Leaders in the skilled nursing space have increasingly seen value in creating a primary care strategy, with some intending to become part of a risk-based model as part of that strategy — especially as acuity continues to be high among residents. Operators looking to shift to such a strategy need a clear vision of how […]
Category: Medicare Advantage
Despite the federal government’s likely decision to keep the public health emergency (PHE) in place past January, the nursing home industry continues to prepare for operations without the safety net of certain waivers. Leaders in the space say any continuation of PHE waivers – temporary or permanent – should be dependent on cost and patient […]
Therapy providers in the nursing home space believe their role in increasing mobility will contribute to upside in the sector – especially within the context of the Patient-Driven Payment Model (PDPM), pandemic recovery and staffing challenges. It’s a draw for prospective residents and their families, both on the short-term and long-term side, as clinical improvements […]
Minnesota-based health system Allina Health has partnered with venture capital firm Flare Capital Partners to take its SNF-at-home and hospital-at-home programs to a national platform. Allina and Flare Capital Partners announced a $20 million fundraising round on Tuesday for its new standalone company Inbound Health, a platform that enables health systems and health plans to […]
While the spotlight on skilled nursing continues to shine bright, an election year has advocacy groups certain that legislative efforts will be pared down to just a couple key pieces Congress aims to tackle this fall. Policy dedicated to boosting a floundering workforce, expanding telehealth beyond public health emergency (PHE) waivers, and streamlining authorization processes […]
As Medicare Advantage (MA) plans continue to expand in benefits and number of beneficiaries, nursing home operators are weighing their options on how to adapt. “If you start to think about positioning with your relationships, with these types of organizations, be it a provider network, a member that has an Institutional Special Needs Plan (I-SNP) […]
While so many nursing home trends have been altered by the pandemic, one has interestingly stayed in line with pre-pandemic statistics: Medicare Advantage’s (MA) growth trajectory. MA is still expected to cover 52.9% of all Medicare beneficiaries by 2031, according to Fred Bentley, managing director at ATI Advisory. Bentley spoke about Medicare’s evolution and its […]
As federal minimum staffing requirements loom for skilled nursing providers, analysts with the Medicare Payment Advisory Commission (MedPAC) unveiled crucial data detailing the effects of state-level standards on the industry. While research found state minimum staffing requirements increased staffing levels and in some cases improved quality measures, there were some unintended consequences: a decrease in […]
There has been an increasing call to separate long-term and short-term care in the nursing home sector as acuity rises and facilities take on more specialities, all while facing a staffing shortage. Academics, finance leaders and some operators agree such a separation would be a positive for residents — and maybe even help the staffing […]
Skilled nursing operators shouldn’t be scared of losing market share to the shift to home trend, including SNF-at-home – at least not in the near-term. Instead, operators need to look at shifts to home-based care as an opportunity to diversify business lines in the future, as patient preference, Medicare Advantage (MA) plans and technology advancements […]
While the Centers for Medicare & Medicaid Services (CMS) proposes to make some of the most significant changes to its accountable care organization (ACO) model since it was finalized in 2011, it doesn’t appear that such updates will have a lasting impact on the broader skilled nursing industry. If anything, only operators with their own […]
Home health agencies surpassed skilled nursing facilities as the most sought after post-acute care setting – SNF care went from most common to second-most used among Medicare beneficiaries, crossing paths with home health in February 2020 as the pandemic ramped up. By March 2020, the number of hospital discharges referred to SNFs dropped to 16.6% […]
It costs nursing home residents on average about $39 more per day to stay in a private room compared to a semi-private room, or $315 compared to $276. While some might consider the difference to be relatively slim, it really all depends on average income per resident. Medicaid recipients generally must make no more than […]
The nurse practitioner (NP) role has evolved to be much more involved in the day-to-day operations of a nursing home, especially given the higher acuity that the care setting has adopted. Institutional special needs plans (I-SNPs), which are designed to care for residents that need a higher level of clinical care, has led to more […]
As many in the nursing home sector pursue opportunities to add additional service lines to diversify their offerings, and potentially build new revenue streams, Ignite Medical Resorts has stuck to doing one thing well — and so far it’s paid off. The short-term rehabilitation and nursing care provider has turned the traditional post-acute experience on […]
Nursing home executives are increasingly exploring what it would take to start a SNF-at-home program, at a time when it has become apparent after the height of a global pandemic that patients would rather be cared for in the home when at all possible. For many skilled nursing providers it becomes part of a bigger […]
As patients continue to seek out ways to be cared for in the home over more institutional settings like nursing homes, an impending nationwide rollout of the Home Health Value-Based Purchasing (HHVBP) Model may dwindle managed care relationships and drive care further away from SNFs. Results from a nine-state, five-year demo of HHVBP showed a […]
While the Centers for Medicare & Medicaid Services (CMS) has been winding down certain waivers tied to the public health emergency (PHE), the agency has been noticeably silent about what could be the most impactful of the pandemic-related waivers – suspension of the three-day stay requirement. Industry leaders aren’t holding out much hope that the […]
ProMedica Senior Care, which houses the nonprofit health system’s skilled nursing operations, has lost $124.3 million during the first quarter of 2022 as both the operator and the industry continue to face lagging occupancy recovery coupled with high labor costs. The financial figure compares to $72.5 million in operating losses for Q1 of 2021. On […]
Skilled nursing has seen its highest occupancy level since April 2020, increasing 94 basis points to end February at 76.7%. That’s according to NIC MAP Data Service, powered by NIC MAP Vision. Authors of the monthly report suggest the demand for skilled nursing properties is recovering despite challenges encountered by staffing shortages and the delta […]