Margins squeezed by interest rates and inflation, staffing shortages amid a draconian staffing mandate proposal, an invasion of Medicare Advantage and mixed efforts at adapting to Minimum Data Set (MDS) changes are among a litany of the challenges facing the skilled nursing sector at the start of 2024. However, all is not doom and gloom […]
As the comment period for the federal government’s staffing proposal winds down, advocates for both nursing homes and residents alike are looking at ways to reach a middle ground. Among these advocates for measured change are members of the Moving Forward Coalition – an organization formed in April 2022 following the National Academies of Sciences, […]
The proposed federal staffing mandate is a potential “kill factor” for nursing home providers, while the rise of Medicare Advantage (MA) is a “major challenge” — and how well the sector responds to these threats will play a major part in shaping the future. This is the perspective of Phil Fogg Jr., CEO of Marquis […]
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 […]
Sabra Health Care REIT (Nasdaq: SBRA) on Thursday announced about $185 million has been received in gross proceeds since Sept. 30, 2022, including through a “sizable portfolio” of skilled nursing assets that fetched $200,000 a bed. The previously disclosed sales were “almost entirely comprised of skilled nursing investments,” Sabra said in a statement. The $200,000-per […]
The gap between current skilled nursing occupancy and pre-pandemic occupancy is “99%” due to lack of staff, and addressing the sector’s workforce crisis is clearly the top priority for 2023. That’s according to Phil Fogg Jr., president and CEO of Marquis Companies and chairman of the American Health Care Association. Milwaukie, Oregon-based Marquis owns and […]
The COVID-19 pandemic continued to put pressure on an already strained skilled nursing industry in 2021. The next 12 months will be yet another test of resilience. Looking ahead to 2022, SNFs must stay nimble and inventive to not only survive but thrive. Private equity will continue to lead the nursing home transaction market pack, […]
The head of the nation’s largest lobbying and trade group for nursing homes called out two ‘unfunded mandates’ included in the Biden administration’s Build Back Better Act — mandatory minimum staffing and 24-hour registered nurse (RN) oversight in nursing homes — arguing both will cause unnecessary strain on an already employee beleaguered industry. During a […]
At a time when skilled nursing assets are getting record-setting price per bed valuations, Milwaukie, Ore-based Marquis Companies plans to continue to grow in the space by building from the ground up. “We’ve only been building new facilities for about 11 years now, so we haven’t acquired any facilities,” Phil Fogg Jr., president and CEO […]
Some skilled nursing operators and industry advocates expected occupancy recovery from COVID-19 to occur by the end of 2021, but with the onset of the delta variant and staffing shortages worsening, the newest data shows that occupancy recovery won’t occur until early 2022 at the earliest. For Milwaukie, Ore.-based Marquis Companies, occupancy recovery delays have […]
In this Priorities, Plans & Perspectives interview, Skilled Nursing News sits down with April Diaz, VP of Clinical Services at Marquis Companies, to learn how she stays nimble and flexible to help her team navigate uncertainty in a constantly changing industry.Read on to discover how Diaz’s perspective has changed over the course of her career, […]
Skilled nursing facility operators and others in the senior care industry with diversified service lines are in a better position to care for residents at this point in the pandemic — and in the future. Operators with a diverse payer mix also have an edge, long-term care experts told Skilled Nursing News. Broadly, operators have […]
Concerns over the coronavirus are creeping into the nursing home sector, and industry experts are alerting operators and clinicians to take extra care, especially with the steady influx of frailer residents who are most susceptible. And while it may be too early to determine the eventual clinical and financial effects on the nursing home space, […]
Despite the challenges, skilled nursing facilities have succeeded at setting up their own specialty Medicare Advantage plans — and the strategy represents a key potential weapon amid the rise of alternative payment models. Institutional Special Needs Plans (I-SNPs) remain a small part of the overall Medicare Advantage landscape, according to a panel discussion at the […]
Data has quickly become king in the increasingly challenging skilled nursing world, but the question of how different providers along the care continuum can use that data remains a sticking point. Upgrading a building’s electronic health record (EHR) distribution system from fax machines to cloud data solutions is the first step. The information, however, doesn’t […]
Among the many skilled nursing landmines — from a new Medicare payment system to underfunded Medicaid programs to a shifting regulatory landscape — providers would be wise not to ignore the ongoing effects of bundled payment programs. In fact, at the end of a recent discussion on his research into the cost-savings successes and failures […]
Ever since the government came out with its most recent model for bundled payments, acute care has been in the driver’s seat. Under the Bundled Payments for Care Improvement Advanced (BPCI Advanced) program, hospital providers and physician leaders are the only ones who can initiate episodes of care. The Centers for Medicare & Medicaid Services […]
The amount of skilled nursing residents covered by in-house insurance plans remains small, but the growth has been steady in just the last few years — and providers are beginning to stand up and notice. Still, starting an Institutional* Special Needs Plan (I-SNP) isn’t for every operator, and one consultant in the space says savvy […]
In an era of record-low skilled nursing occupancy and rapidly shifting payment models, some operators have found a single solution to both problems: an in-house insurance plan. Skilled nursing providers can create their own institutional special needs plans (I-SNPs), a type of Medicare Advantage program specifically designed to cover beneficiaries who are confined to an institution […]
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