For years, it has been an article of faith that Medicare would not pay for services such as skilled nursing or physical therapy unless that care improved a patient’s health status.
How did this misunderstanding go on for so long?
Seniors and disabled individuals enrolled in Medicare Part A–which covers hospitalization and limited nursing home care and is free for most beneficiaries–do not need to buy a marketplace plan, because they are already meeting the insurance requirements.
A national hospice company improperly cycled patients through nursing homes and hospice with a goal of making as much profit as possible from Medicare, according to a whistleblower lawsuit announced in early January.
The House Republican plan for overhauling Medicare would fundamentally change how the federal government pays for health care. Starting a decade from now, many Americans will likely face higher out-of-pocket costs and greater limits to coverage.
MEDICARE enrollment season is approaching, and many experts believe it will be turbulent because of changes in the system and new coverage options. Take some steps now to educate yourself so you can minimize the confusion for yourself and your loved ones.