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 […]

ACOs Cost Government Money, But Skilled Nursing Opportunity Remains Large

Accountable care organizations (ACOs) don’t always meet their intended goals of saving the government money, and while a new study shows that the model has led to losses in New York, its author asserts that the programs remain ripe for skilled nursing opportunities. Five years into the Medicare Shared Savings Program (MSSP), ACOs in the […]

PDPM Goes Beyond Therapy: Finding the Hidden Value in Skilled Nursing Ancillaries

At surface level, the new Medicare payment model for nursing homes revolves largely around therapy, as the federal government works to realign incentives and prevent what officials claim to be a wave of unnecessary services. Speech, occupational, and physical therapy account for three of the five components of the Patient-Driven Payment Model (PDPM), and providers […]

‘All Systems Are Go’ at CMS for PDPM, But Not All Providers Are Ready

The new Medicare reimbursement model for skilled nursing facilities remains on track for implementation this fall, but not everyone is ready — and operators need to look to the big-picture shifts in value-based care for inspiration as the clock keeps ticking. That’s according to a recent webinar from the Minneapolis-based consulting firm Health Dimensions Group […]

Ciena Looks to Build on Bundled Payment Success with Medicare Advantage

As the health care system continues to push skilled nursing providers in the direction of risk, the Ciena Group has relied on lessons learned from bundled payments as it looks at entering the world of Medicare Advantage. The fact that skilled nursing could not initiate episodes under the newest bundled payments model “pulled the rug […]

Cheat Sheets and Timely Visits: How SNFs Can Support Doctors’ Larger PDPM Role

Timely physician visits will play a central role in effectively capturing resident conditions — and reimbursements — under the new Medicare payment model. But with doctors seeing relatively few incentive changes amid the shift to the Patient-Driven Payment Model (PDPM), skilled nursing operators must find ways to make physician collaboration as easy as possible. Medical […]

ManorCare Sees Occupancy Boost as Welltower Plots 45-Building Capital Improvement Plan

Executives from Welltower Inc. (NYSE: WELL) have been largely mum about the company’s ongoing integration of HCR ManorCare’s skilled nursing facilities into its overall portfolio, but when pressed Tuesday, leaders hinted that the metrics are moving in the right direction. Occupancy at ManorCare SNFs has increased by more than 100 basis points, Welltower chief investment […]

Sitting Out Bundled Payments Could Leave Skilled Nursing Providers Far Behind

For many skilled nursing providers, the launch last week of the 2020 application period for the government’s flagship bundled-payment program was low on the list of priorities. After all, under the new Bundled Payments for Care Improvement Advanced (BPCI Advanced) model, nursing homes can’t be episode initiators, meaning hospitals and other acute-care providers are the […]

36% of Skilled Nursing Facilities See Star-Rating Declines After CMS Changes Take Effect

Roughly 36% of skilled nursing facilities saw a drop in their overall star ratings after planned changes to the Centers for Medicare & Medicaid Services’ (CMS) Nursing Home Compare system took effect on Wednesday. That’s according to a pair of analyses from the American Health Care Association (AHCA), a trade group representing nursing homes, and […]

Full Medicare Part A Funding Will Run Out in 2026, Two-Thirds of SNFs in the Red by 2040

The trust fund that supports Medicare Part A coverage will run out of money to cover full benefits in just seven years, the federal government announced on Monday, with potentially devastating long-term effects for the majority of nursing home operators. The Hospital Insurance (HI) Trust Fund, which directly supports Medicare Part A benefits — including […]

CareMount ACO Says Skilled Nursing Should Have ‘Skin in the Game’

When the largest independent physician group in the state of New York decided to move into the Next Generation Accountable Care Organization (ACO) model, it recognized post-acute as an area it needed to work on — and decided to include skilled nursing facilities in its plans. CareMount Medical, which is based in Mount Kisco, N.Y., […]

CMS Shares Strategies for Successful Collaborations Between ACOs, Nursing Homes

The federal government released a breakdown of strategies that accountable care organizations (ACOs) have used to successfully partner with skilled nursing facilities — a move that could indicate policymakers’ continued support of the care models. The Centers for Medicare & Medicaid Services (CMS) recently released a care coordination toolkit for ACOs that drew from focus […]

GAO: CMS Must Strengthen State-Level Oversight of Skilled Nursing Facilities

For at least 15 years, the Centers for Medicare & Medicaid Services (CMS) failed to deal with gaps in the federal oversight of nursing home abuse investigations in Oregon, the U.S. Government Accountability Office (GAO) determined in a management report released on Monday — and officials want a review of state-level rules nationwide. CMS oversees […]