Skilled Nursing News March 28, 2024
Conspicuously absent data on Medicare Advantage (MA), along with stagnated data collection overall by government agencies, should give nursing home operators cause for concern especially as this trend has influenced company advocacy and negotiating power when it comes to insurance plans.
Having this data and understanding how it’s calculated can help operators “speak the same language” as the insurance companies when negotiating rates, according to Marc Zimmet, president of Zimmet Healthcare Services Group.
Concerningly, the Centers for Medicare & Medicaid Services (CMS) is now asking nursing home providers to help them capture data to drive MA reports, said Zimmet. This should not fall under the responsibility of nursing home operators, he said.
“That’s their job [but] CMS does a horrific,...
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