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
Home Health
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
Proposed Home Health Rules – Payment Shouldn’t Impede Access
The Center for Medicare Advocacy (the Center), submitted comments this week regarding the 2020 proposed rules for Medicare home health care. The Center is pleased CMS plans to allow therapist assistants to perform maintenance therapy (therapist … [Read more...] about Proposed Home Health Rules – Payment Shouldn’t Impede Access
Center Comments on 2019 Proposed Home Health Rule
September 9, 2019 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1711-P P.O. Box 8013 Baltimore, Maryland 21244-8013 Submitted electronically to: http://www.regulations.gov Re: … [Read more...] about Center Comments on 2019 Proposed Home Health Rule
As Home Care Needs Increase, Access Issues Must Be Addressed
According to a recent New York Times Article, “Home health care is the fastest growing major job category in the country, one of the most emotionally and personally demanding, and one of the worst paid.” Families – and state governments – are … [Read more...] about As Home Care Needs Increase, Access Issues Must Be Addressed
CMS Proposed Medicare Home Health Rules Raise Concerns for Access to Care – Comments due September 9, 2019
The Center for Medicare Advocacy is concerned that proposed home health rules will further steer home health agencies away from providing care for beneficiaries who need it the most and toward beneficiaries with short-term post-acute care … [Read more...] about CMS Proposed Medicare Home Health Rules Raise Concerns for Access to Care – Comments due September 9, 2019
More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients
Many Medicare hospital patients classified as observation status “outpatients” currently forego necessary skilled nursing facility (SNF) care and head home to continue care through Medicare’s home health care benefit. This is because they lack a … [Read more...] about More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients
New Medicare Home Health Fact Sheet
One of the core considerations of the Center for Medicare Advocacy’s Medicare Platform is to reduce ongoing barriers to care. Home health is one area in particular where the Center has seen a disturbing increase in access issues. Advocates, … [Read more...] about New Medicare Home Health Fact Sheet