Senior living provider The Springs Living is partnering with SCAN Health Plan to create a more connected healthcare experience for older adults living in Oregon. SCAN oversees one of the largest nonprofit Medicare Advantage plans through its Institutional Special Needs Plan (I-SNP), and the partnership will result in co-branded healthcare offerings for older adults that […]
Category: Medicare & Medicaid
The number of older adults using Medicaid and Medicare to access certain assisted living services continues to grow, but access remains an uneven barrier for connecting older adults with assisted living services based on geographic and coverage limitations. At least $12 billion in combined Medicaid and Medicare spending was used on assisted living services in […]
A new CMS model is an opportunity for senior living operators to add revenue and improve their clinical capabilities, but it will take new infrastructure and partners. The Advancing Chronic Care with Effective Scalable Solutions (ACCESS) model will test a new payment model for Medicare to increase access to technology-supported care options, such as virtual […]
The senior living industry stands at the precipice of a big opportunity in health care – if they are bold enough to realize it and take action. Providers face growing pressure to shift from fee-for-service models toward value-based care arrangements as the Centers for Medicare and Medicaid Services (CMS) aims for all Medicare beneficiaries to […]
Senior living operators hoped the GUIDE model would help them support caregivers. So far, the program hasn’t gone as well as some had wished. CMS launched the Guiding an Improved Dementia Experience (GUIDE) model last year as an eight-year nationwide program to provide better services and support for people living with dementia and their caregivers. […]
About $1 trillion in Federal Medicaid cuts could affect senior living operators’ revenue in the year ahead and force them to shift their plans regarding certain services. According to the Congressional Budget Office (CBO) the so-called “One Big Beautiful Bill” is set to cut almost $1 trillion from Medicaid spending over the next 10 years […]
Medicare telehealth waivers expired on Sept. 30, turning back the clock on operators that use such services to remotely connect residents to care providers. In 2020, the U.S. Centers for Medicare and Medicaid Services (CMS) created flexibilities for Medicare beneficiaries to access telehealth services. Under the move, CMS reimbursed clinicians providing telehealth services for beneficiaries […]
The shift towards value-based care in senior living is continuing in 2025, driven by rising resident acuity, tight margins and payer expectations. As acuity drives changes in how operators manage their communities, senior living providers are more closely tracking health outcomes to show the benefit of the services they provide to keep people from moving […]
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 […]
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 […]
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