Skilled Nursing News October 10, 2025
Zahida Siddiqi

As census rebounds across nursing homes, the growing influence – and financial strain – of Medicare Advantage is pushing providers to rethink both their payer mix and physical design of buildings.

While the industry is clearly moving toward Medicare Advantage and value-based care models – and making accommodations to balance quality care with reduced reimbursement – growing fee-for-service (FFS) patient base remains a critical part of the business model for some.

According to Andy Frasure, COO at Larry H. Miller Senior Health, his organization is maintaining its focus on increasing the share of FFS residents because of demographic projections.

“Operators across the country [need] to have a strategy for Medicare fee-for-service, and to have a plan in place on how...

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