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High-Intensity Home-Based Rehabilitation in a Medicare Accountable Care Organization By Joshua K. Johnson, DPT, PhDMichael B. Rothberg, MD, MPH High-intensity home-based rehabilitation (HIHR) may substitute for facility-based postacute rehabilitation. Patients in HIHR had better functional outcomes ...
‘Tug of War’: Inside Navigating the Pitfalls of Dual Eligible Coverage in Nursing Homes ByAmy Stulick|August 13, 2024 Delivering care to dual eligible nursing home residents can be complex with so many payers involved in the industry, but aligning incentives, quality measures and tools for pr...
Research has shown that individuals with cognitive impairments, can benefit from intensive rehabilitation after a trauma such as a hip frac- ture. However, the cognitive impaired individual often requires shorter therapy sessions for a longer span of time.The 1987 Nursing Home Reform Law mandates ...
Medicare Supplement plans, also known as Medigap plans, are additional insurance policies that work alongside Original Medicare to help cover out-of-pocket costs. While they can fill in the gaps of coverage left by Original Medicare, including deductibles and coinsurance, they do not include prescr...
Medicare Part A: Hospital Coverage Part A is your hospital insurance. It pays toward hospital expenses, hospice care,skilled nursing facility stays, rehabilitation facility stays, and even certain home healthcare services. Do not assume this means everything will be paid in the long haul. Medicare...
Advantage Plan’s limitations on services and providers is the trade-off for a lower premium. The most glaring difference, though, between Advantage Plans on the one hand and both straight Medicare and Medicare Supplements on the other hand is the coverage of post-hospitalization rehabilitation ...
Medicare Part A provides coverage for inpatient hospital stays, skilled nursing facility care, hospice care, and some home healthcare services. Most people do not pay a premium for Part A coverage if they or their spouse have paid Medicare taxes while working. ...
Inpatient or outpatient rehabilitation services after a qualified inpatient stay Part-time, skilled care for the homebound Hospice care for the terminally ill, including medication to manage symptoms and control pain What is not covered by Medicare Part A?
Short-Term Rehabilitation: If an individual requires short-term rehabilitation services after a hospital stay, Medicare Part A may cover a portion of the skilled nursing care or therapy services provided in an assisted living facility. This coverage is typically limited to a specific timeframe and ...