When conferences were a staple of business development and not potential sources of contagion from COVID-19, skilled nursing providers would frequently pack the rooms featuring sessions on institutional special needs plans (I-SNPs). Under this model, SNFs can move into the Medicare Advantage world by offering their own insurance plans to beneficiaries who are living in […]
ATI Advisory
When elective surgeries were halted or suspended in spring in an attempt to preserve hospital capacity, the number of patients leaving the hospital setting dropped significantly — and the number of patients leaving that setting for skilled nursing fell by nearly half as well. A new analysis of all Medicare fee-for-service claims data from January […]
Providers of nursing home care and other long-term services continued to expand their Medicare Advantage offerings into the 2021 plan year, as more operators look to gain financial control in a landscape where managed care maintains its steady march toward a Medicare majority. The number of provider-led Institutional Special Needs Plans (I-SNPs) increased from 76 […]
While the skilled nursing landscape continues to struggle both operationally and financially during the COVID-19 pandemic, those same negative forces have only served to strengthen private health plans — putting Medicare Advantage in an even better position to continue its growth. Cratering census and sharp declines in elective surgeries, while fiscally devastating for nursing homes, […]
Over the past few weeks, we’ve seen the federal government rapidly dismantle the dense scaffolding of rules and regulations that had been built over the course decades, all in the name of fighting the novel coronavirus. Ideas once unthinkable — doctors providing consultations over Skype without fear of violating HIPAA, a blanket freeze on the […]
Medicare Advantage plans have long been a thorn in skilled nursing facilities’ sides, with lower-per day rates and increased pressure to reduce lengths of stay than traditional fee-for-service Medicare. But a new report shines a light on why seniors are increasingly choosing the plans in the first place, reinforcing recent calls to embrace working with […]
The new fee-for-service payment model for nursing homes took up most of the oxygen in the industry over the past two years, but the rise of Medicare Advantage in markets across the country could make all of that preparation for naught — sooner than many may think. The Patient-Driven Payment Model (PDPM) for nursing homes […]