15+ hour, 43+ min 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....

5+ day, 15+ hour 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…...

1+ week, 15+ 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+ week, 3+ day 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+ week, 5+ 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+ week, 6+ 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…...

2+ week, 5+ day 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…...

2+ week, 6+ day ago   (1028+ words) Managed Medicaid hasn’t always worked well for nursing home providers, with some states modifying or scrapping their programs due to payment lags and higher costs – the latest casualty being Indiana’s program. And yet, managed Medicaid is expected to spread across…...

3+ week, 15+ hour ago   (823+ words) But the team is careful to have AI support, not replace human decision-making, said Kevin McInerney, chief personnel officer and government affairs for Illinois-based Legacy. The same can’t be said for other AI usage in the sector, including AI usage…...

1+ mon, 1+ week ago   (751+ words) Medicare Advantage plans denied about 12% of requests for admission to nursing homes and overturned almost all of those denials upon appeal, raising concerns that patients may have been initially denied critical medical care, according to a report posted Thursday by…...