Post AHCA, Parkinson Joins Boards of Physiatry Group CRC, Nursing Home Giant Ensign

Former president and CEO of the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) Mark Parkinson will be joining Comprehensive Rehab Consultants’ (CRC) board of directors as of Nov. 4. There was a “powerful alignment” in goals and values between Parkinson and leadership for CRC when they first connected, the company said […]

‘Opportunistic’ Nursing Homes That Gamed RUG-IV Now Upcoding in PDPM, Study Finds

A newly released study casts doubt on whether the shift to Medicare Patient Driven Payment Model (PDPM) succeeded in the goal of curbing so-called “upcoding” practices among nursing homes. Conducted by researchers from the University of Rochester and the University of Texas at Austin, the analysis spans seven years and found patterns of exploitation that […]

‘Textbook Unlawful’: Nursing Home Plaintiffs Urge Judge to Swiftly Halt CMS Staffing Mandate

The Centers for Medicare & Medicaid Services (CMS) overstepped its authority in finalizing the federal nursing home staffing mandate, which “cannot stand” and should be set aside swiftly by a judge. This is the argument that the American Health Care Association, LeadingAge and other plaintiffs made in a Motion for Summary Judgment filed on Oct. […]

Ensign Taps Former AHCA Chief Parkinson to Join Board

The Ensign Group (Nasdaq: ENSG) has a high-profile new board member. Mark Parkinson, who recently ended his tenure as CEO and president of the American Health Care Association/National Center for Assisted Living (NCAL), is joining Ensign’s board as its ninth director. “I am beyond grateful for the many incredible years I had to associate with […]

‘Paperwork Over Patients’: AHCA Says Nursing Home Medicare Revalidation Is Rushed, Requests Flexibility

Skilled nursing facilities need reasonable flexibility and additional support to meet the latest federal mandate – an off-cycle revalidation process for Medicare – for which nursing home advocates are seeking an extension. The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) sent a letter on Wednesday to the U.S. Department of Health […]

Porter Officially Takes Over As AHCA/NCAL CEO This Week

Clifton J. Porter II kicked off his first day as president and CEO of the American Health Care Association and National Center for Assisted Living this week – the transition comes after Porter was tapped to take on the role in July. Former AHCA/NCAL leader Mark Parkinson led the organization for 14 years prior to […]

‘Existential Threat’: 21 States Sue CMS Over Nursing Home Staffing Mandate

The number of states challenging the federal minimum staffing mandate has now grown to 21 states, after 20 states filed a joint lawsuit. As of Tuesday, Iowa’s attorney general was the latest to sue the Biden-Harris administration, challenging the nursing home federal minimum staffing mandate along with Kansas, Virginia, South Carolina, and other mostly Republican-led […]

SCOTUS Decision Sets Stage for Nursing Homes to Challenge Civil Monetary Penalties but Such Litigation Is Likely Too Costly

The U.S. Supreme Court’s June decision regarding civil monetary penalties (CMPs), which allows defendants the right to present their case to a federal jury when a federal agency is seeking financial penalties, may seem like a win for nursing homes at first glance. However, many providers are unlikely to pursue this path. The CMP decision […]

House Committee Advances Important Bills For Nursing Home Workforce, Telehealth Flexibilities

Several important bills aimed at bolstering the long-term care workforce were passed Wednesday by the U.S. House Committee on Energy and Commerce and will advance to the next stage. The legislation includes the Building America’s Health Care Workforce Act, the Ensuring Seniors’ Access to Quality Care Act, the Congressional Review Act (CRA), and the Telehealth […]

CMS Medicare Rate Increase for Nursing Homes Lags Far Behind Actual Costs as Leaders Call for ‘Easy Fix’

When looking at the 4.2% Medicare increase in the Skilled Nursing Facility Prospective Payment System (SNF PPS) for 2025, some leaders in the space wonder if the rate calculated has been inadequate considering inflation, labor woes, and funds needed to meet the federal staffing mandate. Some even argue that rate increases are so far behind […]

‘We Do Not Live for the Quarter’: CareTrust Queues up Avalanche of Skilled Nursing Investments

CareTrust REIT (NYSE: CTRE) has been busy with its investment pipeline this week, announcing $378 million in new investments after June 30, and on top of $268 million in investments during the second quarter. Chief Investment Officer James Callister said competition for skilled nursing acquisitions is high as oncoming improvement and post-COVID performance has resulted […]

Chevron Fallout Could Create ‘Regulatory Flux’ for Nursing Home Sector

While hopeful that the Supreme Court’s recent Chevron decision will undermine the federal staffing mandate and lead to a more rational regulatory environment, leaders in the nursing home sector also are warning that the ruling could create a period of uncertainty and tumult. Steve LaForte, director of corporate affairs and general counsel for Idaho-based Cascadia […]

‘A 1970s Solution to a 2025 Problem’: New AHCA CEO’s Goals as Policymakers Cling to the Past Amid Pandemic-Induced Shifts in Nursing Home Lobbying

The nursing home industry is caught between a growing demand for services and evolution of the delivery model, all while policymakers and the wider community cling to an outdated version of the sector. This has made lobbying for the industry a tricky endeavor, and yet, it also offers a unique – even urgent – opportunity […]

Rethink Podcast: Clifton J. Porter II, Senior Vice President of Government Relations, AHCA/NCAL

In this episode, Skilled Nursing News speaks with Clifton J. Porter II, who has been tapped by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) to be its next president and CEO starting this fall. Clif currently serves as AHCA/NCAL’s Senior VP of Government Relations. He expressed excitement about presenting unique […]

Ensign Execs: Odds Improve for Staffing Mandate Victory, Occupancy and Skilled Mix Outperform Seasonal Norms 

Deal opportunities continue to be abundant for the Ensign Group (Nasdaq: ENSG), and leaders for the nursing home giant also are more confident that the federal nursing home staffing mandate is doomed. While announcing strong quarterly results and increased guidance, Ensign executives stated that the typical seasonal trends of depressed summertime occupancy and skilled mix […]

Shift from Biden to Harris Unlikely to Rattle Staffing Mandate, as Unions Remain Strong Supporters

Following President Joe Biden’s decision to drop out of the 2024 presidential race, leaders in the nursing home space say there likely won’t be any change to the federal minimum staffing mandate or lawsuit given an ongoing strong connection with unions. Biden endorsed Vice President Kamala Harris to run in his place. On Monday, Harris […]

AHCA/NCAL Taps Porter to Succeed Parkinson as CEO

The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) on Tuesday announced the appointment of Clifton J. Porter II as the new president and CEO of the association, effective this fall.  Porter will be the first African American to fill the role in AHCA/NCAL’s 75-year history. He currently serves as the senior […]

Lawmakers Tussle with Nursing Home Trade Associations, Calling Their Opposition to Staffing Rule ‘Sabotage’ 

Democratic lawmakers Sen. Elizabeth Warren and Rep. Jan Schakowsky are criticizing the nursing home sector’s main trade associations for their opposition to the federal government’s minimum staffing mandate, calling their role an attempt to “sabotage” improvements in care. The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) and LeadingAge, representing thousands of […]

Supreme Court Ruling Is a ‘Game Changer’ for Challenging Nursing Home Staffing Mandate, CMS Authority

A Supreme Court decision on Friday could significantly weaken federal agencies’ authority to regulate industries, including powers of the Centers for Medicare & Medicaid Services (CMS), with wide implications for the recently finalized federal minimum staffing rule for nursing homes. The Supreme Court’s decision to discard the long-standing so-called Chevron doctrine is a “game changer,” […]

Bipartisan Lawmakers Urge CMS to Limit AI Tools’ Use by Medicare Advantage Plans, Including for Nursing Home Care

Over 50 lawmakers from both chambers of Congress are urging the Centers for Medicare and Medicaid Services (CMS) to increase scrutiny and regulation of artificial intelligence tools used by Medicare Advantage plans. In a letter addressed to CMS Administrator Chiquita Brooks-LaSure, the legislators expressed deep concerns over the use of AI algorithms by MA plans […]