CMA Alert - Medicare Home Health Coverage is Not a Short-Term, Acute Care Benefit ─ Congress Acted in 1980 to Provide for Longer-Term Coverage; Final Home Health Rules and Interpretive Guidance: Proposed Payment Model Rescinded; Advocates Oppose House Tax Cuts Bill that Would Set the Stage for Deep Cuts to Medicare & Other Programs; This Week in Sabotage – and Some Good News!
Topic: Home Health Care
Medicare home health coverage is often erroneously described as a short-term, acute care benefit. This is not true. Although it may be implemented in this way, under the law people who meet the threshold qualifying criteria (legally homebound and needing skilled care), are eligible for Medicare home health coverage so long as they need skilled care.
Recent regulations issued by CMS would discriminate against patients with chronic conditions, threaten access care in rural and undeserved areas, and cut hundreds of millions of dollars from the Medicare home health program.
The Center agrees with the proposed rule that the current payment system is not aligned with patient needs. However, we urge CMS to exercise caution before continuing to impose rebasing case-mix adjustments that are severely skewed by “usage data” that does not accurately represent patient needs.
CMA Alert - Former CMS Administrator Comments on Medicare Advantage Overpayments; Proposed Home Health Rules – Payments Drive Delivery of Care, Harming Beneficiaries; Observation Status Harms Low-Income Medicare Beneficiaries; Poll: Americans Favor Making the ACA Work
CMS rules and policies are resulting in neglected care and endangered safety for some Medicare beneficiaries. While Medicare home health coverage laws apply equally to all individuals, equitable application of coverage laws has been impeded by administrative payment rules and quality measure incentives that favor beneficiaries who have short-term care needs and disfavor those with long-term, chronic care needs.
Here We Go Again: Senate Health Repeal Bill Released Today, Vote Planned for Next Week; Medicare Trustees Project Increase in Solvency; Delay of New Medicare Home Health Conditions of Participation; Advocacy News from the Capitol
CMA Issue Brief - Medicare Home Health Coverage Should Be Based on the Need for Skilled Care;
Improvement Is Not Required.
This is Part Two of a Ten-Part CMA Issue Brief Series to examine, and inform work to resolve, the growing crisis in access to Medicare home health coverage and necessary care.
Today the Center for Medicare Advocacy launches a Ten-Part Series to examine and continue work to resolve the growing crisis in access to Medicare home health coverage and necessary care.
It is important for beneficiaries and advocates to know what Medicare home health coverage should be under the law, especially for those with long term, chronic, and debilitating conditions.
The Center for Medicare Advocacy has been hearing from people who meet Medicare coverage criteria but are unable to access Medicare-covered home health care, or the appropriate amount of care. These problems have been escalating in 2016.