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 meet to participate in Medicare and Medicaid. The Centers for […]

Senior Living, Home Health Synergy Drives M&A Activity

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 care companies come in,” says Mark Kulik, managing director at The […]

Pioneer ACO Expansion Ahead Following $384 Million Savings

The Pioneer Accountable Care Organization (ACO) Model generated over $384 million in savings to Medicare over its first two years, giving cause to expansion of the patient care model to a larger population of Medicare beneficiaries.  The savings to Medicare, an average of approximately $300 per participating beneficiary per year, were released by the Department of Health […]

DOJ Charges HCR ManorCare with Medicare Fraud

HCP Inc. (NYSE: HCP) on Monday disclosed that the U.S. Department of Justice is charging its major skilled nursing facility tenant, HCR ManorCare, with submitting false Medicare claims. The news came two months after analysts pressed HCP leaders about the ongoing government investigation into ManorCare, and less than a month after the large-cap real estate […]

Skilled Nursing Poised for Renaissance of Small Operators

Skilled nursing facilities have not been a particularly hot product type in the past, but a renewed interest from some deep-pocketed investors has the sector poised for a renaissance, especially among smaller operators. Although sizeable investors like public and privately-held real estate investment trusts (REITs) remain the most active buyers of senior housing properties in […]

CMS Proposes 1.4% Payment Boost for SNFs in 2016

Skilled nursing facilities stand to see Medicare reimbursements increase by 1.4% in fiscal year 2016, under the proposed payment rate announced today by the Centers for Medicare & Medicaid Services. That would be an overall $500 million increase from fiscal year 2015, CMS noted. The 1.4% figure comes from a market basket increase of 2.6%, […]

[Update] Post-Acute Providers Applaud Historic Medicare Payment Fix

Skilled nursing operators and other post-acute providers can look forward to more stable reimbursements in the future, thanks to the historic passage of a bill to change how Medicare sets payment rates. The Senate approved H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA,) late Tuesday in a 92-8 vote, and President Barack Obama […]

NYTimes: Boom in Post-Acute Care Creates Fatal Risks for SNFs

Investors are scooping up senior care facilities that are raking in Medicare dollars for post-acute care, but the rush to make money on these services might be putting patients’ health—and even lives—at risk, according to a lengthy New York Times article published Tuesday. Struggling with razor-thin margins for long-term care residents, skilled nursing facilities and […]

Medicare Overhaul to Favor More ACOs

The U.S. Department of Health & Human Services (HHS) announced Monday new, historic goals that encourage quality over quantity of Medicare-based care.  Part of that goal centers around more Accountable Care Organization (ACO) participation as well as bundled payments that will help identify higher quality partners, rather than those who see the greatest number of patients. […]