Medicare patients must be told when they’re in “observation” status but not admitted in a hospital, under legislation expected to be signed into law by the president.
The proposed rules, released in advance of the White House Conference on Aging, cover wide-ranging topics, from meals to roommate selection to staff training.
Across the country, hospitals are offering seniors social activities and other benefits to help them stay healthy and out of the hospital, while also encouraging them to come back to visit.
Seniors can opt to stay in their marketplace plans when they become eligible for Medicare, but most lose their access to subsidies and failing to move into Medicare promptly results in premium penalties.
Under Medicare’s hospice benefit, patients agree to forgo curative treatment, but they can continue to receive coverage for health problems not related to their terminal illness. Federal officials suspect some of those expenses should be covered by hospice.
New federal rules requiring current information apply to insurers selling plans on healthcare.gov and the private policies that are an alternative to Medicare.
Federal officials handle most of the requests in 2014 from beneficiaries seeking a hearing before a judge and cut into the heavy backlog. But cases from hospitals, doctors and other providers are still on hold.
In 2015, some seniors enrolled in Medicare Advantage plans will be allowed to switch if they lose their doctors.
On Wednesday, Medicare officials agreed to pay for Glenda Jimmo’s home health care, reversing an earlier denial that said she didn’t qualify for coverage because she was not improving.
The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.
Among the most significant difference is that patient with their own insurance don’t face the same danger of losing nursing home coverage.
The pilot projects underway at hospitals eliminate the requirement that seniors must be admitted for three days before they qualify for nursing home coverage.
In response to strong criticism, Medicare officials are modifying rules intended to prevent the agency from paying twice for the same prescriptions for seniors receiving hospice care. Under the rules that took effect in May, hospice patients or their families could not fill prescriptions through their Part D drug plans until first confirming that the prescriptions […]
The nation’s largest and most intensive study of how to best prevent seniors’ injuries from falling will begin next year under a $30 million grant announced Wednesday by the Patient-Centered Outcomes Research Institute and the National Institutes of Health. A diverse group of 6,000 adults over age 75 or their caregivers will be recruited around […]
A congressional panel has held its first hearing on a controversial rule that governs the admission status of Medicare patients.
Studies have found that the government often pays insurance plans and hospice organizations for the same prescriptions, so Medicare is directing insurers to confirm that prescriptions are not covered by hospice before paying for them.
The proposals by federal officials come in response to UnitedHealthcare’s efforts to cancel contracts with thousands of doctors in 10 states just weeks before seniors had to enroll in plans.
This story comes from our partner ‘s Shots blog. Congress is still searching for money to avoid a 24 percent cut in pay for doctors who treat Medicare patients. But seniors are already paying their share of the cost in premiums, as if the pay cut — scheduled to kick in on April 1 — […]
Nursing home oversight may be moving toward more effective ways to detect poor care.
Several groups dedicated to helping seniors stay in their homes provide the service for members who may need a record of the doctor’s office visits.