Nursing home operators that were able to diversify their businesses and adjust to the patient-driven payment model (PDPM) while battling through Covid-19 now find themselves in a position of strength. This was one message that top operator executives delivered last week at Skilled Nursing News’ CLINICAL conference in Washington, D.C. They discussed how Covid-era practices […]
The Centers for Medicare & Medicaid Services on Friday unveiled a proposal that the agency says will expand telehealth coverage to enrollees in Medicare Advantage plans. Under the proposed rule, which would take effect in calendar year 2020, Medicare Advantage plans could cover telehealth services for both rural and urban enrollees, as well as in-home […]
Medicare Advantage plans continue to gain traction among skilled nursing residents and other long-term care patients, and one of the world’s biggest companies is poised to throw its hat into the ring. The New York City-based insurer Oscar Health announced last week that Google’s parent company, Alphabet Inc., plans to invest $375 million into the […]
Providers that have learned to navigate the Medicare Advantage ecosystem will likely have a leg up when approaching the new payment model for skilled nursing facilities, but many questions still remain about how managed care plans will adapt under the coming system. The Patient-Driven Payment Model (PDPM) reflects an ongoing push toward rewarding therapy providers […]
At a recent industry conference, I watched a pair of presenters show some fairly eye-opening statistics about workforce retention. The studies they cited weren’t health care-specific, but they did demonstrate that conventional wisdom about hiring — specifically, that years of experience and education correlate with strong job performance and retention — is wrong. In fact, they […]
With managed plans gobbling up an increasing share of Medicare enrollees, skilled nursing executives need to gain fluency in the language of insurance providers — or risk being left behind. That was the message from a recent panel discussion at the National Investment Center for Seniors Housing & Care (NIC) Spring Investment Forum in Dallas, […]
Value-based programs can lead to lower costs of care and better quality of care for seniors enrolled in Medicare Advantage (MA) plans, according to an internal study from Louisville, Kentucky-based health insurance provider Humana. The study found total health care costs for practices in Humana’s value-based arrangements were 15% lower than original fee-for-service Medicare. Compared with standard […]
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 […]
If you haven’t been able to take your eyes off the Sabra Health Care REIT, Inc. (NASDAQ: SBRA)-Care Capital Properties, Inc. (NYSE: CCP) drama, here’s some other stories in the skilled nursing world that you may have missed over the last seven days. It was a big week of news from the Sunshine State: Non-profit […]
New payment models frequently shoulder the blame for the uncertainty surrounding the skilled nursing marketplace, as operators struggle to shift from the private-pay and Medicare of the past to Medicare Advantage and other new reimbursement methods. But, according to one SNF consultant, the time for blaming new models is over — and the only thing […]
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