Skilled nursing operators unnerved by what they see as excessive information demands for a new, off-cycle Medicare ...

As we approach the annual enrollment period (AEP) for 2025, the Medicare industry is undergoing changes that could set this ...

The Centers for Medicare & Medicaid Services (“CMS”) has issued an updated version of the Form CMS-855A that requires additional disclosures ...

When it comes to Medicare coverage for skilled nursing care, understanding the nuances of what is covered and for how long is ...

You can do a side-by-side comparison of plan coverage, costs and quality ratings at medicare.gov. Part A covers hospital stays, skilled nursing facility stays, hospice care and some home health ...

A Senate report published Thursday blasts the nation’s three largest Medicare Advantage insurers for increasingly limiting access to post-acute care and forcing vulnerable patients into “impossible ...

Medicare covers 60 lifetime reserve days in total over your lifetime. After you meet your lifetime reserve days, you’re expected to pay all costs. If you’re receiving care at a skilled nursing ...

Medicare funds pay for medical services under 2 programs: Medicare Part A and Medicare Part B. Part A covers the services of hospitals, skilled nursing ... procedures guidelines are to be adhered ...

The sale of one of Iowa’s largest nursing home chains has reportedly been completed, with 29 care facilities now in the hands ...

Most states follow federal and state guidelines ... who weren’t eligible for Medicare before January 2020. Plans cover different amounts of Part A deductibles, skilled nursing or hospice ...

Medicare Advantage’s prior authorization process has resulted in higher denial rates among three of the largest health ...

UnitedHealth, CVS and Humana used technology to increase MA prior authorization denials for post-acute services, boosting profits, according to a report from a Senate subcommittee.