As Medicare Advantage continues to grow in the skilled nursing space, beneficiaries utilizing traditional Fee-For-Service Medicare have declined, and in turn reimbursement has dropped at an alarming rate. For every two beneficiaries that opted for MA, one FFS individual left the program in 2023, the first year the number of FFS beneficiaries declined in every […]
Longevity Health Plan
As nursing home organizations adjust to a changing environment of reimbursement, Medicare Advantage Institutional Special Needs Plans (I-SNPs) are undergoing rapid growth, with operators pursuing distinct strategies meant to realize financial and operational gains. The benefits of an I-SNP can range from more control over quality, happier clinical staff, reduced administrative burdens, improved compensation and […]
The rise of managed care plans among nursing home beneficiaries has meant that nursing home providers have had to make tough choices to balance the pros and cons of such plans to reap profits. And, despite a proven track record of handling higher acuity, many providers may not think to use this to their advantage […]
A big question that operators must ask themselves when considering involvement in an institutional special needs plan, or I-SNP, is ultimately wrapped up in how much money is being made on the Medicare Part B therapy side, some say. It might not make financial sense to sign up for an I-SNP if a SNF operator […]
Although survey citation rules can vary from state to state, nursing home operators can implement broad steps to avoid deficiencies if they focus on the often overlooked easy fixes as well as the more complicated overlaps between disparate areas of care – ranging from food safety and mental health documentation to infection control. Certain trends […]
General staffing metrics used to assess quality of care hold less weight these days and need to be updated, experts say, because the entire skilled nursing industry is struggling to build and retain its workforce. These quality measures need to be presented through the lens of the pandemic and the staffing crisis, SNF leaders say. […]
The Centers for Medicare & Medicaid Services (CMS) has decided to take action on transitions in care – specifically Medicare Advantage (MA) plans diverting care to home health instead of skilled nursing – after years of skilled nursing industry and consumer feedback. CMS last month took steps to address the trend with a proposed rule […]
Accurately completing assessments and charting patient care should be more of a priority for skilled nursing facilities moving forward. Not only because operators are facing more MDS coordinator shortages and are outsourcing the process as a result, but also reducing hospital stays could be one way SNFs capitalize on value-based care. At least that’s the […]
As the I-SNP model continues to expand across the skilled nursing industry, some see it as one way to effectively push telehealth services into smaller, rural facilities that don’t have the infrastructure to support the services by themselves. “We’re seeing a lot of traction in the I-SNP model,” TapestryHealth Co-Founder and Chief Growth Officer Mordy […]
Nursing homes have long been seen as the place where elderly Medicare and Medicaid patients spend their final years, but as these institutions look to evolve post-COVID, their role in the long-term care continuum continues to expand. Over the course of the year, SNN has seen operators open in-house dialysis units, renovate their facilities for […]
Longevity Health Plan, a leading independent provider of Medicare Advantage (MA) institutional special needs plans (I-SNP) in the skilled nursing industry, announced this week that it will be expanding its reach in Florida, Illinois and New Jersey. Longevity will now offer I-SNPs in 300 additional nursing homes comprising more than 33,000 beds for coverage effective […]
There’s a strong possibility that Medicare will move to mandate value-based payment models (VBP) for the nursing home industry in the years to come, according to industry executives. Dr. René Lerer and Brian Cloch, CEOs for Longevity Health Plan and Transitional Care Management, respectively, spoke at a panel on the future of VBP models during […]
Longevity Health Plan, one of the nation’s leading independent providers of Medicare Advantage (MA) institutional special needs (I-SNP) plans in the skilled nursing industry, announced this week that it will be expanding into Michigan next month. It plans to offer I-SNP plans across 16 counties in the state. “We are pleased to partner with forward-thinking […]
The COVID-19 pandemic brought an unrelenting spotlight to clinical care in skilled nursing facilities — one that will shine in the form of government audits and investigations before the immediate crisis ends and long after it passes. But several operators had trained their sights on clinical care within their facilities before the start of the […]
As skilled nursing facilities across the country locked down to try to curb the spread of COVID-19, try to stay on top of constantly changing guidance from both the state and federal level, and navigate new mandates to report COVID-19 cases, it might be easy for them to overlook reaching out to insurers working as […]
As the skilled nursing industry struggles to adapt to a new Medicare payment landscape, in-house Medicare Advantage plans have emerged as one of the hottest topics among leaders — while the space’s publicly traded behemoth has thrown its full support behind the separate accountable care organization (ACO) model. There may not be one set answer […]
On paper, a skilled nursing facility starting its own specialty Medicare Advantage plan sounds like an easy decision: In an era of tight reimbursements, staffing pressures, and length-of-stay declines, why not control the payment source that so frequently vexes them? But according to René Lerer, the calculus for Institutional Special Needs Plans (I-SNPs) just isn’t […]
The 16th episode of our podcast, Rethink, is now available! Over the last few years, there’s probably been no hotter topic in the skilled nursing space than I-SNPs — special Medicare Advantage plans that cover long-term residents of nursing homes and other institutional sites of care.As CEO of Longevity Health Plan, René Lerer has had […]
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 […]
It’s an existential problem that many providers face in the skilled nursing industry: New payment models demand substantial operational changes, but the current fee-for-service reality determines how they can pay and plan for those shifts. This frustrating dichotomy was on full display during a panel discussion on Institutional Special Needs Plans (I-SNPs) and other new […]
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