About Roland

Hello, my name is Roland Shapley and I have been a Certified Orthotic Fitter for 20 years.  I have a Bachelor’s of Science in Marketing and an MBA in Marketing and Management.  My area of expertise is long term therapy in nursing homes and home health.  Over the past 20 years I have seen many changes in nursing home reimbursement, from cost plus to Prospective Payment System. The implementation of therapy caps.  The challenges facing nursing and therapy from mandates set forth in the Balanced Budget Act of 1995, 1997 and Affordable Care Act 2012.

The forum below is designed for nursing and therapy to ask questions and obtain information that is pertinent to the nursing home market.  If you have a question or topic of discussion, please feel free to send an email.  I will investigate and post my findings.