Skilled Nursing News August 28, 2025
By Kristin Carroll
Medicare Advantage (MA) plans, which cover a majority of Medicare enrollees, are denying or delaying medically necessary post-acute care with alarming frequency.
That’s according to a survey from the American Health Care Association (AHCA), the nation’s largest nursing home provider association. The survey went to 363 nursing home providers in May 2025.
Of these providers, 37% reported they received weekly denials, 29% reported daily denials, and 17% reported monthly denials.
The survey also found that 67% of skilled nursing providers had a patient’s coverage pulled too soon during their nursing home stay, often against medical advice.
“This constant hoop jumping is resulting in too many skilled nursing patients being discharged too soon against medical advice, threatening their...
Today's Sponsors
Today's Sponsor