Skilled Nursing News October 10, 2023
As managed care plans continue to reshape the skilled nursing landscape, operators must navigate the complexities of managing patients under managed healthcare programs, including maintaining patient census levels, adapting to industry-specific policies, and addressing issues related to case managers’ involvement.
As Medicare Advantage continues to penetrate the nursing home market, leaders have said that MA plans are depressing margins amid higher costs to run operations. Some have expressed concerns that the challenges, brought about by managed healthcare plans and associated policies, can have a detrimental impact on care and suppress census.
Indeed, recent data confirms that managed care rates are bringing down margins in the space, with MA plans paying one-quarter to one-third less to SNFs than traditional Fee-for-Service (FFS)...
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