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Some Medicare Contractors Holding Up Claim Payments Amid the Shift to PDPM

Some of the private insurance companies that process Medicare claims on behalf of the federal government are holding up claims for skilled nursing facilities after the implementation of the Patient-Driven Payment Model (PDPM) in October. But it’s not clear how widespread that is, BKD director John Harned and senior managing consultant Sherri Robbins said on […]

Moody’s: PDPM Has Potential to Stabilize Rents for Skilled Nursing REITs

Skilled nursing facilities will become more financially stable under the new system for Medicare reimbursement – which is a good sign for their landlords, according to Moody’s. Specifically, the stabilized cash flows under the Patient-Driven Payment Model (PDPM) are set to improve real estate investment trusts’ (REIT) credit standing, allowing more investments in this sector, […]

PDPM Therapy Changes, Staff Reductions to Bring Genesis $30M in Annual Savings

Prior to the advent of the new Medicare payment model for skilled nursing facilities, Genesis HealthCare (NYSE: GEN) CEO George Hager predicted that his company would see expense reductions of 12% — primarily through an increased emphasis on group and concurrent services. So far, at least according to Hager, the company has come through on […]

Omega Looks to Cut Daybreak Skilled Nursing Exposure After Performance ‘Deteriorated Further’

Despite showing long-term optimism about Daybreak Venture, executives at Omega Healthcare Investors (NYSE: OHI) on Wednesday revealed an ongoing plan to replace the struggling skilled nursing operator at many of its facilities in Texas. The two parties have mutually agreed to work toward a deal that would “selectively downsize” Daybreak’s footprint across the Lone Star […]

How Has Your Skilled Nursing Company Adapted to PDPM? Take Our Survey Today

Stories of therapist layoffs and shifting care strategies rocked the skilled nursing world at the start of this month, when the new Patient-Driven Payment Model (PDPM) took effect. Now that the industry has logged a full month under the overhauled Medicare payment model, Skilled Nursing News wants to know how your organization has adapted to […]

As Medicare Advantage Plans Slowly Migrate from RUG to PDPM, Providers Must Avoid Lost Payments

Most Medicare Advantage (MA) plans that used the old Medicare system for calculating reimbursement for skilled nursing facilities are moving to the new system along with the federal government — at least if the early weeks of the Patient-Driven Payment Model (PDPM) are anything to go by. That said, details on contracts and changes are […]

US News Focuses on Resident Complaints, Staffing in New Set of Nursing Home Ratings

U.S. News & World Report on Tuesday released its 2019-2020 Best Nursing Homes ratings, which the publication has pitched as a more consumer-friendly alternative to the Centers for Medicare & Medicaid Services’ (CMS) Nursing Home Compare website. Analysts from the national news outlet have moved away from CMS’s five-star ratings to rely on their own […]

I-SNP Case Studies Show Promise in Era Where Fee-for-Service Medicare Looks Unsustainable

Despite the challenges, skilled nursing facilities have succeeded at setting up their own specialty Medicare Advantage plans — and the strategy represents a key potential weapon amid the rise of alternative payment models. Institutional Special Needs Plans (I-SNPs) remain a small part of the overall Medicare Advantage landscape, according to a panel discussion at the […]

Push to Reduce Antipsychotic Drugs in Nursing Homes May Have Boosted Costly Hospitalizations

The regulatory push to reduce antipsychotic drugs in nursing homes may be correlated to a rise in risk factors for avoidable and non-avoidable hospitalization among residents with behavioral health issues, according to a recent study published in JAMDA, the journal for The Society for Post-Acute and Long-Term Care Medicine. A team of researchers from the […]

Bill Would Expand Nursing Homes’ Access to Federal Background-Check Database

A new piece of legislation before Congress would expand nursing homes’ ability to perform detailed background checks on potential employees, according to its sponsor. Sen. Kirsten Gillibrand, a New York Democrat, earlier this week announced a bill to improve health care worker hiring practices in an effort to reduce elder abuse. The initiative — known […]

Less Than 5% of Nursing Homes Receive Abuse Icon — But Financial Impacts Could Be Coming

As the federal government predicted, just under 5% of the nation’s nursing facilities received a new abuse warning icon on the consumer-facing Nursing Home Compare website — but the early data also reveals significant regional variations that could have an impact on valuations and bottom lines moving forward. Out of 15,262 total facilities, just 760 […]

Verma: New Abuse Warning Icon ‘Isn’t Really Going to Impact Very Many Nursing Homes’

Despite widespread anger in the skilled nursing industry, a controversial new warning icon for facilities with previous reports of abuse and neglect will affect only a relatively small proportion of properties, Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma told lawmakers in Washington on Wednesday. Testifying before the House Committee on Energy & […]

OIG: Nursing Home Complaints Increase Nationwide — Along with Delays in Investigations

The federal government’s top health care watchdog logged an increase in nursing home complaints last year, according to the most recent set of data from the Department of Health and Human Services, in tandem with a 23% rise in high-priority incidents that were not investigated within the proper timeframe. The HHS Office of the Inspector […]

Providers, CMS Must ‘Band Together’ to Improve Skilled Nursing Care for Behavioral, Mental Health Patients

In a health care landscape full of challenges, staffing consistently ranks as the top concern for skilled nursing facilities. But the second-most prevalent concern is patients and residents who have mental health needs and substance use disorders, according to a top federal official — and there are no easy answers for how SNFs should cope. […]

CMS to Implement Stricter Standards for State Nursing Home Surveyors

The federal government on Thursday rolled out yet another initiative aimed at nursing home safety, announcing a multi-pronged effort to strengthen its oversight of State Survey Agencies (SSAs). The Centers for Medicare & Medicaid Services (CMS) will implement a variety of new assessment tools in the State Performance Standards System (SPSS), its rubric for grading […]

On-Site Ombudsmen Lead to More Skilled Nursing Deficiencies on Surveys

When an ombudsman remains on site during post-acute and long-term care facility surveys, the building’s quality scores may be negatively affected, according to a study in published this week in JAMDA, journal of AMDA — The Society for Post-Acute and Long-Term Care Medicine. Researchers determined that ombudsmen may direct assessors to more attention to on-site […]

Uber-Style Nurse Staffing Platform connectRN Lands Athenahealth Vet as New CEO, Plots Expansion

With changes in Medicare reimbursement rules and heightened pressure to cultivate stronger clinical outcomes, technology has increasingly emerged as a solution to help providers find and retain staff. connectRN, a mobile software platform that assists registered nurses (RNs), licensed practical nurses (LPNs), nursing assistants, and other staff in finding available employment slots at multiple facilities, […]