Quote of the Day

Long-term care “has always been a challenge for Medicare Advantage plans. The line between acute care and custodial care can be a fine one, especially when it comes to home health. Since the traditional Medicare benefit doesn’t cover custodial care directly, most [MA] plans have stayed away from the benefit. [But now] it may serve the interest of MA plans and LTC insurers to focus on narrow networks of LTC providers around a core care management model as a means to control LTC costs” in programs for dual eligibles and related populations.

— Gary Jacobs, a former MA executive who now heads health care government programs consulting for PricewaterhouseCoopers, told AIS’s Medicare Advantage News.