Article by Skilled Nursing News

“Medicare Advantage (MA) plans are trying to reduce post-acute care spending by limiting the skilled nursing facilities in their networks, and by capping the lengths of stay — and SNFs and hospitals aren’t taking it well.

That’s according to a study published Monday in the American Journal of Managed Care, which tracked the opinions administrative and clinical staff working in 10 Medicare Advantage plans, 16 hospitals, and 25 SNFs about MA plans’ work to control costs, including post-acute spending.

The study authors conducted 154 interviews with the stakeholders, who hailed from eight markets across the U.S.

To reduce post-acute costs, MA plans said they try to direct patients to specific SNFs and to limit the length of time the patients stay at those SNFs. They did not, however, report trying to influence the initial post-hospital discharge setting, and neither SNF nor hospital participants reported MA plans trying to influence the type of post-acute setting.”

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