Welcome, Introductions, and Sponsor Recognition

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Presentation transcript:

Welcome, Introductions, and Sponsor Recognition Fred Benjamin AHCA/NCAL Regional Multifacility Council Chair President, LTC Division, Lexington Health Network

Keynote Address: Future Forces: Leadership Insights for Navigating the New World of Work Seth Mattison, Founder Luminate Labs, author, workforce expert

What’s Happening in Washington? Mark Parkinson, President and CEO

Sector Under Enormous Pressure PROVIDER Debt Service Medicaid Loss APM Medicare Payment Changes Workforce Inflation Managed Care Growth Regulations Demographics

Over Time, SNF Margins Have Decreased MedPAC Margin Data from March Payment Policy Reports Federal Fiscal Year SNF Medicare Margin Non-Medicare Margin Total Margin 2013 13.1% -1.9% 1.9% 2014 12.5% -1.5% 2015 12.6% -2.0% 1.6% 2016 11.4% 2017 10.6% 2018 (Projected) 9% -2.3% 0.7% Source: MedPAC Data Summarized by AHCA.

Occupancy is Down Source: NIC, “Skilled Nursing Data Report” October 2011 – December 2017

Promising Recent News “Nursing care occupancy improved from the fourth quarter of 2017, according to new data from the National Investment Center for Seniors Housing & Care (NIC). The nursing care occupancy rate improved from 86.2% in the fourth quarter to 86.5% in the first quarter of 2018.” Source: Skilled Nursing News, https://skillednursingnews.com/2018/04/nursing-care-occupancy-rate-inches-upward-first-quarter/

Demographics Are Improving Source: Skilled Nursing News, https://skillednursingnews.com/2018/04/nursing-care-occupancy-rate-inches-upward-first-quarter/

Major Issues for 2018 Medicaid — Risk appears low Medicare — 2.4% increase, but of what system? Regulatory relief — Likely

New CMS Proposed Rule on Requirements “This proposed rule would reform the requirements that long-term care facilities must meet to participate in the Medicare and Medicaid programs, that CMS has identified as unnecessary, obsolete, or excessively burdensome on facilities. This rule would increase the ability of healthcare professionals to devote resources to improving resident care by eliminating or reducing requirements that impede quality care or that divert resources away from providing high quality care.” Source: Federal Register, RIN: 0938-AT36

Quality Care Media Campaign Overview Goals Counter negative media narratives surrounding skilled nursing facilities, reaching primarily audiences at CMS and the Hill Continuing to move the needle on the regulatory change for SNFs – recent wins are defended and proposed changes are secured Messaging/Creative Approach Acknowledge and counter outdated perceptions of SNFs with data about quality improvement Tactics Sponsorships and Site Direct Display Geographically Targeted Online Ads Out of Home Social media Website: www.ourqualitycare.com

Litigation and Tax Relief Update Made tax argument at OMB on April 20 Arbitration Pendings $586 million in Illinois alone

We Need Your Help Congressional Briefing June 4-5 www.ahcancal.org/cb AHCA/NCAL Annual Convention and Expo October 7-10 www.AHCAconvention.org

Sharing Best Practices in Political Activity Ted LeNeave, AHCA/NCAL Regional Multifacilty Co-Chair President, Accura Healthcare Clifton J. Porter, II, Senior Vice President, Government Relations, AHCA/NCAL