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March 25, 2020

Federal Court Orders Appeal Rights on “Observation Status” Issue
for Certain Medicare Hospital Patients


In a decision issued today, Judge Michael P. Shea of the U.S. District Court in Hartford, Connecticut found that certain Medicare beneficiaries who are placed on “o...

March 16, 2020

Medicare covers related needs:

  1. Medicare covers the lab tests for COVID-19. You pay no Health or prescription drug costs that you must pay on your own because they aren't covered by Medicare or other insurance.

  2. Medicare covers all medically necessary hospitaliza...

January 9, 2019

Below are figures for 2019 that are frequently used in the elder law practice or are of interest to clients.

Medicaid Spousal Impoverishment Figures for 2019

The new minimum community spouse resource allowance (CSRA) is $25,284 and the maximum CSRA is $126,420. Th...

December 15, 2018

Elder Justice: What "No Harm" Really Means for Residents is a newsletter published by the Center for Medicare Advocacy and the Long Term Care Community Coalition. The purpose of the newsletter is to provide residents, families, friends, and advocates information on wha...

December 15, 2018

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for outpatient therapy based on an erroneous “Improvement Standard.” Th...

Congress Passes Bills to Eliminate Drug Price “Gag Clauses” on Pharmacists

This week the House passed two bills that would make it illegal for Medicare plans (S. 2553) and commercial insurance plans (S. 2554) to prohibit pharmacists from informing patients that the cash...

November 28, 2017

By late 2014, Chabela Lawrence wasn’t doing well. She had mostly stopped cooking and cleaning for herself and began, every so often, to get lost on her way home from the neighborhood coffee shop–the one she’d been to a least a hundred times. The following March, the 74...

As ordered by the federal judge in Jimmo v. Sebelius, the Centers for Medicare and Medicaid Services (CMS) published a new webpage containing important information about the Jimmo Settlement on its website. The Jimmowebpage is the final step in a court-ordered...

March 2, 2017

Medicare will pay for up to 100 days of skilled care in a nursing facility for each spell of illness after discharge (or within 30 days of discharge) from a hospital where the patient has been admitted for at least 3 days.  Medicare pays 100% for days 1 through 20 at n...

July 1, 2016

If it’s not happened to you, it’s happened to someone you know.  Has this been your experience?  You or a family member wind up in a rehabilitation facility, after a health event that landed you in the hospital for a few days, and Medicare is paying your way.  Why shou...

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