Skilled Nursing News January 5, 2026
Amy Stulick

The nursing home sector in 2026 will be defined by rapid change, leaders said, as payment constraints, workforce shortages and rising expectations from the public and government entities converge.

All the while, operators brace for Medicaid uncertainty and Medicare Advantage growth. Shortened retroactive eligibility periods and potential state-level cuts to Medicaid programs may further contribute to coverage gaps and financial strain, leaders said. Moreover, MA brings lower reimbursement, shorter stays and higher administrative burdens into the new year.

Data-driven decision making and collaboration within communities are emerging as essential strategies to sustain care delivery and quality. Heavy investments in AI will be a critical lever in 2026, helping with lengthy admissions summaries and virtual nursing support in rural settings.

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