Medicaid in Pennsylvania: Appeals Court Determines Undue Hardship Exception Essentially Meaningless

The Commonwealth Court of Pennsylvania has determined that Medicaid was appropriately denied based on transfers to the applicant’s son and Power of Attorney made to himself. (Brenckman v. Dept. Human Services, 443 C.D. 2018 (October 1, 2019)). Introduction This is not an unusual finding, as gifts and transfers for less than market value made within…

CMS Medicare Patient-Driven Payment Model: What Will It Mean for Beneficiaries?

The federal Centers for Medicare and Medicaid Services (CMS) have implemented new rules for Medicare reimbursement of skilled care in a nursing home. Introduction These rules, referred to as Patient-Driven Payment Model (PDPM) threaten care that Medicare recipients receive in a number of ways. According to CMS, the new payment model is meant to: More…

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