Amendment ID: S2202-10

Amendment 10

nursing facilities cost trends report

Ms. Jehlen and Mr. Montigny move to amend the bill by inserting the following new section:-

SECTION XX. Notwithstanding any special or general law to the contrary, the center for health information and analysis, in consultation with MassHealth, the executive office of elder affairs and the health policy commission, shall conduct an examination of cost trends and financial performance among skilled nursing facilities, as defined under 957 CMR 7.02. The information shall be analyzed on an institution-specific, provider organization and industry-wide basis and shall include, but not be limited to: (i) gross and net patient service revenues; (ii) other sources of operating and non-operating revenue; (iii) trends in relative price, payer mix, case mix, utilization and length of stay dating back to 2010; (iv) affiliations with other health care providers including, but not limited to, preferred clinical relationships and partnerships; (v) categories of costs including, but not limited to, general and administrative costs, nursing and other labor costs and salaries, building costs, capital costs and other operating costs; (vi) total spending on direct patient care as a percent of total operating expenses; (vii) operating and total margin; (viii) occupancy rates; and (ix) other relevant measures of financial performance and service delivery. These measures shall distinguish long-term from short-stay residents to the extent possible.

The report and any recommendations shall be filed with the clerks of the senate and  house of representatives, the chairs of the house and senate committees on ways and means and the chairs of the joint committee on elder affairs not later than December 31, 2018.