While skilled nursing facilities have struggled to remain profitable, they remain a part of healthcare's universe say panelists at RealShare Healthcare.

SCOTTSDALE, AZ—“We have a long way to go.” So said Kathleen Collins Pagels, former executive director of Arizona Health Care Association & President of KC Pagels & Assoc., when talking about electronic health records and communication across post-acute settings. As a speaker at the recent RealShare Healthcare conference here last week, she said that over the last few years, there have been significant industry changes in long-term and behavioral healthcare, and skilled nursing facilities have struggled to remain profitable due to pressure on reimbursement rates, payment reform, and rising costs even motivating a number or REITs to sell off properties.

However, evolution of long-term healthcare panelists said, these facilities remain part of the healthcare universe and some providers are finding ways to increase revenue by adding services and rebranding as subacute facilities. “They need to step up and have better communication with downstream partners,” Collins Pagels explained.

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Natalie Dolce, editor-in-chief of GlobeSt.com, is responsible for working with editorial staff, freelancers and senior management to help plan the overarching vision that encompasses GlobeSt.com, including short-term and long-term goals for the website, how content integrates through the company’s other product lines and the overall quality of content. Previously she served as national executive editor and editor of the West Coast region for GlobeSt.com and Real Estate Forum, and was responsible for coverage of news and information pertaining to that vital real estate region. Prior to moving out to the Southern California office, she was Northeast bureau chief, covering New York City for GlobeSt.com. Her background includes a stint at InStyle Magazine, and as managing editor with New York Press, an alternative weekly New York City paper. In her career, she has also covered a variety of beats for M magazine, Arthur Frommer's Budget Travel, FashionLedge.com, and Co-Ed magazine. Dolce has also freelanced for a number of publications, including MSNBC.com and Museums New York magazine.