A survey of skilled nursing operators was conducted by the Alliance for Quality Nursing Home Care and Avalere Health.
A significant number of participants indicated that they planned to lay off employees, slash benefits and delay building plans due to looming or recent Medicare and Medicaid cuts.
More than 30% of respondents to say they would lay off direct caregivers. 75% said that pay raises would shrink or be frozen. About 20% said new construction or renovation

Michael is an accomplished leader with deep expertise in the healthcare sector. As the CEO of Prime Source, he has driven innovation and strategic growth in healthcare procurement and management. His extensive knowledge of the industry has made him a sought-after speaker, regularly lecturing at trade groups, seminars, and to industry executives on the most pressing healthcare trends and challenges. Michael is passionate about exploring the intersection of business and healthcare, providing thought leadership that shapes the future of the field.
