When it comes to health care, the Centers for Medicare and Medicaid Services are trying...
Lately, when it comes to residential real estate, it’s a seller’s market – so if...
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What is the Medicare Inpatient Only List?
CMS Removes Inpatient Only ListRecently, CMS announced the finalization of their rule to end the inpatient-only list. This transition will occur over a three-year period that they will begin by eliminating about 300 services, mostly musculoskeletal-related in nature (including joint replacements). The changes intend to give patients more freedom of choice in their health care options and save them money. They also allow Medicare to pay for inpatient and outpatient services in the case that each is relevant. Eliminated procedures may be subject to review including the 2-midnight rule. This means the presumption of the need for Part A payment if an inpatient hospital stay lasts two or more midnights post-admission. Yet, CMS is exempting certain 2-minute rule reviews of newly removed procedures for two years.
What is the 340B Program?
CMS Patients Over Paperwork Initiative in 2022In the Patients Over Paperwork initiative, CMS attempts to lessen regulations that burden patients. The goal is to have providers spend more time with patients. Recently, CMS is revising its methodology to calculate Overall Hospital Quality Star Rating. These ratings help patients make educated health care decisions and now CMS is simplifying and standardizing them. This action is in response to stakeholder feedback. Calculations will also account for people on Medicare and Medicaid, as well as critical access hospitals and Veterans Health Administration hospitals.
CMS Rethinking Rural Health InitiativeCMS\'s Rethinking Rural Health initiative strives to provide affordable, high-quality healthcare to people living in rural areas. Its payment system, Inpatient Prospective Payment System (IPPS), has increased the wage index for hospitals with low wage indexes. In 2022, CMS is continuing to adopt the IPPS and will use the system for a minimum total of three more years. Disparities in hospital wage indexes will continue to be addressed. Also, CMS estimates payment for outpatient services in rural areas nationwide would increase by 3 percent. This percentage is 0.5 percent above the national average of 2.5 percent.', 'post_title' => 'Medicare Inpatient Only List for 2022', 'post_excerpt' => 'CMS is eliminating the inpatient-only list. This will be a three-year process to give patients more choice in health care.', 'post_status' => 'publish', 'comment_status' => 'open', 'ping_status' => 'closed', 'post_password' => '', 'post_name' => 'inpatient-only-list', 'to_ping' => '', 'pinged' => '', 'post_modified' => '2021-10-13 17:57:22', 'post_modified_gmt' => '2021-10-13 21:57:22', 'post_content_filtered' => '', 'post_parent' => 0, 'guid' => 'https://qa.medicarefaq.com/?p=9818', 'menu_order' => 0, 'post_type' => 'post', 'post_mime_type' => '', 'comment_count' => '10', 'filter' => 'raw', )), 1 => WP_Post::__set_state(array( 'ID' => 16825, 'post_author' => '14', 'post_date' => '2021-07-07 14:51:16', 'post_date_gmt' => '2021-07-07 18:51:16', 'post_content' => 'As a Medicare beneficiary, you might be familiar with the compare sites from CMS. Previously, there were different sites to help people find each type of provider. Well, now these tools are merged into one convenient destination called Care Compare. Not familiar with this new tool yet? We\'ll walk you through the improvements and features, as well as what Care Compare can do for you.The Care Compare tool can help you and your family:
What is the Medicare Care Compare Tool?Before introducing Care Compare, CMS offered eight tools to compare health care providers to help recipients make informed choices. Now, these tools are obsolete, and all of their features are available on the new tool. Thus, users can compare eight different categories of providers in one place.
- Find doctors near you accepting Medicare
- Locate your nearest hospital (including long-term care hospitals)
- Compare ratings for nursing homes, hospices, and home health agencies
- Find the contact information of inpatient rehabilitation centers and dialysis facilities
Medicare Care Compare Tool ImprovementsAlso, the Care Compare tool is more user-friendly than its predecessors. Its design is more refined than the previous tools, allowing for easier comparison of options. The site lists providers in a way that is simple for the user to compare them to one another. The tool is optimized for mobile and tablet use, so people can find practitioners on the go and call them by clicking on their phone numbers. The interface is simple to use, allowing the user to start by selecting from the eight provider types. You can also use keywords to search for providers accepting Medicare near you. Users can filter results based on what they consider most important for their needs, such as distance or overall rating. The site also provides additional resources and information for users, such as what to look for when selecting a provider. Yet, CMS still rates quality the same way as they have previously.', 'post_title' => 'New Care Compare Tool from Medicare', 'post_excerpt' => 'The Care Compare tool from CMS provides information about all types of providers to help Medicare beneficiaries make the best choices for their needs.', 'post_status' => 'publish', 'comment_status' => 'open', 'ping_status' => 'closed', 'post_password' => '', 'post_name' => 'care-compare-tool', 'to_ping' => '', 'pinged' => '', 'post_modified' => '2021-10-13 17:55:28', 'post_modified_gmt' => '2021-10-13 21:55:28', 'post_content_filtered' => '', 'post_parent' => 0, 'guid' => 'https://qa.medicarefaq.com/?p=16825', 'menu_order' => 0, 'post_type' => 'post', 'post_mime_type' => '', 'comment_count' => '0', 'filter' => 'raw', )), 2 => WP_Post::__set_state(array( 'ID' => 9832, 'post_author' => '14', 'post_date' => '2021-07-18 00:00:00', 'post_date_gmt' => '2021-07-18 04:00:00', 'post_content' => 'Medicare is getting in-the-loop with the digital age by launching a new app earlier this year. The idea is to help beneficiaries plan the services that Medicare covers. Spending time sitting in the waiting room at the doctor’s office can lead to many questions. You may find yourself wondering if your policy will cover a certain procedure or service. Well now, there’s an app for that. That’s right; the new, free app gives users a fast and easy way to check if the program covers a specific medical service or item (device).
The Medicare What’s Covered AppMedicare’s new What’s Covered app allows beneficiaries to check services. This includes benefits that fall under Parts A and B coverage. Also, the app can determine how and when to receive benefits and coverage. The app gives a basic cost list and other details about eligibility. Another benefit of the app is the list of preventive services the program covers. However, results for advantage plans aren\'t in the app.
The What’s Covered App BenefitsProviding users with answers to a variety of questions, the types of questions may vary. For example, questions such as mammogram coverage, home health care, and diabetes supplies. Many beneficiaries ask about coverage for smoking cessation. This is just the start of the list. Beneficiaries may get basic information out of using the app. However, personalizing the app isn’t an option. There’s no need to worry about the app using your personal information because it doesn’t ask for any user specifics. Since there’s no user information; the app doesn’t have the ability to factor in supplemental insurance, co-insurance, or deductibles. The app is a mobile, hand-held way for beneficiaries to get the information that’s available in the Medicare handbook. Taking part in an initiative by the Centers for Medicare and Medicaid Services (CMS) eMedicare. With over 60 million enrollees in the governments’ health program, CMS wants to keep current with the times.
Medicare\'s New What\'s Covered AppThis new app focuses on updating Medicare to modern times. In turn, CMS hopes to empower beneficiaries by offering tools that are relevant. For many seniors, whether Medicare covers a service or procedure isn’t a yes or no answer. One example is the category home health services. Although, beneficiaries aren\'t eligible if additional care is necessary after SNF care ends. This is because Medicare doesn’t cover custodial care or rehabilitative services. Including help with daily living activities such as bathing, eating, and dressing. Medicare\'s new What\'s Covered app updates include language settings. Both Spanish and English settings are available. Similarly, the app features a device setting for language. Meaning, if the device language is Mandarin – the app will translate. This can make navigating through the app much easier for those who fluently speak a foreign language.
How to Use the What’s Covered AppSeniors are more and more tech-savvy as time goes on. The Medicare What’s Covered app is available to download for free in both the Google Play Store and the Apple App Store. Users with iPhones, iPads, MacBooks, and other Apple devices, should visit their Apple App Store for their free download. Android or other tablet users may download the app via Google Play Store, free of charge. After installing, use the app in the doctor’s office, hospital, or anywhere; even if there’s no signal available. So, what’s the actual feedback of the app’s users? User experience is one of the most important parts of a new app. After all, the person using the app is who matters, right? According to Kaiser Health News, Milt Roney (71, a retiree from Washington, D.C.) gave his thoughts about the app. At first, Roney was skeptical saying he wouldn’t use an app like this but felt relieved once he realize his procedures all had coverage. Casey Schwarz, senior counsel for the Medicare Rights Center also gave her statement. “Usable and good for general information, it doesn’t provide Personal Information that might be more helpful in making treatment or access decisions”.
Is the New Medicare What’s Covered App Easy to UseHowever, AARP reports that roughly 46% of individuals aged 60+ don’t even have smartphones. Even lower on the scale are those 70+ with only 29% of them having smartphones. Although, both Google and Apple users alike found the app by searching “Medicare”. The app pops up first even though there are other Medicare apps on each platform. One user mentions how it took a few minutes to determine which app was the CMS tool. Using the search function for one user, gave no results. her doctor told her to type “Dexa scan” in the search bar. Instead, she had to sort through the list of procedures the program covers to find “bone mass measurements”. She was able to determine Part B coverage for 1 test every 2 years. However, she never saw the term “Dexa scan". Although, electronic resources may help determine coverage of certain procedures or items. The application is simply a basic, general information tool. Users may find this app helps them estimate the out-of-pocket costs of a service. On the other hand, users won’t find any information on how to choose a supplemental plan. This information isn’t available because the application can’t support requiring users to input personal information.
CMS’s Upcoming InitiativesExpect more new ideas to start rolling out as CMS accommodates tech-savvy beneficiaries. An interactive online tool to help beneficiaries realize their costs and coverage options. The website allows users to compare Medicare and Advantage plans. New price transparency tools let consumers see the national average costs in comparison to their cost. Price transparency tools may help compare the costs of procedures between settings. Meaning, patients can see their cost of service from a hospital outpatient setting in comparison to an ambulatory surgical facility. CMS also offers a Care Compare tool, where beneficiaries can find health care practitioners near them who accept Medicare. The Plan Finder now has a new webchat option if you’re up for it. Medicare.gov offers many new easy-to-use surveys that provide CMS with what consumers want. Medicare wants to hear from the users themselves. Ratings and reviews can help push any app updates in the right direction; as well as understand what consumers enjoy while using the app.', 'post_title' => 'New Medicare What\'s Covered App', 'post_excerpt' => '', 'post_status' => 'publish', 'comment_status' => 'open', 'ping_status' => 'open', 'post_password' => '', 'post_name' => 'new-medicare-whats-covered-app', 'to_ping' => '', 'pinged' => '', 'post_modified' => '2021-10-08 17:29:31', 'post_modified_gmt' => '2021-10-08 21:29:31', 'post_content_filtered' => '', 'post_parent' => 0, 'guid' => 'https://qa.medicarefaq.com/?p=9832', 'menu_order' => 0, 'post_type' => 'post', 'post_mime_type' => '', 'comment_count' => '2', 'filter' => 'raw', )), 3 => WP_Post::__set_state(array( 'ID' => 22125, 'post_author' => '14', 'post_date' => '2021-10-01 16:59:12', 'post_date_gmt' => '2021-10-01 20:59:12', 'post_content' => 'Lately, when it comes to residential real estate, it’s a seller’s market – so if you’re a Medicare beneficiary with an upcoming retirement date, you’re likely wondering how you can best seize this opportunity. Would selling your residence of the past few decades be the wisest decision to supplement your 401(k), or should you wait it out? Below, we\'ll discuss how the current real estate market affects Medicare beneficiaries during retirement.
Medicare Beneficiary Real Estate Trends for 2022Since the beginning of the COVID-19 pandemic, mortgage rates have fallen significantly. This trend, predictably, spurred homebuying demand. As a result, listing prices are up, and the number of days houses spend on the market is down. The public health crisis has also caused occupancy in senior housing to reach historic lows. Medicare beneficiaries tend to suffer the most serious, adverse effects of the virus. Thus, the ability to distance from other residents is a must-have on many Medicare-eligible retirees’ lists. So, more seniors are choosing to live independently or move in with family. Indeed, both these scenarios further add to demand. Homeowners over 65 and approaching retirement may consider selling their empty nest of a dwelling and downsizing. After all, doesn\'t it seem like the time is right? Still, many are torn between listing as soon as possible or waiting for a further upswing.
Should I Sell My Home When I Retire?
Whether it\'s wise to sell your home around the time you retire – or anytime soon – depends on multiple factors. Firstly, as anyone familiar with real estate knows: location, location, location. Think about both where you currently live and where you\'d like to move.
Which States Freeze Property Taxes for Seniors?
If you’re planning to purchase a new home when you retire but have concerns about property taxes, a handful of states offer property tax freezes for people over 65. Meaning, they prohibit an increase in the property tax for those eligible.