In this on-demand webinar, presented in partnership with Skilled Nursing News, Omnicare’s clinical and pharmacy experts break down how VBC models are reshaping reimbursement, what SNF Value-Based Purchasing changes mean for your facility through 2029, and how vertical clinical data alignment and pharmacy-embedded collaboration are driving measurable outcomes for operators today.
Inside the Webinar
Long-term care reimbursement has moved through multiple stages. Originally there were simple per diem payments based on admissions that then moved to tying bed count & revenue to quality reporting and readmissions. Soon after, revenue became concretely impacted by the processes that drive those readmissions, and today we see full risk-sharing through VBP contracting. Each stage has pushed payers, providers, and operators closer together on outcomes.
SNF Value-Based Purchasing isn’t static. What began in 2019 as a program focused on a single 30-day all-cause readmissions measure has evolved into a multi-measure reimbursement model. CMS now includes measures such as falls with major injury, hospitalization rates, staffing performance, discharge outcomes, and infection-related hospitalizations, and beginning with the FY 2028 program year, the original all-cause readmission measure is being replaced by a potentially preventable readmissions measure. CMS already withholds 2% of all Medicare Part A SNF payments based on performance, and the FY 2028 measurement period is underway right now.
Getting VBC results isn’t about running every initiative at once. It starts with prioritizing the measures and adverse outcomes that carry the greatest clinical, operational, and financial risk. From there, success depends on real interdisciplinary buy-in (includes the Medical Director, Nursing Director, Pharmacist, family, payer, etc.), each with defined roles, plus ongoing reporting to track progress. Omnicare’s approach pairs that structure with active investment in analytics, workforce expertise, and technology to support outcomes-driven partnership.
Who This Webinar Is For
- Skilled nursing and senior living operators navigating SNF Value-Based Purchasing, I-SNP, and ACO participation
- Directors of Nursing, Medical Directors, and clinical leaders responsible for readmissions, falls, and medication-related outcome measures
- C-suite and regional operations leaders evaluating pharmacy partnerships and vertical data strategy for 2027 & 2028 planning
- Payer-facing and population health teams coordinating clinical performance across ACO and Medicare Advantage networks
Featured Speakers & About This Session
This webinar was hosted in partnership with Skilled Nursing News and features Omnicare’s clinical and pharmacy leadership discussing how the organization is investing in analytics, workforce expertise, technology, and expanded clinical partnership to support value-based care outcomes for senior living providers.
What You’ll Learn
In this session, Omnicare’s pharmacy and clinical leaders unpack the shift from volume to value in long-term care, including:
- Value-based care models: how VBP, I-SNP, ACO, and TEAM model structures create financial incentives for proactive, quality care
- Financials and long-term care: how value-based reimbursement is reshaping SNF and senior living revenue
- Vertical clinical data alignment: what it means, how it works, and how to build a model that drives outcomes
- Pharmacy-embedded collaboration: how embedded pharmacy partnerships transform value-based results
Proven Results: Omnicare in Action
From medication optimization to clinical risk reduction, Omnicare is already driving measurable value-based care outcomes for providers, payers, and residents. Examples include:
- A national SNF operator was able to achieve chain-wide, single-year reductions in PPI, SSI, anxiolytic, and antipsychotic use through medication optimization and strengthened Consultant Pharmacist-Medical Director engagement
- A regional SNF operator reached significant reductions in sliding scale insulin utilization and meaningful single-year reductions in antipsychotic use, SSIs, hypnotics, and high-risk medications
- A single-state SNF operator improved medication adherence by helping DONs identify I-SNP residents due for STAR-measure refills and partnered with payers to track success and barriers
Frequently Asked Questions (FAQs)
A: Value-based care ties reimbursement to patient outcomes and quality measures rather than service volume. In long-term care, this includes CMS’s SNF Value-Based Purchasing program, I-SNPs, ACOs, and emerging models like the TEAM model, all of which reward proactive, coordinated care.
A: CMS withholds 2% of all SNF Part A payments and redistributes it based on facility performance against quality measures. The measure set is expanding through 2029 to include staffing, discharge, and process-driver measures in addition to readmissions and falls.
A: More than half of Medicare-eligible residents are now enrolled in Medicare Advantage plans, which pay differently than traditional Medicare, often require network participation, and can influence referral patterns (with higher-performing, higher-rated facilities receiving more favorable referrals).
