CMS Results Show Mixed Bag on Early ACO Performance

The Centers for Medicare & Medicaid Services (CMS) published for the first time Wednesday the quality and financial performance for individual Pioneer ACOs for the program’s first and second years. While the jury on the effectiveness of ACOs is still out, the organization-type has become a buzzword for senior living providers, who say industry players will need to […]

CMS: Medicare ACOs Have Saved $372 Million

With many eyes on Accountable Care Organizations (ACOs) and their role in the future of senior care, the The Centers for Medicare & Medicaid Services (CMS) shed some light Tuesday on the performances of its Pioneer ACOs to date. According to quality and financial performance results compiled by CMS, Medicare ACOs have improved patient care […]

CCRC Spending to Hit $270 Billion by 2023

While health care spending in 2013 has remained stable compared to recent years passed, it is largely expected to consume a greater portion of gross domestic product over the next decade as the baby boomer population ages and more Americans gain health insurance coverage, according to spending projections released last week by the Centers for Medicare […]

OIG: 85% of Nursing Homes Reported Abuse in 2012

Eighty-five percent of nursing facilities reported at least one allegation of abuse or neglect to the Office of Inspector General (OIG) in 2012, according to a new report from the OIG. Allegations of abuse or neglect include abuse, injuries of unknown source, misappropriation of resident property, neglect or mistreatment. A total of 149,313 allegations of abuse or neglect were […]

CMS: Skilled Nursing Faces Uncertain Future, Negative Margins by 2040

By 2040, two-thirds of skilled nursing facilities will be operating in the red, signaling more consolidations, partnerships and accountable care organizations (ACOs) on the horizon, according to a recent memo issued by the Centers for Medicare & Medicaid Services’ (CMS) Office of the Actuary.  Projections show skilled nursing, which has been declining in resident count according to the latest […]

Skilled Nursing Reimbursements To Rise $750 Million in 2015

The 2015 skilled nursing facility prospective payment system (SNF PPS) will receive a boost in Medicare reimbursement, to the tune of an estimated $750 million in aggregate payments, according to The Centers for Medicare & Medicaid Services’ (CMS) final rule on Medicare payments for skilled nursing. The 2% Medicare rate increase in reimbursements represents a higher payment update factor […]

E-Sign Tech Helps Senior Housing Navigate Home Health Care Services

Independent living operators are looking more and more like assisted living facilities by partnering with home health care agencies to offer additional care services to their residents. But these providers may face compliance issues if their home health care partner is not up to speed with the Affordable Care Act’s face-to-face encounter requirements. So with […]

CMS to Raise Skilled Nursing Payments by 2% in 2015

Skilled nursing facilities will see a 2% increase in reimbursements in fiscal year 2015 thanks to a proposed rule from the Centers for Medicare and Medicaid Services. CMS on Thursday issued a proposed rule outlining fiscal year 2015 Medicare payment rates for skilled nursing facilities. Aggregate payments to skilled nursing facilities in 2015 will increase by […]