The New Healthcare Agenda for CCRCs & Life Plan Communities 

Back to Resources
ATIWebinars
02/26/2024
AUTHOR – ATI Advisory

Summary

Fred Bentley, Managing Director of ATI Advisory’s Post-Acute/Long-Term Care & Senior Living Practice, moderated a discussion on the healthcare opportunities and challenges facing continuing care retirement communities (CCRCs) during the webinar, “The New Healthcare Agenda for CCRCs & Life Plan Communities.” Panelists present were Phil Chuang, Senior Vice President of Healthcare Services at HumanGood; Nicole Fallon, Vice President of Integrated Services & Managed Care at LeadingAge; and Ted Goins, President and CEO at Lutheran Services Carolinas.  

Labor Shortages and Payment Challenges  

The conversation first focused on the challenges CCRCs face in running their nursing homes, which stem from chronic workforce shortages, steep increases in labor costs, and inadequate reimbursement from state Medicaid programs and Medicare Advantage plans. The panelists noted that, while some CCRCs have opted to exit this line of business, most CCRCs want to honor the commitment to their residents to offering nursing home services on their campus. To do so, CCRCs will need to right-size their nursing homes and develop creative partnerships with other CCRCs and nursing home operators to generate economies of scale.

Opportunities in Home- and Community-Based Services    

CCRCs are expanding into home- and community-based services. Panelists discussed successful experiences with Programs of All-Inclusive Care for the Elderly (PACE) and highlighted other service opportunities. They emphasized the importance of diversification and strategic negotiation with managed care to capture the value of their services. 

Navigating Market Dynamics and Value-Based Care

Bentley and the panelists underscored the importance of understanding market dynamics and evolving healthcare payment models, particularly in managed care. Panelists suggested building relationships with MA plans and leveraging value-based care initiatives to enhance revenue and service delivery. They emphasized the need for CCRCs to adapt to these changes and proactively position themselves for success in the shifting healthcare landscape. 

Conclusion

The discussion on CCRCs’ role in healthcare highlighted challenges like labor shortages and payment complexities, alongside opportunities in home- and community-based services. Strategic adaptation to market dynamics and value-based care models is essential for sustainable operations and quality care delivery. CCRCs must stay agile and proactive to thrive in the evolving healthcare landscape. 

Upcoming Webinars

By participating in our webinar series, you’ll not only stay well-informed about the ever-evolving healthcare landscape but also have the opportunity to engage in meaningful discussions with experts and peers. Don’t miss out on this chance to be a part of the conversation and register today for our next webinar as we continue to explore critical topics shaping the future of healthcare.

Watch the Complete Webinar

Recent Webinars

Webinars

The Hospital Discharge Crisis: Defining the Challenge

In the aftermath of the COVID-19 pandemic, hospitals are struggling to find appropriate post-acute care placements for patients. The convergence of clinical workforce shortages, rising patient acuity, and the national mental health crisis has dramatically extended hospital stays, and left patients ready for discharge stranded in hospital beds. Anne Tumlinson, CEO and Founder of ATI Advisory, and Fred Bentley, Managing Director of ATI Advisory’s Post-Acute and Long-Term Care practice, hosted the first in a series of webinars unpacking challenges and solutions to this crisis.
Read More Read More
Webinars

TEAM: CMS Releases the Most Significant Mandatory Bundled Payment Model to Date

ATI Advisory CEO Anne Tumlinson and Brian Fuller, Managing Director of ATI’s Value-Based Care Design and Delivery Practice, presented an overview of the Transforming Episode Accountability Model (TEAM), CMMI’s new mandatory five-year, episode-based alternative payment model. The release of this model comes as part of a broader push to move 100% of Medicare beneficiaries into value-based care models by 2030. The CY 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule outlines a 30-day episode bundled payment model, with five major surgical procedures as initial targets.  
Read More Read More
Webinars

Hawaii Advances Medicaid Innovation with Section 1115 Demonstration Submission: Summary of Key Provisions and Insights

Johanna Baraza Cannon and Morgan Craven, Directors in the State Program and Policy Practice at ATI Advisory, presented an overview of Hawaii's Medicaid Section 1115 demonstration renewal process. 
Read More Read More
See more Webinars
Share
LinkedIn / /