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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 […]

Physician Groups Have Skilled Nursing Opportunity in PDPM — If They Take Action

The clinical condition and medical complexities of skilled nursing patients will drive reimbursement under the new Medicare system — giving physician groups that serve skilled nursing facilities the opportunity to have a major impact on the outcomes and success of both the patients and the facilities they serve. But it’s an opportunity they’ll have to […]

CMMI Could Put Post-Acute Providers Back in Control of Bundled Payments

The leader of the federal government’s center for reimbursement innovation said he is considering bundled payment models where post-acute care providers could take the lead on care — but right now it’s only at the consideration stage. Adam Boehler, who leads the Center for Medicare and Medicaid Innovation (CMMI), said that there has been significant […]

‘Unreasonable’ to Think Therapy Patterns Won’t Change Under PDPM

Though experts and federal authorities alike stress that the coming change to Medicare reimbursement shouldn’t affect the levels of rehabilitation provided to skilled nursing patients, the reality is that therapy is likely to evolve. That makes it all the more important for operator to clearly tie any changes in therapy provision to clinical needs and […]

Providers Can’t Lose Sight of ‘Where the Money Is’ Under PDPM

When it comes to the changes coming to Medicare reimbursement methodology, coding figures prominently in the discussion among skilled nursing providers. But while it’s important for SNFs to make sure staff education and training on that topic is up to date, there are several other components of reimbursement under the Patient-Driven Payment Model (PDPM) that […]

Only 32% of Skilled Nursing Providers Feel Clinically Ready for PDPM

As they get ready for the Medicare Part A reimbursement system taking effect October 1, skilled nursing providers have a high degree of confidence in the preparedness of their interdisciplinary teams. But that confidence plummets when assessing the preparedness of their clinical teams, according to a new survey from the Plano, Texas-based Reliant Rehabilitation. The […]

Timely, Regular Doctor Visits Could Reduce Readmissions at Nursing Homes

]With the increased premium placed on preventing rehospitalizations from skilled nursing facilities, timely interventions from a doctor can potentially make a major difference. Between 2012 and 2014, about 10.4% of residents did not see a physician at all during their time in the skilled nursing facility, according to a study published Monday in the journal […]

PDPM 101: What Skilled Nursing Providers Need to Know Now

With a new Medicare payment model for skilled nursing facilities just months away, operators who haven’t started planning for the changes are already months behind. Skilled Nursing News has been reporting on the new Patient-Driven Payment Model (PDPM) since the day it was announced last July 31, and we’ve spent those eight months speaking to […]