Money moves
Year-End Tally: SNFs Received $29.1B in Medicaid Payments in 2025
State Medicaid programs paid SNFs a combined $29.1B in FY2025, a 6.3% increase year-over-year, with eight states enacting rate increases above 4%.
On the radar
2026 Regulatory Calendar: Key SNF Dates to Watch
Major 2026 milestones include the March 1 staffing exemption deadline, the April PDPM recalibration comment period, and October's VBP withhold increase to 4%.
Compliance
End-of-Year OIG Report: $412M in Recommended SNF Recoveries for 2025
OIG's semiannual report identified $412M in recommended recoveries from SNF Medicare overpayments in 2025, up from $347M in 2024, with therapy billing leading the findings.
Operations
2025 SNF Closures Total 338, Down Slightly From 361 in 2024
Full-year 2025 saw 338 SNF closures nationwide, a 6% decline from 2024, with the highest concentration in rural markets in the South and Midwest.
The bottom line
The year ends with Medicaid payments up, OIG recoveries up, and closures ticking down slightly, setting a complicated baseline for 2026.