The Medicare Advantage Open Enrollment Period is January 1-March 31. During this limited time, Medicare beneficiaries can change Medicare Advantage plans or switch to Traditional Medicare. If you change to Traditional Medicare, you may also obtain a … [Read more...] about Questioning your Medicare Advantage Plan Choice? Now is the Time to Act!
Archives for January 2026
Know Jimmo | Looking at You, AI – Rules of Thumb Should Not Be Used to Deny Medicare
To qualify for most Medicare-covered care, the individual must need and receive skilled care. Skilled services include nursing, physical therapy, occupational therapy, and speech-language pathology services. In November 2010, CMS revised its … [Read more...] about Know Jimmo | Looking at You, AI – Rules of Thumb Should Not Be Used to Deny Medicare
From Colorado – Medicare and Medicaid care changes in 2026
In "Insurance in 2026: Fed bill will result in coverage, rate changes; impacts felt locally" an article in the Crestone (CO) Eagle, reporter Jennifer Leonard highlights significant changes coming to Colorado health care in 2026, including citing the … [Read more...] about From Colorado – Medicare and Medicaid care changes in 2026
CMS Indefinitely Suspends Off-Cycle Medicare Revalidation Process for Nursing Homes
Private equity and real estate investment trusts have had a profoundly negative impact on the quality of care provided by nursing homes. Studies and articles have documented the lower staffing levels and increased deficiencies that follow these … [Read more...] about CMS Indefinitely Suspends Off-Cycle Medicare Revalidation Process for Nursing Homes
MA Options and Providers Decline in 2026 – MA Enrollees Can Make Changes Until March 31
The landscape of Medicare Advantage (MA) is changing in 2026. A number of large healthcare systems across the country have recently decided to terminate their MA contracts, which will leave many MA enrollees with fewer options for care. Some … [Read more...] about MA Options and Providers Decline in 2026 – MA Enrollees Can Make Changes Until March 31
Know Jimmo | Jimmo Applies to Medicare Advantage!
As CMS states in its Jimmo Frequently Asked Questions, Medicare Advantage plans are required to cover care to maintain or slow deterioration just as in traditional Medicare. This is clearly reiterated in FAQ 15 on CMS’s website:See … [Read more...] about Know Jimmo | Jimmo Applies to Medicare Advantage!