3 min read

[BLOG] Post Acuity Insights: Americans More Sick Than Ever, CMS Playing Jenga

By Prime Care Tech Marketing on Sun, Oct 01, 2023 @ 08:00 AM

Increased patient acuity numbers in hospitals do not usually signal something positive in the healthcare system ̶ unless you’re a post-acute care facility, that is. But wait, is that even true? It's true that both adult inpatient and tertiary inpatient days are expected to increase by 8% and 17% in the next decade… It's true that hospital inpatient capacity has remained relatively unchanged… It's true that there is a projected 13% growth in home hospice care...

So what’s the negative amidst all those "positive" statistics?

Hospitals and post-acute care facilities will only be able to reap the benefits if they don't get impaled by the small chink in the armor: The new CMS mandates.

Let’s digress for a moment so that we can better understand why that is:

In reviewing a report by Vizient and its subsidiary Sg2, from 2019 through 2022, hospitals saw a 10% increase in patient acuity rate alone on account of more Americans requiring inpatient chronic condition care. However, their capacity has remained relatively unchanged, which means current care delivery models will need to be revised in order to meet the growing volume. Why is that good for post-acute care facilities you may ask? Because in the coming years, hospitals are going to be at their wits end, and post-acute care facilities can be the knights in shining armor, as they have the resources capable of offsetting the additional strains hospitals will face.

So how do the new CMS mandates interfere with that again?

As we debriefed in our September 9th blog, the new CMS mandates include a minimum staffing rule that increases RN hours from 8 hours/7 days a week, to 24 hours/7 days a week. They’ve been courteous enough to do the math on how much money is needed to implement the new requirements ($40.6 billion!) over the next 10 years, but seem to have run out of brain power when it comes to providing solutions on how to procure those numbers. With no answer on where the funds are coming from to support the additional RN and nursing aide hours being demanded of them, facilities everywhere are being sent into a scramble over how to stay in compliance.

In an ideal world, the CMS would provide some kind of funding solution and all would be well, but they haven’t. Because of this, if one does not move tactfully, the CMS mandates are a double-edged sword that could topple the delicate tower made up of hospitals and post-acute care facilities, with hospitals being at the top. The combination of ever-growing patient acuity cases, increased demand for post-acute care facilities and the lack of funding now has the capacity to overwhelm both hospitals and post-acute care facilities simultaneously. A 2-for-one special, very appetizing.

There’s a strong argument that the CMS mandates will only serve to increase the exclusivity of care, as many facilities will fall out of compliance, challenging the CMS’s opinion that the new proposal will better serve residents by ensuring that they are able to receive the safest and highest quality of care. It seems, rather, that the changes would ultimately limit the overall access to care. Would you rather Grandma have some care or none at all? It is not difficult to see how such ambitious, black and white thinking could severely jeopardize millions of Americans desperately in need of post-acute care.  

Let’s do a quick SWOT analysis of the situation to summarize:


  • Post-acute care facilities have the necessary acuity settings to treat patients in need of specialized medical care.


  • The current hospital care delivery models will not support the growing patient volume.
  • Hospital inpatient capacity is remaining relatively unchanged.
  • Post-acute care facilities need more RN and nursing aides.
  • Post-acute care facilities need funding to fulfill the new CMS mandates.


  • Hospitals will look to post-acute care facilities to accommodate the increased demand for inpatient medical care.
  • Post-acute care facilities can anticipate more revenue opportunities with increased demand.


  • If CMS does not provide funding solutions, many post-acute care facilities will be out of compliance, thus disrupting the hospital-post acute care facility pipeline.


Whether the new CMS mandates are going to help or hinder the ability for post-acute care facilities to keep hospitals from drowning in the moat, time will only tell.

Topics: IT CMS requirements Prime Care Technologies CMS RN Staffing requirement #solutions
1 min read

[On-Demand Webinar]: When Five Star Aligns: CMS Audits and Your PBJ Data

By Prime Care Tech Marketing on Mon, Jul 02, 2018 @ 10:46 AM

If you missed our June 27 webinar on PBJ reporting and its impact on your Five Star staffing rating with Cheryl Field, Chief Product Officer, the following tools are available to help you mitigate this change:

If you'd like to see more of primeVIEW with PBJ, just schedule a demo and we'll get in touch.






Topics: pbj reporting CMS requirements post-acute business intelligence dashboard CMS reporting
2 min read

[VIRTUAL TRADESHOW] Transform Operational Drag into Excellence - Aug 2-3

By Prime Care Tech Marketing on Tue, Jul 18, 2017 @ 09:52 AM


Join us for Prime Care Technologies' August 2-3 Virtual Tradeshow. This show features seven strategic sessions with top post-acute providers and vendors who will discuss highly-efficient solutions for meeting your operational demands in purchasing, regulatory, staffing, revenue, claims and more.

Wednesday, August 2

10:30-11:30 a.m. ET

Executive Decision-Making: Leveraging Facility Data as Business Intelligence

Speaker: Kim Sonderegger, Pinnacle Quality Insight

Panel: Samantha Broussard, Plantation Management; Eric Rivard, Plum Healthcare Group, Cheryl Field, Prime Care Technologies

12:30-1:30 p.m. ET

E-Procurement: Innovative Management of Healthcare Spend

Speaker: Jessica Spencer, Medline Industries

Panel: Pam Mink, Foundation Health Services and Rusty Zosel, Procurement Partners

2-3 p.m. ET

CMS Requirements for Participation: Need-to-Know Compliance Tips for Long-Term Care

Speakers: Clifton Porter, AHCA; Clint Maun, Maun-Lemke, LLC

Panel: Cheryl Field, Prime Care Technologies

Thursday, August 4

10:30-11:30 a.m. ET

Revenue Cycle Management; Cash is King

Speaker: Clint Maun, Maun-Lemke, LLC

Panel: Becky Yocum, American Healthcare, Patti Bolen, Southern HealthCare Management and Kimberly Sturm, Prime Care Technologies

12:30-1:30 ET

Cybersecurity: Protecting Your Critical Points of Access

Speaker: Fred Layfield, Prime Care Technologies

Panel: Jim Hoey, Prime Care Technologies

2-3 p.m ET

Attracting and Retaining Staff in a Competitive Market

Speaker: Lisa Thomson, Pathway Health

Panel: Diane Harrison, Magnolia Manor; Barbara Wilkins, Kindred Care/Rehab-Greenbriar; Joe Stone, Prime Care Technologies

3-4 p.m. ET

Healthcare Risk Management: Employee Safety Practices to Prevent Liability

Speaker: David Mathog, USI Insurance Services

Panel: Joe Stone, Prime Care Technologies

Topics: KPI automated revenue cycle management system revenue cycle management applicant tracking BI dashboard dashboard, data data warehouse resident liability Using Business Intelligence patient liability business analytics LTC Claims staff reporting managed services CLAIMS AUTOMATION LTC recruitment CMS compliance for LTC LTC insurance solutions LTC risk management healthcare risk management employee safety cybersecurity e-procurement healthcare spend management LTC facility data CMS requirements


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