Skilled Nursing News September 24, 2025
The rise of Medicare Advantage has created problems related to skilled nursing, including “unneeded and unnecessary care delays,” according to Trilogy Health Services Chief Medical Officer Andrew McNamara, M.D.
However, SNF providers also have to better understand Medicare Advantage in order to address these issues, McNamara told Skilled Nursing News in an interview that has been released as the latest RETHINK podcast episode.
“I think there’s a lot of misunderstanding about Medicare Advantage in our business,” he said.
As a former senior medical director with Aetna, McNamara has worked on the payer side, and he believes that SNF providers should recognize that administrative burdens related to high rates of Medicare Advantage denials and appeals are significant for insurance companies as...
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