The Centers for Medicare & Medicaid Services’ proposed annual update to Medicare Part A reimbursement for skilled nursing facilities, published in the Federal Register on April 10, 2023, includes policy issues of concern to advocates for … [Read more...] about Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
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Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
In 2013, a federal district court approved a settlement agreement in the case of Jimmo v. Sebelius that confirmed Medicare coverage should be determined by a beneficiary’s need for skilled care, not the individual’s potential for improvement.The … [Read more...] about Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
Elder Justice “No Harm” Newsletter | Volume 5, Issue 2 Now Available
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the … [Read more...] about Elder Justice “No Harm” Newsletter | Volume 5, Issue 2 Now Available
Highlighting a Medicare Special Enrollment Period (SEP): Enrolling in Medicare After Termination of Medicaid Coverage
Reference: 42 C.F.R. 406.27 (Medicare Part A); 407.27 (Medicare Part B)May 25, 2023 - K. Holt … [Read more...] about Highlighting a Medicare Special Enrollment Period (SEP): Enrolling in Medicare After Termination of Medicaid Coverage
Arnold Ventures Launches Project to Spotlight Voices of Dually-Eligible Beneficiaries
Melissa and Ann are two women in California who dually qualify for Medicare and Medicaid and have vastly different needs, experiences, and challenges accessing health care. This week, Arnold Ventures launched a special photo essay that … [Read more...] about Arnold Ventures Launches Project to Spotlight Voices of Dually-Eligible Beneficiaries
Health Affairs: International Nurses Won’t Solve U.S. Nurse Staffing Crisis
National nursing home trade associations call for increased immigration as key to solving their shortages in nursing staff. See LeadingAge’s recommendations to the Senate here, American Health Care Association’s letter to CMS Administrator here, and … [Read more...] about Health Affairs: International Nurses Won’t Solve U.S. Nurse Staffing Crisis
Medicare Will Cover Seat Elevation Systems for Eligible Wheelchair Users
This week, the Centers for Medicare and Medicaid Services (CMS) announced Medicare coverage for Power Seat Elevation Systems as an accessory to Group 3 Power Wheelchairs through a National Coverage Analysis (NCA) with a final National Coverage … [Read more...] about Medicare Will Cover Seat Elevation Systems for Eligible Wheelchair Users
Senate Committee Holds Hearing re: Medicare Advantage Denials and Delays in Care
On May 17, 2023, the Senate Homeland Security & Governmental Affairs Committee, Permanent Subcommittee on Investigations chaired by Senator Richard Blumenthal (CT) held a hearing titled “Examining Health Care Denials and Delays in Medicare … [Read more...] about Senate Committee Holds Hearing re: Medicare Advantage Denials and Delays in Care
Study: Fewer Nurses in Nursing Homes Associated with More Resident Deaths
“Staffing Shortages, Staffing Hours, and Resident Deaths in U.S. Nursing Homes During the COVID-19 Pandemic” finds that nursing facilities that self-reported nurse staffing shortages in fact had fewer registered nurses, licensed practical nurses, and … [Read more...] about Study: Fewer Nurses in Nursing Homes Associated with More Resident Deaths
CMS Says Nursing Home Visitation “is Allowed for All residents at All Times”
Revising its September 2020 in order to align with the ending of the COVID-19 Public Health Emergency, the Centers for Medicare & Medicaid Services confirms: “Visitation is allowed for all residents at all times.” CMS confirms that visitors may … [Read more...] about CMS Says Nursing Home Visitation “is Allowed for All residents at All Times”