Skilled Nursing News November 26, 2025
Kristin Carroll

Achieving financial stability and growth in the current reimbursement environment is no small task for nursing home providers.

Three particular challenges relate to value-based purchasing (VBP) program changes, effects of the One Big Beautiful Bill Act (OBBBA) and the continued rise of Medicare Advantage, leaders with Ignite Medical Resorts and ArchCare said during a recent Skilled Nursing News webinar.

When asked how changes to the value-based purchasing program have affected ArchCare, Chief Medical Officer Dr. Taimur Mirza offered a succinct answer: “Negatively.”

“When it was focusing just on the 30-day readmissions, that’s something that we could have a little more tighter control over, but with the nurse turnover and the nursing hours per resident day [added], it’s become much...

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