Medicare is changing the way skilled nursing operators are paid, effective October 2019. The new Patient-Driven Payment Model (PDPM) system replaces Resource Utilization Groups (RUGs) and will dramatically shift predictors of financial success, while raising new compliance concerns as operators change their business strategies to adapt. Skilled nursing investors, as well as owners, operators, and […]
David Gruber, MD, MBA, Director of Research and a Managing Director with Alvarez & Marsal Healthcare Industry Group, recently authored a timely, interesting, and provocative report entitled, “Post-acute Care: Disruptions (and Opportunities) Lurking Beneath the Surface.” The report provides a perspective on the rapidly aging U.S. population, the evolution of payment reform, and the implications of these changes on the post-acute care sector.
The push toward value-based purchasing by the Centers for Medicare and Medicaid (CMS) means significant changes for operators, said Ray Thivierge, a well-known and respected skilled nursing industry leader. He moderated “The Ever-Changing World of Skilled Nursing: The Impact of CMS Initiatives,” a session at the 2016 NIC Fall Conference in September.
With so much uncertainty about the changing health care payment and delivery system, can operators create new successful business strategies that attract investment, or is that just a dream on the far side of the rainbow?
On September 15, at the 2016 NIC Fall Conference, NIC released its 2Q2016 Skilled Nursing Data Report. The report includes key occupancy and revenue metrics from October 2011 through June 2016. In today’s blog post, I’ll walk you through the data.