Despite the arduous operating challenges facing skilled nursing providers in 2022 — workforce shortages, inflation, occupancy and looming federal regulations just to name a few — the future of the sector may not be as dark and stormy as one might anticipate. The obstacles nursing home operators have already and will continue to face over […]
As patients continue to seek out ways to be cared for in the home over more institutional settings like nursing homes, an impending nationwide rollout of the Home Health Value-Based Purchasing (HHVBP) Model may dwindle managed care relationships and drive care further away from SNFs. Results from a nine-state, five-year demo of HHVBP showed a […]
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 […]
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 […]
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 […]
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 & […]
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 […]
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