Court Upholds Right of Residents in Publicly-Owned Nursing Facilities to Sue for Violations of the Nursing Home Reform Law The U.S. Supreme Court upholds the right of nursing home residents in publicly-owned nursing facilities to file lawsuits … [Read more...] about Supreme Court Victory for Court Access and Nursing Home Residents
Archives for June 2023
Medicare Enrollment Numbers
The Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare on January 5th. As of March 2023, 65,748,297 people are enrolled in Medicare, an increase of almost 100,000 since the last report in September. … [Read more...] about Medicare Enrollment Numbers
Home for the Holidays | Leaving the Nursing Home During a Medicare-Covered Stay
Summer brings various holidays and family vacations. Nursing home residents often want to participate in these gatherings but may worry that they will lose Medicare coverage if they leave the facility to do so. Over the years, the Center for Medicare … [Read more...] about Home for the Holidays | Leaving the Nursing Home During a Medicare-Covered Stay
Medicare Works.
Medicare Advantage Wastes.
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.
New Research Outlines Extent of Medicare Advantage Overpayments: It’s Much Worse Than We Thought
On June 13, 2023, the USC Schaeffer Center for Health Policy & Economics published a white paper titled “Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments” by Steven M. Lieberman, Samuel Valdez, PhD and Paul … [Read more...] about New Research Outlines Extent of Medicare Advantage Overpayments: It’s Much Worse Than We Thought
CMS Report Highlights Quality of Care Concerns in MA
A recent report released by the Centers for Medicare & Medicaid Services (CMS) Office of Minority Health, Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy and Disability, … [Read more...] about CMS Report Highlights Quality of Care Concerns in MA
Honoring the Anniversary of Olmstead and Lois Curtis
On June 22, 1999, the Supreme Court decided in Olmstead v. L.C. that people with disabilities cannot be unnecessarily segregated and that they have a right to receive services in the most integrated setting possible. The case was brought by Lois … [Read more...] about Honoring the Anniversary of Olmstead and Lois Curtis
Understaffing at State Survey Agencies Places Nursing Home Residents at Risk
In May 1986, the Senate Special Committee on Aging held a hearing titled “Nursing Home Care: The Unfinished Agenda” and released a report finding “disturbing shortfalls in nursing home oversight” that place residents at risk. The average surveyor … [Read more...] about Understaffing at State Survey Agencies Places Nursing Home Residents at Risk
STSW Survey on Clarification of Payment for Dental Work Needed for Transplants
Last year, CMS issued a final rule clarifying that transplant patients on Medicare insurance can be covered for dental exams and treatments to identify and eradicate dental infections that risk complication of their organ, stem cell, or bone marrow … [Read more...] about STSW Survey on Clarification of Payment for Dental Work Needed for Transplants
NATCO Survey on Clarification of Payment for Dental Work Needed for Transplants
Last year, CMS issued a final rule clarifying that transplant patients on Medicare insurance can be covered for dental exams and treatments to identify and eradicate dental infections that risk complication of their organ, stem cell, or bone marrow … [Read more...] about NATCO Survey on Clarification of Payment for Dental Work Needed for Transplants