Category: Medicare and Medicaid

How the Seasons Influence Who is in Skilled Nursing Beds

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April brings budding trees and the start of baseball season, but does it also bring a change in the mix of skilled nursing facility residents? It’s possible, if The National Investment Center for Seniors Housing & Care (NIC) is to be believed.  The organization on Wednesday provided Read More »

New Payment Model Treats SNFs More Like Hospitals

As part of the ongoing effort to reduce hospitalizations of skilled nursing residents, some providers will be eligible for increased payments to beef up their services, the Centers for Medicare & Medicaid Services (CMS) has announced. Skilled nursing facilities participating in Phase Two of the Read More »

Brookdale Again Rebuffs Allegations of $35 Million Medicare Fraud

The nation’s largest senior housing provider is standing firm against allegations of Medicare fraud first brought against the company in 2012. Brookdale Senior Living (NYSE: BKD) has asked the U.S. Court of Appeals for the Sixth Circuit to uphold a November 2015 decision rejecting a Read More »

How Congress Could Upend Senior Care Financing

Amid recent reports of patient harm and a lack of oversight within nursing homes, a new law could start holding nursing homes more accountable for low quality ratings. The Nursing Home Accountability Act, sponsored by U.S. Rep. Mark Walker (R-NC), aims to cut nursing homes Read More »

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 »