Skilled Nursing Operators Can Find Success Under the ‘Quite Similar’ PDPM and I-SNP Models

The Patient-Driven Payment Model (PDPM) overhauled the way skilled nursing facilities are paid for their services to Medicare fee-for-service patients when it took effect last year – removing therapy as a driver of reimbursement and putting an emphasis on patient conditions. That gives it more than a passing resemblance to a lightning rod in the […]

Having an In-House Insurance Plan Could Signal PDPM Success

Some skilled nursing providers have turned to in-house insurance plans to take more control of the care process, and the move could pay off if the government’s new proposed reimbursement model is finalized. The Patient Driven Payment Model (PDPM), which the Centers for Medicare & Medicaid Services (CMS) proposed in April, would overhaul skilled nursing reimbursements […]

Providers Move Into Insurance to Ride Medicare Advantage Momentum

As Medicare Advantage continues to capture a greater share of seniors, some skilled nursing providers are looking to get a head start by becoming insurers themselves. Operators have found institutional special needs plans (I-SNPs), a special type of Medicare Advantage program that covers beneficiaries in need of in-home nursing care or confined to an institution, […]

Despite Recent Research, SNF Quality Key for Medicare Advantage Plans

As Medicare Advantage (MA) continues to capture market share, skilled nursing facilities can seize the moment by focusing on quality to draw the attention of MA providers. The MA plans themselves are starting to pay more attention to quality, compared with prior years when geography and SNF-hospital partnerships took precedence, Mary Hsieh, managing principal at […]