Optum Layoffs Affect Teams in Medicare Advantage I-SNP, IE-SNP Business

Optum is paring back its workforce, including in the parts of the business related to Medicare Advantage plans for nursing home and assisted living residents. This is according to multiple industry sources who communicated with Skilled Nursing News, as well as anonymous posts on an online message board related to the layoffs at Optum, which […]

Improving End-of-Life Care with In-Depth Advanced Care Planning

For most nursing home residents, the time they spend in the skilled nursing facility falls at the end of their lives. This time is usually filled with stress, uncertainty and frustration. Skilled nursing providers have the job of giving patients the care they need along with the even greater role and responsibility to prioritize patients’ […]

Inside the I-SNP Journey: Nursing Home Operators Unlock Promise of Medicare Advantage with 3 Different Models  

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 […]

Optum to Acquire Amedisys, Parent Company of SNF-at-Home Provider Contessa Health

Optum, the diversified care delivery arm of UnitedHealth Group (NYSE: UNH), has reached an agreement to acquire home health giant Amedisys (Nasdaq: AMED), which provides skilled nursing facility-at-home services via Contessa Health. Optum emerged as a suitor for Amedisys earlier this month, after the home health giant had previously announced a deal to combine with […]

SNN Clinical Conference: Fireside Chat with Optum

This article is sponsored by Optum. This article is based on a discussion with Michelle Graham, director of Clinical Pharmacy Patient Care for Optum Home and Community. The conversation took place on April 20, 2023 during the Skilled Nursing News Clinical Conference. The article below has been edited for length and clarity. Skilled Nursing News: […]

How Coordinated, Personalized Care Advances Chronic Pain Treatment in SNFs

More than half of nursing home residents suffer from chronic pain1, yet multiple studies indicate it remains largely undertreated2. The reasons are multifactorial and complex. Challenges include: identifying if residents are experiencing pain, identifying the source and severity of pain and identifying the risks and benefits associated with the use of many medications used in […]

Case Study: How Proactive Care Helped One LTC Boost Resident and Community Outcomes

Before David Dunn joined Shannon Gray Rehabilitation & Recovery Center, he’d never worked in a senior community that used an institutional special needs plan, or I-SNP, to deliver extra levels of personalized care to residents suffering from complex and chronic conditions. Now, after 10 years of working in partnership with the Optum care model, he […]

Don’t Normalize Falls: Top Strategies to Keep Seniors On Their Feet

Falls are the leading cause of injuries in older adults, and experts say soaring rates of fall-related death and injuries are one of most significant health issues facing today’s aging society. From 2007 to 2016, fall death rates in the United States increased 31%, according to the Centers for Disease Control and Prevention (CDC). And […]

How Partnerships Can Help SNFs Bridge Staffing Gaps

Finding and retaining workers is one of the biggest challenges facing skilled nursing communities today. And the longer the staffing crisis drags on, the broader the impact will be on the most important piece of the whole equation: residents. The human touch is a key element of senior care, but one that can suffer when […]

Clinical Conference: A Discussion with Optum

This article is sponsored by Optum. This article is based on a Q&A discussion that took place during the Clinical Conference with Terry Wihlen, Vice President of Clinical Operations in Senior Community Care at Optum. The Q&A took place on May 5, 2022. The discussion has been edited for length and clarity. Skilled Nursing News: […]

Optum Enlists Former ProMedica Leader to Build Out its Provider-Led I-SNP Services

Former ProMedica Senior Care President David Parker took on a new role at Optum this summer, putting his 30-plus years in skilled nursing executive leadership to good use as vice president of strategy for its complex care management division. Optum is the care delivery arm of UnitedHealth Group, and has offered value-based care plans for […]

Lessons from Nursing Homes in COVID Hotspots: Secure a Lab Now — and Proceed Carefully on Visitation

With the U.S. taking steps toward reopening — at varying paces in varying states –— skilled nursing leaders from the East Coast COVID-19 hotspots of New York, New Jersey and Connecticut had several pieces of advice for their counterparts elsewhere, which all ultimately boiled down to one warning. Be prepared. That includes taking steps to […]

How Saber’s I-SNP Partnership with Optum Gave the Operator a Head Start on COVID-19

In the era before COVID-19, specialty in-house Medicare Advantage plans had emerged as one of the hottest topics in long-term care — control the payer source, the thinking went, and an operator could eliminate the financial uncertainty and pressure that comes when working with managed care plans. But with a global pandemic running rampant through […]

Study Shows I-SNP in Skilled Nursing Nets Better Outcomes at Lower Costs [Sponsored]

In an era of increasingly coordinated care, skilled nursing providers are vying to find their place in the care continuum and demonstrate their value in the post-acute care landscape. Yet for providers utilizing one particular care model under a Medicare Advantage Institutional Special Needs Plan (I-SNP), that proof recently became clear through the results of […]

What Hospitals Want: How SNFs Can Break into New Payment Partnerships

Skilled nursing facility operators frequently hear about how forging hospital partnerships is essential to their success under new payment models, but the intricacies of those interactions can often be difficult to navigate. Speaking at the National Investment Center for Seniors Housing & Care (NIC) spring conference in San Diego last week, the leader of one […]