Category: Medicare and Medicaid

Skilled Nursing Poised for Renaissance of Small Operators

Skilled nursing facilities have not been a particularly hot product type in the past, but a renewed interest from some deep-pocketed investors has the sector poised for a renaissance, especially among smaller operators. Although sizeable investors like public and privately-held real estate investment trusts (REITs) Read More »

CMS Proposes 1.4% Payment Boost for SNFs in 2016

Skilled nursing facilities stand to see Medicare reimbursements increase by 1.4% in fiscal year 2016, under the proposed payment rate announced today by the Centers for Medicare & Medicaid Services. That would be an overall $500 million increase from fiscal year 2015, CMS noted. The Read More »

[Update] Post-Acute Providers Applaud Historic Medicare Payment Fix

Skilled nursing operators and other post-acute providers can look forward to more stable reimbursements in the future, thanks to the historic passage of a bill to change how Medicare sets payment rates. The Senate approved H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA,) Read More »

NYTimes: Boom in Post-Acute Care Creates Fatal Risks for SNFs

Investors are scooping up senior care facilities that are raking in Medicare dollars for post-acute care, but the rush to make money on these services might be putting patients’ health—and even lives—at risk, according to a lengthy New York Times article published Tuesday. Struggling with Read More »

Medicare Overhaul to Favor More ACOs

The U.S. Department of Health & Human Services (HHS) announced Monday new, historic goals that encourage quality over quantity of Medicare-based care.  Part of that goal centers around more Accountable Care Organization (ACO) participation as well as bundled payments that will help identify higher quality partners, Read More »

Inspector General: Hospices Incentivized To Work In Assisted Living

Hospices that provide care in assisted living facilities (ALFs) have a greater monetary incentive to do so than those that don’t, a recent study from the Office of Inspector General (OIG) finds. Medicare payments for hospice care in ALFs more than doubled in five years, Read More »

Medicare Chief Resigns With ‘Mixed Emotions’

Centers for Medicare and Medicaid Services (CMS) Administrator Marilyn Tavenner is leaving the agency at the end of February, the Medicare chief announced Friday. “Tavenner wrote in an email that she left with ‘sadness and mixed emotions’ but that she has ‘great pride and joy Read More »

Why CMS’ Reimbursement System Has a Long Way to Go

Medicare payment accuracy has steadily eroded since 2006,  according to a new report jointly produced by the Medicare Payment Advisory Commission and the Urban Institute. The study compares the relationship between skilled nursing facility (SNF) payments and costs over time to assess whether changes the Centers for Medicare & Read More »

Long-Term Care Facilities Must Recognize Same-Sex Spousal Rights

Long-term care facilities participating in Medicare and Medicaid may soon be required to recognize the rights of same-sex spouses regardless if their state has validated the marriage, according to a recently proposed rule by the Centers for Medicare & Medicaid Services (CMS). “These revisions would promote Read More »

Health Care Spending Growth At 53-Year Low

Americans’ health care spending is following a pattern of slow growth, between 3.6% and 4.1% for five consecutive years, according to  new data from the Office of the Actuary (OACT) at the Centers for Medicare & Medicaid Services (CMS). And it grew more slowly last year than at Read More »