“Spending on Medicare Advantage Plans Nearly Doubled Over Last Decade,” by Maggie Flynn, Skilled Nursing News
“Between 2007 and 2017, payments to Medicare Advantage (MA) plans for services covered under Part A and Part B almost doubled, jumping from $78 billion to $210 billion, according to a new report from the Kaiser Family Foundation (KFF). Put another way, as a proportion of overall spending on Medicare, MA plans have grown from 18% to 30% of the total pie. … The rise of Medicare Advantage is a major concern for skilled nursing providers, as MA reimbursement rates are 13% lower than traditional fee-for-service rates on average, according to a report from Lancaster Pollard (LP). And at the LeadingAge Illinois conference in April, long-term care providers reported “getting clobbered” by managed care, which has accelerated narrowed networks in skilled nursing.”
LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform):
When Medicare Advantage starts paying for traditionally long-term care services as authorized in the CHRONIC Act, these problems will likely get much worse.