Skilled Nursing News January 23, 2023
The Centers for Medicare & Medicaid Services (CMS) has decided to take action on transitions in care – specifically Medicare Advantage (MA) plans diverting care to home health instead of skilled nursing – after years of skilled nursing industry and consumer feedback.
CMS last month took steps to address the trend with a proposed rule focused on providing choice when it comes to post-acute and long-term care placement. In the rule, CMS said MA organizations (MAOs) can’t apply coverage criteria that is more restrictive than traditional Medicare coverage.
“CMS is responding to two things. One is feedback that they have heard from the industry for many years,” Fred Bentley, managing director at ATI Advisory, told Skilled Nursing News. “There’s also...
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