On July 9, 2025, Genesis HealthCare, one of the largest nursing home companies in the country, filed for bankruptcy in Texas. Genesis HealthCare’s website describes Genesis as a holding company with subsidiaries that operate nearly 200 skilled … [Read more...] about Nursing Home Chain’s Controversial Bankruptcy
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Know Jimmo | You do NOT Have to Decline
From Frequently Asked Questions – CMS.gov/Jimmo: Q11: If a patient is not improving or is not expected to return to his or her prior level of function from skilled nursing or therapy, does Medicare coverage for skilled nursing or skilled therapy … [Read more...] about Know Jimmo | You do NOT Have to Decline
Reminder: Retrospective Observation Status Appeal Deadline is Jan. 2, 2026
Thanks to a successful class action lawsuit led by the Center for Medicare Advocacy, if you were hospitalized between January 1, 2009 and February 13, 2025 and reclassified from inpatient to “observation status,” you may have the right to file a … [Read more...] about Reminder: Retrospective Observation Status Appeal Deadline is Jan. 2, 2026
Private Equity Purchase of Nursing Homes Leads to Decline in Staffing & Quality of Care
In the fourth report in its series on Florida’s Nursing Home System, AARP Florida finds that between 2019 and 2024, 425 nursing homes changed ownership, including 156 facilities that were acquired by private equity. In Change of Ownership and Quality … [Read more...] about Private Equity Purchase of Nursing Homes Leads to Decline in Staffing & Quality of Care
MA Mental Health Provider Networks
A recent article published by KFF Health News titled “Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say” by Tony Leys (Oct. 20, 2025) highlights a report by the Dept. of Health & Human Services Office of … [Read more...] about MA Mental Health Provider Networks
John Oliver Takes on Medicare Advantage
On Sunday, October 26, 2025, HBO’s “Last Week Tonight with John Oliver” aired a segment on Medicare Advantage (available here). Among other things, this segment highlighted MA upcoding, prior authorization, limited provider networks and misleading … [Read more...] about John Oliver Takes on Medicare Advantage
Know Jimmo | Help Open Doors to Care
Medicare Opens Doors to Health Care for 68 million Americans. Jimmo provides the key for thousands of beneficiaries who have longer-term and chronic conditions. The Jimmo case settlement reiterates that Medicare should not be denied … [Read more...] about Know Jimmo | Help Open Doors to Care
Know Jimmo | When Should Medicare Coverage be Available for Home Health Care
Home health care can be covered by Medicare if it meets the following criteria: For more information see our Home Health Quick Screen for Medicare Coverage … [Read more...] about Know Jimmo | When Should Medicare Coverage be Available for Home Health Care
The Incredible Shrinking Medicare Home Health Coverage
The Medicare home health benefit should be an important lifeline for people in need of care to live safely and healthily at home. Under the law, people who meet Medicare qualifying criteria can receive covered home care on an on-going basis, with no … [Read more...] about The Incredible Shrinking Medicare Home Health Coverage
Open Enrollment begins with some hurdles and confusion
Since the Medicare Annual Election Period, commonly known as the Open Enrollment Period or OEP – began on October 15, CMA has fielded reports from Connecticut beneficiaries and professionals experiencing confusion and challenges as they navigate … [Read more...] about Open Enrollment begins with some hurdles and confusion