The state of Oklahoma has had the dubious distinction of ranking near the bottom in both Medicaid reimbursement 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 […]
Officials in New York State have offered a $27 million grant to a non-profit that can help transition nursing home residents into home- and community-based settings. The state’s Department of Health invited qualifying non-profits to submit their ideas for administering a Transition Center program, according to the official request for proposals (RFP). Crain’s New York […]
Adding behavioral health services has frequently been floated as a way that nursing homes can diversify their offerings and attract new residents — particularly as demand for the treatment of depression and other mental health issues continues to grow among older Americans. But a significant swath of operators report persistent challenges in caring for residents […]
Nursing home operators in one of the toughest states for Medicaid reimbursements will receive a $240 million reprieve in the next fiscal year. Illinois lawmakers approved the funding boost as part of the state’s most recent budget, which Democratic Gov. J.B. Pritzker signed into law Wednesday; Capitol News Illinois initially reported the nursing home windfall […]
The skilled nursing industry has — with good reason — thrown much of its energy and focus onto the challenges of the Medicare reimbursement overhaul taking effect on October 1 of this year. But according to one prominent industry leader, the challenges of Medicaid pose a far greater threat to providers — particularly as the […]
The receiver in charge of the Covington Care and Rehabilitation skilled nursing facility — formerly operated by the troubled Skyline Healthcare chain — in Sioux Falls, S.D., will pursue plans to close the property. “After careful assessment and evaluation, the receiver has made the very difficult decision to propose a plan to close Covington,” Black […]
The Texas Legislature failed to pass two bills that would have provided Medicaid reimbursement relief for skilled nursing providers before the end of its most recent session. That could spell trouble for providers in the Lone Star State, which already has a notably low Medicaid reimbursement rate, according to Kevin Warren, president and CEO of […]
Among the many skilled nursing landmines — from a new Medicare payment system to underfunded Medicaid programs to a shifting regulatory landscape — providers would be wise not to ignore the ongoing effects of bundled payment programs. In fact, at the end of a recent discussion on his research into the cost-savings successes and failures […]
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 […]
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 […]
Skilled nursing providers across the U.S. could be forgiven for feeling like they’re trapped in a word problem out of an algebra textbook when assessing the reimbursement for Medicaid patients — often the majority of residents inside a given facility. And despite some promising signs from the federal government, the coming changes to the Medicare […]
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 — […]
The old adage says that you can’t fight City Hall — and if you’re a nursing home trying to survive amid insufficient Medicaid funding, you have more than just local officials to fight. Medicaid exists in a bureaucratic grey zone between the federal and state governments, requiring a coordinated pitch to state lawmakers and federal […]
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 […]
For each of the last several years, LindenGrove Communities has lost a total of $5 million to $7 million caring for long-term residents covered by Medicaid — a shortfall that began to drag on the non-profit’s other business lines, including short-term rehabilitation. And though the choice was difficult, LindenGrove president and CEO Linda Joel said […]
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