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Skilled Nursing News

Updated 20 days ago

Business
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Skilled Nursing News covers the business and operations for Skilled Nursing owners, operators and developers.

Read more

Skilled Nursing News covers the business and operations for Skilled Nursing owners, operators and developers.

iTunes Ratings

20 Ratings
Average Ratings
19
0
1
0
0

A must for SNF industry professionals

By GeoYeddy - Dec 31 2018
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This is such a great podcast. Great interviews on trends and deals happening in the nursing home business. Great work and can’t wait for more.

iTunes Ratings

20 Ratings
Average Ratings
19
0
1
0
0

A must for SNF industry professionals

By GeoYeddy - Dec 31 2018
Read more
This is such a great podcast. Great interviews on trends and deals happening in the nursing home business. Great work and can’t wait for more.

Best weekly hand curated episodes for learning

Cover image of Skilled Nursing News

Skilled Nursing News

Latest release on Nov 13, 2020

Best weekly hand curated episodes for learning

The Best Episodes Ranked Using User Listens

Updated by OwlTail 20 days ago

Rank #1: LeadingAge President and CEO Katie Smith Sloan

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LeadingAge CEO Katie Smith Sloan has been outspoken in her calls for increased government support for nursing homes and other senior care providers amid the COVID-19 crisis.

As the case count continues to rise and operators face down a new normal with coronavirus at the center of every decision they make, Sloan has loudly and forcefully argued that the industry needs more funding and assistance.

Sloan joined SNN's "Rethink" podcast to discuss the feasibility of a federal plan to reopen nursing homes to visitors, as well as the top changes she thinks providers should fight for as lawmakers and advocates start to consider new rules and regulations around nursing homes in a post-COVID world.

Listen to this episode to learn:
-- Why reopening nursing homes is "virtually impossible" right now
-- Why Medicaid-focused relief has been so slow to arrive
-- What steps leaders and lawmakers should take to prevent future crises
-- And much more

May 20 2020

21mins

Play

Rank #2: Genesis Healthcare CEO George Hager

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Based on the last few years, Genesis Healthcare should be on the ropes — significant quarterly losses, lease restructurings, and public criticism from one of its primary landlords have weighed on the skilled nursing giant.

But the Kennett Square, Pa.-based operator closed out 2018 with cautious optimism, both from financial analysis firm Stifel and CEO George Hager, who predicts smoother sailing ahead in 2019. In his conversation with Rethink, Hager firmly pushed back on current industry wisdom that bigger isn’t necessarily better in skilled nursing, and laid out his vision for what the industry will look like under the Patient-Driven Payment Model (PDPM).

Download this episode to hear Hager discuss:
-Why Genesis’s scale — around 400 buildings across 29 states — is actually an asset, and not a liability
-How Genesis keeps the pulse of local markets despite its size
-What PDPM will mean for third-party rehabilitation providers and skilled nursing operators alike

Feb 14 2019

32mins

Play

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Rank #3: Randy Oostra, President and CEO of ProMedica Health System

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Randy Oostra, the president and CEO of ProMedica Health System, is well situated to see every angle of the unfolding COVID-19 pandemic in both the acute and pos-acute fields. The Toledo, Ohio-based ProMedica acquired the operations of HCR ManorCare in 2018 – which puts ProMedica in a unique position during a pandemic that is attacking every part of the health care continuum and hitting skilled nursing facilities particularly hard.

Listen to this episode to learn:
-Why more hospital beds are not the solution to the current strain on the health care system
-Some of the ways the COVID-19 pandemic could change health care for the better
-How ProMedica has worked to give the SNFs the clinical resources they need

Apr 23 2020

26mins

Play

Rank #4: René Lerer, CEO of Longevity Health Plan

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Over the last few years, there's probably been no hotter topic in the skilled nursing space than I-SNPs — special Medicare Advantage plans that cover long-term residents of nursing homes and other institutional sites of care.

As CEO of Longevity Health Plan, René Lerer has had a front-row seat to the expansion of these plans, which the company currently offers in Illinois and New York.

Lerer joined "Rethink" to discuss trends in this specialized space, as well as how providers can launch their own plans — either on their own, or with strategic partners.

Listen to this episode to learn:
- How Longevity built its network, and how it plans to expand
- The different ways providers can create or join an I-SNP
- Why I-SNPs can open other opportunities beyond reimbursement control

Oct 22 2019

29mins

Play

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Rank #5: Chris Bryson, CEO of Consulate Health Care

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With 140 facilities, Consulate Health Care is something of an outlier in the skilled nursing world, and has seen its share of ups and downs related to its size. But after a strategic shrinking – and an overhaul to improve quality and care at the bedside – the operator is ready to grow again.

CEO Chris Bryson has led the work in turning the company around. He joined Rethink to talk about how Consulate “doubled in size overnight” in 2012 and had to streamline in subsequent years, the work of improving care and retention, and why the operator is looking to the future.

Listen to this episode to learn more about:
-Why scale can still benefit skilled nursing facilities
-The importance of maintaining local autonomy
-Why regulators and providers need to collaborate for better care

Nov 11 2019

24mins

Play

Rank #6: CLA Managing Principal Cory Rutledge

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For the first time in 34 years, an annual report on nursing home finances found that the median operating margin for operators fell below zero. For CLA managing principal Cory Rutledge, a co-author of the report, the result wasn't exactly surprising, given the headwinds battering the skilled nursing space over the past decade.

But while he acknowledges that the number doesn't look great, Rutledge sees sunnier times ahead for operators in the space — specifically those that take bold action to adapt to a changing world.

Listen to this episode of "Rethink" to learn:
- Why the median margin fell below zero
- How operators with positive margins pulled off their success
- What operators should do to turn their fortunes around
- ...and more!

Nov 20 2019

23mins

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Rank #7: OnPointe CEO Eric Tanner

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Skilled nursing provider OnPointe and its CEO, Eric Tanner, are all in on care coordination, with a specific focus on determining what hospitals want to hear when looking for preferred post-acute partners.

Despite a recent setback with landlord MedEquities, Tanner remains upbeat about OnPointe's position in the marketplace, focusing on the ways his company's buildings can solve local hospitals' costliest problems — and in turn become their top choice for referrals as he builds a post-acute company that includes SNFs, home health, and hospice services.

Listen to the latest episode of Rethink to discover:
- How SNFs can learn to speak hospitals' language
- Ways providers can innovate despite tight budgets
- The future of the short-term rehabilitation model
- ...And much more!

Apr 30 2019

30mins

Play

Rank #8: Dr. Richard Feifer, Chief Medical Officer of Genesis HealthCare

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As the chief medical officer for skilled nursing giant Genesis HealthCare, Dr. Richard Feifer has a direct view into hundreds of individual nursing homes as they deal with the ongoing coronavirus pandemic.

Dr. Feifer joined "Rethink" to make a direct appeal to leaders about the dire need for personal protective equipment (PPE) and access to COVID-19 testing, two vital weapons against the disease that have been far too hard to come by across the country. He also shared tips gleaned from his work on the front lines, while praising the tireless efforts of staffers on the ground.

Listen to this episode to learn:
1. The top lessons Genesis and Feifer have learned throughout the crisis so far
2. How nursing homes can safely separate COVID-19 cases from those without the disease
3. Why operators shouldn't fear overreacting when it comes to infection-control protocols
4. And more!

Apr 02 2020

18mins

Play

Rank #9: Integrated Care Solutions CEO Brian Fuller

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Skilled nursing providers can get chills at the thought of alternative payment models, which include Medicare arrangements such as bundled payments — one reimbursement shared by a range of providers for a single episode of care. After all, many bundled payment programs achieve their savings by cutting down on post-acute spending, adding pressure to already-squeezed skilled nursing facilities.

But Brian Fuller, the CEO of Integrated Care Solutions, thinks SNFs shouldn't despair. ICS is a care coordination company and bundled payments convener under the Bundled Payments for Care Improvement — Advanced program, and Fuller sees both sides of the acute and post-acute world. He joined Rethink to talk about how SNFs need to change their mindset and get creative to thrive in a value-based world.

Listen to this episode to learn:
- The disconnects between acute and post-acute care, and what they need to learn to come together
- Why post-acute is a savings target in alternative payment models, and how SNFs can take control of their own destiny within their market
- The tenets SNFs need to adopt as their "true north" for success in the evolving world of value-focused health care

Aug 22 2019

29mins

Play

Rank #10: CMS Chief Medical Officer Kate Goodrich

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As the Medicare program's top clinical official, Dr. Kate Goodrich has played a major role in the wave of nursing home regulatory scrutiny coming from Washington and Baltimore over the last few years.

Goodrich and CMS administrator Seema Verma have placed skilled nursing facility compliance and oversight at the top of their to-do lists, with a litany of accomplishments already under their belts — from an overhaul of the five-star rating system to the public identification of properties under consideration for the Special Focus Facility program.

SNN sat down with Goodrich to learn more about what's been driving this enforcement push, as well as what additional moves the federal government may have in store for the future.

Listen to this episode to learn:
-The inner workings of CMS's enforcement strategies for nursing homes
-Why the agency is focusing on beefing up state-level survey efforts
-Goodrich's vision for the long-term future of value-based care

Sep 03 2019

23mins

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Rank #11: VP at Henry Ford Health System Sue Craft

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It's never been a more important time for skilled nursing facilities to get to know their hospital partners, especially as SNFs face penalties for patient readmissions and a constant battle to maintain census and provide the best quality of care. That makes open lines of communication and strong relationships essential for acute and post-acute care —and Sue Craft, the vice president of inpatient case management and post-acute care services at Henry Ford Health System is at the forefront of that work.

She oversees the Detroit-based hospital system's preferred SNF network, as well as the team that makes decisions about patient discharges. Skilled Nursing News sat down with her to discuss the financial pressure that hospitals are facing, and how Henry Ford has changed its approach to post-acute partnerships over the years.

Listen to this episode to learn:
-Why Henry Ford focused on developing a preferred network to combat readmission struggles
-The metrics SNFs should bring to hospitals in partnership discussions
-What hospitals want from their post-acute partners

Sep 27 2019

26mins

Play

Rank #12: Fred Stratmann JD, CHC, General Counsel at CommuniCare Health Services

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The opioid crisis has hit every part of the U.S. health care system – skilled nursing facilities included. But the state and federal regulations haven’t moved as fast as the crisis, even though more and more providers are seeing these patients come through their doors.

For the Communicare Family of Companies, which is based in Ohio and has 87 SNFs in some of the most opioid-affected states, there are ways that providers can help address the needs of patients struggling with addiction and other disorders. Fred Stratmann, Communicare’s general counsel, joined Rethink to talk about how SNFs could help and why the problem of caring for these patients goes back even further than the opioid epidemic.

Listen to this episode to learn about:

- Why nursing homes are filling the gaps in community resources
- The regulatory hurdles to changing paradigms of care
- The ways empty SNF beds could be repurposed for behavioral and substance use disorder treatment

Jan 06 2020

27mins

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Rank #13: Plante Moran Partner Betsy Rust

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Earlier this year, Betsy Rust and Plante Moran released a report with a fairly explosive thesis: Margins for skilled nursing facilities had actually been on the rise between 2016 and 2017. But the senior care advisory firm was quick to point out that the report only considered Medicare reimbursements — with Medicare Advantage and Medicaid strains working to wipe out the Medicare fee-for-service gains.

SNN invited Rust to expand on her findings on the latest episode of "Rethink: The Future of Skilled Nursing." In our conversation, Rust offered concrete tips for how providers can navigate the Medicare Advantage world despite a lack of public information on rates, as well as how the ongoing stressors in the SNF marketplace could inspire operators to make strange — but profitable — bedfellows.

Listen to this episode of Rethink to learn: 
- The metrics Plante Moran evaluates when advising buyers in today's market
- How partnering with competitors might bring mutual benefits
- The outlook for Medicare Advantage under PDPM
- ...And much more!

Apr 05 2019

24mins

Play

Rank #14: President and CEO of the American Health Care Association Mark Parkinson

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Between the release of a "secret" list of underperforming nursing homes and multiple hearings on Capitol Hill, the skilled nursing industry has found itself under the regulatory and media microscope for most of 2019.

And for the most part, Mark Parkinson thinks that's a good thing.

The president and CEO of the American Health Care Association sat down with Skilled Nursing News to discuss why transparency could ultimately help operators by raising awareness of other issues in the space — along with his vision of what the industry will look like a decade from now.

Listen to this episode to learn:
- Why operators should see opportunity in recent media attention on the industry
- What he thinks is the bigger challenge for the space: PDPM or Medicaid
- How SNFs can avoid becoming a mere commodity in the overall care landscape
- ...and more!

Jul 15 2019

26mins

Play

Rank #15: Founder and CEO of sb2 Inc. Chad Bogar

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Amid the revolution sweeping Medicare reimbursements for skilled nursing facilities — from PDPM to value-based purchasing — Medicaid has quietly emerged as a prime threat to operators across the country. Reimbursement rates in multiple states don't cover the daily cost of caring for Medicaid residents, forcing buildings to close or endure disruptive receiverships across the country.

As the CEO and founder of law firm sb2 Inc., Chad Bogar has dedicated his career to helping residents and operators solve their Medicaid problems through the courts and other mechanisms designed to protect them.

Listen to this episode of Rethink to learn:
1. How providers can apply Medicaid victories won in other states to their operators
2. Why federal law trumps state regulations on Medicaid rates
3. How Bogar and operators in fought the government over long-delayed Medicaid claims
4. And more strategies for Medicaid success

May 16 2019

25mins

Play