McKnight's March 27, 2024
Nursing homes have historically had little leverage in negotiations with Medicare Advantage plans, even as MA has come to cover an ever-larger number of skilled nursing beneficiaries.
The key for providers looking to gain some of that leverage is understanding and contextualizing the data at their facilities and those of nearby peers, stressed industry experts Tuesday on a webinar hosted by Zimmet Healthcare Services Group and software and analytics company Simple.
More than half of Medicare beneficiaries were covered by an MA plan in 2023 — a major milestone that’s eating into nursing homes’ bottom line, according to Marc Zimmet, president of Zimmet Healthcare.
“Medicaid could pay less because Medicare had paid so generously. It’s called ‘cost-shifting,’” he...
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