“How In-House Insurance Plans Can Boost Skilled Nursing’s Fortunes,” by Alex Spanko, Skilled Nursing News

Quote:

“In an era of record-low skilled nursing occupancy and rapidly shifting payment models, some operators have found a single solution to both problems: an in-house insurance plan. Skilled nursing providers can create their own institutional special needs plans (I-SNPs), a type of Medicare Advantage program specifically designed to cover beneficiaries who are confined to an institution or who require in-home nursing care. The benefits of jumping into the insurance marketplace can be tantalizing. For instance, the designers of an I-SNP can choose to waive the three-day hospital stay requirement for skilled nursing coverage, allowing a provider greater flexibility and potentially better care. A 2016 report from the Congressional Research Service noted that 92% of Medicare Advantage plans don’t enforce the three-day stay rule.”

LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform):  This bears watching.

How In-House Insurance Plans Can Boost Skilled Nursing’s Fortunes

#in-house
#goldencareagent