[UPDATED] CMS Finalizes 2.4% Payment Increase for Nursing Homes 

CMS finalized its 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) rule, increasing rates by 2.4%, but nursing home leaders say the shortened clinical data reporting window will increase administrative burdens. The agency’s decision is based on the final SNF market basket of 3.3%, reduced by a 0.9% productivity adjustment for an estimated increase […]

How CMS Update to 5-Star Will Impact Nursing Home Referrals, Financing and Public Perception 

Nursing home operators may be in for a rude awakening Wednesday, when an update to the 5-Star Quality Rating System, requiring more points for ratings, goes into effect. That’s because the Centers for Medicare and Medicaid Services (CMS) is increasing quality measure thresholds by one-half of the average improvement in QM scores. While thresholds to […]

$1B Medicaid Payment Delay Could Ripple Through Nursing Home Sector in California, Minnesota 

The U.S. Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) on Tuesday deferred more than $1 billion in federal Medicaid payments to California and Minnesota. The agencies plan to expand this deferment tool in the future. That’s approximately $867.5 million in deferred federal payments to California, and $199 million […]

ACO REACH Saved $706M in Spending, 8.9% Decline Among High-Needs Cohort Linked to Nursing Homes 

As the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) model winds down this year, federal findings offer insights into the future of accountable care for medically complex beneficiaries – many of whom reside in a nursing home. ACO REACH reduced gross Medicare spending by $706 million overall, the American Health Care […]

PFS Proposed Rule Fixes Policy Error Affecting SNF Physician Payments, ACO and MIPS Overhaul 

The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this week jam-packed with reforms to the Merit-Based Incentive Payment System (MIPS), ACO participation and the Physician Fee Schedule (PFS). Overall, CMS proposed a 1.19% decrease in the PFS conversion factor for 2027, but providers unable to participate in PFS incentive programs, including […]

‘Tell Our Stories’: AHCA CEO Bullish on Prospects for Medicare Advantage Reform, Workforce Policies

Nearly 700 nursing home provider representatives will be urging federal lawmakers to take action on Medicare Advantage reform and other top policy priorities for the sector. The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) kicks off its Congressional Briefing event on Monday. The most important endeavor for members is to share […]

American Nurses Association, 9 Other Groups Sue Dept. of Education Over Loan Limit Rule

The American Nurses Association and a group of other organizations have jointly filed suit against the Department of Education over its final rule excluding nursing from the “professional degree” designation. The American Nurses Association (ANA) and nine other nursing organizations filed the suit in response to a policy, starting July 1, excludes post-baccalaureate nursing degree […]

Senate Democrats: New Policies Needed to Improve Nursing Home Care Quality, Access

Senate Democrats are seeking to improve access to affordable long-term care by using incentives to address workforce shortages, increasing nursing home quality and expanding home care services. The initiative was outlined in a letter signed by Senate Finance Committee Ranking Member Ron Wyden and 16 other Senate Democrats. The budget reconciliation signed by President Donald […]

As CMS Expands ACOs, Nursing Homes Push for More Aligned Model as 90% Are Left Out

As the Centers for Medicare and Medicaid Services (CMS) strives to improve and expand accountable care organization (ACO) models for the future, there’s a prime opportunity to better serve long-term care populations, including residents in nursing homes. For starters, the federal agency should consider simplifying the bureaucratic hurdles that keep more skilled nursing facilities (SNFs) […]

Cautious on Acquisitions, Some Nursing Home Operators Shift Focus to Value-Based Investments

Some nursing home leaders are approaching mergers and acquisitions (M&A) with caution in 2026, citing inflated asset prices and questioning whether current valuations justify the investment. Meanwhile, their broader investment strategies focus instead on the evolving value-based care environment. One of the reasons for treading carefully in buying new assets stems from nursing home industry’s […]

AHCA: Nursing Homes Added 40,700 Jobs in 2025 as Turnover, Agency Use Declined

Nursing homes made noticeable workforce gains in 2025, with 40,700 jobs added, or an increase of 3,400 workers each month, while also continuing to reduce staff turnover and reliance on temporary agency workers, according to a report published by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). About 62% of providers […]

NYT Article Links Nursing Home Staffing Mandate Repeal to MAGA Donations, Trump Private Meeting

Nursing home leaders pushed – with donations to the Trump campaign – to have the federal nursing home staffing mandate repealed permanently, arguing the rule would raise costs and force facilities to close. According to a report in the New York Times, about 40 corporate entities associated with nursing homes across the country donated nearly […]

Executive Outlook 2026: ‘No Provider Can Succeed Alone’ in Current SNF Environment

The nursing home sector in 2026 will be defined by rapid change, leaders said, as payment constraints, workforce shortages and rising expectations from the public and government entities converge. All the while, operators brace for Medicaid uncertainty and Medicare Advantage growth. Shortened retroactive eligibility periods and potential state-level cuts to Medicaid programs may further contribute […]

The Quotes That Defined Skilled Nursing in 2025 — and Hint at What’s Ahead

The skilled nursing sector experienced a turbulent and transformative 2025, shaped by sweeping deregulation efforts, intensifying financial and policy pressures as well as volatile reimbursement dynamics. Meanwhile, rising M&A activity and renewed scrutiny of private equity ownership dominated markets and financial chatter. At the beginning of the year, the Trump administration’s approach to deregulation was […]

CMS to Suspend Nursing Home Medicare Revalidation Indefinitely

The Centers for Medicare and Medicaid Services (CMS) is set to indefinitely suspend its mandatory off-cycle skilled nursing facility provider enrollment validation, which had a deadline of Jan. 1, 2026. Associations including the American Health Care Association and National Centers for Assisted Living (AHCA/NCAL) have long asked for relief from the revalidation process, given the […]

Government Shutdown Leads to Nursing Home Survey Contingency Plans, Limits Telehealth 

The federal government shutdown that began on Oct. 1 is likely to cause minimal disruption to nursing home operations, but surveyors will be adhering to contingency plans and providers are concerned about reduced telehealth access. “Seniors, their loved ones, and their caregivers can rest easy that their long term and postacute care will be minimally […]

‘Consequences Are Undeniable’: New AHCA Survey Warns Medicaid Cuts Could Force Nursing Home Closures

Proposed Medicaid cuts are spurring widespread concern among nursing home providers, as reductions would severely impact care quality, staffing, and facility operations. Activity on the Hill and a new report puts the spotlight on potential impact to stakeholders. About 92% of providers are concerned about further Medicaid cuts, according to a May report from the […]