Nursing homes sponsoring their own Medicare Advantage plans

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Long-term care facilities like nursing homes are getting into the insurance business with Medicare Advantage plans they promise will offer greater care coordination.

Kaiser Health News reports these plans, offered by a handful of nursing homes, can involve dedicated nurses or primary care physicians stationed in facilities, including retirement villages, with the aim of reducing hospitalizations.

“It gets them out of hospitalizing people at the drop of the hat,” said long-term care consultant Anne Tumlinson. “If you live in a nursing home or are living in assisted living and they have one of these plans going, they’re going to be investing heavily in 24/7 access to primary care.”

This has created conflicts, however, with patients who feel the integration gives the homes an unfair advantage over Medicare beneficiaries.

Read the full article at the link below: