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Leg-Reg Update

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MedPAC<br />

• Preparing recommendations for 2018 Report to Congress<br />

• 2016: 15,000 SNFs and 1.6 million beneficiaries used SNF<br />

• Spending on these stays was $29.1 billion<br />

• 11% of days were FFS<br />

• 20% of revenues were FFS<br />

• Remainder was Med Advantage plans, or impacted by bundling or<br />

ACOs<br />

• SNF total margins have decreased to 1.6%<br />

• Length of stay decreased by 4.0%<br />

▫ Impacted by Med Advantage plans, bundling or ACOs<br />

NASL Winter Conference<br />

February 7, 2018<br />

Washington, DC

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