“Expanding Medicare Advantage co-pays may leave nursing homes without cash they’ve earned,” by Kimberly Marselas, McKnights LTC News
“An increasing number of Medicare Advantage insurers are expected to institute nursing home co-pays starting Jan. 1, a change that could further hit providers already struggling to collect fair reimbursement from the plans. While Medicare charges a co-pay starting on Day 21 of a skilled nursing stay, reports are mounting that many MA plans are adding co-pays starting on the day of admission during 2025.”
LTC Comment, Stephen A. Moses, President, Center for Long-Term Care Reform:
People dually eligible for Medicare and Medicaid will compound this problem. State Medicaid programs will have to pick up the extra cost if recipients’ incomes start going to pay a Medicare Advantage co-pay instead of offsetting Medicaid’s cost for their care.
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