Nursing home operators need to be ready for rule changes that might happen soon. These rules, especially those related to Medicare Advantage (MA), could impact how nursing homes operate. Let's explore what's been discussed recently and how it could affect nursing homes.
Getting Ready for Rule Adjustments
Nursing home administrators should be aware that there might be new rules coming from the Centers for Medicare and Medicaid Services (CMS). These rules could change how nursing homes work, so it's essential to be prepared for them.
Insights from LeadingAge
In a recent meeting, officials from LeadingAge talked about some new and proposed rules from CMS, especially those concerning Medicare Advantage. These rules aim to make things like prior authorizations easier and improve how providers and insurance plans share information.
How It Could Affect Nursing Homes
The rules proposed by CMS could bring good changes to nursing homes. They might help nursing homes run more smoothly and provide better care. But, nursing homes need to keep up with the changes and adjust their strategies to follow the new rules.
Adapting to Changes in Leadership
There might be new leaders coming into management soon, and they could make changes to the rules. Nursing home operators need to be ready for any new rules or priorities that might come with a change in leadership.
Learning About the 2025 MA Rules
The rules proposed for 2025 cover different things, like giving more payment options and better rights for MA users. CMS wants to increase payments for MA and Part D by 3.7%, which could affect how nursing homes operate financially.
Dealing with Changes in Prior Authorization
One significant change in the proposed rules is how prior authorizations work. Starting in 2026, there will be new timelines for getting prior authorizations. This could affect how quickly nursing homes can get approval for certain services.
Improving Information Sharing
CMS also wants to improve how healthcare systems share information, including MA plans. They want to use new technology to make it easier for electronic health records and MA plans to exchange information.
Working Together with LeadingAge
LeadingAge is working hard to make sure nursing homes' concerns are heard. They're talking to policymakers and advocating for rules that help nursing homes provide better care.
Getting Ready for the Future Medicare Advantage
Nursing home operators need to be proactive and ready for rule changes. By staying informed and working together, they can adapt to the new rules and keep providing good care for residents.
In summary, nursing homes need to be prepared for changes in the rules that might affect how they operate. By staying informed and working together, nursing home administrators can adapt to new rules and continue providing good care for their residents.
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