Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Home Health

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

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)

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