Nursing Home Providers Adjust to Optum Exiting Medicare Advantage I-SNPs in Several Regions

GAINING CLARITY: Optum’s withdrawal from Medicare Advantage Institutional Special Needs Plans (I-SNPs) in several regions is forcing nursing home providers to adjust to new payer landscapes and potentially renegotiate contracts, creating uncertainty and administrative burdens. ▼

Optum’s move underscores the evolving and often volatile nature of the MA market, particularly for skilled nursing facilities reliant on I-SNPs.


Optum is scaling back its Medicare Advantage Special Needs Plans for nursing home and assisted living residents in several regions.

The health care services arm of insurance giant UnitedHealth Group (NYSE: UHG), Optum, made headlines earlier this year for workforce cuts. Now, the company is shutting down Institutional Special Needs Plans (I-SNPs) in several states, multiple sources told Skilled Nursing News.

Keep Reading

Siddiqi, Z. (2024, November 5). Nursing home providers adjust to Optum exiting Medicare Advantage I-SNPs in several regions. Skilled Nursing News. https://skillednursingnews.com/2024/11/nursing-home-providers-adjust-to-optum-exiting-medicare-advantage-i-snps-in-several-regions/

Find More Medicare Advantage Resources

Clariti logo

Improve Medicare Advantage reimbursements with payer contract management that puts payer rules in the hands of clinicians & billers.