About 70 percent of people turning age 65 can expect to use some form of long-term care during their lives, according to the U.S. Department of Health and Human Services.
Do you know what Medicare covers?
Medicare covers medically necessary care, such as doctor visits, drugs, and hospital stays. Medicare coverage also includes short-term services for conditions that are expected to improve, such as physical therapy to help you regain your function after a fall or stroke. In addition, Medicare covers a short stay in a skilled nursing facility or for home health care services as long the following conditions are met:
- You have had a recent prior hospital stay of at least three days.
- You are admitted to a Medicare-certified nursing facility within 30 days of your prior hospital stay.
- You need skilled care, such as skilled nursing services, physical therapy, or other types of therapy.
Home health nurses identify individual needs, coordinate available resources and set up a plan that will allow many elderly patients to stay in their homes safer and longer.
Physicians see it all the time: High-needs elderly patients who don’t qualify for skilled care, but who have complex conditions that may compromise their health and safety at home. These patients often have one or more caregivers, but their basic medical needs still go unmet. The solution? Management and Evaluation (M&E) services offered under the home health care benefit. Read more
The Hospital Value-Based Purchasing Program measures focus on how closely hospitals follow best clinical practices and how well hospitals enhance patients’ experiences of care.
SOURCE: U.S. Department of Health and Human Services
The Hospital Value-Based Purchasing (VBP) Program was implemented under the Affordable Care Act to improve hospital patients’ clinical outcomes and satisfaction of care experience, as well as reduce health care costs. Hospitals will be given incentive payments based on their overall performance on a set of quality measures that have been linked to improved clinical processes of care and patient satisfaction. Read more