As managed care continues to expand, providers in skilled nursing and post-acute settings face growing pressure to deliver high-quality care within increasingly compressed timeframes. Shortened lengths of stay, early discharges, and tighter reimbursement structures can compromise resident outcomes and operational stability.  

Nurse Learner Outcome: At the conclusion of this presentation, 80% of participants will report a knowledge gain of the impact of managed care on patients in LTC.

Learner Objectives: 

1. Interpret current 2026 Medicare Managed Care enrollment
2. Apply current CMS prior authorization and fast track appeal protections
3. Discuss common clinical, authorization, technical, and payment denial risks.