January 26, 2018
With Last Hurdle Cleared, Nonprofit CCRCs Should Perform Well in 2018

At the end of 2017, Fitch Ratings provided a positive outlook for nonprofit continuing care retirement communities (CCRCs)  due to three years of increased capital spending for renovations and expansions; healthy occupancy at 92.3% led by independent living; operating profitability; and favorable real estate markets. The most uncertain element[…]

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January 2, 2018
Happy New Year!

If you are like most people, you hate the whole cliché of making New Year’s resolutions, which often times don’t last more than three weeks into the New Year. Instead of making resolutions, I like to think of the New Year as a reset – a time of[…]

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November 10, 2017
Changing Times: Challenges and Transitions for Faith-based Providers

The 2017 Resource Center for Religious Institutes National Conference was held at the Hyatt Regency in St. Louis, Missouri last week. Attended by about 600 sisters, priests, brothers and lay people, the theme for this year’s event was “Changing Times: Challenges and Transitions.” Sessions for faith-based providers varied[…]

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October 17, 2017
Occupancy Rates Moving in Both Favorable and Unfavorable Directions

As reported by Senior Housing News, data from the National Investment Center for Seniors Housing & Care (NIC) shows that the third quarter occupancy rate of assisted living has increased to 86.6 percent from 86.5 percent during the second quarter—a move in a favorable direction. Independent living, however,[…]

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August 24, 2017
Maintaining Long-term Care Leadership in a Challenging Environment

Success in today’s post-acute services operations is challenging. From regulatory pressures to changing reimbursement to increased market competition, it can feel like demands on operations are everywhere. In addition to these pressures, maintaining an effective leadership team can be challenging in this time of heavy competition for experienced,[…]

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August 18, 2017
Advance Care Planning—An Ongoing Conversation

Advance care planning should never be considered a “one and done” activity but an ongoing conversation revisited frequently, especially in the last several years of life. Making our wishes and surrogates known is an important conversation, even as relatively healthy adults. As we age, it becomes increasingly important[…]

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August 17, 2017
New Mandatory Bundles Proposed to Be Canceled, but Get Ready for More Voluntary Bundles

Providers reading the headlines about the current administration proposing to cancel the three new mandatory episode payment models (EPMs) might think that Medicare is backing off value-based payments. Think again, because the practical effect of this proposal is likely to be the opposite. In a proposed rule released[…]

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August 15, 2017
HDG Study Confirms NPA’s More Conservative PACE Penetration Assumptions for P3C Acuity Adjustment Analysis

The National PACE Association (NPA) responded to the Centers for Medicare and Medicaid Services’ (CMS) Data Supplement to the Request for Information regarding the Person Centered Community Care (P3C) model acuity adjustment analysis. In the response, NPA cited three areas of concern: Eligibility, criteria, market penetration, and service[…]

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July 7, 2017
CMS Delays Phase 2 Penalties for a Year—Use It or Lose It

Phase 2 of the revised Medicare and Medicaid requirements for participation for skilled nursing facilities (SNFs) still go into effect on November 28, 2017, but the Centers for Medicare and Medicaid Services (CMS) announced in a memorandum on June 30, 2017, that they will provide the much-requested one-year[…]

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June 6, 2017
PACE Poised for Growth and Opportunity

Programs of All-inclusive Care for the Elderly (PACE) have long been considered the gold standard in person-centered care delivery for community-dwelling, but nursing home qualified, dual-eligible seniors. PACE is poised to continue its significant growth of recent years. Key developments that have created much deserved interest in PACE include:[…]

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