How Do Medicare and Medicaid Reimburse Nursing Services?
Reimbursement rates for nursing services under Medicare and Medicaid can significantly impact healthcare providers. Medicare uses a Prospective Payment System (PPS) for hospital and skilled nursing facility services, which pays a predetermined amount based on diagnosis and care needs. Medicaid reimbursement rates are set by each state and can vary widely, often being lower than those of Medicare or private insurance.
