Medicaid Could Help Unlock Middle-Market Senior Living — But Policies, MCOs May Not Favor Providers

With their eyes on the huge cohort of lower- and middle-income baby boomers, senior living providers are looking to the Medicaid program as one potential avenue for growth. Large providers such as ALG Senior and Gardant have carved out niches in the Medicaid space, but recent Medicaid policy changes paint a decidedly mixed picture about […]

SHN+ Report: The Medicare Advantage Opportunity for Senior Housing

Most senior living providers today have wholeheartedly adopted a private payment model that offers control and steady financial rewards based on service-enriched housing. Despite the success of this approach, it might be time to look at new options. Senior housing—namely independent living and assisted living—has intentionally elected this private-pay-only model, enjoying its benefits and mostly […]

‘Devastating’ Medicare Cuts Threaten Access to Therapy in Senior Living

Therapy providers are facing a sharp cut to their Medicare reimbursements in 2021, which threatens access to care for older adults and potentially complicates senior living operations. And this comes at a time when residents’ needs are particularly pressing, and providers are under intense pressure related to the ongoing Covid-19 pandemic. The Medicare reductions will […]

28% Growth in Medicare Advantage Plans Led By Senior Housing and Care Providers

An increasing number of senior living and care providers are launching Medicare Advantage (MA) plans, pursuing potential clinical and financial benefits despite new challenges posed by Covid-19. In 2020, 76 Medicare Advantage special needs plans (SNPs) were directly owned by senior housing and care providers, including skilled nursing and assisted living companies. For plan year […]

Medicare Advantage Milestones: Perennial Consortium, UCare Bring Senior Living Plans to Market

The fall open enrollment period for Medicare Advantage (MA) plans is now underway, and this year marks two milestones demonstrating the ongoing integration between MA and senior living. With the start of the enrollment period on Oct. 15, a group of senior living providers known as the Perennial Consortium began to enroll the first beneficiaries […]

Oak Street Brings Innovative Care Model To Assisted Living, Aids Covid-19 Readiness

Assisted living communities that have on-site primary care could gain a range of benefits — including advantages in battling Covid-19. However, bringing primary care into assisted living is not for the faint of heart, according to Brian Cloch, Principal at Innovative Health. “This is really, really hard,” he said, during a recent interview for the […]

New CMS Telehealth Expansion Could Be ‘Very Good’ for Senior Living During Covid-19

The Centers for Medicare and Medicaid Services (CMS) has temporarily expanded telehealth services to include all Medicare beneficiaries, and senior living residents may stand to benefit as a result. CMS announced on Tuesday that Medicare will now pay clinicians to provide telehealth services on a temporary basis for beneficiaries who live across the country, and […]