62 million older Americans and people with disabilities rely on Medicare to finance their health care. For this large segment of the population, when Medicare coverage is unavailable or denied, access to health care is also often … [Read more...] about Shrinking Medicare Home Health Coverage: It’s Time to Act
Home Health
Issue Brief | Medicare Home Health Coverage: Reality Conflicts with the Law
Medicare home health coverage can be an important resource for Medicare beneficiaries who need health care at home. When properly implemented, the Medicare home health benefit provides coverage for a constellation of skilled and nonskilled services, … [Read more...] about Issue Brief | Medicare Home Health Coverage: Reality Conflicts with the Law
CMS Plans to Expand Program that Interferes with Patient Access to Medicare Covered Home Health Care
The Centers for Medicare and Medicaid Services (CMS) has announced plans to expand a Medicare home health program model that discriminates against people with longer term and chronic impairments whose conditions are not improving. It significantly … [Read more...] about CMS Plans to Expand Program that Interferes with Patient Access to Medicare Covered Home Health Care
Comments Submitted Regarding Medicare Home Health Proposed Rule for 2021
The Center for Medicare Advocacy (Center) submitted comments to the Centers for Medicare and Medicaid Services (CMS) about the Calendar Year 2021 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home … [Read more...] about Comments Submitted Regarding Medicare Home Health Proposed Rule for 2021
Center Comments on Proposed Home Health Rules
August 24, 2020 Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1730-PP.O. Box 8013Baltimore, Maryland 21244-8013 Submitted electronically to: http://www.regulations.gov Re: File … [Read more...] about Center Comments on Proposed Home Health Rules
Medicare Home Health Case Settled with Full Coverage for Beneficiary with Chronic Conditions
Vermont Legal Aid and the Center for Medicare Advocacy are pleased to announce the settlement of McKee v. Azar, a case that was brought in federal court to ensure proper coverage of home health care services for a Medicare beneficiary with multiple … [Read more...] about Medicare Home Health Case Settled with Full Coverage for Beneficiary with Chronic Conditions
Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
New Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care The Centers for Medicare & Medicaid Services (CMS) — the federal agency responsible for administering the Medicare program — has begun … [Read more...] about Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
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)
Home Health Practice Guide
Medicare Home Health Coverage and Care Is Jeopardized By the New Payment Model – The Center for Medicare Advocacy May Be Able to Help Actual Recent Case Study Mrs. Green has advanced multiple sclerosis. She spends her time either in bed or in a … [Read more...] about Home Health Practice Guide
Potential Impacts of New Medicare Payment Models On Skilled Nursing Facility and Home Health Care
The Centers for Medicare & Medicaid Services will be implementing revised payment systems for both skilled nursing facility care (effective October 2019) and home health care (effective January 2020). The Center for Medicare Advocacy has written … [Read more...] about Potential Impacts of New Medicare Payment Models On Skilled Nursing Facility and Home Health Care