Skilled Nursing News February 27, 2024
As nursing homes and hospitals confront lingering concerns with inpatient backlogs, lengths of hospital stay, and tighter operating margins, the growth of Medicare Advantage plans – and now greater scrutiny over their prior authorization protocols by the federal government – will only serve to squeeze profits margins.
“So those are additional headwinds that will benefit enrollees in Medicare Advantage plans, but could cause a further drag on earnings of the (MA) plan,” Brian Ellsworth, VP of Public Policy & Payment Transformation at Health Dimensions Group, said of the policy changes recently put forth by the Centers for Medicare & Medicaid Services (CMS).
Ellsworth provided this outlook during a webinar hosted by Health Dimensions Group on Tuesday, titled “Top Trends Tuesday:...