Is ‘value-based care’ ill-defined?

June 4, 2025acoMA, skilled nursing facilities, SNF, SNFs

“Value-based care” (VBC) is one of the most frequently cited goals in U.S. healthcare reform — yet its meaning remains frustratingly vague and often contradictory. We hear that value-based care is the future. But as we navigate payment reforms, new quality programs, and evolving care models, we’re forced to ask: Whose definition of “value” are we…

The ‘price’ of value-based care

May 14, 2025acoMA, skilled nursing facilities, SNF, SNFs

The term “value-based care” is tossed around like a political football among healthcare policy makers. Nowhere is the meaning of this so variable as in nursing homes. The Nursing Home Value-Based Purchasing Demonstration project, completed over a decade ago, was not found to lower spending or improve quality. Webster’s Dictionary defines value as “the monetary worth of something,”…

SNF benchmarking study paints rosy picture for value-based care, I-SNPs this year

February 4, 2025acoMA, skilled nursing facilities, SNF, SNFs

A new report is highlighting continuing trends and areas of opportunities that skilled nursing providers can consider while addressing persistent industry developments, such as increasing implementation of Medicare Advantage plans and a hyperfocus on value-based care. The trends unveiled in accounting firm Plante Moran’s “2025 Skilled Nursing Facility Medicare Benchmarking Report” should be used as…

ACO Participation May Keep SNFs ‘In the Game’

August 8, 2021Garrett SchmittNo Commentsaccountable care, accountable care organizations, ACOs, skilled nursing facilities, SNFs

Although accountable care organizations (ACOs) have never been particularly popular among skilled nursing facilities, timing may be ripe to take on more risk to stay competitive in the market. ACO participation may help operators maintain referrals when so many potential residents are being diverted to home health care, hospice and other tracks along the continuum…

The Effects of Accountable Care Organizations Forming Preferred Skilled Nursing Facility Networks on Market Share, Patient Composition, and Outcomes

April 1, 2021Garrett SchmittNo Commentspatient outcomes, skilled nursing facilities, vertical integration

Through participation in payment reforms such as bundled payment and accountable care organizations (ACOs), hospitals are increasingly financially responsible for health care use and adverse health events occurring after hospital discharge. To improve management and coordination of postdischarge care, ACO hospitals are establishing a closer relationship with skilled nursing facilities (SNFs) through the formation of…

Why Health Systems Need to Strategically Align with Skilled Nursing Facilities Now

November 26, 2018Garrett SchmittNo Commentsskilled nursing facilities, SNF

Inevitably, healthcare incentives continue to transition from the traditional fee-for-service (FFS) model to a value-based payment system. A recent modernization to how the Centers for Medicare & Medicaid Services (CMS) will pay providers for skilled nursing facility (SNF) performance is proof. And if you want to achieve success in alternative payment models (APMs), such as bundled payments…

Accountable Care Organizations and Post-Acute Care: A Focus on Preferred SNF Networks

July 2, 2018Garrett SchmittNo Commentspayment reform, post-acute care, preferred networks, skilled nursing facilities, SNF, value-based payment

Due to high magnitude and variation in spending on post-acute care, accountable care organizations (ACOs) are focusing on transforming management of hospital discharge through relationships with preferred skilled nursing facilities (SNFs). Using a mixed-methods design, we examined survey data from 366 respondents to the National Survey of ACOs along with 16 semi-structured interviews with ACOs…

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