How Nursing Homes Can Find Value Via New Ways of Partnering with Managed Care Plans

How Nursing Homes Can Find Value Via New Ways of Partnering with Managed Care Plans

As value-based care increasingly becomes more prevalent in the nursing home industry, providers continue to straddle traditional Medicare fee for service (FFS) and a plethora of managed care plans. But there are arrangements that can allow organizations to be both payer and provider, or partner with those that already occupy both worlds. Managed care payers must figure out how to create the right incentive for partnering with skilled nursing facilities (SNFs), who are still stuck between multiple payment models. experts advised skilled nursing providers to talk with Medicare Advantage (MA) plan insurers about how they can convey value by managing patients better. Ultimately, SNFs can build that self-promotion into an operator’s overall package. Specifically with smaller organizations focused on the populations a regional operator might care for. Accountable care organizations (ACOs) are another good place to start.

Medigy Insights

As value-based care gains traction in the nursing home industry, providers must navigate the complexities of Medicare fee-for-service and managed care plans. To succeed, organizations can explore becoming both payer and provider or partnering with entities operating in both realms. Engaging Medicare Advantage plan insurers and accountable care organizations (ACOs) can help skilled nursing facilities convey value through improved patient management, ultimately enhancing their overall offerings and promoting regional population-focused care.


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