Is the Nursing Home Industry Disappearing?

The nursing home industry, as we know it today, is diminished and may be disappearing. Nursing home utilization has been declining since before the pandemic and declined 32% from 2015 to 2022. The so-called institutional bias in the Medicaid program – which made nursing homes a mandatory service and limited payments for non-nursing home care – has been gone for a decade. Nursing facilities blame their problems today on their inability to recruit and retain staff, leading to the lowest staffing levels in years, and on low reimbursement rates. But these arguments do not withstand scrutiny.

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