Nursing home operators had a mixed reaction to the Centers for Medicare & Medicaid Services (CMS) final payment rule for 2024. While some operators said that they were generally appreciative of the 4% increase in Medicare reimbursement, they are also calling for more help and understanding from federal agencies in tackling the workforce crisis – […]
General staffing metrics used to assess quality of care hold less weight these days and need to be updated, experts say, because the entire skilled nursing industry is struggling to build and retain its workforce. These quality measures need to be presented through the lens of the pandemic and the staffing crisis, SNF leaders say. […]
Leaders at nursing homes could create long-term value for their organizations if they adopted a population health focus, empowered local leaders and pursued actively value-based purchasing models. That’s according to a report published by CliftonLarsonAllen (CLA) earlier this month. In an industry facing seismic changes, SNF operators should seize strategic opportunities, empower local leadership, and […]
Clinical speciality services are growing within nursing homes to address needs of a population with higher acuity – but there are some sizable side benefits to this trend. Operators and other community institutions are working to accommodate the need for certain types of care in the nursing home through partnerships. Not only are nursing home […]
Rising acuity at nursing homes has meant a greater need for the presence of various clinical specialties at facilities. But navigating better interdisciplinary team care is a complicated matter, made more so with staffing shortages, tighter regulation and lower reimbursements. As the needs of the nursing home population continue to evolve, many providers believe it’s […]
Concerns about lack of skilled nursing access for cancer patients, as well as oncology-related costs borne by skilled nursing facilities, have prompted operators to call for action from the Centers for Medicare & Medicaid Services (CMS). Several nursing home professionals raised this issue in comments to CMS’ proposed Medicare payment update for 2024. One oncology […]
As acuity continues to rise among nursing home residents, providers say reimbursement needs to change too – and not just the dollar amount. Incentives should be based on quality of care, and the industry will need to build out specific reimbursement models to match expanded acuity specialities, especially as value-based care becomes more and more […]
All skilled nursing facilities that participate in Medicare Fee-for-Service (FFS) can expect a letter from the Centers for Medicare & Medicaid Services (CMS) regarding improper payment rates starting June 5. And, as of an updated memo from CMS on Monday, claims could be adjusted or denied if an improper payment is identified. CMS initially posted […]
Nursing home operators may see a long phase-in for a federal minimum staffing requirement, and a host of exceptions, when more details finally come – but, it’s difficult to speculate on hypotheticals and may not help operators to dwell on the “what-ifs.” That’s according to Ensign Group (Nasdaq: ENSG) CEO Barry Port, who weighed in […]
Nursing home operators that were able to diversify their businesses and adjust to the patient-driven payment model (PDPM) while battling through Covid-19 now find themselves in a position of strength. This was one message that top operator executives delivered last week at Skilled Nursing News’ CLINICAL conference in Washington, D.C. They discussed how Covid-era practices […]
The Centers for Medicare & Medicaid Services (CMS) on Monday dropped the eagerly anticipated optional state assessment (OSA) for nursing homes, as a supplement for operators to fill out in states still transitioning to the Patient Driven Payment Model (PDPM). If a state decides not to transition to a PDPM-based Medicaid case mix with the […]
The coming year will be “a bit of a slog” for skilled nursing, but operating and financial headwinds should ease over the course of 2023. That’s the viewpoint of Rick Matros, CEO of Sabra Health Care REIT (Nasdaq: SBRA), which owns 270 skilled nursing and transitional care properties, along with senior living, behavioral health and […]
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 […]
As the SNF sector enters its third year under the Patient-Driven Payment Model (PDPM), data analytics and consulting firms like Zimmet Healthcare Services Group are finding stark differences in reimbursement levels between top-performing operators and those at the bottom of the barrel. For one, the top 10% of SNF providers have rates $70 over the […]
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 […]
The Ensign Group (Nasdaq: ENSG) kept busy during the third financial quarter, signing off on a whopping 17 new skilled nursing deals. Ensign COO Chad Keetch told listeners during the company’s latest earnings call on Thursday that it was “one of the biggest” acquisition quarters in several years. The San Juan Capistrano, Calif.-based operator is […]
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 […]
Continued federal and state movement toward more patient-driven care has had a ripple effect across the care continuum, in a lot of ways changing relationships between health care sectors that are normally siloed. Nursing homes and hospital systems are no exception, with the Patient-Driven Payment Model (PDPM) prompting relationship building efforts on both ends. Communication […]
The skilled nursing bump in Medicare rates was a “positive surprise” for leadership at Invesque (TSE: IVQ.U), as most in the industry expected payment rates to decrease heading into next year. Bryan Hickman, senior vice president of investments at Invesque, said the change – in the form of a 2.7% increase to Medicare payment rates, […]
Consulting firms in the skilled nursing space are getting a better snapshot of the labor market as data continues to pour in, and the outlook remains bleak – dwindling workforce numbers are running up against increased average cost of labor and overall inflation. While the SNF workforce lost approximately 238,500 staff during the pandemic, an […]
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