Common Ownership of SNFs, Hospitals on the Rise Among Investors

Over the past decade, the behind-the-scenes relationship between hospitals and skilled nursing facilities has warmed through more common investors, and researchers from Harvard University are raising questions about competition and antitrust regulations. The percentage of acute care hospitals having common investor ties to the post-acute or hospice sectors increased from 24.6% in 2005 to 48.9% in […]

Iowa Sen. Presses CMS Over Abuse Protections for Skilled Nursing Residents

Sen. Chuck Grassley, an Iowa Republican, joined a growing chorus by questioning whether the Centers for Medicare & Medicaid Services (CMS) is doing enough to protect skilled nursing residents from abuse. In a letter penned last Friday, Grassley pressed CMS on “why it has failed to ensure that nursing home abuse and neglect cases are reported to law […]

ACOs Saved $1 Billion, Reduced SNF Spending

With three years of data for accountable care organizations (ACOs), the shared savings program from the Centers for Medicare & Medicaid Services (CMS) has demonstrated the potential to cut down on care costs. And the savings are frequently coming from skilled nursing facility (SNF) care, according to a recent report from the Office of Inspector General […]

OIG Audit Reveals Inadequate Abuse Protections for Skilled Nursing Residents

Abuses at skilled nursing facilities frequently go unreported, the Department of Health and Human Services (HHS) determined in a new report that also accused the Centers for Medicare & Medicaid Services (CMS) of not doing enough to protect residents. HHS’s Office of the Inspector General (OIG) reviewed the emergency room records for 134 Medicare beneficiaries with any […]

Skilled Nursing Must-Reads: SNFs in a Decade, Post-Acute Confusion

The last five days were dominated by a pair of major real estate investment trust (REIT) dramas — Sabra Healthcare REIT, Inc.’s (NASDAQ: SBRA) successful shareholder vote to acquire Care Capital Properties (NYSE: CCP), and Quality Care Properties’ (NYSE: QCP) decision to seek receivership for the struggling HCR ManorCare’s facilities. But much more happened in […]

Critics of Plan to Reinstate SNF Arbitration Agreements Attack Trump, CMS

As the deadline for public comment approached, politicians and advocacy groups lodged strong objections to the Trump administration’s proposal to overturn Obama-era regulations that protect residents’ ability to sue skilled nursing facilities. The Centers for Medicare & Medicaid Services (CMS) issued a rule in 2016 that prevents SNFs that receive Medicare or Medicaid funds from including “no sue” clauses in […]

Senate Scraps Health Care Bill, Skilled Nursing Operators Exhale

Senate Republicans scuttled their most recent attempt to pass health care reform legislation after several members announced their opposition to the bill, putting proposed Obamacare replacement on hold — and prompting skilled nursing operators and advocates to breathe a temporary sigh of relief. “We appreciate the Senators that hit the pause button on this debate,” […]

Louisiana SNFs Have Extra Protection from Potential Medicaid Cuts

While skilled nursing providers across the U.S. fret over potentially big Medicaid cuts, Louisiana SNFs can breathe slightly easier. That’s because nursing homes there are shielded against Medicaid budget cuts both by statutes and the state’s constitution, The Advocate of Baton Rouge, La. reported. Furthermore, Louisiana — which spent more than $1 billion on nursing homes this […]

Short Week Round-Up: Kindred Exits SNFs, ManorCare Misses Rent

It’s the end of a holiday-shortened week, but the days off didn’t stop a wave of SNF news. In case you’ve been enjoying some extra time away from the office, here’s what you missed. We continued to untangle the strands in Kindred’s deal to exit the SNF business, a blockbuster transaction that’s worth $700 million, $910 […]

Pros and Cons for Skilled Nursing Under Senate’s Trumpcare Bill

The Senate’s proposed health care legislation, like the bill that passed the House, includes significant cuts to Medicaid, which is the top payer for skilled nursing services. This presents obvious challenges for SNFs, but also may provide some positive outcomes. In the first quarter of 2017, 65.2% of patient days were attributed to Medicaid, and the Medicaid patient […]

Illinois Must Pay $586 Million in Medicaid Per Month

Illinois has been ordered by a U.S. judge to pay its Medicaid bills — to the tune of more than half a billion dollars per month. Illinois must pay a staggering $586 million per month to Medicaid providers to ensure continued care for beneficiaries, a U.S. judge ruled on June 30. The ruling comes after […]

SNFs Get More Time to Meet Sweeping Medicare Regulations

Last year, the Centers for Medicare and Medicaid Services (CMS) issued its first comprehensive overhaul of skilled nursing rules since 1991. But faced with objections from operators in the industry about the scope and timing of the new requirements, CMS decided to delay their enforcement of the regulations. The Phase 2 stipulations of the revised Requirements […]

2 More Ways Trumpcare Could Shift Funding Toward SNFs

As the Republican health care plan undergoes changes before its day on the Senate floor for a vote, health care providers are tracking how the legislation, the Better Care Reconciliation Act, could impact the skilled nursing field. While potential cuts to Medicaid — ranging from estimates between more than $770 billion and $810 billion — […]

House Passes Bill to Overhaul Skilled Nursing Liability Laws

The House of Representatives on Wednesday passed a bill that would limit skilled nursing and other health care providers’ liability in malpractice cases, prompting praise from industry groups but concern from patient advocates. The Protecting Access to Care Act of 2017 would establish federal statutes of limitation on lawsuits stemming from injuries incurred at any […]

Why Dark Skilled Nursing History Could Repeat Itself

Various health care agencies and groups have expressed concerns over the effects of Obamacare repeal on Americans’ access to skilled nursing care, as well as the ongoing viability of SNFs as a business amid steep Medicaid cuts. At least one commentator also claims that the GOP health plans could lead to a return to the […]

Per-Bed Skilled Nursing Prices Tripled Over Last Decade

Flying in the face of “contrarian” analysts who “signed its death certificate,” the skilled nursing industry continues to attract attention and dollars from investors, with per-bed prices tripling since 2003, a new report states. The median SNF sold for $94,600 per bed in 2016, a gain of 42% from 2015, according to a report released Wednesday by Irving […]