HHS Nominee: ‘Devil’s in the Details’ of Medicaid Block Grants

President Trump’s pick to lead the Department of Health and Human Services on Tuesday again expressed some support for the idea of converting Medicaid to a block-grant program, though he cautioned that any solution is still far in the future. Testifying before the Senate Finance Committee, Alex Azar said he can “find a lot of […]

How SNF Executives Can Lobby Lawmakers Without Leaving the Building

Fresh off a battle that nearly saw wholesale changes to the Medicaid program, skilled nursing lobbyists say the work isn’t over — and that operators on the front lines can often be the most effective voices in reaching Washington. One of the primary reasons that Congress came so close to gutting Medicaid as part of […]

Last-Ditch Obamacare Repeal Could See a Vote Next Week

After failing to pass health care reform earlier this year, Senate Republicans are at it again with a bill to repeal and replace the Affordable Care Act (ACA). The attempt has been dubbed “Zombie Trumpcare” as the effort to pass health care reform is back from the dead — and skilled nursing interest groups do not […]

Must-Read Stories: Trumpcare’s Death, ManorCare’s Potential Breakup

First things first: We here at Skilled Nursing News won’t say that Trumpcare has officially died — it’s been revived multiple times so far— but after months of hand-wringing and dire projections about Obamacare repeal’s effect on the skilled nursing industry, it finally looks as though the former president’s cornerstone legislative victory is here to […]

Senate Scraps Health Care Bill, Skilled Nursing Operators Exhale

Senate Republicans scuttled their most recent attempt to pass health care reform legislation after several members announced their opposition to the bill, putting proposed Obamacare replacement on hold — and prompting skilled nursing operators and advocates to breathe a temporary sigh of relief. “We appreciate the Senators that hit the pause button on this debate,” […]

Louisiana SNFs Have Extra Protection from Potential Medicaid Cuts

While skilled nursing providers across the U.S. fret over potentially big Medicaid cuts, Louisiana SNFs can breathe slightly easier. That’s because nursing homes there are shielded against Medicaid budget cuts both by statutes and the state’s constitution, The Advocate of Baton Rouge, La. reported. Furthermore, Louisiana — which spent more than $1 billion on nursing homes this […]

Pros and Cons for Skilled Nursing Under Senate’s Trumpcare Bill

The Senate’s proposed health care legislation, like the bill that passed the House, includes significant cuts to Medicaid, which is the top payer for skilled nursing services. This presents obvious challenges for SNFs, but also may provide some positive outcomes. In the first quarter of 2017, 65.2% of patient days were attributed to Medicaid, and the Medicaid patient […]

Why Dark Skilled Nursing History Could Repeat Itself

Various health care agencies and groups have expressed concerns over the effects of Obamacare repeal on Americans’ access to skilled nursing care, as well as the ongoing viability of SNFs as a business amid steep Medicaid cuts. At least one commentator also claims that the GOP health plans could lead to a return to the […]

CBO Paints Grim Medicaid Picture as Senate Delays Health Care Vote

Faced with growing dissent from both the conservative and moderate wings of his own party, Senate Majority Leader Mitch McConnell delayed a vote on the Republican plan to repeal and replace Obamacare — one day after the Congressional Budget Office foresaw a dark future for Medicaid under the bill. McConnell announced Tuesday that the Senate would […]

Friday Round-Up: Senate Prepares to Hack Away at Medicaid

Welcome to an eventful Friday in the world of skilled nursing, as both industry players and average Americans still struggle to untangle the implications of the Senate’s version of the American Health Care Act — and the Senate GOP leadership attempts to wrangle enough votes to pass the legislation by the time Congress takes off […]

It’s Official: Senate Health Plan Slashes Medicaid Deeper Than House

The U.S. Senate on Thursday released the long-awaited details of its Obamacare repeal plan, confirming rumors that it would see the House’s plan to cut Medicaid spending and raise it — potentially spelling trouble for skilled nursing operators. Medicaid remains the single largest payer for skilled nursing services in the United States, shelling out $55 billion to SNFs […]

Medicaid Changes Under Trumpcare Could Hamstring Skilled Nursing

As the Senate reportedly prepares to release its version of legislation that would repeal and replace the Affordable Care Act, a leading health care nonprofit warns that changes to the Medicaid program under the American Health Care Act could harm the skilled nursing industry. Medicaid represents the largest payer for skilled nursing services, providing $55 […]

Senate’s Medicaid Plan Could Cut Deeper Than House Bill

The Senate’s version of the American Health Care Act may include an even more austere future for Medicaid spending than the House’s vision of $800 billion in cuts over the next decade. Medicaid is the largest payer for long-term care nationally, and skilled nursing providers are watching the evolving legislation closely — though it remains unclear what […]

Trumpcare Would Kill Jobs, Swing Funding to Skilled Nursing Care

The American Health Care Act (AHCA)—the Republican plan to repeal and replace Obamacare—would alter the way Medicaid is funded, and could influence more states to shift care back to skilled nursing facilities (SNFs), according to a recent report. By switching Medicaid financing to per capita caps, which provides states with an aggregate amount of funding […]