SNF operators should identify which I-SNP sponsors exited their markets and adjust payer strategy accordingly heading into 2025.
Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings
Despite concerns that modifications to the payment formula and higher utilization would impact the number of Medicare Advantage plans offered in 2025, the Medicare Advantage market appears to be relatively stable. While Medicare Advantage insurers have made some adjustments in their offerings, the average Medicare beneficiary has a choice of more than 30 Medicare Advantage plans for 2025.
The number of SNPs for people who require an institutional-level of care (I-SNPs) nearly doubled from 97 plans in 2018 to 189 plans in 2023, before dropping modestly to 173 plans for 2024 and 160 in 2025. In 2024, about 115,000 Medicare beneficiaries are enrolled in I-SNPs.
— KFF, November 15, 2024
Freed, Meredith, et al. “Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings.” KFF, 15 Nov. 2024. https://www.kff.org/medicare/issue-brief/medicare-advantage-2025-spotlight-a-first-look-at-plan-offerings/.
Amid Medicare Advantage’s Growth, I-SNPs See Slight Dip for 2025
According to a KFF analysis of CMS Landscape files, I-SNPs have seen substantial growth in the last few years, reflecting an overall rising demand for care tailored to the nursing home residents. That said, in 2025, the I-SNP market will see a slight contraction, with 160 plans being offered nationwide, down from 173 plans in 2024. This is a small decrease from a peak of 189 plans in 2023 – a figure that had almost doubled from 97 plans in 2018.
— Skilled Nursing News, November 18, 2024
✔ Comply with every payer's rules
✔ Equip your team with the Playbook
✔ Monitor rates and payer trends
