{"id":3993,"date":"2023-01-18T20:55:26","date_gmt":"2023-01-18T20:55:26","guid":{"rendered":"https:\/\/ltcally.com\/articles\/?p=3993"},"modified":"2023-01-19T22:02:55","modified_gmt":"2023-01-19T22:02:55","slug":"q1-2023-ltc-providers-playbook","status":"publish","type":"post","link":"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/","title":{"rendered":"The LTC Provider&#8217;s Playbook: Q1 2023 Edition"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"An_Optimistic_Start_to_2023_Meets_a_Goldilocks_Market\"><\/span>An Optimistic Start to 2023 Meets a Goldilocks Market<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>In this quarter\u2019s newsletter, we look at increased optimism among industry leaders, the much-needed adoption of advanced technology to support the current landscape, and the rise of regional operators. Operators will find more opportunities to put lessons learned since the onset of the Public Health Emergency (PHE) into action this year.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#An_Optimistic_Start_to_2023_Meets_a_Goldilocks_Market\" >An Optimistic Start to 2023 Meets a Goldilocks Market<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#Optimism_Rises_Across_the_Industry\" >Optimism Rises Across the Industry<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#Technology_is_Already_Easing_Staffing_Pressures\" >Technology is Already Easing Staffing Pressures<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#Read_the_exclusive_interview_here\" >Read the exclusive interview here<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#Regional_Operations_Increase_Their_Footprint\" >Regional Operations Increase Their Footprint<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#Proven_Partners_in_Long-Term_Care\" >Proven Partners in Long-Term Care<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ltcally.com\/articles\/q1-2023-ltc-providers-playbook\/#Read_Case_Study\" >Read Case Study<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Optimism_Rises_Across_the_Industry\"><\/span>Optimism Rises Across the Industry<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>While alarm bells still ring around inflationary fears and <a href=\"https:\/\/www.bloomberg.com\/news\/articles\/2022-10-10\/jpmorgan-ceo-dimon-expects-us-recession-in-six-to-nine-months\">a deepening recession<\/a> in 2023, the outlook among skilled nursing professionals appears to be more optimistic as we kick off the new year. A recent <a href=\"https:\/\/www.mcknights.com\/news\/spiraling-costs-threaten-growing-optimism-for-skilled-nursing-in-2023-outlook-survey\/\">McKnight\u2019s Outlook Survey<\/a> showed almost a third of leaders in the industry are more optimistic about the year ahead, up from ~20% heading into 2022. The proven resiliency of those who have weathered the last three years has undoubtedly given decision-makers a boost in confidence after living through a tidal wave of new regulations, a concerted effort to muddy skilled nursing\u2019s reputation, and a prolonged staffing crisis.<\/p>\n\n\n\n<p>Operators who previously feared failure and emerged with relatively stable facilities can look at 2023 as a year with manageable, familiar factors impacting their businesses. For the most part, staffing remains the prime issue, followed by rebuilding census, staffing mandates, and staff vaccinations reports McKnight\u2019s. In general, these are nothing new to the industry, and savvy administrators and owners have learned <a href=\"https:\/\/seniorshousingbusiness.com\/after-18-months-seniors-housing-operators-more-adept-at-handling-covid-19-crisis-says-interface-panel\/\">how to keep their facilities running<\/a> with dedicated staff stepping up to provide quality care, even with endemic issues.&nbsp;<\/p>\n\n\n\n<p>Overall, the outlook for 2023 is hopeful. At this moment, there are no serious concerns about COVID variants becoming more lethal, and a united effort to communicate the importance of matching CMS funding to staffing mandates is echoing throughout the Hill. States, meanwhile, are tackling that issue head-on, with Illinois and Florida, for example, earmarking funding for higher wage rates for much-needed workers.<\/p>\n\n\n\n<p>No one can predict with certainty the severity of an economic downturn, but operators should remain confident in the industry\u2019s persistent recovery.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"137\" src=\"https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic_1-1024x137.png\" alt=\"$293M \u2014 Medicaid rate increase in Florida for nursing center care\" class=\"wp-image-4005\" srcset=\"https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic_1-1024x137.png 1024w, https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic_1-300x40.png 300w, https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic_1.png 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Technology_is_Already_Easing_Staffing_Pressures\"><\/span>Technology is Already Easing Staffing Pressures<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Topping the list of vital solutions this year is the adoption of technology to advance facility operations and ease the burden of slim staffing across the industry. Any operator that isn\u2019t looking to bring in as much automation as possible to back office and daily facility operations is throwing away time and money on mundane tasks that can easily be replaced by the right software or solution.&nbsp;<\/p>\n\n\n\n<p>In other industries, business leaders have been adopting technology as they become available to make workplaces more fulfilling for their staff\u2014from managers to entry-level workers. In healthcare, in particular, a significant body of literature outlines clinician dissatisfaction with burdensome paperwork duties that take them away from their patients.&nbsp;<\/p>\n\n\n\n<p>The answer for many administrators and operators is a combined effort to implement the right technology that is vetted by those who will be using it. There are few things more disappointing than the promise of simplicity but the reality of overly complicated software that chokes up workflows or keeps nursing home staff from completing their core duty\u2014delivering quality care.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"256\" src=\"https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic-1024x256.png\" alt=\"50% \u2014 the amount of time nurses report spending on documentation\n50% \u2014 physician burnout driven by excessive administrative duties\" class=\"wp-image-4003\" srcset=\"https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic-1024x256.png 1024w, https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic-300x75.png 300w, https:\/\/ltcally.com\/articles\/wp-content\/uploads\/2023\/01\/Graphic.png 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Sources: <br><a href=\"https:\/\/www.medline.com\/strategies\/skin-health\/fight-nurse-burnout-reduce-administrative-tasks\/\">Reduce Administrative Task Burdens to Help Fight Nurse Burnout<\/a><br><a href=\"https:\/\/www.the-hospitalist.org\/hospitalist\/article\/215580\/mixed-topics\/administrative-burden-and-burnout\">Administrative Burden and Burnout<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<p>In long-term care (LTC), consistently tight funding makes it difficult for those in operations to argue for the latest technology, but outsourcing presents a viable way to incorporate sophisticated tools into your facilities\u2019 back office. At LTC Ally, we recently sat down with COO Mark Josefovic and CTO Stephen Nusbaum to discuss in detail the technology they built to tackle the operational complexities of skilled nursing that help operators\u2014and their residents\u2014thrive.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Read_the_exclusive_interview_here\"><\/span>Read the exclusive interview here<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Regional_Operations_Increase_Their_Footprint\"><\/span>Regional Operations Increase Their Footprint<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>The arena is set to mark a tremendous growth in regional operators taking over facilities from national business models. Most notable is the ProMedica-Welltower joint venture being slowly handed off to Integra\u2019s management, whose business plan entails <a href=\"https:\/\/welltower.com\/wp-content\/uploads\/2022\/12\/Transaction-Update-December-2022_vF.pdf\">sub-leasing facilities to 15 regional operators<\/a> with a track record of strong performance. Welltower will continue to hold a majority stake in an 85\/15 joint venture, with Integra guaranteeing leases and net worth requirements. In total, the portfolio includes 147 skilled nursing properties across the country, with changes of ownership expected to be completed by Q1 of 2024.&nbsp;<\/p>\n\n\n\n<p>Other behemoth operators are following suit. In a statement to the press, SavaSeniorCare said they \u201cmade the decision to transition the portfolio of nursing centers to regional operators\u201d as it winds down operations entirely. Brickyard Healthcare, <a href=\"https:\/\/www.businesswire.com\/news\/home\/20220207005114\/en\/\">previously Golden LivingCenters<\/a>, has also downsized from a multi-state operator to now solely managing 23 facilities in its home state of Indiana.&nbsp;<\/p>\n\n\n\n<p>On the other side of the scale, the number of single-site nursing homes is <a href=\"https:\/\/skillednursingnews.com\/2022\/10\/why-the-future-of-standalone-skilled-nursing-facilities-could-be-dim\/\">expected to dwindle<\/a> in coming years, with the majority of buyers in today\u2019s marketplace being multi-facility owners with strong investor backing.&nbsp;<\/p>\n\n\n\n<p>While each model has its benefits, larger operations tend to have more robust backing, enabling them to make long-term investments in technology, infrastructure, and staff that can maximize efficiencies and make the most of slim reimbursement rates. Single site owners\u2014while better positioned, in some cases, as trusted long-term partners within a community\u2014can lack the monetary agility required to meet industry advancements that make other nursing homes more attractive to hospitals referring residents with complex care needs.<\/p>\n\n\n\n<p>It appears market pressures have created an environment where no operation too large or too small will be able to weather the changing skilled nursing landscape. Instead, a Goldilocks scenario is playing out across the nation. Regional operators with strong local performance are looking to conquer their territory while the playbook of centrally governing a national portfolio from afar is becoming something of the past.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Proven_Partners_in_Long-Term_Care\"><\/span>Proven Partners in Long-Term Care<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>LTC Ally provides leading <a href=\"https:\/\/ltcally.com\/services\/\">back office and growth advisory services<\/a> for long-term care operators across the United States. Since 2006, we have helped operators thrive by optimizing their revenue cycle, securing profitable contracts, and providing expert financial services backed by proprietary technology built to meet the exact needs of the long-term care industry.&nbsp;<\/p>\n\n\n\n<p>See how we helped one operator gain 2,000 skilled nursing days after getting in-network with a highly sought-after contract.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Read_Case_Study\"><\/span><a href=\"https:\/\/ltcally.com\/articles\/case-study-managed-care-contracting\/\">Read Case Study<\/a><span class=\"ez-toc-section-end\"><\/span><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>Read the LTC Provider\u2019s Playbook for key insights for Q1 of 2023. A trusted newsletter for long-term care professionals.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[21],"tags":[],"class_list":["post-3993","post","type-post","status-publish","format-standard","hentry","category-newsletters"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The LTC Provider&#039;s Playbook: Q1 2023 Edition | Articles | LTC Ally<\/title>\n<meta name=\"description\" content=\"Read the LTC Provider\u2019s Playbook for key insights for Q1 of 2023. A trusted newsletter for long-term care professionals. 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