Despite ‘Disappointing’ Performance of Top Player Omnicare, LTC Pharmacies See Success Ahead

While some long-term care pharmacies are struggling to stay afloat, others are thriving despite headwinds such as reduced reimbursements and coding challenges in the skilled nursing sector. For many long-term care pharmacy players, the way forward rests on new information systems and collaboration with nursing homes — which, if pulled off successfully, could lead to […]

Therapy’s PDPM Paradox: Clinicians Have More Control, But Smaller Rehab Staffs Needed for Now

The new Medicare payment model for nursing homes took effect this week with a bang, as therapists across the nation criticized a wave of staffing reductions in the immediate wake of the October 1 start date. Several companies implemented workforce cuts as the federal government shifted to the Patient-Driven Payment Model (PDPM), which moves incentives […]

Providers Can’t Fall for Therapy Myths When Preparing for PDPM

As skilled nursing facilities and rehabilitation providers across the U.S. prepare for the changes to Medicare payments coming in October, they have to make sure they don’t get sidetracked by a slew of misconceptions about what’s coming. That’s according to a Tuesday webinar by clinical management software provider Optima Healthcare Solutions, held in conjunction with […]

Marquis Cuts Readmission Rate By 60% with Patient-Tracking Software Pilot

In less than six months, a skilled nursing provider in the Pacific Northwest cut hospital readmissions by 60%, and its director of data analytics credits a novel pilot partnership with a growing software provider. Starting in May, the Milwaukie, Ore.-based Marquis Companies rolled out Collective Medical software at three facilities in Oregon; at the time, […]

No Room for Error as Providers Update Rehab Contracts Under PDPM

When sitting down at the negotiating table, rehabilitation companies can often have an edge over the skilled nursing facilities where they provide services. This is especially true as providers take stock of their costs and care models in preparation for the new Medicare payment system taking effect next year. But that doesn’t mean that SNFs […]

Revenue Will Decline Under New Model, But Nimble Rehab Providers Can Thrive

Though the skilled nursing landscape under the latest proposed payment model remains unseen, rehabilitation and therapy companies are preparing now for the changes to come. The Centers for Medicare & Medicaid Services’ (CMS) new Patient-Driven Payment Model (PDPM) is expected to incentivize skilled nursing facilities to take on more medically complex patients, and could provide a […]

Rehab Business Model Will Change ‘Substantially’ Under PDPM

Therapy companies that provide services to skilled nursing patients must radically change their business models if the Centers for Medicare & Medicaid Services’ (CMS) proposed Patient Driven Payment Model (PDPM) is finalized and takes effect next year. That doesn’t mean that rehabilitation services for skilled nursing facilities will go away. But under PDPM, providers will […]

As Managed Care Grows, Skilled Nursing Providers Have Leverage

Skilled nursing providers are adding value for managed care payors, and they need to be willing to tout it in contract negotiations, according to one executive. “[Managed care] is coming your way,” Anthony Laflen, director of data analytics at Consonus Healthcare, told a room full of nursing home operators at LeadingAge Illinois’ annual conference in Schaumburg, Ill. […]

Data-Driven Partnership Targets Hospital Admissions from Nursing Homes

A new partnership aims to give skilled nursing facilities a leg up in preventing readmissions by facilitating the transmission of patient data in as close to real time as possible. If successful, it could boost resident quality of life — and help SNFs win back some of the 2% of Medicare reimbursements that the Centers […]

3 Steps to Success in New Skilled Nursing Payment Models

by Laurie Thomas and Guy Cowart Historically, we as skilled nursing and therapy providers have been used to a level of industry stability. Within this familiar framework, we’ve trained our leaders with certainty and delivered care with a confident rhythm. Unfortunately, this model simply may not serve us well in the future, with our rapidly […]