Skilled Nursing News June 25, 2025
Amid increasing evidence that prior authorization and denials in Medicare Advantage (MA) may delay access to nursing homes, a new study shows that MA patients often experience longer hospital stays before discharge to a post-acute care setting, compared to those with traditional Medicare.
This is according to a June study by NORC at the University of Chicago, which examined Medicare claims data as well as MA encounter records from 2018 to 2022, focusing on discharges to post-acute settings such as home health agencies, skilled nursing facilities, inpatient rehabilitation, and long-term acute care hospitals.
Between this period, MA hospital discharges to PAC increased by 5.6% from 338 to 357 beneficiaries per 1,000 discharges. Meanwhile, Medicare hospital discharges, however, decreased by 1.5%...
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