Flurry of Medicare Advantage regulation likely to hit nursing home coffers

Ken BellLTC News

McKnights (02/03/2023) – Federal efforts to rein in Medicare Advantage spending and recoup payments awarded for improper diagnoses will likely lead to even more financial pressure on nursing homes that serve plan beneficiaries, according to experts who monitor managed care.

The latest blow for insurers came Wednesday evening, when the Centers for Medicare & Medicaid Services announced its proposed payment notice for 2024. It would effectively cut average pay to MA plans by 2.3% next year when factoring in coding and data conversions. Full story »