NHI’s Largest Nursing Home Tenant NHC Could Lose up to 38% of Earnings in Lease Renewal

An activist investor of National Health Investors (NYSE: NHI) issued an assessment Tuesday that one of NHI’s largest tenants – National HealthCare Corporation (NYSE: NHC) – could lose 19% to 38% of its earnings under any lease renewal scenario with NHI. According to Land & Buildings Investment Management, which is a significant shareholder of NHI, […]

MedPAC Urges Reform of Medicare Advantage, Noting ‘Design Flaws’ in Nursing Home Payment Models

While Centers for Medicare & Medicaid Services (CMS) has made improvements following previous recommendations from the Medicare Advisory Commission (MedPAC), the Medicare Advantage (MA) program and the value-based purchasing program still suffer from “design flaws,” according to the organization. MedPAC is calling attention to what it perceives as design flaws in the programs, including incentives […]

‘Alarming’: Lawmakers Call for Federal Investigation of UnitedHealth’s Alleged Secret Payments to Nursing Homes 

Allegations against UnitedHealth Group (NYSE: UNH) that it secretly paid nursing homes in order to reduce hospital transfers of residents under its Medicare Advantage (MA) plans are leading lawmakers on both sides of the aisle to increase calls for a federal investigation. Last week, UnitedHealth filed a defamation lawsuit against the Guardian newspaper – whose […]

‘Consequences Are Undeniable’: New AHCA Survey Warns Medicaid Cuts Could Force Nursing Home Closures

Proposed Medicaid cuts are spurring widespread concern among nursing home providers, as reductions would severely impact care quality, staffing, and facility operations. Activity on the Hill and a new report puts the spotlight on potential impact to stakeholders. About 92% of providers are concerned about further Medicaid cuts, according to a May report from the […]

State Lawmakers Advance Bill Shielding Nursing Homes from Lawsuits

A state bill in Louisiana made progress this week, granting broad legal protections to nursing home management companies, despite widespread concern over poor care and accountability. The legislation would shield nursing homes from most lawsuits, funneling claims through the Medical Malpractice Act which caps damages and limits the financial liability of individual owners to $100,000. […]

Nursing Home Chain LaVie Completes Bankruptcy as Omega Transfers Master Lease to New Tenant

Omega Healthcare Investors (NYSE:OHI) announced on Tuesday that its tenant LaVie Care Centers has completed its bankruptcy proceedings effective June 1, and the Omega-LaVie master lease has been assigned to a new entity called Avardis. “Monthly contractual rent amounts under the Avardis lease remain the same as the legacy LaVie master lease,” Omega noted during […]

Medicare Advantage Denial Rates Cut Nursing Home Provider Revenue by 7%

While Medicare Advantage claim denials represent 17% of initial claim submissions, including those submitted by nursing home providers, about 57% of these denials are ultimately overturned. However, MA claim denials result in a 7% net reduction in provider MA revenue, due to the dollar-weighted share of claim denials that were not overturned, according to a […]

Trump Pardons Florida Nursing Home Exec Convicted of Over $10M in Tax Fraud

Palm Health Partners’ Paul Walczak on Wednesday was pardoned by President Donald Trump, weeks after Walczak’s mother Elizabeth Fago attended a $1 million-per-person fundraiser at Mar-a-Lago. The Florida-based nursing home executive failed to pay more than $10 million in taxes, instead using the withheld taxes to enrich himself, according to an April statement from the […]

Bill Aims to Crack Down on Medicare Advantage Prior Authorizations for LTC, Including Nursing Homes

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving Seniors’ Timely Access to Care Act would require MA plans to adopt an electronic prior auth system with standardized transactions, and improve transparency around MA prior auth use and requirements. It’s the third time this legislation […]

SNN Dealbook: Greystone Provides $40.5M Financing in CA Deal; Dwight Finances $521M in Q1

Greystone provided $40.5 million in bridge financing to Kalesta Healthcare Group for the acquisition of two nursing homes in California. Meanwhile, Dwight Capital and its real estate investment trust affiliate closed on $521 million in financing for Q1. Greystone Provides $40.5M in Bridge Financing for CA Portfolio Commercial real estate finance company Greystone provided $40.5 […]

Creative Solutions in Healthcare Creates New Leadership Role To Bridge People, Tech

Creative Solutions in Healthcare, one of the nation’s largest nursing home operators, has created a new position to explore operational innovation and technology-driven care while reducing administrative burdens among frontline staff. Chelsea Jordan has been named vice president of data integration and payroll, a position that will include traditional payroll oversight while also supporting efforts […]

Kennedy Defends Medicare Advantage, Cuts to Research for Diseases Impacting Older Adults in Nursing Homes

During a Congressional hearing held Wednesday, U.S. Department of Health & Human Services (HHS) Secretary Robert F. Kennedy Jr. defended the Trump administration’s proposed cuts to top health agencies as lawmakers questioned HHS actions under his leadership – ranging from workforce reductions at HHS to spending cuts on scientific research, including research impacting older adults […]

LTC Execs on Tenant Not Renewing Lease for 7 SNFs, Medicaid Challenges

An unnamed tenant has decided not to renew its lease with real estate investment trust (REIT) LTC Properties (NYSE: LTC) for seven skilled nursing facilities that are currently part of LTC’s assets. LTC leaders said they are continuing with the sale process for the properties, and remain committed to replacing at least $8.3 million in […]

Long-Term Care Pharmacy Giant Omnicare Handed One of the Largest Damages Verdicts Under False Claims Act

A federal jury has found CVS Health (NYSE: CVS) subsidiary and long-term care pharmacy Omnicare liable for improperly billing the federal government, resulting in more than $135 million in damages. Omnicare is the largest pharmacy serving the nursing home sector. A jury found Omnicare billed Medicare, Medicaid and TRICARE for over 3 million false claims […]

More Than 25% of Nursing Homes Slash Food Spending Below $10 a Day

Cost-cutting measures in nursing homes, particularly food budgets, have been a concerning underlying issue in the industry, with more than a quarter of facilities in the country spending under $10 per day on food per resident. An investigative report by NJ Advance Media, in collaboration with Rutgers University and data experts at SNFdata Resources of […]

Welltower Execs Discuss REIT’s $1.2B Nursing Home Investments, Detail Aspire Health Deal

Welltower Inc.’s (NYSE: WELL) $1.2 billion in skilled nursing investments in the first financial quarter served as a “credit business,” executives of the real estate investment trust (REIT) said Tuesday while discussing details of its investment in Aspire Healthcare.  Welltower Co-President and Chief Investment Officer Nikhil Chaudhri described skilled nursing as a credit business, in […]

Legislation Seeks to Curb Increasing High-Dollar Nursing Home Lawsuits

Legislation introduced a second year in a row in Louisiana would make it more difficult to sue nursing home operators and limit the amount of money residents and their families could receive from lawsuits involving injuries, neglect and wrongful deaths. Republican Sens. Thomas Pressly and Alan Seabaugh re-introduced the bill in response to an increase […]

State Legislators Take Action Against Nursing Home Survey Backlogs

States with significant survey backlogs have prompted lawmakers to take action, in one case possibly requiring the state health department to provide quarterly reports on the progress of nursing home inspections. In Maryland, a bill awaiting the governor’s approval will require the state office of Health Care Quality to report to local jurisdictions every six […]