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Reimbursement issues at nursing homes are pushing operators to adapt their payment models to increase reliance on Institutional Special Needs Plans (I-SNPs) and Accountable Care Organizations (ACOs). But while these models aim to enhance care quality even as they control costs, they also bring on unique challenges, including requiring extra oversight with discharges and related administrative burdens.
Operators said these value-based care options can be difficult to manage sometimes, and require strategic planning and clinical team coordination right from the admissions stage. But if done well, the payoff can be big.
Julie Britton, chief clinical officer at Genesis HealthCare, said I-SNP and ACO participation has overall added efficiencies and cost-effectiveness to care at her organization, but such value-based care can be difficult to manage at times.
“Our centers follow the triple aim: safe, efficient, cost-effective care,” Britton told Skilled Nursing News. “Operationalizing I-SNPs and ACO memberships has streamlined processes for our staff.”