Literature Review

Changing payment dynamics are forcing home-based care providers to level up in value-based careHome Health Care News, by Patrick Filbin; 1/24/24When home-based care professionals were tasked with providing the “greatest challenge” facing them in the new year, 58% responded staffing. After that, 31% said changing payment dynamics, while 7% and 4% said consolidation or non-payment regulatory changes, respectively. Those findings come from a recent survey conducted by Home Health Care News and Homecare Homebase.

New program to provide emergency funding to rural hospitalsCapitol Beat, by Dave Williams; 1/17/24A nonprofit health-care organization announced plans ... to help financially struggling rural hospitals in Georgia in danger of closing. Ohio-based CareSource will contribute $5 million in emergency funding to hospitals and hospital-owned nursing homes in rural communities suffering critical cash deficits. Working in partnership with Cumming-based HomeTown Health, which represents rural hospitals across Georgia, the CareSource Rural Access Advancement Program will provide bridge loans to be repaid and reinvested into the program once the recipient has stabilized. Since 2010, nine rural hospitals have closed in Georgia, third-most in the nation.

46% of C-Suite execs prioritizing cost reduction, survey saysBecker's Hospital CFO Report, by Madeline Ashley; 1/23/24"The New Healthcare C-Suite Agenda: 2024-2025" report surveyed more than 100 C-suite executives and focused on topics like digital tools, EMR optimization, patient publication, operations, and more. Of the respondents, 29% held a CEO title, 13% chief medical officer, 10% CFO, 10% CIO, 10% COO, 7% chief nursing officer, 6% chief quality officer, 3% chief strategy officer, and 2% chief digital innovation officer. ... For top strategic initiatives for executives, 57% said growing revenue, 55% said staff recruitment and retention, and 46% said reducing cost. 

$15 billion win for physicians on prior authorizationAMA, by Kevin B. O'Reilly; 1/18/24Under the leadership of Administrator Chiquita Brooks-LaSure, the Centers for Medicare & Medicaid Services (CMS) has released a final rule making important reforms to prior authorization to cut patient care delays and electronically streamline the process for physicians. Together, the changes will save physician practices an estimated $15 billion over 10 years, according to the U.S. Department of Health and Human Services (HHS).

Congressional advisors grapple with Medicare Advantage data that reveals plenty on excess, but not much on accessMcKnight's Long-Term Care News, by Kimberly Marselas; 1/16/24Medicare Advantage risk scores continue to rise, inflating payments to the private plans that far exceed their actual costs, staff for a Congressional advisory commission warned members Friday. The Centers for Medicare & Medicaid Services uses risk scores, based on patient demographics and their needs, to establish payments to plans during each bid season. 

A looming crisis: Millennials caring for aging parentsFalls Church News-Press, by Brian Reach; 1/11/24... Millennials, born between 1981 and 1996, comprise roughly 73 million Americans. By 2030, all boomers, and over 70 million Americans in total, will be ages 65 and older. This represents an at least 25 percent increase in the number of senior citizens — in just over five years.

Humana wins $360M in Walgreens drug price settlementModern Healthcare, by Lauren Berryman; 1/8/24Walgreens will pay Humana $360 million to resolve allegations the pharmacy chain overcharged the health insurer for prescription drugs.

Cap rates increase by 74 basis points across all segments of senior living and careMcKnights Senior Living, by Kathleen Steele Gaivin, 1/3/24The average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. The commercial real estate services and investment company sought feedback from senior housing investors, developers, lenders and brokers throughout the United States. The survey was conducted in October, and results were released in December.

The impact of Artificial Intelligence on healthcare and medicineMedium/Technology Buzz, by Mark R.; 1/3/24... Artificial intelligence, or intelligence dominated by machines and algorithms, has a growing significance in multiple industries. From finance to education and healthcare, AI has completely reformed the ways of working. One of the significant contributions of AI is to the healthcare and medical industry. From improving diagnostic accuracy to personalizing the treatments for patients, AI has revolutionized the structure of healthcare facilities. By analyzing complex human data and drawing accurate conclusions without much human intervention, AI technology can help medical researchers make new discoveries. AI applications are primarily centered on 3 main investment areas: diagnostics, engagement, and digitization.Editor's Note: For pro's and con's of AI in hospice and palliative care, examine other articles about AI posted in our newsletter (past and future).

Continuum Of CareTallahassee Magazine, by Steve Bornhoft; 12/31/23Leaders seek seamless approach to services. In the United States, health services are delivered based on what Mark O’Bryant sees as a “reverse model.” Some might even call it a perverse model.

Pohai Malama Adult Residential Care Home hosts open houseHawaii Tribune-Herald (Hilo, HI)December 25, 2023Hilo, HI—After closing its doors to inpatient services last year, Pohai Malama will be reopening as an adult residential care home beginning next year. Hawaii Care Choices, formerly Hospice of Hilo, earlier this month announced the opening of the Pohai Malama Adult Residential Care Home to a room full of board members, supporters and community leaders. The former 12-bed hospice and palliative care inpatient facility, located at 590 Kapiolani St. in Hilo, was closed in November 2022 after operating for 10 years due to changing preferences from patients, many who preferred to be treated in their homes. 

Despite Economic Growth in 2023, State of the Commonwealth Report Shows Worrying TrendsNews ReleaseDecember 18, 2023Norfolk, VA—There are positive takeaways from Old Dominion University’s ninth annual State of the Commonwealth Report. Virginia’s economy and population continued to grow in 2023 and a record number of people were employed and in the labor force, surpassing pre-pandemic levels. But the report, produced by ODU’s Dragas Center for Economic Analysis and Policy, also raises questions about the commonwealth’s future. 

‘Tougher Every Day’—Nursing Home Operators, CCRCs Weigh in on Future of Skilled NursingSkilled Nursing NewsDecember 14, 2023Operating a skilled nursing facility today is considered a “tough business” with regulations and reimbursement woes making the space “tougher every day.” Other operators say they regularly budget a loss for skilled nursing services, and if it weren’t for other lines of business, skilled nursing would be unsustainable.