{"id":21885,"date":"2023-10-05T08:42:22","date_gmt":"2023-10-05T12:42:22","guid":{"rendered":"https:\/\/medicarereport.org\/?p=21885"},"modified":"2023-10-05T08:42:23","modified_gmt":"2023-10-05T12:42:23","slug":"feds-rein-in-use-of-predictive-software-that-limits-care-for-medicare-advantage-patients","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=21885","title":{"rendered":"Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients"},"content":{"rendered":"\n

(By Susan Jaffe for KFF Health News)<\/p>\n\n\n\n

Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she was well enough to go home.<\/p>\n\n\n\n

At the time, she could not walk more than a few feet, even with assistance \u2014 let alone manage the stairs to her front door, she said. She still needed help using a colostomy bag following major surgery.<\/p>\n\n\n\n

\u201cHow could they make a decision like that without ever coming and seeing me?\u201d said Sullivan, 76. \u201cI still couldn\u2019t walk without one physical therapist behind me and another next to me. Were they all coming home with me?\u201d Continue reading here…<\/a><\/p>\n\n\n\n

Kaiser Health News is a nonprofit national health policy news service that is part of the nonpartisan Henry J Kaiser Family Foundation.<\/p>\n\n\n\n

\"\"<\/p>\n\n\n\n

Notice:<\/strong> The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/p>\n","protected":false},"excerpt":{"rendered":"

(By Susan Jaffe for KFF Health News) Judith Sullivan was recovering from major surgery at a Connecticut nursing home in<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,32,9,24],"tags":[902,385,62,901,232,94],"class_list":["post-21885","post","type-post","status-publish","format-standard","hentry","category-aging","category-cms","category-medicare-advantage","category-nursing-homes","tag-algorithm","tag-healthcare-costs","tag-medicare-advantage","tag-navihealth","tag-nursing-home","tag-older-adults"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/21885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=21885"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/21885\/revisions"}],"predecessor-version":[{"id":21886,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/21885\/revisions\/21886"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}