The presenters move beyond simply highlighting challenges and provides actionable advice to thrive within an evolving payment landscape. The speakers focused on successful strategies for managing prior authorizations, appealing denials, negotiating contracts, and demonstrating value.
The growing prevalence of Medicare Advantage (MA) plans in many skilled nursing markets has been a source of mounting challenges for operators, many of whom are wondering whether they can keep up with the change.
Yet a few strategies can go a long way to make the transition work, experts said. They cite leveraging data analytics, fostering inter-provider collaboration, and prioritizing staff education as among the top ways to beat the challenges.
In a recent panel discussion at the CLINICAL conference hosted by Skilled Nursing News in Tampa titled, “Medicare Advantage in Skilled Nursing: Pain and Possibilities,” panelists delved into the complexities and opportunities presented by Medicare Advantage in skilled nursing facilities.
The panel featured insights from Jolene Johnson, VP of Clinical Reimbursement at The Springs of Arkansas; Elizabeth McLaren, Senior VP of Revenue-Cycle, Reimbursement and HCBS at Covenant Living Communities and Services; and Kelly Roberts, VP of Clinical Reimbursement at Creative Solutions in Healthcare.
Grebbin, S., (2024, March 8). Inside successfully navigating the pain points of Medicare advantage at nursing homes. Skilled Nursing News. https://skillednursingnews.com/2024/03/inside-successfully-navigating-the-pain-points-of-medicare-advantage-at-nursing-homes/
Improve Medicare Advantage reimbursements with payer contract management that puts payer rules in the hands of clinicians & billers.
