Skilled Nursing Facility

Every year, the Center for Medicare Advocacy hears from the families of Medicare beneficiaries who cannot find a nursing facility to admit them because they need costly drugs that, under current rules, facilities would have to provide to them, … [Read more...] about CMS Seeks Comments on Consolidated Billing Exclusions

As part of the annual update to Medicare Part A payments to skilled nursing facilities, the Centers for Medicare & Medicaid Services (CMS) proposes significant changes to the civil money penalty (CMP) system for nursing homes. The Center for … [Read more...] about CMS Proposes Major Changes to Civil Money Penalties for Nursing Homes

In its March 2024 policy report, the Medicare Payment Advisory Commission (MedPAC), the independent government agency that advises Congress on Medicare policy, recommends a reduction of 3% in payments to skilled nursing facilities in the traditional … [Read more...] about MedPAC Report Undermines Nursing Home Industry Claims

In March 2024, two lengthy investigative pieces exposed the complex and often hidden ownership practices that increasingly dominate nursing facilities, evade meaningful public scrutiny and enforcement, and result in grossly poor care for … [Read more...] about Reports: Nursing Facilities’ “Financial Shenanigans” Divert Reimbursement to Private Gain, Jeopardizing Resident Care

Acting New Jersey Comptroller Kevin Walsh issued three reports identifying the worst-performing nursing facilities in the state and the millions of dollars these facilities receive in Medicaid funding, despite the poor care they provide to residents … [Read more...] about A Model for Nursing Home Enforcement

Nursing homes claim to lose money every year, but they stay in business and don’t close or file for bankruptcy. How is that possible? It’s possible because industry claims aren’t true. Nursing homes hide 62.9% of profits by paying inflated prices to … [Read more...] about Nursing Homes Hide Profits

On March 6, 2024, the House Ways and Means Committee passed a bill, H.R. 7513, “Protecting America’s Seniors’ Access to Care Act,” that prohibits the Secretary of Health and Human Services from promulgating any nursing home staffing standards, now or … [Read more...] about New From the House Ways & Means Committee: No Nursing Home Staffing Standards Ever

In 2021, New York enacted a state law requiring facilities to spend 70% of their revenue on resident care, including 40% of resident-facing care, and limiting profits to 5%. The law has not been implemented.The nursing home industry filed two … [Read more...] about Two Courts Reject Nursing Home Industry Challenges to New York Law Requiring Minimum Spending on Care and Caps on Profit