Nursing Homes’ Letter to CMS Calls Out Lack of Teeth – and Clarity – in Final Rule’s Medicare Advantage Reform

Skilled Nursing News December 1, 2023
Amy Stulick

In order to keep Medicare Advantage plans in check for denial of services, provider organizations are pressuring federal authorities to do more, and asking them to closely monitor and aggressively enforce reforms for these plans as envisioned in a final rule that takes effect on Jan. 1.

Companies managing MA plans have said they don’t believe they need to do anything different, based on what was laid out in the final rule, a worrying concern that needs to be addressed, providers said, who are also seeking to gain clarity on how the Center for Medicare & Medicaid (CMS) will monitor MA plans’ compliance.

To that end, nursing home and hospital associations are seeking to influence the implementation of CMS’s rule...

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