60 Seconds with ... Joe Lubarsky, president Eljay LLC

Share this article:
Joe Lubarsky, president Eljay LLC
Joe Lubarsky, president Eljay LLC

Q: What has this year's examination of state Medicaid rates shown?

A: Adequacy of Medicaid payment for nursing facility services continuing to decline to their lowest point since the inception of the study 11 years ago. 

Q: What's that mean in numbers?

A: The deficit per resident day climbed to $22.34 on average in 2012. That's a 20% increase in the shortfall over the last two years. It's now projected to exceed $7 billion across the country. For every dollar spent on nursing care services, the state pays an average of 89 cents, or an 11-cent shortfall on every dollar spent.

Q: Is there any optimism ahead?

A: I don't predict any significant shifts until there are significant improvements in state economies, and even then, the trend will continue to be toward a higher priority of funding for non-institutional services.

Q: What raised your eyebrows this year about this study?

A: It's actually a little bit worse than what I expected. What concerns me the most is that, historically, states have never kept up with the costs, but at the same time, growth rates have never slowed at such a level as today. It's just a 1% increase on average.

Share this article:

More in News

Long-term care continues to lead in deal volume and value: PwC report

Long-term care continues to lead in deal volume ...

Long-term care bucked healthcare industry trends with strong merger and acquisition activity in the second quarter of 2014, according to newly released data from professional services firm PricewaterhouseCoopers.

Empowering nurse practitioners could reduce hospitalizations from SNFs, study finds

Granting more authority to nurse practitioners is associated with reduced hospitalization of skilled nursing facility residents, according to recently published findings.

Pioneer ACO drops out of program, despite reductions in skilled nursing utilization

A California healthcare system has become the latest dropout from the Pioneer Accountable Care Organization program, despite reducing skilled nursing facility utilization and improving its readmission rates. Sharp HealthCare announced its decision in a quarterly financial statement released Tuesday.