Managed Medicaid Could Compound SNF Headaches in Kansas as Aetna Pledges Improvements

After health care providers reported a range of issues with reimbursement, one of Kansas’s three managed Medicaid insurance companies promised improvement at a recent state government hearing. “Clearly, the feedback we’ve received and some of the issues that have been brought to our attention and some of the issues we’ve seen internally have been extremely […]

I-SNP Developer AllyAlign Closes $10M Round Led by McKesson Ventures

AllyAlign Health on Tuesday announced the closure of a $10 million strategic funding round led by McKesson Ventures as the developer and administrator of Medicare Advantage eyes growth. The Richmond, Va.-based firm partners with long-term care providers to launch and maintain Medicare Advantage special needs plans, helping them future provider-sponsored managed care plans. SNFs have […]

Editor’s Take: Skilled Nursing Industry Can Ignore Medicare Advantage at its Own Risk

Every industry gathering has a theme, whether it’s an intentional move by the organizers or not. But the most illustrative conference experiences come when attendees and those in charge both can’t stop talking about the same subject — as was the case this past week at the National Investment Center for Seniors Housing & Care’s […]

Spending on Medicare Advantage Plans Nearly Doubled Over Last Decade

Between 2007 and 2017, payments to Medicare Advantage (MA) plans for services covered under Part A and Part B almost doubled, jumping from $78 billion to $210 billion, according to a new report from the Kaiser Family Foundation (KFF). Put another way, as a proportion of overall spending on Medicare, MA plans have grown from 18% […]

Assuming Risk Key to Medicare Savings Under New Payment Models

Accountable care organizations (ACOs) only generate savings for the government if they accept risk, according to an analysis from the Kaiser Family Foundation. ACOs generated net savings of $47 million in 2016, the Menlo Park, Calif.-based non-profit found in an independent analysis of publicly available ACO data and previously unpublished numbers from the Centers for […]

Top 10 States for Aging, Mapped

High-quality nursing homes and a healthy senior population have made Colorado, Maine and Hawaii the best states in the U.S. for growing old, according to new rankings from U.S. News & World Report. To come up with its rankings, U.S. News examined the 50 states across 12 metrics using data from sources such as the Kaiser […]

Quality, Scope of Medicare Advantage Plans Varies Widely

As Medicare Advantage becomes increasingly common in the skilled nursing space, consumers may still have trouble determining whether a plan works best for them — or even provides quality coverage with access to a wide variety of physicians and SNF care. And even if a potential MA enrollee finds a plan that appears to cover […]

Concentration of For-Profit, Chain SNFs Grew Over Last Six Years

For-profit skilled nursing operators captured a gradually larger share of the United States SNF market from 2009 and 2015, while non-profits increasingly ceded ground to governments. In 2015, for-profits accounted for 68.4% of the nation’s 15,583 certified nursing facilities, according to a Tuesday report from the Kaiser Family Foundation. That’s compared to a 23.8% share […]

Illinois Must Pay $586 Million in Medicaid Per Month

Illinois has been ordered by a U.S. judge to pay its Medicaid bills — to the tune of more than half a billion dollars per month. Illinois must pay a staggering $586 million per month to Medicaid providers to ensure continued care for beneficiaries, a U.S. judge ruled on June 30. The ruling comes after […]

It’s Official: Senate Health Plan Slashes Medicaid Deeper Than House

The U.S. Senate on Thursday released the long-awaited details of its Obamacare repeal plan, confirming rumors that it would see the House’s plan to cut Medicaid spending and raise it — potentially spelling trouble for skilled nursing operators. Medicaid remains the single largest payer for skilled nursing services in the United States, shelling out $55 billion to SNFs […]

Medicaid Changes Under Trumpcare Could Hamstring Skilled Nursing

As the Senate reportedly prepares to release its version of legislation that would repeal and replace the Affordable Care Act, a leading health care nonprofit warns that changes to the Medicaid program under the American Health Care Act could harm the skilled nursing industry. Medicaid represents the largest payer for skilled nursing services, providing $55 […]