The FY 2027 SNF Proposed Rule may only be 40 pages long… but the implications for skilled nursing operators are massive.

In this episode of Gravity Healthcare Hacks, Melissa Brown breaks down the biggest takeaways from the proposed rule and explains what SNF leaders should be paying attention to right now — including reimbursement changes, PDPM case mix concerns, therapy adjustments, quality reporting updates, and why CMS is signaling increased scrutiny around MDS coding and documentation.

Melissa also walks through:

• The proposed 2.4% reimbursement increase — and why many operators feel it falls short
• CMS concerns around “case mix creep” under PDPM
• Proposed payment reductions to Speech, Nursing, and NTA
• Why therapy components may actually increase
• What operators should be advocating for before the June 1, 2026 comment deadline
• How future all-payer MDS reporting could reshape quality visibility
• The growing importance of Medicare Advantage quality outcomes
• Why now is the time to audit your MDS processes and documentation

If you operate a SNF, manage reimbursement, oversee MDS, or lead clinical operations, this is an episode you do not want to miss.

Read more and access additional insights from this episode here:
https://gravityhealthcareconsulting.com/gravity-healthcare-hacks-podcast/fy-2027-snf-proposed-rule

Need help auditing your MDS processes, PDPM accuracy, or reimbursement strategy?
Visit Gravity Consulting or contact Melissa Brown and the Gravity team to learn how we help SNFs improve reimbursement accuracy, operational performance, and clinical outcomes.

Connect with Gravity Consulting:
• Website: https://gravityconsulting.com
• Contact Melissa Brown: https://gravityhealthcareconsulting.com/schedule-a-consultation
• LinkedIn: https://www.linkedin.com/company/gravityhealthcareconsulting

Thanks for listening to Gravity Healthcare Hacks. Be sure to subscribe, leave a review, and share this episode with another healthcare leader navigating the changing SNF landscape.

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Contract rehab used to make sense.
Today… it’s quietly holding a lot of buildings back.

In this episode of Gravity Healthcare Hacks, Melissa Brown and Carly Chronister break down what’s actually changed—and why more organizations are moving to an in-house, hybrid therapy model.

This isn’t theory.
It’s what’s happening right now inside real communities.

You’ll hear:

• Why PDPM and PDPM Medicaid changed the economics of therapy (for good)
• What contract therapy companies are no longer delivering—and why it matters
• How the hybrid model works (and what support actually looks like after startup)
• The real “gut check” numbers for therapy utilization in LTC, AL, and IL
• What happens to margins, outcomes, and staff morale when you make the switch
• What the transition process actually looks like (and why it’s easier than most expect)

If you’ve ever wondered whether your therapy program could be doing more—for your residents and your building—this episode will give you a clear answer.

Because at the end of the day, this isn’t just about therapy.
It’s about control, visibility, and outcomes.

If this hits home for you, visit www.gravityconsulting.com and schedule a call. We’ll show you exactly what’s working, what’s not, and what to do next.

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Is your rehab program truly performing — or just getting by?

In this episode of Gravity Healthcare Hacks, Melissa Brown and Lead Therapy Consultant Carly Chronister unpack what’s really happening inside today’s therapy departments — and why more leaders are requesting independent rehab audits than ever before.

With PDPM Medicaid reshaping financial realities and contract therapy models under pressure, many communities are starting to ask hard questions:

• Are we getting the clinical outcomes we should be?
• Is our therapy team properly supported?
• Are we leaving margins on the table?
• What risks might we not be seeing?

Melissa and Carly walk through what a comprehensive rehab audit actually reveals — from compliance gaps and operational blind spots to functional treatment opportunities and group therapy strategies that most buildings are underutilizing.

They also discuss:
• Why therapist morale has declined in many contract models
• The difference between “staffing a department” and strategically leading one
• Common onboarding failures that set new therapists up to struggle
• Why simply going in-house isn’t enough without the right oversight
• How a hybrid management model can improve margins, outcomes, and retention

If your gut is telling you something isn’t quite right in rehab, this episode will help you understand what to look for — and what to do next.

Because in today’s environment, it’s not enough to assume therapy is working. You need to know.

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