NIC | CARES BLOG
A place for connections, analysis, research, and education on seniors housing and care

The Implications of PDPM for Skilled Nursing

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 […]

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Preparing for Post-Acute Care Transformation

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.

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CMS’ Drive for Innovation Has Operators Paying Attention

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.

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