The Centers for Medicare and Medicaid Services is deploying a new agenda and strategy meant to shift some of the financial risk of certain payment plans to care providers. In a new strategy released May 13, Abe Sutton, who is director of the Center for Medicare and Medicaid Innovation and CMS deputy administrator, outlined what […]
Category: Medicare & Medicaid
Senior living operators with value-based offerings are getting a boost from a nearly doubled Medicare Advantage (MA) capitation rate in 2026. The Centers for Medicare & Medicaid Services (CMS) previously announced a 5.06% increase in MA capitation rates, higher than what some analysts expected, including Macquarie Senior Healthcare Equities Research Analyst Tao Qiu. A capitation […]
Medicare Advantage (MA) plans are getting a boost in 2026 thanks to a greater-than-anticipated capitation rate increase.The senior living industry may reap some of the benefits. The Centers for Medicare & Medicaid Services (CMS) announced a 5.06% increase in the capitation rate for the coming year. That was more than double what investment banking group […]
If you ask Argentum CEO James Balda to characterize the year ahead as it relates to senior living and the federal government, he’ll tell you that 2025 will be a “year of change.” Senior living operators and owners have faced a wave of uncertainty since the election of President Donald Trump, from federal policy changes to […]
Medicaid could soon be on the chopping block. Senior housing and care leaders are warning that the cuts could complicate operations at the least, if not hurt access and care for older adults. On Tuesday night, the U.S. House narrowly passed a budget resolution bill urging the House Committee on Energy and Commerce to cut […]
Editor’s note: This story has been updated to reflect Congress passing the year-end government funding bill. SHN comments from operators and experts quoted in the story occurred prior to votes by the House and Senate on Friday evening. Senior living experts and operators will continue to access Medicare telehealth and hospital-at-home services after waivers for […]
New research from NORC at the University of Chicago is highlighting a growing group of middle-income older adults unable to access senior living care. Approximately 6.5 million older adults – about 12% of the current population of people 65 and older – experience financial insecurity and navigate complex health care needs but have limited resources […]
U.S. Vice President Kamala Harris is seeking to bolster Medicare with a new benefit helping to pay for home care. During an appearance on ABC’s “The View” Tuesday, Kamala Harris announced a new Medicare home-based care benefit that focuses on helping the “sandwich generation,” or adults who are caring for their aging parents while also […]
The senior living industry has a “three-body problem” – but new research shows it also potentially holds the solution to that problem. Recent data analysis by researchers NORC at the University of Chicago in partnership with the National Investment Center for Seniors Housing and Care (NIC) found that the senior housing industry shows promise for […]
Curana Health and the Serviam Care Network have announced an expansion effort in Florida to bring value-based care services to senior living communities in the Sunshine State. Known as the Value-Based Care Alliance of Florida, the effort aims to expand value-based care initiatives to operators in the state with an overall goal of improving care […]