Facilities enrolled in the Special Focus Facility (SFF) initiative are placed under special scrutiny and undergo twice as many inspections as other homes. Today’s announcement, for example, closely follows the agency’s first nationwide identification of chronically underperforming nursing homes. Through its consumer information Web sites, CMS has begun to offer more and better information on the quality, patient satisfaction, and cost of care. The new “five-star” rating system will provide a composite view of the quality and safety information currently on Nursing Home Compare to help beneficiaries, their families, and caregivers compare nursing homes more easily,” said Kerry Weems, CMS acting administrator. A sample screen shot of the proposed star ratings is available at Medicare Compare can be found at “More than three million Americans rely on services provided by a nursing home at some point during the year. The ratings will be posted on the agency’s Nursing Home Compare Web site by the end of this year. CMS is requesting comments on the system designed to provide patients and their families an easy to understand assessment of nursing home quality, making meaningful distinctions between high performing and low performing homes. The Centers for Medicare & Medicaid Services today announced it will soon launch a ground-breaking ranking system of America’s nursing homes, giving each a “star” rating. You will receive notice when necessary. For sales/marketing complaints, contact Clover Health at 1-88 (TTY 711) or 1-800-MEDICARE (if possible, please be able to provide the agent or broker's name).The Centers for Medicare & Medicaid Services today announced it will soon launch a ground-breaking ranking system of America’s nursing homes, giving each a “star” rating.ĬMS TO RATE NURSING HOME QUALITY NEW FIVE-STAR SYSTEM TO BE ADDED TO NURSING HOME COMPARE SITE The formulary, pharmacy network, and/or provider network may change at any time. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. Plan performance Medicare Star Ratings are assessed each year and may change from one year to the next. Limitations, copayments, and restrictions may apply. Call 1-88 (TTY 711) for more information. This information is not a complete description of benefits. Call 1-88 (TTY 711).ĪTENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. ĪTTENTION: If you speak English, language assistance services, free of charge, are available to you. Medicare beneficiaries may also enroll in Clover Health through the CMS Medicare Online Enrollment Center located at. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For plans that provide drug coverage, the formulary may change during the year. Out-of-network/non-contracted providers are under no obligation to treat Clover members, except in emergency situations. You must continue to pay your Medicare Part B premium. Enrollment in Clover Health depends on contract renewal. *We are open from 8 am–8 pm local time, 7 days a week. From April 1st through September 30th, alternate technologies (for example, voicemail) will be used on the weekends and holidays.Ĭlover Health is a Preferred Provider Organization (PPO) and a Health Maintenance Organization (HMO) with a Medicare contract.
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