Headlines

CMS Will Help MA Plans Become More Competitive

CMS has announced a new rule that will help Medicare Advantage plans to better compete with one another. This competition will be possible due to the types of benefits they will be able to offer next year including transportation, home environmental improvements and many more. For more on this, read the @HeartlandInst article below. View

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Medicaid Managed Care Bill To Expedite Claims Payment

Illinois identified the Medicaid application process and payments to providers as too slow. This article lays out how the state’s new law requires managed care organizations (MCO’s) to pay claims within 30 days while also streamlining the application processes ability to identify eligibility. View Article Here

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SNFs Looking To Improve Payer Relationships

Skilled Nursing Facilities are experiencing the necessity of a positive Payer relationship. Medicare Advantage plans are focusing on strategies that will have the greatest impact, affecting the most lives. To succeed, SNFs must learn to identify a Payer’s top priorities and build a solid foundation of communication, ensuring both parties are on the same page

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Long-Term Managed Medicaid Could Disappear In NY

There is currently a New York state waiver amendment that would remove long-term managed Medicaid for patients living in SNFs. If approved, this would transition back into a fee-for-service Medicaid for stays over three months and would be implemented at the beginning of 2020. Other states could look to similar strategies as most states are

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