Most of the cost is borne by Medicaid because people exhaust their insurance and assets. It’s a nasty business, the operators extract money through various mea

Most of the cost is borne by Medicaid because people exhaust their insurance and assets. It’s a nasty business, the operators extract money through various means and labor costs are high. The facilities “lose” money but the owners make money through kickbacks from rehab, OT and other providers, who get better reimbursements from Medicare. The way to lower cost is in-home care. A modern, well run operation providing at home care, rehab and other value ad services deliver higher quality care at lower cost and higher margins.