This time of year we are working with each Plan on upcoming 2016 changes including:
- Medigold – will be revising their episodic payment methodology to shorter episodes, and a new quality design in which more highly Star rated SNFs will receive an increased rate. They are actively reviewing their network, advising 1 and 2 Star SNFs may be terminated from their network.
- United Health Care – will be focused predominately on 4 or 5 Star sites for new contracts.
- Medical Mutual of Ohio – is launching their 2016 new Medicare Advantage Plan in Ohio. You will be receiving updated information on their Plan, including new electronic marketing flyers for use with your hospitals and MD referral sources.
We will keep you posted as we continue to review each Plan and changes for 2016.