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Medicare Advantage plans forcing providers to take 'optional' payment reductions

Many skilled nursing providers are still underusing Interim Payment Assessments under the nascent Patient Drive Payment Model, but one new pressure is driving some to submit those extra patient evaluations even when it will cost them.
United States Vincent Fedele Stacy Baker Michael Sciacca Centers For Medicare Medicaid Services Zimmet Healthcare Services Group

Providers 'on notice' as CMS pressures states to shift Medicaid pay metrics

Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine long-stay Medicaid pay rates.
United States Vincent Fedele Michael Sciacca Zimmet Healthcare Services Group Patient Driven Payment Model Like Zimmet Healthcare Services

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