CMS has finalized the FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) rule, effective October 1, 2026. The rule includes a 2.4% net payment update, finalized quality reporting and value-based purchasing changes and a detailed response to the agency's request for information on PDPM case-mix creep. CMS did not impose a new case-mix […]

For most of Medicaid’s history, eligibility was treated as an administrative gate: applicants submitted paperwork, caseworkers processed it, and oversight happened later — if at all — through audits and fraud investigations conducted long after the money had gone out the door. That model is disappearing. Driven by mounting federal pressure to curb improper payments, […]

Board members and owners do not need to be accountants to recognize when a post-acute or senior care organization is drifting into financial trouble. They do, however, need to know which numbers matter, what those numbers are really saying and when to start asking harder questions.