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Mounting financial pressures among both Medicaid and Medicare payers, fragmented health care settings, and the growing use of value-based care as a cost-cutting measure are creating unique challenges and opportunities for nursing homes serving dual-eligible beneficiaries.
Maintaining and evolving such plans will depend on how adept nursing homes are at providing strong data to demonstrate quality and value, while also growing relationships with state officials and managed care organizations (MCOs) responsible for crafting future payment arrangements.
As for Medicaid cuts, Scott Leitz, vice president of health care programs, National Opinion Research Center (NORC) at the University of Chicago and former Medicaid director for Minnesota, who spoke at the recent PAYER conference in Chicago co-hosted by Skilled Nursing News and Home Health Care News, said operators should be “appropriately concerned but not alarmed.”