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1,091 MA Plans To Offer In-Home Support Services In 2023, A Significant Increase
October 4th, 2022
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…
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Categories: Medicare
Medicare's Limited Nursing Home Coverage
July 1st, 2022
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…
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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?
July 1st, 2022
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…
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Categories: Medicare
Medicare Advantage Plans Often Wrongly Deny Necessary Care, Study Finds
May 6th, 2022
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…
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Categories: Medicare
Build Back Better Act Stalls in Congress
October 21st, 2021
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…
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Categories: Medicare
Bill Introduced to Make Three-Day Stay Waiver Permanent - Medicare
June 2nd, 2021
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…
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Categories: Medicare