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Eliminate the 190-day lifetime cap on inpatient psychiatric hospital stays

The Medicare Improvements for Patients and Providers Act of 2008 achieved partial mental health parity in Medicare, but unequal treatment remains. For instance, Medicare caps coverage for care […]

May 6th, 2015|Categories: 50 Medicare Wishes, Modernize Benefits|

Do away with the three-day stay required for skilled nursing facility care

Medicare will only cover a beneficiary’s medically necessary stay in a skilled nursing facility if that person is first an inpatient in a hospital for three days—a rule […]

May 5th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Count time spent in observation (outpatient) status toward the three-day rule for nursing care

Absent elimination of the three-day stay rule, Congress should count all time a patient spends in the hospital—as an inpatient or outpatient—toward the three-day rule. Shifting hospital practices […]

May 4th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Eliminate the homebound requirement for Medicare coverage of home health care services

Medicare coverage for care at home currently requires that a person be “homebound” and that they meet several other technical requirements. Medicare Rights often hears from beneficiaries who […]

May 3rd, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Decrease limitations on coverage for Durable Medicare Equipment (DME) outside the home

Medicare only covers DME that is needed inside the home. This limitation restricts access to DME for those who are in skilled nursing facilities and altogether ignores a […]

May 2nd, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Create Medicare Part E—a public supplement to Original Medicare with Part D benefits and a catastrophic cap

Medicare beneficiaries who opt for the flexibility and simplicity of Original Medicare should be protected from catastrophic costs by an out-of-pocket maximum and should benefit from an integrated […]

May 1st, 2015|Categories: 50 Medicare Wishes, Modernize Benefits, Strengthen Part D|

Provide Medicare coverage for continuous glucose monitors

Medicare does not currently cover monitoring devices for people with diabetes whose blood sugar can rapidly change. Many Medicare beneficiaries and family caregivers contact Medicare Rights about the […]

April 29th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Allow peer-reviewed literature to support medically-accepted indications for Part D prescription drugs

Medicare has two standards for determining when a medication is covered. One standard, requiring strong evidence in peer-reviewed literature, is used for prescription drugs covered under Part B […]

April 26th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|