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From Blind Spots to Better Outcomes: How SNF Data Transparency Strengthens LTSS

August 4th, 2026
This article was originally featured in MedCity News. Long-stay skilled nursing facility (SNF) members represent one of the most clinically complex populations served through Medicaid long-term services and supports (LTSS) and remain a foundational component of many state LTSS programs. These members often live with multiple chronic conditions, functional limitations, and ongoing clinical needs that require coordination across providers and care settings. At the same time, avoidable hospital admissions and readmissions remain a major cost driver within LTSS programs. Nationally, potentially preventable inpatient stays account for an estimated $33.7 billion in hospital costs annually. As Medicaid agencies and managed care...read more

Reducing SNF Hospital Readmissions with Interventional Analytics

September 5, 2024
A recent study of skilled nursing facilities (SNFs) in the American Journal of Managed Care finds that using interventional analytics to prevent hospital readmissions can potentially save Medicare nearly $2.8 billion dollars in annual spending. Hospital readmissions come at a cost to members, health plans, and health systems, representing a significant challenge for SNFs. Of the 1.7 million SNF admissions in the United States annually, more than 20% result in hospital readmissions within 30 days, leading to roughly $5.2 billion dollars in Medicare costs. Findings from the retrospective analysis of the 30-day hospital readmission rates between 2017 and 2022 indicate that SNFs equipped...read more

The Value of Bridging the Data Gap Between Acute and Post-Acute Care

August 27, 2024
This article was originally featured in Healthcare IT Today. When acute care providers look at hospital readmissions, it is natural to think about what is being done once the patient is discharged. However, what many forget is that a large portion of patients are discharged to a post-acute facility. In order for post-acute care teams to address things like readmissions and length of stay (LOS), it is essential for acute care providers to create collaborative relationships with their post-acute partners. This includes sharing of data between organizations. Plus, this need is even more apparent when an acute care organization is...read more

Improving LTPAC Management Interventions Using Real-Time Analytics

June 19, 2024
Real-time analytics improves care management in long-term care by enabling timely interventions and enhancing outcomes under value-based care models.   With real-time interventional analytics, care management teams can monitor member data and respond to changes in status immediately. In nursing homes and skilled nursing facilities (SNF), historically challenging settings for health plan monitoring and care management, immediate data analysis is a better solution than relying on past data to predict future problems. "Individuals in these facilities are a special population, one that health systems and health plans often lose sight of from a care management and data perspective. But the...read more

VOICES: Scott Rifkin, MD, Founder and Executive Chairman, Real Time Medical Systems

June 5, 2024
This article is sponsored by Real Time Medical Systems (Real Time). In this Voices interview, Skilled Nursing News sits down with Scott Rifkin, MD, Real Time’s Founder and Executive Chairman, to talk about the impact of value-based care in the skilled nursing industry. Scott provides his insight into the future of value-based care with post-acute and long-term care populations, and offers his perspective on how post-acute providers can prepare for meeting CMS’ Accountable Care Organization relationship goals while adapting to value-based delivery models. Skilled Nursing News: What life and career experiences do you most draw from in your role today? Scott Rifkin: I’ve...read more

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