What you get with a free account
- The full readAny building's occupancy, cost reports, Medicaid rate files, staffing and surveys, every number open.
- What-ifThe what-if calculator on that building's own numbers.
- WatchKeep the buildings you care about on your account and see what changed since you last looked.
- One placeEvery state report and building you open, saved together.
The library
Start with your state.
No state matches that. Every state is listed above by name or postal code.
What just changed
The moves that reach every Medicaid bed.
CaliforniaEffective 2026-07-06
Skilled nursing Medi-Cal rate system and quality assurance fee extended through 2027, repeal pushed to 2029
This law applies to freestanding skilled nursing facilities paid under the Medi-Cal Long-Term Care Reimbursement Act. It extends the quality assura…
Read it, ask us, or follow it ›
MichiganEffective 2026-10-01
Skilled nursing Medicaid daily rates rise 1.2% to 4.2% across 4 payment tiers
The 4 payment tiers move by different amounts on the same date. The biggest increase is to the Hospital Leave Day Rate rate, 4.2% to $163.86 a day.…
Read it, ask us, or follow it ›
TennesseeEffective 2026-05-26
Nursing home Medicaid assessment fee extended one more year, through June 30, 2027
This applies to Medicaid-participating nursing facilities in Tennessee subject to the annual bed assessment fee. The law shifts the assessment peri…
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Studies
The work behind the numbers.
Study no. 02 · September 2026
The Rented Shift
Agency nursing hours and subsequent Medicare ownership changes
Read it ›
After you have read your state
Own a building? Tell us what you are weighing.
A confidential conversation with an advisor. We answer with your building's numbers.
Or pick whichever of the four below is you, the first one we can usually just do, the rest are a short working call.
