‘Dramatic Increase’ in Physiatry as Nursing Homes Pursue Value-Based Care Goals

June 10, 2025acoACOs, CMS, nursing homes, SNFs

Physiatry is becoming a cornerstone of skilled nursing care in the midst of a push toward value-based reimbursement in Medicare and Medicaid. Its integration into care teams has helped improve outcomes while reducing costly hospitalizations, industry leaders said. The rise of patient acuity has been a huge driver in the evolution of physiatry in nursing…

Why Tech Platforms Approved By Referral Partners Are Good Tools for VBC in Nursing Homes

March 26, 2025acoACOs, CMS, nursing homes, SNFs

For organizations hoping to draw out savings from value-based care, added administrative burdens might be a source of hesitation. However, some operators are successfully turning to technology offerings that maximize reimbursement, pinpoint essential data, and include platforms already used by referral partners and managed care organizations (MAOs). AI programs can help “tease out” some of…

Inside Value-Based Care Models Eyeing a Future Without Gaps in Care Between Nursing Homes, Other Settings

February 26, 2025acoACOs, CMS, nursing homes, SNFs

The future of value-based care programs will likely focus on greater integration of care, as nursing homes and other providers in the health care continuum discover the benefits of more thoughtful discharges – less focused on swiftness and more on moving patients through a continuum of care – in order to close costly gaps in…

Medicare Advantage Bundled Payment Model Tied to Less Skilled Nursing Facility Use

July 3, 2023acoACOs, CMS, nursing homes, SNFs

A Medicare Advantage bundled payment model for hip and knee replacements offered by Humana (NYSE: HUM) was associated with reduced skilled nursing facility use. These bundled payments were also linked to reduced spending overall for lower extremity joint replacements (LEJR) – while maintaining quality of care, according to a study published in JAMA Network. Of…

AHCA CEO: Value-Based Care ‘Most Exciting’ Development of His 30-Year Skilled Nursing Career

December 9, 2022acoACOs, CMS, nursing homes, SNFs

Skilled nursing providers are facing an extremely challenging operating environment, but they must keep adapting and innovating as the shift toward value-based care continues across the U.S. health care system. And in fact, providers have tremendous opportunities to seize. “Value-based care through the population health management model is the most exciting thing I’ve had the…

CMS Makes Significant Updates to ACOs But Still Leaves Nursing Homes Largely Out of Conversation

July 20, 2022acoACOs, CMS, nursing homes, SNFs

While the Centers for Medicare & Medicaid Services (CMS) proposes to make some of the most significant changes to its accountable care organization (ACO) model since it was finalized in 2011, it doesn’t appear that such updates will have a lasting impact on the broader skilled nursing industry. If anything, only operators with their own…

Better Value-Based Care Means Fewer Nursing Homes, Summit Eldercare VP Says

October 13, 2021Garrett SchmittNo Commentshealthcare reform, home care, Home Health, nursing homes, SNFs, value-based care, vbc

A leader from PACE program Summit Eldercare believes there should be at least half the number of nursing homes in the country, in order to adequately provide value-based care. Instead, prospective SNF residents would be better served in community housing options. This is coupled with a trend Summit Eldercare is seeing among the SNFs it…

Value-Based Medicare Advantage Payment Plans ‘Only Going to Increase’

September 7, 2021Garrett SchmittNo CommentsMedicare, Medicare Advantage, Medicare Advantage payment plans, nursing home industry, nursing homes, value-based care, value-based payment models, vbc, VBP

There’s a strong possibility that Medicare will move to mandate value-based payment models (VBP) for the nursing home industry in the years to come, according to industry executives. Dr. René Lerer and Brian Cloch, CEOs for Longevity Health Plan and Transitional Care Management, respectively, spoke at a panel on the future of VBP models during…

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