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

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

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

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

7. 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.

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

9. 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,

10. Demographics Are Improving
Source: Skilled Nursing News,

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

12. 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

13. 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Acknowledge and counter outdated perceptions of SNFs with data about quality improvement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:

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

16. We Need Your Help Congressional Briefing June 4-5
AHCA/NCAL Annual Convention and Expo October 7-10

17. 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