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Trump Megabill Threatens Low-Income Health Insurance And Nursing Homes
Trump Megabill Threatens Low-Income Health Insurance And Nursing Homes

Forbes

time08-07-2025

  • Health
  • Forbes

Trump Megabill Threatens Low-Income Health Insurance And Nursing Homes

Port Washington, N.Y.: The residents of the Harborside, a retirement community that has filed for ... More bankruptcy three times in nine years, hold a rally to call on politicians and others to save their homes and life savings on Oct. 24, 2024 in Port Washington, New York. (Photo by Howard Schnapp/Newsday RM via Getty Images) In the scramble for Donald Trump's megabill, the Senate had to make changes to the House version to pass the body's rules for reconciliation. The result included large cuts in programs that serve the financially needy, including Medicaid. There are two major implications of the Medicaid cuts. One has been discussed widely: the loss of health insurance coverage for millions and the impact on the nation's healthcare system. The second has garnered less attention. There are enormous implications for the availability of nursing homes at a time when changes in demographics have made all forms of senior housing much more important in the U.S. The Medicaid Numbers Medicaid is an expansive program dually funded by the federal and state governments. KFF, formerly known as the Kaiser Family Foundation, has compiled extensive data on the program by analyzing federal government statistics. In 2023, Medicaid covered 19% of all hospital care spending. That was $283 billion out of $872 billion in total Medicaid expenditures, or 32%. Physician and clinical services were 14%, and retail prescription drugs, another 6%. There has been no Congressional Budget Office scoring on the Senate version because of timing. According to KFF's estimate, the Senate bill, which became the law, will reduce federal Medicaid spending by $1.04 trillion over the next ten years, or a $104 billion per year reduction on average. That will result in 11.8 million more people nationwide without insurance. Another measure is the amount of Medicare funding states would lose. Thirty-seven states would lose a minimum of 13% annually, and another five would lose between 7% and 10%. The lack of insurance has broader implications as well because the medical care those 11.8 million people need affects many more. KFF projects the cuts to ultimately affect an estimated 83 million people. In addition to those covered by Medicaid, there are state workers (Medicaid, again, isn't purely federal), and healthcare providers who are independent, working in clinics, and associated with hospitals. As U.S. health expenditures as of 2023 were 17,6% of gross domestic product according to the Peterson-KFF Health System Tracker, there is a potential significant impact on the entire economy. Senior Housing The senior housing real estate market incorporates several types of living arrangements, including independent living, assisted living, skilled nursing (also known as nursing homes), memory care, and in-home care. Around for many years, these options are becoming more important because of the country's aging demographics. From 1920 to 2020, the U.S. population age 65 and older grew about five times faster than the total population, as the Census Bureau has written. By 2020, that group numbered 55.8 million, or 16.8% of the U.S. population. By 2024, the 65-and-older group numbered 61.2 million. The under-18 population decreased by 0.2% to 73.1 million. The number of metro areas with more older adults than those under 18 grew from 58 to 112. By 2030, 20% of the population is expected to be 65 years or older, or 71.6 million, as S&P Global notes. The older people grow, the greater the need for specialized housing. However, Medicaid is the primary payer of nursing facility residency, covering 63% of the residents, KKF says. The program paid for 44% of the $147 billion the U.S. spent on long-term care in 2023. 'Most Medicaid enrollees using institutional [long-term care] are dually enrolled in Medicare, compared to just over half of those using home care,' the organization said. According to Senior Housing News, senior living broadly is somewhat insulated from the Medicaid spending cuts, but not immune. 'The bill likely means more financial challenges ahead for nursing homes, hospitals and community health centers and could push them to scale down services or even close their doors,' they wrote. It will take time for the effect of the cuts on senior housing, hospitals, and insurance for lower-income to become obvious. However, it could be disastrous.

Town Lane Enters Senior Housing Asset Class with Off-Market Acquisition of Two Independent Living Communities – Discovery Village Naples and Discovery Village Sarasota Bay
Town Lane Enters Senior Housing Asset Class with Off-Market Acquisition of Two Independent Living Communities – Discovery Village Naples and Discovery Village Sarasota Bay

Yahoo

time30-06-2025

  • Business
  • Yahoo

Town Lane Enters Senior Housing Asset Class with Off-Market Acquisition of Two Independent Living Communities – Discovery Village Naples and Discovery Village Sarasota Bay

NEW YORK, June 30, 2025--(BUSINESS WIRE)--Town Lane ( a real estate investment management firm, today announced the acquisition of two Class A Independent Living ("IL") communities in Naples and Sarasota, each co-located on campuses inclusive of Assisted Living / Memory Care facilities. Both IL communities, comprising 373 units in total, are recently built with Naples opening in 2020 and Sarasota in 2022. The Naples and Sarasota properties are supported by favorable demographic trends including robust net in-migration and sustained growth in the 75+ and 85+ age cohorts. The communities benefit from strategic locations within their respective markets, offering connectivity and convenience for residents. Discovery Village Naples offers proximity to lifestyle amenities including grocery-anchored retail, luxury resorts, and healthcare facilities. Discovery Village Sarasota Bay is located alongside the Sarasota Bay inlet and 10 minutes from the Sarasota International Airport. The communities offer first-class amenities including restaurant-style dining rooms, outdoor courtyards and pools, fitness and rehab spaces, theatres and beauty salons. "We are excited to announce the acquisition of these two newly-built, well-located Senior Housing communities. The underlying fundamentals in both these sub-markets, as well as the broader senior housing landscape, remain compelling," said Tyler Henritze, Managing Partner at Town Lane, "New vintage, high quality senior housing benefitting from strong demographic tailwinds represents a key theme for Town Lane with additional transactions pending." The portfolio will continue to be operated and leased by Discovery Senior Living who also operates the co-located AL/MC communities. Advisors: Gibson Dunn LLP is serving as legal counsel to Town Lane. About Town Lane Town Lane is a boutique, relationship-driven real estate investment manager. Based in New York City, the firm invests thematically and nimbly across commercial real estate sectors and throughout the capital stack. Town Lane was founded in 2024 after raising $1.25 billion of institutional investor capital targeting opportunistic returns for its inaugural fund. The firm's investment strategy seeks to identify emerging trends, evaluate misunderstood opportunities, and capitalize on episodic market dislocations. For more information, visit View source version on Contacts Media Aimee Workinfo@

Town Lane Enters Senior Housing Asset Class with Off-Market Acquisition of Two Independent Living Communities – Discovery Village Naples and Discovery Village Sarasota Bay
Town Lane Enters Senior Housing Asset Class with Off-Market Acquisition of Two Independent Living Communities – Discovery Village Naples and Discovery Village Sarasota Bay

Yahoo

time30-06-2025

  • Business
  • Yahoo

Town Lane Enters Senior Housing Asset Class with Off-Market Acquisition of Two Independent Living Communities – Discovery Village Naples and Discovery Village Sarasota Bay

NEW YORK, June 30, 2025--(BUSINESS WIRE)--Town Lane ( a real estate investment management firm, today announced the acquisition of two Class A Independent Living ("IL") communities in Naples and Sarasota, each co-located on campuses inclusive of Assisted Living / Memory Care facilities. Both IL communities, comprising 373 units in total, are recently built with Naples opening in 2020 and Sarasota in 2022. The Naples and Sarasota properties are supported by favorable demographic trends including robust net in-migration and sustained growth in the 75+ and 85+ age cohorts. The communities benefit from strategic locations within their respective markets, offering connectivity and convenience for residents. Discovery Village Naples offers proximity to lifestyle amenities including grocery-anchored retail, luxury resorts, and healthcare facilities. Discovery Village Sarasota Bay is located alongside the Sarasota Bay inlet and 10 minutes from the Sarasota International Airport. The communities offer first-class amenities including restaurant-style dining rooms, outdoor courtyards and pools, fitness and rehab spaces, theatres and beauty salons. "We are excited to announce the acquisition of these two newly-built, well-located Senior Housing communities. The underlying fundamentals in both these sub-markets, as well as the broader senior housing landscape, remain compelling," said Tyler Henritze, Managing Partner at Town Lane, "New vintage, high quality senior housing benefitting from strong demographic tailwinds represents a key theme for Town Lane with additional transactions pending." The portfolio will continue to be operated and leased by Discovery Senior Living who also operates the co-located AL/MC communities. Advisors: Gibson Dunn LLP is serving as legal counsel to Town Lane. About Town Lane Town Lane is a boutique, relationship-driven real estate investment manager. Based in New York City, the firm invests thematically and nimbly across commercial real estate sectors and throughout the capital stack. Town Lane was founded in 2024 after raising $1.25 billion of institutional investor capital targeting opportunistic returns for its inaugural fund. The firm's investment strategy seeks to identify emerging trends, evaluate misunderstood opportunities, and capitalize on episodic market dislocations. For more information, visit View source version on Contacts Media Aimee Workinfo@ Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data

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