Center for Medicare Advocacy

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Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM)

Background.  On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began implementing a new Medicare payment system—“Patient Driven Groupings Model” (PDGM)—for home health services. Under PDGM, home health agencies have a new set … [Read more...] about Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM)

Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study

January 2020Download this Case StudyI. Background - The Jimmo SettlementIn 2013, a U.S. District Court approved the settlement agreement in Jimmo v. Sebelius,[1] requiring the Centers for Medicare & Medicaid Services (CMS) to confirm … [Read more...] about Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study

Issue Brief – November 2019 – Medicare Enrollment Period Updates & Other Issues

(The views expressed in this Issue Brief and during the Alliance call are solely those of the Center for Medicare Advocacy.)I. ENROLLMENT PERIOD UPDATESOverviewThe Annual Coordinated Election Period (ACEP) – the period during which … [Read more...] about Issue Brief – November 2019 – Medicare Enrollment Period Updates & Other Issues