Change is coming. There is some uncertainty about the details, but one thing is for sure. Over the next five years, occupancy and third-party payments will decrease while the acuity of residents will increase. Senior care providers need to consider these factors as they develop strategies for the future.
They also need to optimize results in the short term, so that they can strategically transition from the current fee-for-service payments to episodic or capitated arrangements, part of the nation’s efforts to bring down healthcare costs while at the same time increasing quality. QUALITY INFORMATION FOR STRATEGIC PLANNING
So how do you prepare for these major changes? Our proprietary EDGE report can help you optimize your current opportunities and position you for a dramatically different reimbursement environment.
Plante Moran Edge™ report will utilize the information from your Medicare cost reports to compare your organization to other facilities in your market. Depending on your location, the report can also benchmark your Medicaid performance. Plante Moran Edge™ reports are available for ICF/IID homes, skilled nursing facilities, and home health agencies. You can depend on the EDGE report to provide invaluable information for your current decision making and strategic planning.OBSERVATIONS AND ACTIONABLE ITEMS
You will appreciate that Plante Moran Edge™ report benchmarks your organization against like-sized facilities and peer groups rather than control types. The report will provide overall observations as well as actionable items. The observations will cover:
- Market share
- Overall operations
Actionable items can include:
UNDERSTANDING THE NUMBER
- Medicare & Medicaid rate projections
- Case mix optimization
- Bad debt
- Utilization review
- Reimbursement issues
- Operational improvements regarding staffing, wages, benefits, & expense reduction
- Key ratios on profitability & capital structure
- Market demand issues
- Therapy & ancillary utilization
- Billing & collection
- Strategic positioning
Our team of healthcare professionals will also help you put the Plante Moran Edge™ report information into perspective and help you prioritize your responses, so that you implement the changes that will have the most impact.
The goal is to help you realize improvements as quickly as possible and begin positioning your organiza-tion for healthcare reform