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

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 CareThe 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)