12+ hour, 57+ min ago   (959+ words) Mohamed_hassan / Pixabay | CC0 The nursing home industry has generally welcomed the risk-based survey approach announced last month by the Centers for Medicare and Medicaid Services (CMS), which rewards high-performing facilities with surveys that take half the time and require fewer surveyors. But…...

1+ week, 13+ hour ago   (927+ words) geralt / pixabay | CC0 Mounting financial pressures among both Medicaid and Medicare payers, fragmented health care settings, and the growing use of value-based care as a cost-cutting measure are creating unique challenges and opportunities for nursing homes serving dual-eligible beneficiaries. Maintaining and…...

1+ week, 6+ day ago   (684+ words) onestoprecruitingaz / pixabay | CC0 Nursing home operators may be in for a rude awakening Wednesday, when an update to the 5-Star Quality Rating System, requiring more points for ratings, goes into effect. That’s because the Centers for Medicare and Medicaid Services (CMS)…...

3+ week, 12+ hour ago   (414+ words) As the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) model winds down this year, federal findings offer insights into the future of accountable care for medically complex beneficiaries – many of whom reside in a nursing home....

3+ week, 5+ day ago   (361+ words) Recruiting and retaining qualified clinical staff continues to be one of the greatest operational and financial concerns for nursing homes and other long-term care providers, according to the July 2026 Ziegler CFO Hotline survey released Wednesday. And although staffing conditions across…...

4+ week, 12+ hour ago   (627+ words) In dealing with Medicare Advantage pain points, skilled nursing providers are shifting their focus from resisting managed care to building stronger ties with health plans. This includes pruning unprofitable contracts, improving discharge planning, and some “soul searching” and concessions by…...

1+ mon, 12+ hour ago   (623+ words) Ahead of a potential CMS proposed rule aimed at reducing administrative burdens across health care – including nursing homes – that could be released in August, providers are urging the agency to standardize surveyor training, Medicare medical reviews and Minimum Data Set…...

1+ mon, 2+ day ago   (1055+ words) JensEnemark / Pixabay | CC0 It’s no secret that successful institutional special needs plan (I-SNP) partnerships depend on aligned incentives between the nursing home operator and insurer, trust between parties and organizational buy-in. However, achieving that cohesion is another matter. On the insurer’s…...

1+ mon, 3+ day ago   (739+ words) zack Mccarthy | CC BY 2.0 The rise of payviders — integrated payer-provider organizations with significant scale and market influence — is shifting the balance of power across healthcare, including skilled nursing. Payviders are expected to continue growing in certain markets, particularly in areas…...

1+ mon, 1+ week ago   (324+ words) Skilled Nursing News CMS is proposing new provider enrollment safeguards aimed at reducing fraud, waste and abuse. Although included in the Calendar Year 2027 Home Health Prospective Payment System (PPS) proposed rule, the enrollment provisions would apply across all Medicare provider…...