Medicare Advantage- Coordinated, Value-Based Care

Thanks to the care navigation that Medicare Advantage provides, consumers are experiencing value and simplicity. For several reasons, MA enrollment has increased over 30% in the past four years.

A privately-run system rather than government-run, MA is proving to be valuable to consumers in both quality of care as well as financially. Through care navigation, MA makes it easier to navigate the healthcare system as well as choose a provider.

This article from describes how Medicare Advantage has rebranded itself through time, detailing out major players in the game and its trajectory for the future.

Skilled Nursing Facilities Payment Will Be Impacted By PDPM

When the Patient-Driven Payment Model (PDPM) takes effect in October 2019, Payers using the RUG system will have until September 30, 2020 to adjust their rate calculations.

With the variety of changes nearing, SNF staff will be forced to pay closer attention than ever before to their coding and billing.

This article from @skilled_nursing sheds light on this, detailing out suggestions for SNF’s to consider when approaching the changes to come.

Medicare Advantage Is The Future Of Medicare

During a discussion at a San Diego skilled nursing conference, former Speaker of the House Paul Ryan stated “I believe the future for Medicare is in the Medicare Advantage type of space”.

In this conversation, Ryan praised Medicare Advantage plans as a means of preventing financial disaster to the Medicare program.

Currently Medicare Advantage plans cover around 34% of all seniors, with a 42% predicted penetration by the year 2028.

For more on this, read this interesting article from @skilled_nursing.