The Capital Issue

June-July 2017 

 

In the summer edition of The Capital Issue, we start off by examining The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and what health care providers are doing to prepare. Next, we profile actions the U.S. Department of Agriculture (USDA) is taking to make its health care infrastructure financing programs more efficient and effective. In our senior living article, we detail how the five-star rating system for skilled nursing is used by various players in the industry and what providers can do to ensure they obtain a high rating. For our housing article, we take a look at how states are dealing with the uncertainty in the low-income housing tax credit (LIHTC) market that is imperiling many affordable housing transactions. Finally, our After the Financing article profiles Wesley Woods at New Albany, a new retirement community where kindness and grace are more than just words but a way of life.

We hope you enjoy the start to summer and please don’t hesitate to reach out with any questions.

Sincerely,

Nick Gesue, CEO

Providers Prepare for MACRA
6/12/2017

Providers Prepare for MACRA

Since The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law, uncertainty has loomed over Medicare providers. The Act is slated for implementation on January 1, 2019, and will use clinician performance data from 2017 in determining payment for future reimbursement. The law passed with strong bipartisan support as it effectively eliminated the sustainable growth rate formula, which posed reimbursement risks in the event of economic downturn. Policymakers are optimistic the changes will support advancement in electronic health records and an increased focus on quality of care, while simultaneously implementing cost savings.

Federal Funding Spotlight: Community Facilities Direct Loan Program
6/11/2017

Federal Funding Spotlight: Community Facilities Direct Loan Program

The United States Department of Agriculture (USDA) is growing its role as a funding partner for health care and senior living providers located in rural areas of the country. While many providers are navigating uncertain futures, one area that seems to be on solid footing is health care infrastructure financing. In sync with the new administration’s policy to enhance infrastructure investments, funding for USDA’s Community Facilities (CF) direct loan program grew in federal fiscal year (FFY) 2017 and may be further expanded in FFY 2018.

The Five-Star Rating System for Skilled Nursing: Perceptions and Effects
6/10/2017

The Five-Star Rating System for Skilled Nursing: Perceptions and Effects

The Centers for Medicare & Medicaid Services (CMS) introduced its Nursing Home Compare five-star system for skilled nursing facilities in December of 2008 to assist the public in identifying meaningful distinctions among skilled nursing providers. The skilled nursing facility (SNF) five-star rating is based on health surveys, staffing numbers and quality measures and has become a frequently referenced metric in the industry nine years after its introduction.

Tax Reform Uncertainty and the Low-Income Housing Tax Credit Market
6/8/2017

Tax Reform Uncertainty and the Low-Income Housing Tax Credit Market

Comprehensive tax reform is one of those things that politicians often talk about, but few in Washington actually believe will ever happen. After all, the last bipartisan comprehensive tax reform achievement occurred over 30 years ago, a distant past when politicians still reached across the aisle to pass major legislation. Now, with partisanship as strong and bitter as ever, it would take a myriad of factors to get to a place where tax reform is even a possibility. Setting the stage for comprehensive tax reform would likely require one-party control of both the House and the Senate, a president from that same party who is willing to take big risks, and a speaker of the house with a detailed plan. To the surprise of many, that’s exactly where we stand as 2017 unfolds.

Live Your Best Life: Wesley Woods at New Albany
6/7/2017

Live Your Best Life: Wesley Woods at New Albany

“We are a welcoming community of kindness and grace where residents and staff thrive.” That quote by Peg Carmany, chief executive officer (CEO) of The Wesley Communities, perfectly describes the essence of Wesley Woods at New Albany, The Wesley Communities’ newest continuing care retirement community (CCRC).

The Capital Issue: February-March 2017

Feature
Hospitals
Senior Living
Housing
After The Financing

Archives