Several states have also targeted nursing facilities for significant cuts in Medicaid payments. Nursing homes have historically relied more on Medicaid than Medicare, because the latter does not cover most long-term care.
Rosenbloom said the patient breakdown is shifting, however. Nursing homes are seeing a shrinking number of long-term stays and an increasing amount of short-term visits, often for rehabilitation after an operation. Those services are covered by Medicare.
“Medicare stability becomes more important in the face of a very unstable Medicaid environment,” Rosenbloom told The Hill.
The data the Alliance is releasing Wednesday, compiled by Avalere Health, break down the number of people employed by nursing facilities in 10 of the country’s largest metro areas. The Miami area, for example, is home to some 38,000 nursing facility employees, generating about $1.2 billion in wages and more than $3.4 billion in “total economic output,” according to the Avalere data. The Alliance says about 70 percent of nursing homes’ expenses are wages and benefits.