Gaps in CMS’ Payment Model: How TEAM’s Communication, Interoperability, and 3-Day Stay Waiver May Affect Nursing Home Revenue 

The value-based care payment model, Transforming Episode Accountability Model (TEAM), is confronting challenges related to communication and interoperability across hospitals and nursing homes, including the timely identification of potential TEAM-eligible patients.  Moreover, some clinical leaders believe the three-day inpatient stay waiver for TEAM could use a revamp to include additional episodes of care to account […]

Most Cited Nursing Home Violation Remains Infection Prevention Deficiencies in 2026 Amid Respiratory Virus Challenges

Infection prevention and control deficiencies remain the most cited compliance violation for nursing homes in the first half of 2026, with respiratory viruses, gastrointestinal viruses and multidrug-resistant organisms (MDROs) among the top concerns. While many of these threats can be minimized through effective protocols and readily available vaccines, infection prevention efforts can also be complicated […]

‘A Lot of Uncompensated Care’ Looms for Nursing Homes Amid Medicaid Cuts, Stricter Medicare Advantage Oversight

Amid Medicare Advantage’s rise, future policy shifts – including faster prior authorization requirements and Medicaid cuts – could increase nursing homes’ challenges with uncompensated care and care transitions. Experts say proactive planning and greater technology use can help facilities ease patient transfers and reduce costly hospital delays. At a recent webinar moderated by Skilled Nursing […]

‘Need to Tell the Story’: CMS Survey Changes and Coding Mistakes Drive Tighter Documentation, Dedicated Audit Roles

With the Centers for Medicare and Medicaid Services (CMS) updating surveyor guidance and Care Compare metrics, compliance teams at nursing homes are adapting their internal audit response processes. However, operators say the task has caused hurdles for their clinical teams, with some even creating a dedicated role specifically to manage such audits. A major source […]