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Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers

After 11 days in a St. Paul, Minnesota, skilled nursing facility recuperating from a fall, Paula Christopherson, 97, was told by her insurer that she should return home. But instead of being relieved, Christopherson and her daughter were worried because her medical team said she wasn’t well enough to leave. “This seems unethical,” said daughter

Nursing home surprise: Advantage plans may shorten stays to less time than Medicare covers

Private Medicare Advantage health plans are increasingly ending coverage for skilled nursing or rehab services before medical providers think patients are healthy enough to go home, doctors and patient advocates say.

Medicare Advantage plans covering less time than Medicare covers

Health care providers, nursing home representatives and patient advocates say Medicare Advantage plans increasingly are ending members’ coverage for nursing home and rehabilitation services before patients are healthy enough to go home.

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