“As Medicare Advantage grows, experts say, so do hard-to-fight denials,” by Kimberly Marselas, McKnight’s LTC News
“While the Centers for Medicare & Medicaid Services (CMS) has been winding down certain waivers tied to the public health emergency (PHE), the agency has been noticeably silent about what could be the most impactful of the pandemic-related waivers – suspension of the three-day stay requirement. Industry leaders aren’t holding out much hope that the waiver will stick around on a more permanent basis. … Suspension of the three-day stay requirement allows Medicare patients to be discharged to a skilled nursing facility without having to stay at a hospital for at least three days..”
LTC Comment, Stephen A. Moses, President, Center for Long-Term Care Reform:
Medicare clings to the three-day hospitalization requirement which private LTCI insurance dropped 20 years ago. Just one more example among many of how private market creativity ameliorates long-term care problems government funding and regulation cause. Imagine what a free market could do for long-term care.
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