Episode 50: Joshua Jacobs from Windsor Healthcare Communities on the Evolving SNF (Skilled Nursing Facility)
June 25, 201541:15

Episode 50: Joshua Jacobs from Windsor Healthcare Communities on the Evolving SNF (Skilled Nursing Facility)

Joshua Jacobs is an innovative and forward-thinking healthcare executive at Windsor Healthcare Communities, a post-acute and long-term care provider operating approximately 1800 SNF beds in New Jersey. As a generalist that works on a wide scope of Windsor’s business, Joshua’s cross-disciplinary experience affords a view of operational and strategic challenges that often result in novel solutions. Data analytics, marketplace forecasting, and clinical-operational integrations are some of the focus areas in which he has achieved recent distinction.  Joshua also is responsible for Windsor’s payment reform strategies, which includes participation in Bundled Payments Model 3, integrating with regional ACOs, and realigning operational priorities to meet the needs of the changing marketplace.

Joshua holds a Bachelor of Science from The Johns Hopkins University, an MBA from the New York University Stern School of Business and a J.D. from New York University School of Law, where he was Managing Editor of the Journal of Law and Business. Joshua’s pre-healthcare work experience includes periods at Merrill Lynch, The Supreme Court of the State of Israel, and the New York University Investment Office.

He is a member of the American College of Healthcare Administrators and the Bar of State of New Jersey.


00:00 Joshua talks about Windsor Healthcare Communities.
00:20 Windsor Healthcare Communities offers both short term, post-hospital care, as well as long term care.
00:30 “SNF”: Skilled Nursing Facility
01:00 How SNFs are changing to elevate the care provided.
02:25 The SNF occupancy rate peaked in the mid-90’s, and has been steadily declining as more long-term care options are created.
04:15 What the umbrella term “SNF” actually covers--assisted living excluded.
07:30 “The SNF does strive to be more like a home than a hospital can ever be.”
08:40 What balance of short-term and long-term services are looked at as a success at Windsor Healthcare Communities.
10:00 How Windsor Healthcare Communities is tremendously impacted by its good relationship with hospitals.
11:00 The service that hospitals need that Windsor Healthcare Communities provides.
13:00 The historical biases towards nursing homes and SNFs.
17:00 Windsor Healthcare Communities chooses to refer to its residents as “Elders” as a sign of respect for their wisdom and experience.
22:00 The risks of having a specialized SNF.
23:00 How things are changing for SNFs in modern healthcare.
25:30 How a hospital’s reimbursement can affect the funding and reimbursement that a SNF receives.
29:45 “I think there is a lot of room for young people with innovative ideas to have a tremendous impact on the healthcare industry.”
31:00 “If the post-acute care industry doesn’t conform to the data-driven technology of hospitals, it will not survive the future of healthcare.”
33:00 Joshua’s advice for tech innovators in the healthcare industry.
35:00 The risk of incentivizing too much on performance.
37:00 You can learn more by reaching out to Joshua directly on LinkedIn, or at WindsorHealthcare.org.

healthcare,providers,patients,SNF,facility,hospitals,longterm,nursing,postacute,windsor healthcare,
|
|

Episode Support Provided By

Special Thanks to Our 2026 Sustaining Monthly Donors

Marilyn Bartlett, Kimberly Carleson, Dylan Yahn, Benjamin Light, Matt McQuide, Ann Kempski, Spencer Allen, Scott Tromanhauser, 
Steven Elkins, Matthew Bunte, and Lori Smith.

Recent Episodes

EP531: Slaying the Three-Headed Monster of Health Plan Networks, With Evan Anderson
Relentless Health ValueSeptember 30, 2026
531
38:0634.88 MB

EP531: Slaying the Three-Headed Monster of Health Plan Networks, With Evan Anderson

Listen on Your Favorite App Today, Evan Anderson and I are talking about carrier networks, how they started, how it's going. Because irrespective of whatever the plan was at the very beginning, any given network, especially talking about the big status quo networks, has evolved into what I'll call a...

EP530: A Wildly Underappreciated Point: Overpaying for Infusions Means Overpaying for Stop-Loss Coverage, With Jake Velie and Keith Hartman, RPh
Relentless Health ValueSeptember 23, 2026
530
37:4534.56 MB

EP530: A Wildly Underappreciated Point: Overpaying for Infusions Means Overpaying for Stop-Loss Coverage, With Jake Velie and Keith Hartman, RPh

Listen on Your Favorite App Hello, all you Relentless Tribe members. Thanks for hanging with me this week. When a self-insured plan sponsor sees an infusion claim hit their high-cost case report, and a lot of these infusions are really expensive, so many of them hit the high-cost claim report. For a...

EP529: How Stark Law, Stipends, and Noncompetes Drive Hospital Consolidation, With Eric Bricker, MD
Relentless Health ValueSeptember 16, 2026
529
39:2936.14 MB

EP529: How Stark Law, Stipends, and Noncompetes Drive Hospital Consolidation, With Eric Bricker, MD

Listen on Your Favorite App Hello, all you Relentless Tribe members. Hey, thanks for being here with me every week, some of you every single Thursday. Give yourself a little round of applause, maybe silently and in your own head, depending on where you are. But yeah, you matter. You being here matte...

EP528: The Current State of Primary Care—Inevitable or Fixable? Will It Be Private Equity to the Rescue? With Yashaswini Singh, PhD
Relentless Health ValueSeptember 09, 2026
528
38:4935.53 MB

EP528: The Current State of Primary Care—Inevitable or Fixable? Will It Be Private Equity to the Rescue? With Yashaswini Singh, PhD

Listen on Your Favorite App Hello, all you Relentless Tribe members. Here's the backstory for this episode. Remember episode 519 with Lisa Rosenbaum, MD, where we played a high-stakes kind of game show called "Is the Current State of Primary Care an Absolute Inevitability, or Is It a Needless, Subop...

EP526: Generic Compliance Ratios, Pass-Through Contracts, and Other Pharmacy Plumbing, With Mark Cuban and Cora Opsahl
Relentless Health ValueAugust 26, 2026
526
20:1119.06 MB

EP526: Generic Compliance Ratios, Pass-Through Contracts, and Other Pharmacy Plumbing, With Mark Cuban and Cora Opsahl

Listen on Your Favorite App Hello, all you Relentless Tribe members. If you have listened to this show for any length of time, you know one of our favorite truths around here, which is where there's mystery, there's margin. But today, we aren't just here to point out the mystery. We're here to look ...

EP525: PMPM vs FFS—The Perverse Incentives Plan Sponsors Sometimes Miss, With Cristin Dickerson, MD
Relentless Health ValueAugust 19, 2026
525
16:3315.14 MB

EP525: PMPM vs FFS—The Perverse Incentives Plan Sponsors Sometimes Miss, With Cristin Dickerson, MD

Listen on Your Favorite App So, this one's gonna be a little bit different. Back last year, I sat down with Dr. Cristin Dickerson. She is the founding partner of Green Imaging , which is a physician-led radiology network doing direct contracting for imaging. And we talked about how imaging can run 6...

EP524: Beating Provider Network Pricing Games by Thinking About Buying Healthcare Like a Manufacturer Supply Chain, With John Quinn
Relentless Health ValueAugust 12, 2026
524
17:0215.59 MB

EP524: Beating Provider Network Pricing Games by Thinking About Buying Healthcare Like a Manufacturer Supply Chain, With John Quinn

Listen on Your Favorite App Hello, all you Relentless Tribe members. First off here, I would like to thank Casey Cormier for the really nice recurring donation. Thank you so much, Casey Cormier from  Stratis Group . Lately, traditional provider networks are increasingly being called into questi...

Listen and Follow

Sponsored by Aventria Health Group
©2026 BD Bridges LLC. All Rights Reserved.