The "Medicare Advantage Debt-Clock" represents revenue lost by Skilled Nursing Facilities per year attributable to the Medicare Advantage program. As reported by the US Office of Inspector General, "CMS annual audits of MAOs (Medicare Advantage Organizations) have highlighted widespread and persistent problems related to inappropriate denials of services and payment." Additionally, MA plans reimburse SNFs at rates significantly below the Medicare fee schedule.

Zimmet Healthcare's analysis of CMS and third-party data projects that Medicare Advantage plans spent $393 per beneficiary/year less than the traditional, fee-for-service ("FFS") Medicare program. Trended and applied to 32 million+ MA beneficiaries, 2023 SNF revenue will be approximately $12.7 billion less than if all beneficiaries remained enrolled in FFS. To convey relative scale, the figure is applied evenly across 15,000+ certified facilities.