Seniors Housing Weekly Market Update--8/23/11

August 23, 2011

60 Seconds With Steve Monroe 

August 23, 2011. Although the 11.1% average cut in Medicare reimbursement effective this coming October 1 was a shocker for skilled nursing facilities, one company is already preparing for a future of outcomes-based reimbursement...




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Generally in violent agreement

I'm generally in violent agreement with you, Steve and Karen, but as a marketeer, I have to issue a self-serving clarification. I wasn't suggesting the message of the campaign would be "move to spend less time in hospital." I was only suggesting that providing senior and housing and care providers with an incentive to collectively advertise the benefits of their offerings (ala "Got Milk")could be a good use of Federal resources if, in fact, total time is hospital is lower for those who take advantage of those programs. I'd advocate providing similar incentives to any program that reduces time in hospital. best, Dan

Incresing wellbeing

CCRCs may be as much (or more) about access to opportunities (recreation, fitness, education, dining--all with a social component) as "monitoring." Other models can create these opportunities without the "campus." CCRCs are simply one of the few options that have existed on a significant scale, therefore outcomes can be observed here. It may be that replicating "components" of CCRCs will have the same benefits but for a broader market. Being engaged is not only happy and healthy, but there is an informal "monitoring" (caring) by friends. CCRCs have given us the "concepts," but we should be thinking about applying them more broadly. I would bet that this was the intent of the pioneers in CCRCs decades ago.


Karen, well said.

Reducing time in hospital ... plaudits for Genesis

Erickson demonstrated to CMS' satisfaction that the residents living in their CCRCs spent a lot less time in hospitals than people who were not living in their communities. While Erickson has a more fully developed health care system than most -- primary and specialty care, electronic medical records, etc., I'd wager that residents who live in nearly all CCRCs probably spend less time in hospitals than their counterparts who didn't move. I suspect the same is true for IL with some support, AL, ALZ, and SNF. If true, a good use of federal resources might be to incentivize the industry to create a "Got Milk?" like campaign to lift all ships. Thoughts? (Obvious personal bias: I've been talking with industry people about this concept for some time.) best, Dan

reducing time in hospitals

Dan, I would probably agree with you since there is someone else (the CCRC) in part monitoring the CCRC resident's health issues, perhaps catching things before hospitalization is required. have to remember that the CCRC resident is not your typical senior - usually better educated, especially with regard to senior lifestyle choices, and wealthier with more frequent doctor visits than a non-CCRC resident, so comparing the two may not be accurate. Also, I don't know if the industry wants to market itself as the the place to go so you spend less time in a hospital, however nice an idea that is. It's using a negative concept (hospitalization)to drive occupancy, which is not necessarily a good way to market.

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