Detailed analysis of 2025 skilled nursing sector challenges including deregulation impacts, Medicaid funding cuts, private equity roles, and market trends driving nursing home valuations and closures.
The Centers for Medicare and Medicaid Services (CMS) indefinitely suspends mandatory skilled nursing facility off-cycle enrollment revalidation, addressing provider challenges and ensuring continuity of care. Key insights on regulatory impact and industry response.
Explore recent updates on skilled nursing care value, Medicare Advantage regulatory reforms, Medicaid hearing aid coverage expansion, and Alzheimer's treatment benefits impacting U.S. insurance and long-term care markets.
Skilled nursing and hospital readiness varies as the CMS-initiated TEAM bundled payment model launches in 2026, impacting post-acute care coordination, financial risk, and value-based contracting in U.S. healthcare.
The OIG's audit reveals significant noncompliance with PDPM billing in skilled nursing facilities, prompting potential repayments exceeding $31 million and signaling broader risks for Medicare reimbursement compliance.
Trilogy Health Services CMO discusses Medicare Advantage's impact on skilled nursing, focusing on administrative challenges, appeals, and value-based care opportunities. Insights on I-SNP partnerships and payment simplification for providers.
Medicare Advantage expansion is linked to care delays in skilled nursing facilities, urging providers to better understand MA protocols for improved patient outcomes.
2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.
CMS proposes new quality measures emphasizing nutritional health in skilled nursing facilities, highlighting the role of rehab therapies in improving resident outcomes and care quality.
