Nursing homes in Ohio will soon receive financial incentives for each additional private room they offer, thanks to a proposal recently greenlit by the Centers for Medicare & Medicaid Services (CMS). The initiative, set to launch in the coming months, was developed by the Ohio Department of Medicaid and revises the reimbursement structure for Medicaid-funded […]
Category: Medicaid
Georgia nonprofit A.G. Rhodes’ CEO, Deke Cateau, is all about solutions. To that end, he has had a busy couple of years, successfully expanding one of the operator’s three campuses to be all private rooms with a dementia area built with the household model in mind – a $37.5 million endeavor. Cateau said he would […]
Nursing home operators in Florida will see an 8% increase in their Medicaid funding, or $247.8 million – that amounts to $470,000 per facility. Gov. Ron DeSantis this week signed the Focus on Florida’s Future Budget for Fiscal Year 2024-2025, which included the significant Medicaid funding increase to support the growing demand for caregivers and […]
Operators have been opting for different payer sources other than Medicare Advantage plans given its persistent challenges. Medicare Advantage’s lower reimbursement rates compared to traditional Medicare and higher administrative burdens tied to prior authorizations and payment denials, have caused operators to seek even Medicaid as an alternative payer, emboldening efforts by advocacy groups to push […]
Expenditures for Nursing facilities and continuing care retirement communities (CCRCs) is expected to reach $237.6 billion in 2026, and $337.4 billion by 2032, according to data released Wednesday. Nursing homes and CCRCs have been increasing steadily since 2021, states a report prepared by the Office of the Actuary (OACT) at the Centers for Medicare & […]
Nursing and residential care facilities had the highest wage growth of any health care setting in April at 4.5% year over year, which was followed by ambulatory health care services at 3.2% and hospitals at 3.1%. The sector also added 9,300 jobs in April despite a “cool month” for the economy, according to economic indicators […]
More nursing homes owned by Centers Health Care are being investigated for alleged Medicaid fraud, while also having been plagued with serious safety concerns. The 240-bed Hammonton Center and Deptford Center for Rehabilitation and Healthcare in New Jersey, join other facilities owned by Centers Health that are under investigation, according to a report from the […]
Recently released statistics for post-acute care in some states point to a trend away from nursing home stays, as closures mount due to labor troubles and low reimbursement rates. According to the Boston Federal Reserve’s latest report on nursing home closures that was released Tuesday, more of New England’s older adults are aging in place, […]
If there’s no additional funding for the minimum staffing rule, well over 5% of existing facilities will close, depending on how successfully operators can pivot to meet the standard. The rates of closure may even reach 10% to 15%, depending on the market, cautioned sector leaders attending the LTC100 conference this week. Steve Nee, CEO […]
Robert W. Hurlbut, president of Hurlbut Care Communities, knows a thing or two about battling burnout among his workers. Paying staff well along with flexibility of work schedules and retaining a family atmosphere has proven to be sure shot strategies to beat turnover. And the proof of this strategy’s success is in the results. Hurlbut […]
Federal lawmakers have introduced the Long-Term Care Workforce Support Act, in conjunction with a hearing that took place Tuesday, hosted by the U.S. Senate Special Committee on Aging. The bill, if passed, would increase the number of direct care professionals, including in rural communities. Some associations representing the nursing home industry said the legislation managed […]
Despite a 17.5% Medicaid increase last year, at least 25 nursing homes closed in Pennsylvania since the pandemic began – and a significant financial shortfall remains, leaders said. Closures equate to a loss of 2,588 certified nursing home beds in the state since 2020. The continued workforce shortage and underfunding of Medicaid made closures and […]
Nursing homes in Pennsylvania face a critical underfunding of Medicaid, with one in four nursing home beds currently offline due to inadequate reimbursement. Survey findings from LeadingAge PA also point toward the continuing workforce shortage, as to why so many beds are not in use. About 48% of facilities in the state have had to […]
Infection-related hospitalizations and deaths among nursing home residents decreased as a result of a coordinated intervention adopted by facilities, along with hospitals and long-term acute care hospitals (LTCHs). The intervention, called SHIELD-OC, was centered around reducing superbugs, or multidrug-resistant organisms (MDROs), and involved 35 health care facilities in Orange County, Calif., according to a study […]
As inadequate funding squeezes nursing homes dry, with Medicare Advantage reimbursing lower than traditional Medicare, and Medicaid funding decades behind on meeting cost of care, facilities are shifting operations to optimize reimbursement. But even that may not be enough. Richard Gamache, CEO of Aldersbridge Communities in Rhode Island, has had to make such operating decisions […]
As Medicare Advantage continues to grow in the skilled nursing space, beneficiaries utilizing traditional Fee-For-Service Medicare have declined, and in turn reimbursement has dropped at an alarming rate. For every two beneficiaries that opted for MA, one FFS individual left the program in 2023, the first year the number of FFS beneficiaries declined in every […]
The threat of closure is ever present for nursing home operators, with low Medicaid reimbursements and workforce shortages amid a growing population of higher acuity patients complicating care. Since the start of the pandemic, six nursing homes in Rhode Island have closed their doors, forcing the relocation of more than 100 residents, Gov. Dan McKee […]
As so many in the nursing home space focus on Medicaid reimbursement, others are taking a closer look at improving rate setting methodology and how it can be optimized for facilities. Medicaid rates are in part influenced by fair rental value, which is determined after experienced housing experts perform an in-depth market valuation on the […]
Nursing facilities were among six provider types with the most patient abuse and neglect convictions tied to Medicaid than other provider types in 2023, as a whopping 841 criminal and civil patient and abuse complaints related to the sector – topping all other categories – are still open to investigation. There are 238 open nursing […]
Flaws with the Medicaid redetermination process are leading to an increasing number of existing nursing home residents being found ineligible for Medicaid coverage — creating headaches for nursing homes. This view is held by officials at several state health care associations, who spoke to Skilled Nursing News. Montana, for one, has Medicaid redetermination information being […]
Subscribe
Receive industry updates and breaking news from SNN.