CMS Chief Medical Officer: More Changes Coming to Nursing Home Compare, Quality Measures

The past several years have seen sweeping overhauls of nursing home enforcement on the federal level, and the Medicare program’s top clinical officer says her agency isn’t done beefing up its efforts. Dr. Kate Goodrich, the chief medical officer for the Centers for Medicare & Medicaid Services (CMS), promised that more changes are coming to […]

Rethink Podcast #14: CMS Chief Medical Officer Kate Goodrich

The 14th episode of our podcast, Rethink, is now available! As the Medicare program’s top clinical official, Dr. Kate Goodrich has played a major role in the wave of nursing home regulatory scrutiny coming from Washington and Baltimore over the last few years.Goodrich and CMS administrator Seema Verma have placed skilled nursing facility compliance and […]

Rethink Podcast #13: Integrated Care Solutions CEO Brian Fuller

The 13th episode of our podcast, Rethink, is now available! Skilled nursing providers can get chills at the thought of alternative payment models, which include Medicare arrangements such as bundled payments — one reimbursement shared by a range of providers for a single episode of care. After all, many bundled payment programs achieve their savings by cutting down […]

SNFs Need to Stop Thinking of Themselves as Targets for Cuts — and Get Creative

In a health care world of payment evolution and alternative reimbursement models, skilled nursing facilities have been feeling the pinch. There’s pressure to lower length of stay from both Medicare Advantage payers and accountable care organizations (ACOs). Multiple studies have found that ACOs and bundled payment models generate savings for the Centers for Medicare & […]

LTC’s Simpson: Senior Care Centers Bankruptcy Has Dragged, but REITs Aren’t to Blame for Distress

When the Dallas-based skilled nursing operator Senior Care Centers filed for Chapter 11 bankruptcy protection last December, management placed the blame firmly on its leases with its real estate investment trust (REIT) and other landlords, specifically calling them “expensive.” But Wendy Simpson, president and CEO of SCC landlord LTC Properties, Inc. (NYSE: LTC), says the […]

Rethink Podcast #12: LTC Properties, Inc. President and CEO Wendy Simpson

The 12th episode of our podcast, Rethink, is now available! Publicly traded health care REITs have been blamed for some of the skilled nursing industry’s woes in recent years — after all, how can a provider keep up with annual escalators as it navigates an uncertain reimbursement landscape and ever-rising staffing costs?But Wendy Simpson, president […]

Rethink Podcast #11: AHCA President and CEO Mark Parkinson

The 11th episode of our podcast, Rethink, is now available! Between the release of a “secret” list of underperforming nursing homes and multiple hearings on Capitol Hill, the skilled nursing industry has found itself under the regulatory and media microscope for most of 2019.And for the most part, Mark Parkinson thinks that’s a good thing.The […]

Parkinson: Releasing ‘Secret’ List Positive for Industry, But Nursing Homes Must Evolve — or Become a Commodity

The release of a so-called “secret” list of nursing homes considered for inclusion in a program for the nation’s worst properties sent shockwaves through the industry early last month — but the man in charge of the for-profit space’s primary trade group says the sunshine is ultimately a good thing for operators. As the skilled […]

Rethink Podcast #10: Care Providers Oklahoma President and CEO Nico Gomez

The 10th episode of our podcast, Rethink, is now available! Skilled nursing facilities in multiple states are facing down gaps in their largest payer source: Medicaid. Across the country, providers are trying to deal with major shortfalls between the amount Medicaid pays per patient day and the amount it costs to care for a Medicaid […]

Altenheim CEO: More Skilled Nursing Closures Coming Unless Providers ‘Change Their Mindset’

The future of non-profits in the skilled nursing space — and the future of non-profit continuing care retirement communities — has been increasingly uncertain, if not outright bleak. Not-for-profit skilled nursing facilities were among the most notable casualties of low Medicaid rates in the state of Texas, while in New York, officials went so far […]

Rethink Podcast #9: Altenheim Senior Living CEO Paul Psota

The 9th episode of our podcast, Rethink, is now available! The challenges of government reimbursement and shifting consumer demand have hit non-profits in the skilled nursing space particularly hard. Many of them have exited the business entirely, with independent non-profits and local governments moving to cut their losses and sell. Non-profit continuing care retirement communities […]

Rethink Podcast #8: Greystone Founder and CEO Stephen Rosenberg

The 8th episode of our podcast, Rethink, is now available! Stephen Rosenberg founded Greystone 30 years ago with the modest goal of forming his own consulting shop after an executive stint at Dean Witter Reynolds. But over time, Rosenberg and Greystone built a name for themselves in the health care and multifamily housing lending space, […]

Rethink Podcast #7: sb2 Inc. Founder and CEO Chad Bogar

The 7th episode of our podcast, Rethink, is now available! Amid the revolution sweeping Medicare reimbursements for skilled nursing facilities — from PDPM to value-based purchasing — Medicaid has quietly emerged as a prime threat to operators across the country. Reimbursement rates in multiple states don’t cover the daily cost of caring for Medicaid residents, […]

OnPointe CEO: Skilled Nursing Providers That ‘Run to Risk’ Will Win

As both government and private payers increasingly move toward value-based reimbursements, skilled nursing providers in particular have struggled to keep up — and shift decades-old operational patterns to suit the new reality. For OnPointe CEO Eric Tanner, the only way forward is by running headlong into risk, primarily by showing payers and hospitals how his […]

Rethink Podcast #6: OnPointe CEO Eric Tanner

The 6th episode of our podcast, Rethink, is now available! Skilled nursing provider OnPointe and its CEO, Eric Tanner, are all in on care coordination, with a specific focus on determining what hospitals want to hear when looking for preferred post-acute partners. Despite a recent setback with landlord MedEquities, Tanner remains upbeat about OnPointe’s position […]

Partnering with ‘Frenemies’ Can Help SNFs Navigate Medicare Advantage Pressures

Big-picture thinkers in the skilled nursing space have increasingly talked about the need for operators to band together in the face of reimbursement pressures and new payment models — an urge that goes against the competitive nature of the health care industry, particularly in markets saturated with multiple post-acute options. But according to Plante Moran […]

Rethink Podcast #5: Plante Moran Partner Betsy Rust

The 5th episode of our podcast, Rethink, is now available! Earlier this year, Betsy Rust and Plante Moran released a report with a fairly explosive thesis: Margins for skilled nursing facilities had actually been on the rise between 2016 and 2017. But the senior care advisory firm was quick to point out that the report […]

Aegis CEO Schram: Therapy Still Has Value Under PDPM, But Providers Must Be ‘On the Hook’ for Outcomes

With therapy minutes no longer driving reimbursement under the new Medicare reimbursement system taking effect on October 1, the relationship between skilled nursing facilities and rehabilitation companies is undergoing a significant metamorphosis. But the change runs deeper than the shift in revenue streams. The new system will drive new models of care and move. interactions […]