Category: Medicare and Medicaid

Senior Living, Home Health Synergy Drives M&A Activity

Business partners handshaking

The number of home health mergers and acquisitions dipped to start 2015, but valuations are up and more types of buyers are vying for deals than in recent years — including senior living and long-term care players. “In the last three years, we’ve seen the long-term Read More »

Pioneer ACO Expansion Ahead Following $384 Million Savings

The Pioneer Accountable Care Organization (ACO) Model generated over $384 million in savings to Medicare over its first two years, giving cause to expansion of the patient care model to a larger population of Medicare beneficiaries.  The savings to Medicare, an average of approximately $300 per Read More »

DOJ Charges HCR ManorCare with Medicare Fraud

HCP Inc. (NYSE: HCP) on Monday disclosed that the U.S. Department of Justice is charging its major skilled nursing facility tenant, HCR ManorCare, with submitting false Medicare claims. The news came two months after analysts pressed HCP leaders about the ongoing government investigation into ManorCare, Read More »

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 »