Skilled Nursing News June 5, 2024
Amy Stulick

Managed care’s growth across all health care settings, including nursing homes, has pushed reimbursement rates lower, and operators are implementing strategies to counter the situation.

For starters, operators expressed the need to be well equipped for negotiating better rates with managed care organizations (MAOs). And, coming armed with cost of care data to the negotiating table as well as having a dedicated team member involved in such negotiations is key, industry leaders said. Moreover, adjusting staff to take on additional administrative work associated with managed care is a prudent move as well.

All this is to prepare for the even greater managed care penetration, which has reimbursed operators at rates that are much lower today compared to a decade...

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Topics: Insurance, Medicare Advantage, Post-Acute Care, Provider
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