Skilled Nursing News July 15, 2024
There’s been a flurry of regulatory activity related to Medicare Advantage (MA) in the first half of this year, with many policy actions being the result of extensive advocacy efforts among nursing home organizations.
However, many of the regulations – such as those related to prior authorizations for certain services – as they stand are unclear, leading to less efficacy, said Nicole Fallon, vice president of integrated services and managed care at LeadingAge. Nursing home associations including LeadingAge initiated a data collection effort on Medicare Advantage to present to the Centers for Medicare & Medicaid Services (CMS), in an effort to show how the regulations could be more effective.
“CMS said if we get more information about what’s not working,...
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