At a March 7, 2025 public meeting, the Medicare Payment Advisory Commission (MedPAC) considered a presentation about I-SNPs, special Medicare Advantage plans that are limited to beneficiaries who require, or are expected to need, institutional long-term care for 90 days or more. The Center for Medicare Advocacy has written before about I-SNPs (see our Alert archives). In a comment letter, the Center asks MedPAC to analyze the effects of I-SNPs on quality of care for residents, suggests that nursing facilities have a conflict of interest when they operate I-SNPs for their residents, describes facilities’ interest in operating I-SNPs as financial, and encourages MedPAC to reach out to residents and their advocates to better understand their experiences.
- The Center’s statement is available at https://medicareadvocacy.org/wp-content/uploads/2025/03/Nursing-homes-MedPAC-I-SNPs-CMA-comment-03.2025.pdf