What Can I Do if I Think a Family Member Is Being Discharged from a Skilled Nursing Facility Too Soon?

Emily WhicheloeDear Marci0 Comments

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Dear Marci, My mother has Original Medicare and is currently receiving care from a skilled nursing facility. Her provider gave her a notice saying that she will be discharged soon, but she does not feel she is ready to go home. Is there any way she can stay in the skilled nursing facility and get Medicare to cover the stay? – Judy (Rockford, IL) Read More...

Infographic: Which is Primary? Medicare and Employer Coverage

Jay JohnsonInfographics0 Comments

Medicare can either be primary or secondary to your employer coverage. This usually depends on the size of the employer and whether or not someone is currently working. Primary insurance pays first for health care claims. Secondary insurance pays after the primary insurance for some or all of what the primary insurance did not cover. Knowing which is primary is important because secondary insurance often refuses to pay anything if the primary insurance has not paid first. Check out this handy infographic explaining when employer coverage is primary and when Medicare is primary. Read More...

Medicare Rights Center Speaks at Public Forum on Part B Medications

Stacy SandersMedicare Watch0 Comments

Earlier this week, the Medicare Rights Center participated in a panel discussion at a public forum convened by the Pew Charitable Trusts on a proposal by the Centers for Medicare & Medicaid Services (CMS) to test new ways to pay for Medicare Part B prescription drugs. Other panelists included experts on prescription drugs, pharmaceutical makers, and clinical oncologists. The discussion focused on the panelists’ views of the potential merits and downsides of the CMS proposal. Read More...

CMS Releases Final Medicare Advantage and Part D Plan Changes for 2017

Casey SchwarzMedicare Watch0 Comments

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Last week, the Centers for Medicare & Medicaid Services (CMS) published the 2017 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter (2017 Final Notice and Call Letter). In March, Medicare Rights submitted comments on the draft version of the call letter supporting of many of the proposed changes, which seek to improve the accuracy of payment structures and strengthen plan accountability. The 2017 Call Letter finalizes most of the proposals included in the draft letter, with some moderate changes. Read More...

Prescription Drug Pricing Expert Presents at Medicare Rights

Deane BeebeIn the Know, Inside Medicare Rights0 Comments

Peter Bach, MD, MAPP, director of the Center for Health Policy and Outcomes at Memorial Sloan Kettering Cancer Center, was the guest speaker on “The Future of Drug Pricing” at the Medicare Rights Center’s Policy Breakfast on April 5. Dr. Bach, a physician, epidemiologist, researcher, and healthcare policy expert whose work focuses on the cost and value of anticancer drugs, is an ardent supporter of value-based pricing for prescription drugs and favors the Centers for Medicare and Medicaid Services’ (CMS) recently announced proposal to test value-based payment strategies for medications covered under Medicare Part B. Read More...