No. 07-30111-MAP (D. Mass.), filed June 19, 2007 Final Update: December 24, 2009 Issue: Whether the failure of the Secretary of HHS and the Commissioner of Social Security to stop withholding premium payments for Part D when requested by … [Read more...] about Machado v. Leavitt
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Goodbye POS, Hello LI NET: More Help for Dually Eligible People
In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and … [Read more...] about Goodbye POS, Hello LI NET: More Help for Dually Eligible People
LI NET: More Help for Dually-Eligible People
In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and … [Read more...] about LI NET: More Help for Dually-Eligible People
Medicare Discharge Planning: Think Through Your Needs
IntroductionDischarge planning[1] is an important tool for reviewing and making arrangements for on-going healthcare needs across healthcare settings, including hospitals, skilled nursing facilities, home health, or hospice. When focusing on … [Read more...] about Medicare Discharge Planning: Think Through Your Needs
Medicare for People with Chronic Conditions
People with chronic conditions and long-term illnesses are too often denied Medicare coverage on the grounds that they will not improve, need "maintenance services only," have "plateaued" or are "chronic and stable". Taken together, these reasons … [Read more...] about Medicare for People with Chronic Conditions
Medicare and Discharge Planning: Thinking Through Your Needs
Discharge planning[1] is an important tool for reviewing and making arrangements for on-going healthcare needs across healthcare settings, including hospitals, skilled nursing facilities, home health, or hospice. When focusing on discharge planning, … [Read more...] about Medicare and Discharge Planning: Thinking Through Your Needs
Hospice News: the Good, the Bad, the Ugly
The Good: Connecticut Will Cover Hospice Care for Medicaid RecipientsMedicaid recipients in Connecticut will soon have access to hospice care. The new benefit closely resembles the Medicare hospice benefit. To obtain hospice care, Medicaid … [Read more...] about Hospice News: the Good, the Bad, the Ugly
Landers v. Leavitt
No. 3:04CV1988JCH (D. Conn.), filed Nov. 23, 2004 Last Updated: September 22, 2009 Issue: Whether the Secretary's policy of not counting time in an emergency room or in "observation status" towards the three-day qualifying hospital … [Read more...] about Landers v. Leavitt
Limits on Medicare’s Recovery Health Care Payments When the Beneficiary Has Liabaility or Workers’ Compensation Insurance
The Medicare Secondary Payer (MSP) law was enacted by Congress to assure that Medicare does not pay for medical expenses that could be covered by private insurance. When beneficiaries are injured, Medicare will pay for care related to the injury if … [Read more...] about Limits on Medicare’s Recovery Health Care Payments When the Beneficiary Has Liabaility or Workers’ Compensation Insurance
The Center for Medicare Advocacy v. U.S. Department of Health and Human Services
No. 1:05CV2266 (D.D.C.), filed November 23, 2005 Updated: April 9, 2009 Issue: Whether HHS violated the Freedom of Information Act when it failed to respond to a request for documents about the videoconferencing technology to be … [Read more...] about The Center for Medicare Advocacy v. U.S. Department of Health and Human Services