In-House Health Plans Provide Path Out of Managed Care Pain for Operators

As the long-term health care industry moves into a value-based payment world, a special type of Medicare Advantage plan could offer skilled nursing providers a path to get ahead. In fact, institutional special needs plans (I-SNPs) could be the future for skilled nursing facilities battered by the changes in reimbursement, the move to value-based models […]

Medicaid Cuts, Regulatory Reform Loom Over Skilled Nursing Ahead of Elections

The skilled nursing industry dodged a bullet in 2017 when comprehensive Medicaid reform failed, but key industry leaders warn that the outcome of the fall elections could revive the $800 billion threat to SNFs’ bottom lines. Should Republicans hold onto their control of Congress in the upcoming midterms, leaders may take another run at Medicaid […]

AHCA Teams with PHI, Launches Long-Term Care Workforce Center

Two of the biggest names in long-term care advocacy have teamed up to create a new online workforce center aimed at curbing persistent staffing pressures at skilled nursing and senior housing facilities. The American Health Care Association (AHCA), in conjunction with the Paraprofessional Healthcare Institute (PHI), on Monday launched the Workforce Resource Center, a website […]

ACO Announcements Add to Existing Skilled Nursing Pressures

Value-based arrangements generate much of their savings by shifting spending away from the post-acute setting, according to recent government announcements. That ups the already-high pressure on skilled nursing facilities to lower patient length of stay while maintaining quality of care. To cope, they’ll have to make themselves invaluable to both referral sources and payers who […]

PDPM Could Create New Challenges for Skilled Nursing, AHCA Says

A newly proposed payment system overhaul for the skilled nursing industry could create new challenges for the sector, according to public comments by trade groups and other stakeholders submitted on the Federal Register. Namely, the American Health Care Association (AHCA) believes the payment system, as proposed by the Centers for Medicare & Medicaid Services (CMS) in […]

Providers Strike Back at Lawmakers’ Call for Tighter Regulations

The skilled nursing industry pushed back strongly against the idea that the Centers for Medicare & Medicaid Services (CMS) has reduced federal oversight of nursing homes, as argued recently by 17 state attorneys general. “There was no rollback of anything,” Dr. David Gifford, senior vice president of quality and regulatory affairs at the American Health […]

Providers Move Into Insurance to Ride Medicare Advantage Momentum

As Medicare Advantage continues to capture a greater share of seniors, some skilled nursing providers are looking to get a head start by becoming insurers themselves. Operators have found institutional special needs plans (I-SNPs), a special type of Medicare Advantage program that covers beneficiaries in need of in-home nursing care or confined to an institution, […]

AHCA Issues New Care Goals for Skilled Nursing Providers

The American Health Care Association (AHCA) on Tuesday rolled out new three-year goals for skilled nursing facilities, challenging operators to improve on a variety of metrics. The goals — announced at AHCA’s national Quality Summit in New Orleans — for skilled nursing are aligned with new value-based care models and the priorities of the Centers for Medicare & Medicaid Services […]

When is the Skilled Nursing Wave Coming? Depends Who You Ask

Depending on whose earnings call you happened to catch this season, the predicted surge in demand for skilled nursing services is just around the corner — or it isn’t coming at all. At Omega Healthcare Investors (NYSE: OHI), management enlisted the services of two consulting firms to crunch the numbers on demographic trends over the […]

Could Trump’s Religious Objection Guidance Create SNF Turmoil?

On first glance, the Department of Health and Human Services’ new guidance on personal religious beliefs might not appear to affect the long-term care industry. Years from now, however, it could play an integral role in the way SNFs operate and staff facilities. When the government rolled out its two-pronged approach last week — establishing […]

Immigration Battle Could Squeeze Nursing Home Finances

The long-term care industry dodged a bullet this week with a short government shutdown, but the fate of a federal budget still hinges on Congress reaching consensus over immigration — another issue that could have an outsized impact on the skilled nursing space. Should Congressional Republicans attempt to clamp down on legal immigration and the so-called […]

Up-and-Coming Genesis Administrator Optimistic About SNF Workforce

With a staffing crisis looming over the senior care sector, industry surveys and news reports routinely trumpet the steep challenges in skilled nursing facility recruitment and retention. Success stories are harder to come by, but they are out there, providing examples of how SNFs can successfully attract top talent and develop the next generation of […]

Partial Win for REITs, Non-Profit Operators in Final GOP Tax Plan

Congressional Republicans on Wednesday passed their long-planned tax reform package, and while President Trump has classified the deal as a Christmas gift to American taxpayers, the effects for skilled nursing operators and investors remains less than clear-cut. For instance, non-profit developers of continuing care retirement communities (CCRCs) received mixed holiday blessings: The compromise tax bill saving […]

Opinion: Nursing Homes Need to View Regulators as Partners — Or Perish

My job involves combing through Google Alerts in search of the latest filings and nuggets of news about the skilled nursing industry. Most are false positives — especially during the autumn, when my alert for “SNF” returns more information about the coming week’s Sunday Night Football matchup than skilled nursing facilities. But ever since I […]

GOP Tax Plan Could Take Toll on SNF Residents, Operators

As Congressional Republicans attempt to pass their new tax plan before the holiday recess in December, one major group in the long-term care industry says the legislation would harm residents and providers. LeadingAge — a trade group that represents non-profit nursing homes and other elder-care providers — spoke out against H.R. 1, claiming that House […]

Arbitration Battle in SNFs Isn’t Just for Residents

Arbitration agreements between skilled nursing operators and residents have become a key battleground in the long-term care space, as the Centers for Medicare & Medicaid Services (CMS) seeks to roll back an Obama-era regulation that would have banned them. But the fight over arbitration clauses — which prevent parties from seeking legal remedies from disputes […]