Nursing Home, CCRC Spending To Reach $337B by 2032, as Insurance Enrollment Reaches New Heights

Expenditures for Nursing facilities and continuing care retirement communities (CCRCs) is expected to reach $237.6 billion in 2026, and $337.4 billion by 2032, according to data released Wednesday. Nursing homes and CCRCs have been increasing steadily since 2021, states a report prepared by the Office of the Actuary (OACT) at the Centers for Medicare & […]

Nursing Homes Must Reevaluate their Emergency Preparedness Plans – Adding Planned Power Outages to the List

Planned power outages in response to wildfire threats are leaving some nursing homes in the dark – one facility in Boulder, Colorado was left without power for 28 hours. Generators kept running the facility’s oxygen machines, most refrigerators and freezers, hallway lights and Wi-Fi for phones and computers, according to a report originally from KFF. […]

‘Custodial Care Rates’: Avamere, FPACP, LeadingAge Execs on Mitigating Headaches Tied to Medicare Advantage Plans

Managed care’s growth across all health care settings, including nursing homes, has pushed reimbursement rates lower, and operators are implementing strategies to counter the situation.  For starters, operators expressed the need to be well equipped for negotiating better rates with managed care organizations (MAOs). And, coming armed with cost of care data to the negotiating […]

‘Stop the Mandate’: Following Congressional Briefing, Nursing Home Leaders Unite to Defeat Staffing Rule

Nursing home leaders convened in Washington, D.C., on Tuesday to present a unified stance against the federal staffing mandate, which they argue could exacerbate existing challenges in long-term care facilities.  The gathering follows a Congressional Briefing by American Health Care Association/National Center for Assisted Living (AHCA/NCAL) at the week’s start, and saw key figures from […]

Sen. Casey’s Workforce Bill Aims To Provide $320B, Seen as Funding Mechanism for Nursing Home Staffing Rule

As part of already proposed legislation, U.S. Democratic Sen. Bob Casey of Pennsylvania is pushing for an injection of billions of dollars to increase the direct care workforce and improve pay. Casey’s Long-Term Care Workforce Support Act could be viewed as a funding mechanism for the Biden administration’s federal nursing home staffing mandate, which would […]

‘Fast-Tracked’: AHCA Lawsuit Opposing Nursing Home Staffing Mandate Has Strong Legs, With Injunction Expected Soon

Lawyers and other leaders in the nursing home sector believe the American Health Care Association’s (AHCA) lawsuit is strong, framed well and likely to succeed, with a decision possible by early 2025. An injunction from the plaintiffs – all 5-Star facilities located in Texas along with AHCA – regarding staffing rule’s implementation should follow in […]

‘Introduces Chaos’: Nursing Homes Oppose Expansion of Penalties as Comment Period Ends for Proposed Payment Rule 

As the comment period ended Tuesday for the Centers for Medicare & Medicaid Services’ (CMS) proposed rule that updates Medicare payment policies and rates for skilled nursing facilities for fiscal year 2025, a majority of the feedback centered on the possible expansion of the agency’s authority to enforce civil monetary penalties (CMPs) for noncompliance. In […]

Nursing Home Leaders Using ‘All the Tools Available’ in Aggressive Push to Halt CMS Staffing Mandate

LeadingAge joins a slew of other nursing home industry voices in urging a multi-faceted strategy following the finalization of the federal minimum staffing rule a month ago. The advocacy group is pursuing legislative, legal and regulatory avenues to stop the mandate and build the workforce. Katie Smith Sloan, president and CEO of LeadingAge, said, “We […]

CMS Star Rating Process, with Wide State Variation, Sparks Trouble for Consumers and Nursing Homes

Hundreds of nursing homes continue to maintain or display high star ratings despite Immediate Jeopardy incidents in the previous three years, and this can create headaches for both nursing homes and consumers alike. According to a Scripps News analysis released Wednesday, which takes in to account government data from February 2024 of more than 14,000 […]

TEAM Model: Hospitals in the Driver’s Seat, Nursing Homes as ‘Collaborators’ in Latest Bundled Payment Initiative

The Centers for Medicare & Medicaid Services’ (CMS) in April released a bundled payment model that is the culmination of the best aspects from such past models, all to align with the agency’s efforts to get all Medicare Fee-for-Service beneficiaries involved in value-based care by 2030. The Transforming Episode Accountability Model, or TEAM, is considered […]

Nursing Home Challenges To Stir Upcoming Elections as Pennsylvania’s Contentious Senate Race Shows

Nursing home challenges are becoming a hot topic in election debates, most recently with a race in Pennsylvania between incumbent Sen. Bob Casey and his Republican challenger David McCormick. Industry experts have predicted that nursing homes, along with other settings in long-term care, will be central for future presidential candidates as well. The growth of […]

American Health Partners CEO Reveals ‘Secret Sauce’ for Value-Based Care in Skilled Nursing

When it comes to value-based care models and appropriate reimbursement, nursing home operators must think about the care team behind the model. Whether it’s Institutional Special Needs Plans (I-SNPs) or accountable care organizations (ACOs), a robust clinical team is crucial to aligning with positive quality outcomes. That’s according to Mike Bailey, president and CEO of […]

Greater Nurse Practitioner Presence Linked To Fewer Hospitalizations, Higher Hospice Use for Nursing Home Residents With Dementia

Nursing home residents with Alzheimer’s disease and related dementias (ADRD) appear to benefit from greater nurse practitioner (NP) involvement, with fewer hospitalizations and higher hospice use at end of life. The number of differences in outcomes between extensive and minimal NP care was higher in states with a full scope of practice regulations than in […]

AHCA/NCAL: Nursing Home Staffing Rule Will Cost $6.5B Annually, Require 102,000 Extra Clinicians, Displace a Quarter of Residents

The nursing home minimum staffing rule is estimated to cost the industry a staggering $6.5 billion per year, and would require an additional 102,000 clinicians, according to a new analysis released Thursday by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL). To fulfill the rule’s requirements, more than 77,000 certified nurse […]

LTC100 Panelists Weigh in on CMS Staffing Rule’s ‘Bloodbath’, Growth Strategies, and Risk-Based Model Reimbursement

If there’s no additional funding for the minimum staffing rule, well over 5% of existing facilities will close, depending on how successfully operators can pivot to meet the standard. The rates of closure may even reach 10% to 15%, depending on the market, cautioned sector leaders attending the LTC100 conference this week. Steve Nee, CEO […]

‘It’s Not Reality’: Health Dimensions’ CEO on the Ripple Effects of the Nursing Home Staffing Rule

As staffing shortages continue to drive nursing home closures across the U.S, sector leaders such as Erin Hennessey, President and CEO of Health Dimensions Group, are expressing deep concerns about the minimum staffing rule that will only worsen the crisis of access, especially in rural counties where labor is in very short supply. “There’s no […]