As rising acuity and reimbursement challenges stymy nursing home workforce growth, third party contracts have been increasingly responsible for providing daily services. Whether its providing resident-facing clinical work, including use of third party doctors, supplying medical equipment or rendering back office services that focus more on ensuring proper documentation for reimbursement, third parties are increasingly […]

As acuity rises in the long-term and post-acute care settings, nursing homes and hospitals are in greater competition for nurses. Nurses may have in the past preferred to work in the traditional hospital setting for the chance to apply their clinical skills in more sophisticated ways, and for higher salaries. But an increase of residents […]

Trilogy Health Services today announced plans to expand into Wisconsin starting with two facilities, bringing its roster of campuses to nearly 130 across five states. The newly acquired properties – Sun Prairie Senior Living and Waunakee Valley Senior Living – both offer post-acute health care services. Both also offer assisted living, and Waunakee has an […]

Preparations for Minimum Data Set (MDS) changes vary from state to state, raising questions about how Medicaid reimbursements will be determined as the clock ticks down to the Oct. 1 start date. The key issue is the removal of Section G, which is used to measure the functional status of residents, from the nursing home […]

The Centers for Medicare & Medicaid Services (CMS) has decided to take action on transitions in care – specifically Medicare Advantage (MA) plans diverting care to home health instead of skilled nursing – after years of skilled nursing industry and consumer feedback. CMS last month took steps to address the trend with a proposed rule […]

Lenders, operators, industry lobbying organizations and consumer advocates all agree that an expansion of skilled nursing financing programs through the Department of Housing and Urban Development (HUD) could be a game-changer in driving much-needed innovation. Building on suggestions from the National Academy of Sciences, Engineering, and Medicine (NASEM), the authors of a recent Health Affairs […]

Loans and other types of financing through the Department of Housing and Urban Development (HUD) may be key to incentivizing operators to seek innovation, such as scaling the small home model in a meaningful way – but the program isn’t quite at that point yet. The National Academy of Sciences, Engineering, and Medicine (NASEM) report […]

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 […]

Anthony Laflen, Sr. Director, Industry Market Leader at PointClickCare, has been a leader in the expansion of value-based care for more than a decade, and he offers an innovative perspective on the growing role of data in this transition. In this Value-Based Care Series interview, Laflen provides what he believes to be the best approach […]

In his role as Chief Medical Officer of PointClickCare, Dr. Ben Zaniello has insight into the impact of value-based care, from the challenges of frontline care workers to the payment models that drive healthcare as a business. In this Value-Based Care Series interview, Zaniello discusses the challenges and opportunities value-based care has created at every […]

Michael Bailey is president and CEO of American Health Partners. The company provides residential long-term and rehab care through American Health Communities, as well as health plans designed for nursing home residents through American Health Plans. Through the Value-Based Care Series, Bailey shares key elements of the American Health Plans model, including the TruHealth approach […]

Jill Sumner is vice president of population health management at the American Health Care Association/National Center for Assisted Living (AHCA/NCAL). To this role, she brings more than 20 years of experience, including on the payer side. Having built and operated Medicare Advantage Special Needs Plans and one of the first Medicare-Medicaid products in the United […]

Peter Longo is a principal and managing partner at post-acute care provider Cantex Continuing Care Network. He oversees the development and ongoing performance of innovative programs and services for the company, and is responsible for its vision and mission. Longo led Cantex’s advancement to becoming a full-service continuing care network from a multi-facility skilled nursing […]

Tom Coble is president and CEO of Oklahoma-based Elmbrook Management Company. Elmbrook has 12 facilities, 11 SNFs and one assisted living facility. In addition to his leadership role, Coble has run his own Institutional Special Needs Plan (I-SNP) since 2005. Through the Value-Based Care series, Coble shares his belief that nursing homes can become senior […]

As Senior Director of Government Affairs for PointClickCare, Steve Holt is intimately familiar with the dynamic health care payment landscape — both in terms of models of the past and models of the future. In this Value-Based Care Series interview, Holt describes some of the critical opportunities skilled nursing providers have when it comes to […]

As the CEO of ATI Advisory, Anne Tumlinson continues to set the course for aging policy on the national stage. She founded ATI Advisory to drive reform of health care, long-term care delivery and financing for the nation’s vulnerable aging population. Tumlinson also founded Daughterhood to connect family caregivers, providing them with a platform to […]