Humana, Aetna, United: Same Resident, Different Rules
Medicare Advantage is often talked about as if it’s a single payer category. For skilled nursing teams doing the work every day, that framing doesn’t hold up. Humana, Aetna, United — the same resident, the same care, and three very different
Seeing the Whole Picture: AI Uncovers Reimbursement Opportunities Throughout the Long-Term Care Journey
In long-term care, reimbursement accuracy isn’t a one-time event. It’s a continuous process that evolves as a resident’s needs and payer requirements change. From admission to discharge, every assessment, update, and transition creates a potential opportunity — or risk —
Mastering Medicare Advantage: The New Era of Reimbursement Intelligence
Medicare Advantage is reshaping how skilled nursing facilities think about reimbursement. Enrollment keeps rising, and payers are creating their own level-based payment models that demand agility and insight. Among MedaSync clients this year, nearly 70% of contracts are level-based, while