‘Under Siege’ for Years, SNFs Face Uphill Battle for Respect Under New Payment Models

Though skilled nursing facilities have experienced significant pain under the structures of alternative payment models such as accountable care organizations (ACOs), they still have the opportunity to show value. But it’s something of an uphill road, according to Harvard Medical School professor and Medicare Payment Advisory Commission (MedPAC) member David Grabowski. “I absolutely think that […]

Immigration Crackdown Could Hurt Skilled Nursing Operators Beyond Staffing

The current presidential administration’s hard-line stance on immigration has caused serious concerns among health care employers, as any efforts that could shrink the available pool of workers will only exacerbate persistent workforce pressures. But in addition to representing a sizable chunk of the average nursing home’s staff, immigrant workers also contribute more to the trust […]

Bundled Payments Save Money ‘Nearly Exclusively’ By Cutting Skilled Nursing

A key mandatory bundled payment program saved the government money almost entirely through the reduction of skilled nursing facility reimbursements, a new study from researchers at Harvard University concluded. Between 2016 and 2017, the Comprehensive Care for Joint Replacement (CJR) bundled payment model resulted in spending reductions of $1,084 per episode, the team concluded; after […]

Care Coordination in ACOs Might Not Actually Drive Savings

Accountable care organizations (ACOs) are built on a basic premise: By working together, providers across the health care continuum can save Medicare money and boost quality. But the largest share of the savings may simply come from shifting patients out of skilled nursing and home health settings, a new study suggests — and not on […]