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Current State of the Sector

Published byTerence Hill Modified over 5 years ago

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Presentation on theme: "Current State of the Sector"— Presentation transcript:

1 Current State of the Sector
Mark Parkinson, AHCA President and CEO

2 Sector Background

3 The Numbers Supply of Investment-Grade* Seniors Housing and Care Properties in the U.S. (as of Q4 2013**) ***One nursing bed is equivalent to one unit. Source: NIC Research

4 How We’re Doing

5 Short-Stay vs. Long-Stay

6 Key Factors: How People are Doing
State in which they operate Payor mix Debt structure

7 Opportunities

8 Aging Population

9 Challenges

10 Federal Government is Broke

11 Risks That We Face Have Changed
2010 The Hill CMS Changing Payment Models 2016

12 Changing Payment Models

13 Population Growth – 80-84 Years

14 More People Will Need Our Post-Acute Services
Source: SNF Volume from Avalere projection model; Medicare enrollment from 2015 Trustees’ Report

15 Some Providers Will Win

16 What CMS Wants

17 CMS Support of Health Care Delivery System Reform will Result in Better Care, Smarter Spending, and Healthier People Key characteristics Producer-centered Incentives for volume Unsustainable Fragmented Care Systems and Policies Fee-For-Service Payment Systems Key characteristics Patient-centered Incentives for outcomes Sustainable Coordinated care Systems and Policies Value-based purchasing Accountable Care Organizations Episode-based payments Medical Homes Quality/cost transparency

18 During January 2015, HHS Announced Goals for Value-Based Payments Within the Medicare FFS System

19 Implications of Changing Payment Models to Law
Incentive for therapy is eradicated Pressure on length of stay New theories of liability

20 2016 Election

21 2016 Election House – Unlikely to change Senate – In Play
246 Republicans 188 Democrats Senate – In Play Republicans defending 24 seats Democrats defending 10 seats Presidency – In Play

22 Likely Result Senate will go to whoever wins the presidency

23 All Republican Line-Up
Medicaid at risk Reduction of provider tax Block grant proposal Per capita cap Other supplemental payments

24 All Democrat Line-Up Congressional gridlock continues
CMS still very active

25 Tort Liability

26 2015 Aon Report: Key Findings

27 2015 Aon Report: State by State

28

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