Aegis CEO: Therapy Can Still Drive Skilled Nursing Revenue Under PDPM

The new Medicare payment model for skilled nursing facilities upends the old system of rehabilitation minutes driving reimbursement. With the Patient-Driven Payment Model (PDPM) scheduled for implementation on Oct. 1, 2019 by the Centers for Medicare & Medicaid Services (CMS), SNFs and therapy providers alike are scrambling to catch up and prepare. In this changing landscape, […]

Skilled Nursing Providers Can Still Break Into Narrow Networks

Skilled nursing providers frequently fret about the rise of narrow networks — the closed-off groups of high-performing nursing homes that hospitals have developed to ensure the best quality and reimbursement outcomes for their patients. But even the narrowest preferred skilled nursing networks have gaps that smart providers can fill, as long as they know where […]

Specialty ‘SNFist’ Doctors Could Be Key to Landing Referral Partnerships

As the nursing home industry roils with changes ranging from the demographic to the governmental, one Illinois skilled nursing facility has put its focus on short-term rehab and transitional care patients. As a result, it depends more heavily on patient volume than most SNFs, necessitating as many referral sources as possible. And as management pursues […]

ProMedica-ManorCare Deal Could Signal ‘Titanic Shift’ in Skilled Nursing

Welltower Inc. (NYSE: WELL) and ProMedica’s megadeal to acquire Quality Care Properties’ real estate has given the skilled nursing industry a boost, and could spur other similar deals in the future. As part of the $4.4 billion joint venture, non-profit hospital system ProMedica also picked up the struggling skilled nursing chain HCR ManorCare, QCP’s former primary […]

Tweaks to Bundled Payment Model Open Up New Skilled Nursing Opportunities

The Centers for Medicare & Medicaid Services (CMS) made some tweaks to the most recent bundled payments program that could boost participation by hospitals and physician groups — and skilled nursing providers should be ready, one expert told Skilled Nursing News. The Bundled Payments for Care Improvement Advanced (BPCI Advanced) initiative was first announced in […]

Collaboration on Skilled Nursing Transitions Reduces 30-Day Readmissions

A collaborative initiative between nurse practitioners (NPs), doctors, and other medical staff to help patients discharged from a hospital to a skilled nursing facility lowered 30-day hospital readmissions. The Enhanced Care Program fosters collaboration between medical staff and patients in settings where nurse practitioners were available around the clock; medication reconciliation procedures were also followed at the […]

CCRCs Move Away From Skilled Nursing As Demand Drops

By the industry’s own definition, continuing care retirement communities (CCRCs) include skilled nursing care — but there is a growing trend of developing similar communities that lack such care, according to a report from the commercial real estate services firm CBRE. In addition, some established CCRCs have either closed or significantly cut back on their […]

Hospital-at-Home Patients Have Lower SNF Admissions

A program to provide hospital care in the home led to lower admissions to skilled nursing facilities for the patients who took part in it, a June 25 study found. But SNFs shouldn’t necessarily hit the panic button. The study, which was published in the Journal of the American Medical Association (JAMA), found that just […]

Voluntary Bundled Payments May Not Help Cut Post-Acute Spending

Voluntary bundled payment programs might not be the best way of tackling spending on post-acute care (PAC), at least according to a research letter in the Journal of the American Medical Association. In fact, just 3.7% of PAC organizations took part in Model 3 of the Bundled Payments for Care Improvement (BPCI) initiative, which targets PAC […]

Despite Shorter Stays, Medicare Advantage Improved Skilled Nursing Outcomes

Patients enrolled in Medicare Advantage (MA) plans had a shorter rehabilitation stay in a skilled nursing facility and were more likely to be successfully discharged to the community, compared with patients on fee-for-service (FFS) Medicare, according to a new study published in PLOS Medicine. MA patients were also less likely to experience a 30-day hospital […]

Post-Acute Care Remains a Mystery for Hospital Doctors

Care transitions have become critically important for long-term care providers’ finances, but the world of skilled nursing facilities and home heath settings remains a mystery to many doctors at hospitals — and a pair of hospitalists think there are steps they can take to remove some of the confusion. Christine Jones of the University of […]

Facilities Grab Increased Share of Hospital Discharges

Despite concerns about the rise of home health in the era of value-based care, institutional post-acute care (PAC) use among Medicare beneficiaries actually rose between 2000 and 2015 — while discharges to the home fell over the same time period, according to a research letter published in JAMA. Specifically, the adjusted percentage of nearly 138 […]

Gaps Remain in Post-Acute and Long-Term Care Performance Measures

Gaps remain in performance measures for post-acute care (PAC) and long-term care (LTC), particularly with regard to care coordination and information exchanges, according to a report from the non-partisan National Quality Forum’s (NQF) Measure Applications Partnership (MAP). Though performance measures are key for payment reform and sparking quality improvements, PAC and LTC settings have differing […]

AI in Skilled Nursing Facilities Isn’t Just About Robots

Ask any forward-looking senior care expert about what the industry will look like in 30 years, and robots will likely emerge as an answer. Once artificial intelligence (AI) technology advances far enough, the logic goes, the skilled nursing industry could hypothetically solve its persistent staffing problems with cyborg assistants — a solution that’s already gained […]

Scoring System Can Help Nursing Providers Do More With Less

As skilled nursing faculties grapple with low reimbursement rates and thin margins, a new scoring system for patients could help them allocate already scarce resources. It could be a useful tool as SNFs prepare for the SNF Value-Based Purchasing (VBP) program, under which the Centers for Medicare & Medicaid Services (CMS) will withhold 2% of […]

What the Rise of Medicare Advantage Means for Skilled Nursing

About 33% of seniors enrolled in the Medicare program have elected to use managed Medicare Advantage plans, and that number is expected to grow — potentially faster than the government thinks. The Congressional Budget Office has predicted growth in MA plans by about 4% per year, but Dan Mendelson, president of Avalere Health, says his […]

Mainstreet Calls Off Post-Acute Projects, Lays Off 70 in Arizona

The distressed skilled nursing industry appears to need fresh approaches to operations and real estate, but bringing new types of properties to market is far from easy. Mainstreet, one of the largest developers of post-acute facilities in the nation, is the latest example, as the company is scaling back the rollout of its new Rapid […]

MedPAC Debates Troubling Post-Acute Referral Patterns

You can lead patients to a high-quality post-acute care (PAC) provider, but you can’t make them decide to go there. That was a primary takeaway in a wide-ranging discussion at the Medicare Payment Advisory Commission’s (MedPAC) March public meeting that focused on how to steer beneficiaries into higher-quality PAC facilities. “Medicare statute provides beneficiaries with […]