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Non-U.S. citizens can qualify for Medicare in some cases: lawful permanent residents (green card holders) who have lived in the U.S. five continuous years, and non-citizens who earn enough Social Secu...
The 2025 reconciliation law and related legislative moves cut or let lapse major ACA supports—KFF and CBO-linked analyses project up to millions of people losing coverage and sharply higher marketplac...
Medicare defines “skilled” SNF services as nursing or therapy care that can only be safely and effectively performed by, or under the supervision of, licensed health professionals — and the care must ...
If Medicare denies coverage for extended skilled nursing services you have multiple appeal pathways: for ongoing care you can request an expedited (fast) appeal to the BFCC‑QIO which can keep coverage...
The Medicare Savings Programs (MSPs) are four state-administered Medicaid “buy‑in” programs—Qualified Medicare Beneficiary (QMB), Specified Low‑Income Medicare Beneficiary (SLMB), Qualifying Individua...
President Trump’s policies have already raised Medicare Advantage (MA) payments—CMS set a roughly 5% average boost for 2026 that advocates say funnels more money to private plans . At the same time, a...
Congress and the president most recently enacted major healthcare changes in 2025: the Budget Reconciliation law commonly called the One Big Beautiful Bill (signed July 4, 2025) that rewrote many ACA,...
Available reporting and analyses indicate the biggest immediate, measurable impacts from the recent federal package fall on people who are dually eligible for Medicare and Medicaid—an estimated ~1.4 m...
Lawmakers are proposing reductions in Medicare and related health program expenditures primarily as part of a broader fiscal strategy to pay for major tax-cut proposals and reduce projected federal de...
The Trump administration expanded *Special Supplemental Benefits for the Chronically Ill* (SSBCI) and broadened Medicare Advantage flexibilities beginning with policy reinterpretations in 2018 and for...