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1,091 MA Plans To Offer In-Home Support Services In 2023, A Significant Increase

Medicare Advantage (MA) plans are now allowed to tout the benefits they will be offering their members in 2023. Home-based care providers should be “delighted” at what the preliminary data shows. That’s according to Tyler Cromer, a principal at… Read More
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Categories: Medicare

Medicare's Limited Nursing Home Coverage

Many people believe that Medicare covers nursing home stays. In fact Medicare’s coverage of nursing home care is quite limited. Medicare covers up to 100 days of “skilled nursing care” per illness, but there are a number of requirem… Read More
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Categories: Medicare

Will Medicare Pay for a Second Stay in a Nursing Home After the Resident Pays Privately for 60 Days?

My mom was in a nursing home for 100 days. She got out of the nursing home, but two weeks later she is back in the hospital with breathing problems. She can’t go home because she needs to get stronger, but if she goes back to a nursing home, Me… Read More
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Categories: Medicare

Medicare Advantage Plans Often Wrongly Deny Necessary Care, Study Finds

In an alarming number of instances, private Medicare Advantage plans are denying coverage for medical services that would be covered under original Medicare, according to a federal investigation. These denials are likely preventing or delaying medica… Read More
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Categories: Medicare

Build Back Better Act Stalls in Congress

The FY22 budget reconciliation package, also known as the Build Back Better Act, is still being debated in Congress due to concerns about the cost. The legislation features once-in-a-generation improvements to Medicare and Medicaid, including enhance… Read More
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Categories: Medicare

Bill Introduced to Make Three-Day Stay Waiver Permanent - Medicare

By Amy Stulick | June 1, 2021 A bill to permanently waive the three-day inpatient hospital stay requirement for Medicare coverage of a skilled nursing stay was introduced in the House of Representatives on Tuesday, an attempt to make the pandemic-rel… Read More
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Categories: Medicare