Join us on Full Circle for a fascinating inside look at skilled nursing done differently — with Keeshan, Executive Director of a skilled nursing facility in Indiana and a 10-year veteran of healthcare operations. Indiana has quietly built one of the most innovative SNF ecosystems in the country, and Keeshan is living it from the inside. In this episode, he breaks down how Indiana's Medicaid incentive model ties reimbursement directly to quality outcomes, what an iSNP actually is and why competing SNF operators chose to build one together, and how wall-mounted telehealth and dual nurse practitioner oversight are keeping residents out of hospitals. He also unpacks the billing mechanics, the grassroots power of aligned Executive Directors, and where AI is already showing up on the admissions floor. If you work in post-acute care, value-based care, o ...