The challenges most front and center on seniors housing providers minds are actual and proposed cuts in Medicaid reimbursement and figuring out what impact the adjustments under Medicare’s new Resource Utilization Groups-IV (RUGS-IV) and Minimum Data Set (MDS) 3.0 system will have. The Great Recession may officially be over, but aftershocks are being felt at all levels of government, notably in states where pre-recession revenue is not likely to return for some time.

In spite of signs of better times, providers face the threat of Medicaid cuts and the day-to-day challenge of making ends meet.