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Message: <blockquote data-quote="bacha29" data-source="post: 3821080" data-attributes="member: 58386">You really don't get it do you? The 20% is what goes to nursing homes to do what they do. They simply provide nursing and personal care services within a prescribed directive in accordance with a contracted service agreement with Medicaid if the patient is on Medicaid and somewhere around 62% of all nursing home patients nationwide are on Medicaid because they're own personal funds are exhausted.They feed them, clothe them clean and maintain a sanitary living environment provide a bed  administer prescriptions but they do not write the prescriptions . When a resident needs acute or advanced care they go to the hospital. The hospital does not bill the nursing home. If the person is a Medicaid managed care patient it bills Medicaid direct. So let's try this again: .......N U R S I N G  H O M E.</blockquote>