What is Medicare? Medicare is the cherished national health program for older people and people with disabilities, which covers everyone eligible, anywhere in the country. Some consider it Real Medicare because private, for profit Medicare Advantage … [Read more...] about Medicare Works.
Medicare Advantage Wastes.
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Medicare Works.
Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
In 2013, a federal district court approved a settlement agreement in the case of Jimmo v. Sebelius that confirmed Medicare coverage should be determined by a beneficiary’s need for skilled care, not the individual’s potential for improvement.The … [Read more...] about Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
Home Health Webinar Q & A
January 2022The Center for Medicare Advocacy is pleased to share the following information based on questions that were received from the January 12, 2022 webinar on Medicare coverage of home health services. Recordings of that webinar and … [Read more...] about Home Health Webinar Q & A
Updated Factsheet | CMS Nursing Home Visitation Guidance
Since approximately 86% of nursing home residents and 74% of staff at those facilities in the United States are vaccinated[1], the Centers for Medicare & Medicaid Services (CMS) has revised its COVID-19 nursing home visitation guidelines.[2] The … [Read more...] about Updated Factsheet | CMS Nursing Home Visitation Guidance
New Medicare Home Health Fact Sheet – Focus on Home Health Aides
Medicare home health coverage can be an important resource for Medicare beneficiaries who need health care at home. When properly implemented, the Medicare home health benefit provides coverage for an array of skilled and nonskilled services, all of … [Read more...] about New Medicare Home Health Fact Sheet – Focus on Home Health Aides
New Factsheet | Medicare Home Health Coverage and Jimmo v. Sebelius
Medicare home health coverage can be a crucial resource for individuals with long-term or chronic conditions who continue to reside in their homes. Beneficiaries who meet the qualifying criteria are eligible for home health coverage if the skilled … [Read more...] about New Factsheet | Medicare Home Health Coverage and Jimmo v. Sebelius
Fact Sheets | Medicare and the Impact of Oral Health on Major Health Conditions
This series of fact sheets explains in layperson’s terms the interrelationship between oral health and major medical conditions, such as diabetes, heart disease and cancer. Each fact sheet offers important oral health tips for persons living with … [Read more...] about Fact Sheets | Medicare and the Impact of Oral Health on Major Health Conditions
COVID-19: An Advocates Guide to Beneficiary Related Medicare Changes
Updated: November 9, 2021 The global COVID-19 crisis has led to many changes in health care rules, including in the Medicare program. Most of the Medicare changes are slated to be temporary, but advocates will need to watch which provisions do and … [Read more...] about COVID-19: An Advocates Guide to Beneficiary Related Medicare Changes
Medicare Coverage In Light of Jimmo v. Sebelius For Providers, Contractors, and Adjudicators
With support from The John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Fact Sheet to help Medicare providers, contractors, and adjudicators apply the correct legal standard to Medicare coverage and payment … [Read more...] about Medicare Coverage In Light of Jimmo v. Sebelius For Providers, Contractors, and Adjudicators
Checklist for Medicare Nursing Home “Improvement Standard” Denials
With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for skilled nursing facility care based on an … [Read more...] about Checklist for Medicare Nursing Home “Improvement Standard” Denials