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 […]
July 2018 Key Takeaways Medicare Advantage enrollment is rising rapidly, opening the market for new plans and new approaches. Coordinated care is becoming more valuable to payers, which are increasingly rewarding care settings for quality rather than quantity. Recent regulatory changes are beginning to allow for Medicare Advantage to cover personal care services and home-based […]
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 […]
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 […]
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 […]
AllyAlign Health has opened a primary care clinic at a continuing care retirement community (CCRC) in Virginia. The move is part of a larger trend of bringing primary care into senior living settings, and is perhaps the first step in a larger plan from AllyAlign. The Glen Allen, Virginia-based company helps senior living providers launch […]
As the Covid-19 pandemic drags on and the industry worries its hardest weeks still lie ahead, many are wondering when — or even if — they will receive more support from federal, state or local governments. And, their frustration is rising. Senior living providers and industry associations have been clamoring since the outset of the […]
The Covid-19 pandemic has created new risks for providers of Medicare Advantage (MA) plans — but those plans are also proving their value and may still be a major future component of senior living. That’s the message from some of the most prominent players that have been pushing for increased MA integration in senior living […]
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 […]
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 […]
