Skilled Nursing News March 7, 2024
More government scrutiny of Medicare Advantage (MA) plans and data sharing with nursing homes could reduce claims denials and burdens associated with such plans, sector leaders have long argued. And now a report released Thursday by a Congressional advisory body backs that view in shedding light on how enrollees are captured in data.
The Medicare Payment Advisory Commission’s (MedPAC) report dives into the current state of MA encounter data and is the latest move toward a better understanding and oversight of such plans. This, as Medicare Advantage penetration has grown in 2024 for nursing homes, among other care settings.
MedPAC compared data sources pertaining to MA enrollees’ use of skilled nursing care namely, Minimum Data Set (MDS) assessments and MA...
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