NIC Notes

Insights in Seniors Housing & Care

Economic Trends

How Could the Proposed Senate Health Care Bill Impact the Nursing Home Sector?

By: Liz Liberman  |  July 05, 2017

In March, when the Republicans in the House submitted a proposal to repeal and replace the Affordable Care Act (ACA), this Blog series provided a brief overview of how the proposal could affect the skilled nursing sector. Now that the Republicans in the Senate have released their own proposal, it's again time to briefly review the key points of the legislation that could have an impact on this sector. Some differences exist between the two versions of the bill, but for this discussion, one of the key points is that both propose significant cuts to Medicaid, which funds the majority of nursing home residents' care.

Economic Trends  |  Regulatory Environment  |  Skilled Nursing

The Case for Small Reforms within Long-Term and Post-Acute Care

By: Liz Liberman  |  June 14, 2017

While major reforms of the Affordable Care Act, such as those proposed by the Trump administration and Republican leaders in Congress are sure to have an impact on the post-acute and long-term care industry--if passed--by dedicating all our attention to the big "what ifs", we may be ignoring the trees for the forest.

Regulatory Environment

State Medicaid Programs in Quite a State

By: Liz Liberman  |  May 04, 2017

The public discourse recently has narrowed on the big capital “R” reforms potentially coming down from the federal government on states regarding their Medicaid funding. Meanwhile, states themselves have a lot on their plates regarding Medicaid, despite the uncertainty of the future of the program and its financing. Some states, like North Carolina and Kansas, are still grappling with Medicaid expansion. Others are moving to managed Medicaid in a big way or making reforms to preempt the potential loss of federal funds for the program. The following is a sample of states with reforms on the horizon.

Economic Trends  |  Regulatory Environment  |  Skilled Nursing

Skilled Nursing Environment Calls for Strategic Responses

By: Liz Liberman  |  April 05, 2017

While the skilled nursing sector faces challenging headwinds, it also offers a number of distinct opportunities which were outlined at the recent 2017 NIC Spring Investment Forum. Several educational sessions addressed market conditions and how operators can boost values by measuring outcomes and partnering with other health care providers.

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