For decades, the nursing home industry has proposed relaxing the requirement for annual surveys at nursing facilities.[1] Industry representatives argue that surveyors should excuse “good” facilities from annual surveys and focus their attention on … [Read more...] about Annual Surveys at Nursing Facilities Are Essential To Protect Residents
Archives for August 2019
Short-term Health Plans: Goldmines for Insurance Companies, Junk for Enrollees
A Modern Healthcare article about the National Association of Insurance Commissioners’ 2018 Accident and Health Policy Report, reports that short-term health plans, greatly encouraged by the current administration, offer little coverage for … [Read more...] about Short-term Health Plans: Goldmines for Insurance Companies, Junk for Enrollees
CMS Administrator Acknowledges that Prior Inpatient Hospital Rules Do Not Make Sense
Medicare requires beneficiaries to have a three-day inpatient hospital stay in order to qualify for skilled nursing facility (SNF) care. Unfortunately, too many beneficiaries continue to be classified as hospital outpatients on observation status, … [Read more...] about CMS Administrator Acknowledges that Prior Inpatient Hospital Rules Do Not Make Sense
CMA Webinars for 2019-2020
Skilled Nursing Facility UpdatesWednesday, September 18, 2019 3:00 PM – 4:00 PM EDTPresenters: Center for Medicare Advocacy Senior Policy Attorney Toby Edelman, Policy Attorney Dara Valanejad, and guest.Medicare for People with … [Read more...] about CMA Webinars for 2019-2020
CMA Alert – August 1, 2019
CMS’s Proposed Changes to Nursing Home Requirements of Participation, Survey and Enforcement: Nothing Good for Residents Federal Reports Find Incidents of Nursing Home Resident Abuse Are on the Rise but also Underreported Self-Help Resources … [Read more...] about CMA Alert – August 1, 2019
Federal Reports Find Incidents of Nursing Home Resident Abuse Are on the Rise but also Underreported
Joint statement from the Center for Medicare Advocacy and the Long Term Care Community Coalition.On July 23, 2019, the U.S. Government Accountability Office (GAO) published a report on nursing home resident abuse, Improved … [Read more...] about Federal Reports Find Incidents of Nursing Home Resident Abuse Are on the Rise but also Underreported
CMS’s Proposed Changes to Nursing Home Requirements of Participation, Survey and Enforcement: Nothing Good for Residents
Although the revised Requirements of Participation published in October 2016[1] have not yet been fully implemented, the Centers for Medicare & Medicaid Services (CMS) published proposed rules on July 18, 2019 to revise them and also to make … [Read more...] about CMS’s Proposed Changes to Nursing Home Requirements of Participation, Survey and Enforcement: Nothing Good for Residents
Self-Help Resources for Improvement Standard Denials – August, 2019
Medicare coverage of skilled nursing and/or therapy services depends on a beneficiary’s need for the skilled care, not on the individual’s potential for improvement. The Settlement Agreement in Jimmo v. Sebelius, approved by a federal district court … [Read more...] about Self-Help Resources for Improvement Standard Denials – August, 2019