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A Favorable Ruling that Medicare Will Pay for a Needed Cancer Treatment

Wednesday, 17 January 2018 08:31

medicareRecent advances in modern medicine mean that a surprise diagnosis of advanced lung cancer is no longer an automatic death sentence. But when Medicare providers refuse to pay the cost of cutting-edge medicines, they prevent patients from receiving life-saving treatments and condemn them to the same fate. Attorney Janet Lowder and I just made it a little harder for Medicare Part D providers to do that.

Our client was living an otherwise active and healthy life when she was unexpectedly diagnosed with advanced lung cancer. She needed to act fast to get ahead of the disease. Her top-notch doctors prescribed the most effective treatment – one that could in fact save her life.

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In-home Care vs. Facility - You Decide

Monday, 14 August 2017 12:59

Couple2One of the most common questions posed in care coordination is how to decide between in-home care and facility placement. While there is no simple answer to this question, it is important to recognize the pros and cons of both choices. There are several factors involved in making the best choice: level of care/care needs, cost, and safety are just a few. Let’s look at home care first.

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The Knowns and Unknowns of Medicaid Application

Monday, 12 June 2017 13:52

knownunknown“…[A]s we know, there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do not know. But there are also unknown unknowns – the ones we don't know we don't know.”
     - Former Secretary of Defense Donald Rumsfeld

One of the most difficult conversations with our elderly clients and their family members involves explaining how difficult and mysterious applying for and obtaining Medicaid coverage can be if they do so without experienced, knowledgeable counsel. Secretary Rumsfeld’s now famous (or infamous) quote comes to mind as I try to explain what it is that our firm brings to a Medicaid application.

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Beware Before You Sign – Avoiding the Trips and Traps of a Long Term Care Admission Agreement

Tuesday, 02 February 2016 15:26

docsLately, I’ve seen several clients who have come to us too late. They were presented with an admission agreement for a nursing home or other care facility and were told that the agreement needed to be signed “right away.” This can be an expensive mistake.

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