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 […]

Providers Turn to Behavioral Health to Boost Sagging Skilled Nursing Revenue

Depending on the state they’re in, skilled nursing facilities could jolt flagging finances by adding a behavioral health component to their lineup of services. But they have to proceed carefully. Such services can bolster reimbursement significantly, while also creating additional pressure on hiring, staffing, and programming, according to providers presenting at the LTC 100 conference […]

Omega: Increase in Medicaid Days Shows Demographic Wave’s Early Effects

Executives at Omega Healthcare Investors (NYSE: OHI) on Wednesday expressed optimism about the skilled nursing industry in the long term — and even believe that there’s some near-term upside amid payment increases from the federal government and new models of reimbursement on the horizon. In addition, leaders at the real estate investment trust (REIT) even […]

Rise of Managed Medicaid Could Deepen Skilled Nursing Financial Woes

Increasing numbers of states have begun exploring managed Medicaid programs as a means of achieving savings as their populations age. But unless officials provide crucial oversight, skilled nursing facilities could find themselves under even worse financial pressures. It’s something that states and their legislators need to keep in mind as they weigh options for managing […]

Decades-Old Medicaid Rates Claim 20 Skilled Nursing Closures in Illinois — With More on the Way

The state of Illinois bases its Medicaid reimbursements for nursing homes on calculations that are years out of date, leading to financial pressures that have closed 20 facilities in the state since March 2014. That’s according to a new report commissioned by the nursing home advocacy group Health Care Council of Illinois (HCCI). Capitol News […]

Oklahoma One Step Closer to Boosting Medicaid Rates for Nursing Homes

Oklahoma moved one step closer to boosting Medicaid payments for skilled nursing facilities, with Senate Bill 280 ready to proceed to the Senate for final approval after some floor amendments. Tulsa World first reported the news. Oklahoma is proactively trying to bolster its Medicaid rate, which ranks among the lowest in the country. Several cities […]

Non-Profit SNFs Bear Brunt of $631M Medicaid Funding Shortfall in PA

Skilled nursing facilities in the state of Pennsylvania lose an estimated $631 million per year caring for Medicaid residents, with non-profits taking a particularly large share of the stress. The state’s 221 non-profit nursing facilities lose an average of $82.16 per patient day on Medicaid beneficiaries, according to an April analysis from LeadingAge PA and […]

Wave of Skilled Nursing Closures in Mass. Could Grow by 35 Without Medicaid Reform

Massachusetts, which has already endured a wave of skilled nursing closures amid tight Medicaid reimbursements, could see 35 more buildings shut their doors without timely intervention from lawmakers, according to a leading trade group in the state. The Bay State has already lost 20 nursing facilities in the last year, according to the Massachusetts Senior […]

Golden Living Takes Back Control of 8 Dycora Skilled Nursing Facilities in Receivership

Eight skilled nursing facilities in Wisconsin operated by Dycora Transitional Health and Living have been placed into receivership, with an affiliate of landlord Golden Living Centers taking back control after a two-year break. The Fresno, Calif.-based Dycora on Thursday became the latest entrant in a string of receivership actions in Wisconsin, with the Milwaukee County […]

Turn-Key CEO: Why Palliative Care Must Soon Come to Skilled Nursing

Given their emphasis on rehabilitation and recovery, skilled nursing facilities aren’t typically places where patients receive palliative care. That’s despite the fact that only a small portion of nursing home residents who would benefit from such care usually receive it, according to one study published in 2017 by the Journal of the American Medical Association. […]

OIG Takes Back $48M in Fraudulent Medicaid Payments as Nursing Homes Lead List of Open Cases

Despite the second straight year of declines in overall recoveries, the Department of Health and Human Services’ (HHS) top watchdog arm took back nearly $50 million in Medicaid reimbursements from nursing homes in fiscal 2018. The HHS Office of the Inspector General (OIG) this week reported a haul of $48.7 million from nursing providers accused […]