Estate and Elder Law

Recent Posts

"Medigap" Coverage Policies and Categories in Tennessee
Posted on 28 Sep 2011 by Timothy Takacs

"Medigap" insurance can pay for non-covered services, deductibles, and co-payments not otherwise covered by Medicare Part A and Part B. Except for Minnesota, Massachusetts, and Wisconsin, U.S. territories, and D.C., states must limit the... Read More

McNees Wallace & Nurick LLC: Planning and Paying for Long-Term Care (Part 2 in a Series: Medicare)
Posted on 2 Sep 2011 by McNees Wallace & Nurick LLC

By Scott Alan Mitchell As discussed in Part 1 of this series, the U.S. Department of Health and Human Services estimates that at least 70% of people over age 65 will need long-term care services at some point in their lives - and over 40%... Read More

Duane Morris LLP: Centers for Medicare and Medicaid Services Releases Proposed Rule on Reporting and Returning of Overpayments
Posted on 21 Mar 2012 by Duane Morris LLP

The U.S. Centers for Medicare and Medicaid Services (CMS) released a long-anticipated proposed rule on reporting and returning of overpayments on February 16, 2012. The proposed rule is part of CMS's recent effort to respond to increased Medicare... Read More

Foley & Lardner LLP: CMS Announces Comprehensive Primary Care Initiative Soliciting Participation From Health Care Payers
Posted on 7 Oct 2011 by Foley & Lardner LLP

By C. Frederick Geilfuss II , Donald H. Romano , Gary D. Koch , Diane Ung and Lawrence W. Vernaglia The Centers for Medicare and Medicaid Services (CMS) has announced plans to develop a Comprehensive Primary Care (CPC) initiative. In a notice... Read More

Sheppard Mullin Richter & Hampton LLP: New Medicare Advantage Audits Likely to be Challenging for and Challenged by Providers and Plans
Posted on 26 Mar 2012 by Sheppard, Mullin, Richter & Hampton LLP

By Karie Rego Since the 2006 payment year, CMS has conducted Risk Adjustment Data Validation (RADV) audits on Medicare Advantage (MA) plans' risk adjustment payments. However, CMS has been hindered by the lack of a methodology to extrapolate audit... Read More

Hook Law Center: The Pitfalls of Medicare
Posted on 14 Aug 2012 by Hook Law Center

Medicare can be a wonderful benefit for those 65 and older. However, Medicare eligibility rules can be very complicated, and you may feel that you're in a trap more complicated than running the gauntlet in medieval times. There are many factors which... Read More

Foley & Lardner LLP: CMS Initiatives for Bundled Payments to Improve Care
Posted on 1 Sep 2011 by Foley & Lardner LLP

By Shilpa S. Patel and Lawrence W. Vernaglia "Bundled payment" is one of the health reform strategies that received considerable attention during the health reform debates. Under this payment model, a group of providers (potentially including... Read More

New Incentives to Retire Early - Government will offset Employers Paying Continued Health Care Costs
Posted on 4 May 2010 by Deirdre R. Wheatley-Liss

The Obama Administration reports today that they will subsidize employers who are providing medical benefits to "early retirees". The issue is that Medicare kicks in at age 65. Given the costs of private health insurance, older, and sometimes... Read More

Medicare Open Enrollment Starts, Ends Earlier This Year
Posted on 14 Oct 2011 by karplaw

Alert to Medicare beneficiaries : The enrollment period starts and ends earlier this year! From Oct. 15 through Dec. 7 you have the opportunity to look at your Medicare coverage, examine any new options, and decide if you want to make changes... Read More

Tags: Medicare

Hook Law Center: Medicare to Cover More Home Health Services
Posted on 14 Jan 2013 by Hook Law Center

Good news for Medicare recipients! Just in time for the New Year 2013! In the past, Medicare recipients were unable to receive home health services such as nursing care and therapies if they had a chronic condition. As a result of a court case that originated... Read More

The New 3.8% Investment Surtax - Will it Apply to You?
Posted on 20 Jul 2012 by Gregory Herman-Giddens

Now that the health care law has been declared constitutional, the remaining provisions will be going into effect. One little known provision is a new 3.8% investment income surtax, also called the health care surtax or the Medicare tax; it will go into... Read More

3rd Circuit: Humana Can Sue GSK For Reimbursement For Avandia-Related Expenses
Posted on 29 Jun 2012 by LexisNexis® Mealey's™ Legal News

PHILADELPHIA - (Mealey's) Medicare Advantage provider Humana Medical Plan Inc. is allowed under Medicare law to seek reimbursement from GlaxoSmithKline PLC (GSK) for the costs of treating insurance customers who were injured by GSK's Avandia... Read More

Medicare Part D premium to remain unchanged in 2013
Posted on 27 Aug 2012 by karplaw

The U.S. Department of Health and Human Services has announced that the average premium for Medicare Part D coverage will remain steady in 2013. The average premium will be about $30. This is the third straight year that the Part D premium has not increased... Read More

Foley & Lardner LLP: CMS Announces Comprehensive Primary Care Initiative Soliciting Participation From Health Care Payers
Posted on 7 Oct 2011 by Foley & Lardner LLP

By C. Frederick Geilfuss II , Donald H. Romano , Gary D. Koch , Diane Ung and Lawrence W. Vernaglia The Centers for Medicare and Medicaid Services (CMS) has announced plans to develop a Comprehensive Primary Care (CPC) initiative. In a notice published... Read More