New Medicare Advantage Changes Expand Senior Living Opportunities

Recently announced Medicare Advantage policy changes could open up new opportunities for senior living providers, further accelerating the transformation of the industry’s dominant private-pay revenue model. “Senior living providers are crazy if they don’t start thinking about housing/health care integrated products,” Anne Tumlinson, founder and CEO of Anne Tumlinson Innovations, told Senior Housing News, in […]

Aetna To Scale Up Medicare Advantage Senior Living Referral Platform

Picture an 83-year-old woman in Wisconsin who is increasingly prone to falls, researching assisted living communities. Unable to cut through a pool of options, she calls a referral service offered by her Medicare Advantage plan, where a consultant is able to narrow her choices based on select criteria she provides. This scenario is already coming […]

Federal Watchdog Criticizes Gaps in Assisted Living Regulations

There are major gaps in the regulation of assisted living communities nationwide, and steps should be taken at the federal level to ensure they’re swiftly and properly addressed, according to a recently published report from the U.S. Government Accountability Office (GAO). The report, titled “Improved Federal Oversight of Beneficiary Health and Welfare is Needed,” came […]

How Juniper’s Care Model Could Save Medicare $15 Billion Annually

Senior living providers might have the secret sauce to save the Medicare program more than $15 billion each year. That’s the message from Bloomfield, New Jersey-based Juniper Communities, which provides assisted living and memory care services at 22 communities in Pennsylvania, New Jersey, Colorado and Florida. Likely thanks to the company’s Connect4Life integrated care model, […]

Largest Affordable Assisted Living Community in Texas Closing

The demand for affordable senior housing is growing rapidly. But successfully operating this asset class is challenging, as a large facility in the Lone Star State found. Westchester Plaza in Fort Worth, Texas—the largest assisted-living facility for Medicaid recipients in the state—will be closing its doors after 19 years later this summer, giving residents until Aug. 10 […]

Senior Living Owner Arrested in $1 Billion Billings Scam

An owner of multiple health care facilities in the Miami area, including senior living communities, has been charged in the largest single fraud scam of its kind in history, totaling more than $1 billion, according to the Department of Justice (DOJ). The owner, Phillip Esformes, 47, was charged with conspiracy, obstruction, money laundering and health […]

Why Senior Living Must Adapt to New Payment Programs

While the health system has been shifting away from its fee-for-service reimbursement model, alternative payment programs have accelerated coordination across the care spectrum, and senior living providers are becoming more involved. Bundled payment programs are among these new models that have been introduced over the past few years by the Centers for Medicare & Medicaid […]