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HEALTH CARE

NY State Nursing Homes Staffing Study

Lindsay-Heckler Portrait

On September 20th, 2019, NY State Department of Health is having the first of two meetings to examine how staffing enhancements, and other initiatives, can be used to improve patient safety and the quality of healthcare service delivery, in hospitals and nursing homes. Supervising Attorney Lindsay Heckler will be there to give brief testimony on…

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Call for Community Action: Speak up for Nursing Home Residents

Prepared by Lindsay Heckler, Esq. The Centers for Medicare & Medicaid Services (CMS) has issued proposed rules for the purpose of reducing nursing home provider burden. The proposed rules do nothing to improve the quality of care in nursing homes. The Center for Elder Law & Justice is against the proposed changes and will be…

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UB Law Student’s Work Instrumental in Federal Court Medicare Win

Chief Federal District Judge Geraci’s January 26, 2018 decision in Elder v. Hargan, Case # 16-CV-290 FPG (WDNY), opens up a new door to obtaining Medicare coverage of medical care in a skilled nursing facility.   Noting the Secretary of Health and Human Services had misinterpreted her own regulations, Judge Geraci found “…[t]he regulations clearly contemplate…

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CELJ Comments on Proposed Regulatory Revision Allowing Arbitration Agreements

The Centers for Medicare and Medicaid Services (CMS) issued new nursing facility regulations in September 2016, which included consumer protections for residents, which prohibit nursing homes from forcing residents to arbitrate disputes.   CMS has now proposed to roll back these protections to permit nursing facilities to require residents to sign pre-dispute arbitration agreements before…

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ORIGINAL MEDICARE, MEDICARE ADVANTAGE AND PRIVATE HEALTH INSURANCE: CHOOSING BETWEEN ORIGINAL AND MEDICARE ADVANTAGE—PART 2

Continuation of last blog’s discussion of this complex and significant choice. c. Original Medicare and Medigap give you the flexibility to go to virtually any provider anywhere in the country. Medicare Advantage HMOs generally limit enrollees to networks, which don’t include all providers, require referrals to specialists, and will not provide coverage out of network…

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ORIGINAL MEDICARE, MEDICARE ADVANTAGE AND PRIVATE HEALTH INSURANCE: CHOOSING BETWEEN ORIGINAL AND MEDICARE ADVANTAGE

Medicare is basic health insurance for almost all Americans over 65 years of age, in addition to long-term Social Security Disability recipients and certain other limited groups of people.  It is usually a companion to the Social Security or Railroad Retirement benefit.  It is an insurance program, administered by the Federal government’s Centers for Medicare…

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