The new Medicare payment model for skilled nursing facilities has consumed most of the oxygen around the industry over the past year-plus, with operators, vendors, and consultants working in tandem to adjust to the new math. But according to one leader, all of that attention on the Patient-Driven Payment Model may not be focused on […]
Omega Healthcare Investors (NYSE: OHI) made a major splash this week with the announcement of a planned $735 million skilled nursing acquisition, though executives also reported that a troubled tenant in Texas hasn’t generated any revenue for the real estate investment trust (REIT) yet this quarter. Daybreak Venture met its rent obligations under a deferral […]
Omega Healthcare Investors (NYSE: OHI) on Tuesday announced plans to pick up 58 skilled nursing facilities in a 60-building deal valued at $735 million. The Hunt Valley, Md.-based real estate investment trust (REIT) agreed to the deal on July 26, Omega reported this week, though it remains subject to approval by the Department of Housing […]
Forward-thinking skilled nursing providers have increasingly warmed to the idea of starting a special kind of in-house Medicare Advantage plan in order to take more control over their reimbursements in an uncertain environment. But the strategies that operators must adopt to succeed with Institutional Special Needs Plans (I-SNPs) also fit seamlessly into preparations for the […]
If skilled nursing facilities want to improve their relationship with managed care payers — particularly the ever-expanding Medicare Advantage plans — they have to ensure that they understand the payers’ pain points. And they have to battle the reality that in the Medicare Advantage world, post-acute barely registers on insurers’ radar screens because it’s a […]
Leaders at the Centers for Medicare & Medicaid Services (CMS) continued their public push to improve nursing home safety and enforcement this week, laying out plans to mine data to root out bad actors — while also emphasizing that the initiative goes all the way to the top of the federal government. “This issue is […]
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, […]
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 […]
The federal government on Tuesday finalized a rule that allows skilled nursing operators to use arbitration agreements with their residents, while also proposing a new rule to reduce paperwork burdens that would delay certain aspects of the Requirements of Participation. The Centers for Medicare & Medicaid Services (CMS) struck something of a compromise with the […]
Five-star nursing homes in the state of New York are less likely to admit low-income residents than one-star facilities in the state, according to an investigation by The Buffalo News published on Sunday. Using data from the state Department of Health (DOH) from 2017, the publication found that those who enter New York nursing homes […]
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 […]
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 […]
Several states across the U.S. have eyed managed long-term services and supports as a way to reduce their Medicaid spend, but the state of New York — which made the move in the early part of the decade — is now taking a step back. Specifically, the Empire State is looking to move the long-term […]
While governments and payers increasingly incentivize the provision of long-term care at home instead of in skilled nursing facilities, data about outcomes remains few and far between — with one group of researchers finding that some high-acuity patients fare worse in the community setting. Based on 2012 claims data, a team from the University of […]
The state of Oklahoma has had the dubious distinction of ranking near the bottom in both Medicaid reimbursemenst for skilled nursing facilities and in the quality of care provided at those facilities. But legislation recently enacted by the Sooner State aims to change that, by bolstering reimbursement for SNFs — if they can make improvements […]
A workgroup authorized by the state of New York predicted dire outcomes for the Empire State’s skilled nursing facilities in a statement and recommendations delivered to various state departments on Friday. In the statement, the Nursing Home Acuity Workgroup described the planned change in methodology as “using unrepresentative resident assessment data.” Specifically, the state Department […]
In an unusual alliance, the Service Employees International Union (SEIU) District 1199 joined with Genesis HealthCare (NYSE: GEN) administrators in Connecticut on Thursday to stave off the closure of several skilled nursing facilities in the state due to low occupancy. Under a provision in Connecticut’s biennial budget, nursing homes that have an occupancy rate below […]
The state of New York is proposing a change in the way it calculates the case mix that sets Medicaid reimbursements for skilled nursing facilities — with the goal of realizing $246 million in net savings. If it is finalized, that could mean a significant cut in Medicaid reimbursements for nursing home providers in the […]
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 […]
Amid the macro-level shift of care from institutions to the home, adult day providers are positioning themselves as an in-between option for caregivers and their families — as well as direct competitors to skilled nursing facilities. In the last six years alone, the number of adult day providers in the United States has doubled, according […]
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