Nearly one in six nursing home residents in the United States, who were admitted under Medicare or private pay, ended up enrolling in Medicaid during their stay after depleting their financial assets. This is according to a new study published in JAMA Network Open. The findings, based on a national sample of nearly 200,000 traditional […]
Category: Medicaid
Achieving financial stability and growth in the current reimbursement environment is no small task for nursing home providers. Three particular challenges relate to value-based purchasing (VBP) program changes, effects of the One Big Beautiful Bill Act (OBBBA) and the continued rise of Medicare Advantage, leaders with Ignite Medical Resorts and ArchCare said during a recent […]
The former CEO of a skilled nursing facility provider has been sentenced to 90 months in prison and ordered to pay $146 million in restitution and $8.4 million in forfeiture, in a case involving fraud and conspiracy. The SNF company itself – KBWB Operations LLC, which did business as Atrium Health and Senior Living (KBWB-Atrium) […]
Demographic pressure, policy reform and digital advances mark 2025 as a defining moment for the skilled nursing sector, and winners will be defined by quality, data-driven decision making, and alignment with value-based care models, according to CliftonLarsonAllen’s (CLA) latest analysis. Operators would do well to realign with reimbursement models, understanding that quality is currency, and […]
A state-mandated pay raise for nursing home workers is shaking up the landscape for Minnesota operators. Residents could end up paying the price, considering uncertainty surrounding state funding, Medicaid dollars and the possibility of gaps in reimbursement in the years ahead. All nursing home staff will make at least $19 an hour starting Jan. 1, […]
Legislators in New York state are hoping to get the Governor’s stamp of approval on a bill to facilitate better funding for skilled nursing care provided by nonprofits. If signed into law, the bill would establish a statewide program allowing nonprofit nursing homes to pool resources and qualify for higher Medicaid reimbursement rates when meeting […]
Leadership at Cascadia Healthcare, which operates 25 facilities in Idaho, is raising the alarm over recent back-to-back Medicaid rate cuts in the state, warning that they threaten not only facility closures but could also impact the entire health care ecosystem. Idaho lowered its Medicaid reimbursement rate by 4% on Sept. 1, after lowering rates 3% […]
A dispute related to roughly $1 billion in nursing home payments in Ohio has taken another turn, with the Ohio Department of Medicaid (DOM) asking the Ohio Supreme Court to reconsider its recent ruling that handed a victory to nursing home providers. Nursing home groups including LeadingAge Ohio and the Ohio Health Care Association (OHCA) […]
by Jennifer Murtoff The CEO of Good Samaritan, the nation’s largest nonprofit skilled nursing provider, is bullish on wins related to staffing – perennially one of the most daunting challenges in the sector. More specifically, Good Samaritan’s own workforce initiatives have driven positive results, including improvement in the organization’s 90-day retention rate for new hires. […]
Amid economic uncertainty and a phased rollout of significant federal funding cuts over the next three to five years, future reimbursement projections appear grim, and nursing homes shouldn’t delay dealmaking, especially if operators are planning to sell. This view is held by financial experts who note that while the so-called One Big Beautiful Bill Act […]
Greystone provided a $64.9 million bridge loan for a portfolio in Pennsylvania. Meanwhile, Blueprint advised on the sale of a skilled nursing and senior housing portfolio in Ohio and Kentucky for an undisclosed amount. Greystone Provides $64.9M for PA Portfolio Commercial real estate finance company Greystone provided a $64.9 million bridge loan for a health […]
CareTrust REIT (NYSE: CTRE) continued its aggressive expansion in the second financial quarter and beyond, adding 10 nursing homes to its roster on the heels of a transformative acquisition of Care REIT. And, a robust pipeline of about $600 million is currently made up mostly of skilled nursing opportunities, CEO Dave Sedgwick said in a […]
With Medicaid already falling short of covering the cost of care in nursing homes, the One Big Beautiful Bill Act (OBBBA) will exacerbate a lot of issues already seen in the sector, driving providers to close, reducing access to services and worsening the workforce shortage. Nursing home association LeadingAge and operator A.G. Rhodes joined Sen. […]
The Ensign Group (Nasdaq: ENSG) expressed gratitude that the skilled nursing industry was largely protected from direct cuts to Medicaid in the One Big Beautiful Bill Act (OBBBA). Mission Viejo, California-based Ensign plans to use its good working relationships with state legislators and governors’ offices to remind those in power of how important funding for […]
Rural nursing homes and hospitals are at risk of shutting down as a result of Medicaid cuts outlined in the One Big Beautiful Bill Act (OBBBA). At a regional level, Northwest Pennsylvania residents may find themselves driving further for care, with 15 nursing homes and five hospitals facing potential closure, according to a report from […]
The One Big Beautiful Bill Act (OBBBA) spared nursing homes from deep cuts, at least on the surface, carving out facilities from a provider tax reduction. But, the phasing down of provider tax for managed care organizations (MCOs) may still have an indirect impact on the industry, Macquarie Equity Research analyst Tao Qiu said in […]
The time is ripe to reconsider an integrated ACO model for dually eligible patients, many of whom need nursing home care. Integration could happen via mandated relationships between Medicare ACOs and state Medicaid agencies, especially for plans serving a high number of dual-eligible beneficiaries. Such a strategy could help the Centers for Medicare and Medicaid […]
The recently passed One Big Beautiful Bill Act (OBBBA) could have a disproportionate impact on nursing home residents eligible for both Medicare and Medicaid, often referred to as “dual eligibles.” These residents often face fragmented care, higher costs and poor outcomes as a result of misaligned systems. While the OBBBA doesn’t target this population directly, […]
Following President Donald Trump’s signing into law the so-called One Big Beautiful Bill, officials are beginning to tally up the fallout in Minnesota and warning that the state could lose $500 million annually in Medicaid reimbursements, significantly impacting hospitals and nursing homes. John Connolly, Minnesota’s Medicaid director, expressed concern over rising costs for both governments […]
The nursing home sector’s ‘scarcity premium’ trend is driving market conditions, as closures exceed new developments annually, especially in rural areas. At the same time, buyer demand has grown, from new entrants into the industry, driving up nursing home valuations. Overall, a unique combination of limited supply, growing demand and variable state incentives have created […]
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