Medicare regulations set out coverage rules for home health care, including physical therapy, occupational therapy, and speech-language pathology services. Significantly, especially for people with longer term and chronic conditions, the regulations … [Read more...] about Know Jimmo | Home Health Coverage Requires Individual Review
Archives for March 2026
New Issue Brief | Retiree Auto Enrollment in Medicare Advantage
When an employer or union contracts for a Medicare Advantage plan for its retirees, Medicare allows them to enroll the retirees automatically. In 2021, the Center for Medicare Advocacy wrote about the increasing automatic enrollment of retired … [Read more...] about New Issue Brief | Retiree Auto Enrollment in Medicare Advantage
State-Level Nursing Home Staffing Mandates Improve Staffing without Harming Finances or Causing Closures
Evaluating the impact of state nurse staffing mandates on nursing homes over a 14-year period, researchers find that “staffing mandates were effective at increasing staffing levels but had no detectable effect on nursing home finances and did … [Read more...] about State-Level Nursing Home Staffing Mandates Improve Staffing without Harming Finances or Causing Closures
CMS Updates “Moon” Notice about Observation Status in the Acute Care Hospital
The Centers for Medicare & Medicaid Services (CMS) has updated the Medicare Outpatient Observation Notice (“MOON”) in English and Spanish, effective April 21, 2026 and requiring its use through February 28, 2029. CMS describes the new MOONs as … [Read more...] about CMS Updates “Moon” Notice about Observation Status in the Acute Care Hospital
CMA Sues SSA and CMS Over Lack of Transparency Regarding Medicare Eligibility Restrictions under H.R. 1
FOR IMMEDIATE RELEASEMarch 4, 2026Media Contact: Matt Shepard, Communications Director mshepard@medicareadvocacy.org (860) 456-7790 / (202) 293-5760Willimantic, CT – The Center for Medicare Advocacy (CMA) filed a federal lawsuit yesterday … [Read more...] about CMA Sues SSA and CMS Over Lack of Transparency Regarding Medicare Eligibility Restrictions under H.R. 1
Medicare’s Home Health Payment Model Doesn’t Reflect the Care Many Patients Need
Medicare pays home health agencies pursuant to the Patient Driven Grouping Model (PDGM), which calculates payment based on a formula that considers admission source, diagnoses, and timing. Under PDGM, agencies are paid more for care provided to … [Read more...] about Medicare’s Home Health Payment Model Doesn’t Reflect the Care Many Patients Need