This study examines UnitedHealthcare’s Institutional Special Needs Plans and their association with hospital and skilled nursing facility use. Objectives: To evaluate the patterns of clinical service ...
But the private plans have leeway when deciding how much nursing home care a patient needs. “In traditional Medicare, the medical professionals at the facility decide when someone is safe to go home,” ...
Medicare Part A may cover short-term skilled nursing care in a nursing home if specific requirements are met, such as a qualifying hospital stay and the need for daily skilled nursing care. Medicare ...