Amid Medicaid Shortfalls, Nursing Home Demand Could Soon Exceed Supply

Skilled nursing utilization and occupancy have been on the decline in recent years, as both payers and consumers migrate to home health and other community care options for cost and preference reasons. But as low Medicaid reimbursements force operators to scale back their long-term services or shut their doors entirely, available beds for residents who […]

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 […]

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 […]