As the healthcare landscape continues to evolve, payment models are also shifting. One significant change is the move by major payers from traditional per diem payments to episodic payments, a model in which reimbursement is based on the total care provided during a specific period or episode, rather than on a daily rate. While this ... Episodic Payments in Long-Term Care: A Strategic Approach for Skilled Nursing Facilities

In the complex world of healthcare, managed care contracts play a crucial role in shaping the financial and operational success of long-term care facilities. For facility operators and administrators, understanding how these contracts function is essential for navigating reimbursement rates, service provision, and regulatory requirements. This article will define managed care contracts, outline their key ... Understanding Managed Care Contracts: What They Are and How They Work

In recent years, the healthcare landscape has witnessed a significant shift towards value-based care models, marking a departure from traditional fee-for-service reimbursement structures. For skilled nursing facilities (SNFs), this transition presents both challenges and opportunities. As SNF owners and managers, it’s crucial to understand the implications of this shift and proactively adapt practices to align ... Navigating the Transition to Value-Based Care: A Roadmap for SNFs

Unraveling the Impact of Outdated Agreements on New Variables As the landscape of healthcare continues to evolve, the importance of strategic partnerships with insurance companies cannot be overstated for Skilled Nursing Facility (SNF) owners and operators. Securing favorable contracts is not only a financial imperative but also a key factor in providing quality care. Whether ... Decoding Your Insurance Contract: Who Really Benefits?

In this quarter’s Provider Playbook, we analyze solutions that empower long-term care operators to better handle staffing issues. This includes looking at ways to better manage cash that will be needed to react to announced Centers for Medicare and Medicaid (CMS) initiatives to require minimum staffing levels in nursing homes.

Yogi Berra is famous for saying quotes that sometimes we didn’t understand. And one of the things that he said was: If you see a fork in the road, take it. Now. I’m not sure what that means. I don’t even know if he knew what that meant, but I think I’m going to take ... It Ain’t Over ‘Til its Covered – Medicare Advantage and COVID-19