in a recent review of six states. In the report, which was released publicly on December 16, the GAO recommended a […]

ProMedica Senior Care’s Parker Sees Growth Ahead — Even as ‘Major Disruption’ Looms for Industry in Early ’21

When Welltower Inc. (NYSE: WELL) and health system ProMedica teamed up to take over nursing home giant HCR ManorCare in 2018, the players positioned the move as a way to vertically integrate a continuum that could follow a patient from the hospital, to a skilled nursing facility, to home health. The real estate investment trust […]

Nursing Home Providers Sue for Access to $153M in COVID-19 Medicaid Rate Boosts

Three senior living and care organizations in Pennsylvania filed suit against the state over $153 million in additional Medicaid funds allocated in response to the COVID-19 pandemic, charging the Keystone State with treating the money “as its own piggybank and disregarding the substantial need of the Commonwealth’s most vulnerable citizens.” The petition, filed on December […]

CMS to Resume Updates to Nursing Home Compare, Special Focus Facilities List in January

The federal government last week advised nursing homes that a variety of COVID-related freezes on updates to the public Nursing Home Compare database will end soon after the start of the new year. The Centers for Medicare & Medicaid Services (CMS) on January 27 will update quality and health inspection metrics on the consumer-facing resource, […]

Biden Nominates California Attorney General Becerra for HHS Secretary

President-elect Joe Biden has selected Xavier Becerra, the current attorney general of California and a critic of President Trump’s nursing home policies, to helm the Department of Health and Human Services (HHS) under the incoming administration, the New York Times reported Sunday. Prior to serving as California’s top prosecutor, Becerra represented the Los Angeles area […]