In "‘Existential crisis’: Nursing homes, elder care to suffer under so-called ‘One Big Beautiful Bill’" reporter Sophia Paffenroth describes how Federal cuts to Medicaid and policy changes to Medicare signed into law in July could force Mississippi … [Read more...] about From Mississippi Today: “Existential Crisis” for Nursing Homes
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Private Equity-Owned Hospices Profit the Most and Spend the Least on Patient Care
A growing share of for-profit hospice agencies are owned by private equity firms and publicly traded companies, which now care for over a quarter of the more than 1.7 million people who receive hospice care annually in the US. New research … [Read more...] about Private Equity-Owned Hospices Profit the Most and Spend the Least on Patient Care
Home for the Holidays | You Can Leave the Nursing Home During a Medicare-Covered Stay
Late November begins a time for gatherings with family and friends – Thanksgiving, soon followed by the December holidays. Nursing home residents often want to participate in these gatherings but may worry that they will lose Medicare coverage if … [Read more...] about Home for the Holidays | You Can Leave the Nursing Home During a Medicare-Covered Stay
Nursing Home Chain’s Controversial Bankruptcy
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
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
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