Episode 50: Joshua Jacobs from Windsor Healthcare Communities on the Evolving SNF (Skilled Nursing Facility)
June 18, 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

Kimberly Carleson, Dylan Yahn, Benjamin Light, Matt McQuideAnn Kempski, Spencer Allen, Scott TromanhauserMarilyn Bartlett, 
Steven Elkins, Matthew Bunte, and Lori Smith.

Recent Episodes

EP508: Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis
Relentless Health ValueApril 23, 2026
508
44:0240.31 MB

EP508: Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis

Listen on Your Favorite App This episode is the very first episode that we have done that is an AMA—an Ask Me Anything—and here is our very first question. Sarah Monroe: Hi. This is Sarah Monroe in Chicago, and I'm a benefits procurement leader. And I'm curious why you think so few executives take p...

EP507: 4 Core Concepts to Buy or Deliver the Highest-Value Healthcare—A Review
Relentless Health ValueApril 16, 2026
507
33:5831.09 MB

EP507: 4 Core Concepts to Buy or Deliver the Highest-Value Healthcare—A Review

Listen on Your Favorite App Look, we wonks, meaning you and me, you're listening to this, so I am on to you. But we wonks in the Relentless Tribe, we move like lightning on Relentless Health Value. We tend to cover lots of ground pretty fast. So, sometimes I like to, with great intention, sum up wha...

EP506: How Other Employers, Shareholders, and Clinics Are Using Price Transparency Data—And It's an Arms Race, With Jerry DiMaso
Relentless Health ValueApril 09, 2026
506
35:5132.81 MB

EP506: How Other Employers, Shareholders, and Clinics Are Using Price Transparency Data—And It's an Arms Race, With Jerry DiMaso

Listen on Your Favorite App, So, we have a few miniseries afoot here on Relentless Health Value right now, and one of them is "The Inches That Are All Around Us"—finding the hidden fees, the hidden friction for plans and members and clinics themselves a lot of times in those inches. For a full trans...

EP505: The Death of the "What Is Value" Guessing Game for Clinical and Plan Decision-Makers Ready to Move On, With Ahilan Sivaganesan, MD
Relentless Health ValueApril 02, 2026
505
44:0240.31 MB

EP505: The Death of the "What Is Value" Guessing Game for Clinical and Plan Decision-Makers Ready to Move On, With Ahilan Sivaganesan, MD

Listen On Your Favorite App Hello, Relentless Tribe. Thank you so much for showing up today. All right … to start, let me lay out the goal of the episode today. This episode is for you if you are a self-funded employer looking to ensure your members are steered and tiered to real high-value care and...

EP504: A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs
Relentless Health ValueMarch 26, 2026
504
33:3630.76 MB

EP504: A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs

Listen On Your Favorite App It's been a while since we started from the beginning, so let's just take stock of the basics in this show, refresh ourselves if you're a longtime listener, or welcome if you're new around here. Today we are digging on and about what I would call the poster child for prov...

INBW46: Relentless Tribe Goings-On With Insights to Outwit the Hot Mess of the Non-Healthcare Market
Relentless Health ValueMarch 19, 202619:3717.96 MB

INBW46: Relentless Tribe Goings-On With Insights to Outwit the Hot Mess of the Non-Healthcare Market

Listen On Your Favorite App This inbetweenisode I wanna try something new for two reasons. One of them is that I need to check this episode off my to-do list because I am crushed for time. I'm going to be headed to Arizona tomorrow for the Collective Health Conference , which will have occurred thre...

EP503: Let's Go From Lazy PPO Networks to Smart Collaboration With Direct-to-Employer Specialty Care, With Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky
Relentless Health ValueMarch 12, 2026
503
46:1642.35 MB

EP503: Let's Go From Lazy PPO Networks to Smart Collaboration With Direct-to-Employer Specialty Care, With Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky

Listen On Your Favorite App Today we are digging into something I've said probably way too often: Collaboration is the next breakthrough innovation. And I'm doubling down on this because in the current healthcare landscape, two parties that actually should be talking—like burning up the phone wires ...

Listen and Follow

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