Despite staffing challenges, HCBS interest remains strong among senior living providers

Home-based and community-based service delivery remained relatively flat or declined among most of the largest nonprofit senior living providers last year.

Senior living providers are generally aggressive with these services, but they are difficult to manage due to various factors, including staffing issues.

The LZ 200 is an annual report conducted by LeadingAge and Ziegler Healthcare Investment Banking that examines the nation’s largest 200 nonprofit senior living multisite, government subsidized housing multisite, single campus.

Of these aged care providers, 42% provided some form of home and community-based care. This includes home health care, home care, adult day care, home continuing care (CCaH) programs, and all-inclusive care programs for older adults (PACE).

“The overall approach to HCBS has been largely stable over the last few years, even with the impact of COVID,” Lisa McCracken, senior living research director at Zeigler, told Home Health Care News in an email. Told. “But we know staffing pressures are having an absolute impact on our ability to grow these platforms.”

Staffing pressures have forced healthcare providers across the board to reconsider launching new lines of service or investing in existing lines of service, but “the numbers are growing within LZ 200 between home care and It shows a relatively stable commitment to home care,” LeadingAge’s home care and hospice operations and policies also told HHCN in an email.

Based in Washington, DC, LeadingAge is an advocacy group made up of non-profit organizations that contribute to an aging society. Chicago-based Ziegler, on the other hand, is a privately held investment bank that specializes in home health care and senior living.

The largest providers in this year’s LZ 200 include Trinity Health Senior Community, Presbyterian Village, Michigan, St. Paul Senior Services, Holland Homes, Concordia Lutheran Ministries, and Brio Senior Living Services.

There are slight declines and rises in the chart above, which could also be attributed to the disparity of respondents from year to year.

For example, CCaH, which has grown in popularity in recent years, has dropped from 10% to 8% among providers. But that probably doesn’t indicate a larger trend.

“The composition of the LZ 200 varies slightly each year, depending on who moved and who merged,” McCracken said. I can say that we continue to see a commitment to

In fact, LeadingAge has seen more nonprofits launch CCaH in the last year, according to Dee Pekhrun, Director of Life Plan Community Services & Policy at LeadingAge.

On the other hand, the coming-of-age day model is still struggling. After his serious COVID-19-related problems from early 2020, many providers had to start from scratch as the pandemic finally eased.

“Adult day providers are still navigating a lot of unclear regulations around the reopening of gathering places,” Burnett said. Combined, this is a major issue and could make it difficult for some providers to justify maintaining these lines of service.”

When it comes to home health care, LeadingAge and Ziegler experts did not believe that the uncertain pricing environment would lead to fewer providers offering services.

However, staffing can still be a challenge in home health care, so joint ventures are popular in this area. Nearly 35% of LZ 200 organizations are involved in formal his JVs with another provider, health system, home health or home care agency. This is up from 29% who had such partnerships in 2021.

McCracken also noted that some providers may look to technology to solve some of the staffing issues they face.

“I think it’s important to focus on the role of technology in this area,” she said. “This will allow us to reach far more people than ever before. We’re producing some of the platforms.”

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