Direct Contracting Opens a New Door for SNFs in Value-Based Care

Institutional special needs plans (I-SNPs) are seen by some to be the only path forward for skilled nursing facilities (SNFs) to enter value-based care, however, Brian Fuller, CEO of care coordination company Integrated Care Solutions (ICS), thinks SNFs should get more involved with direct contracting entities (DCEs). A lack of understanding may be preventing them […]

Skilled Nursing Operators Need to Take More High-Risk Patients Post-COVID

In a wide-ranging conversation about value-based care, skilled nursing industry leaders said operators and owners need to be more willing to take on risk to benefit from such models. Integrated Care Solutions CEO Brian Fuller and Eric Tanner, chief executive of SNF operator OnPointe, said during a fireside chat at the Synergy Summit that providers […]

Rethink Podcast #13: Integrated Care Solutions CEO Brian Fuller

The 13th episode of our podcast, Rethink, is now available! Skilled nursing providers can get chills at the thought of alternative payment models, which include Medicare arrangements such as bundled payments — one reimbursement shared by a range of providers for a single episode of care. After all, many bundled payment programs achieve their savings by cutting down […]

SNFs Need to Stop Thinking of Themselves as Targets for Cuts — and Get Creative

In a health care world of payment evolution and alternative reimbursement models, skilled nursing facilities have been feeling the pinch. There’s pressure to lower length of stay from both Medicare Advantage payers and accountable care organizations (ACOs). Multiple studies have found that ACOs and bundled payment models generate savings for the Centers for Medicare & […]

I-SNP Exec: Skilled Nursing Operators Must Approach Insurers to Succeed — But Few Do

Skilled nursing operators frequently bemoan the shorter lengths of stay and lower daily payment rates for Medicare Advantage residents, but the leader of one plan says it’s also up to providers to present novel ideas to insurance executives. Before taking the CEO role at the nursing-home focused Longevity Health Plan earlier this year, René Lerer […]