McKnight's August 16, 2022
Medicare Advantage’s explosive growth means ever-more pressure for skilled nursing operators, but five-year enrollment data reveals many skilled nursing operators are doing their best to wrest some control.
Growth in Institutional-Special Needs Plans accelerated significantly between May 2017 and May 2022, according to a Health Dimensions Group analysis of MA statistics. I-SNPs provide additional services to SNFs and reward providers who hit quality benchmarks with incentive payments.
That’s the opposite experience many providers say they’ve had with mass market MA plans, which have been plagued by reports of pre-approvals, rampant denials and payments lower than those from traditional Medicare.
Overall, average penetration for all types of MA plans now sits at 46% nationally, but ranges from a low of 1.8%...
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