Category: Medicare and Medicaid

Why Skilled Nursing Medicare Payments Will Be Lower Than Expected

Providers that receive Medicare reimbursements for skilled nursing services will be seeing lower payment levels next year than the government initially proposed, due to updated economic data. For fiscal year 2016, total SNF payments will increase by an aggregate $430 million from 2015 levels, as Read More »

CCRC, Nursing Care Spending to Hit $275 Billion In Next Decade

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Spending on continuing care retirement communities and nursing facilities is projected to accelerate in the next decade, hitting nearly $275 billion by 2024, according to data released this week. That amount represents consumers’ out-of-pocket spending as well as expenditures from private health insurance, Medicare, Medicaid, Read More »

Sen. Elizabeth Warren Seeks Federal Report on Assisted Living Oversight

The ongoing debate around how much governmental oversight of assisted living is appropriate and necessary may soon have new fodder. A bipartisan group of four U.S. Senators, including Elizabeth Warren (D-Mass.), is pushing for a review of how state and federal authorities oversee assisted living Read More »

Ice Cream and ACOs: How Senior Housing Can Tap New Revenue

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When senior living executives approach a local hospital system or a powerful health insurance provider to discuss collaboration, they might want to act like they are entering an ice cream parlor. At least, that’s the perspective of Bruce Chernof, M.D., one of the nation’s foremost experts Read More »

Massive New Regulation Aims to Modernize Skilled Nursing

Big changes have swept the whole senior care industry since 1991, with leading providers innovating in nearly every aspect of operations. But one thing that has remained constant in the last 24 years now appears set to change: The requirements that skilled nursing facilities must Read More »

Senior Living, Home Health Synergy Drives M&A Activity

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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 »