Education

OP-ED: Home Health Services Under Medicare

Published

11 years ago

July 15, 2013

Medicare covers a variety of heath care services that you can receive in the comfort and privacy of your home.

These include intermittent skilled nursing care, physical therapy, speech-language pathology services, and occupational therapy.

Such services used to be available only at a hospital or doctor’s office. But they’re just as effective, more convenient, and usually less expensive when you get them in your home.

To be eligible for home health benefits, you must be under a doctor’s care and receive your services under a plan of care established and reviewed regularly by a physician. He or she also needs to certify that you need one or more home health services.

In addition, you must be homebound and have a doctor’s certification to that effect. (Being homebound means leaving your home isn’t recommended because of your condition, or your condition keeps you from leaving without using a wheelchair or walker, or getting help from another person.)

Also, you must get your services from a home health agency that’s Medicare-approved.

If you meet these criteria, Medicare pays 100 percent for covered home health services for as long as you’re eligible and your doctor certifies that you need them.

For durable medical equipment (like a walker, wheelchair, or oxygen equipment), you pay 20 percent of the Medicare-approved amount, after you pay the Part B deductible ($147 in 2013).

Skilled nursing services are covered when they’re given on a part-time or intermittent basis. In order for Medicare to cover such care, it must be necessary and ordered by your doctor for your specific condition. Medicare does not cover full-time nursing care.

Skilled nursing services are given by either a registered nurse or a licensed practical nurse under an RN’s supervision.

Nurses provide direct care and teach you and your caregivers about your care. Examples of skilled nursing care include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about prescription drugs or diabetes care.

Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse, isn’t skilled nursing care.

Physical therapy, occupational therapy, and speech-language pathology services have to be specific, safe, and effective treatments for your condition.

Before your home health care begins, the home health agency should tell you how much of your bill Medicare will pay. The agency should also tell you if any items or services they give you aren’t covered by Medicare, and how much you’ll have to pay for them.

This should be explained by both talking with you and in writing. The agency should give you a notice called the Home Health Advance Beneficiary Notice before giving you services and supplies that Medicare doesn’t cover.

What isn’t covered? Some examples are 24-hour-a-day care at home; meals delivered to your home; homemaker services like shopping, cleaning, and laundry (when this is the only care you need, and when these services aren’t related to your plan of care);

Personal care given by home health aides like bathing, dressing, and using the bathroom (when this is the only care you need).

If your doctor decides you need home health care, you can choose from among the Medicare-certified agencies in your area. (However, Medicare Advantage plans may require that you get home health services only from agencies they contract with.)

One good way to look for a home health agency is by using Medicare’s “Home Health Compare” web tool, at www.medicare.gov/HHCompare.

This tool lets you compare home health agencies by the types of services they offer and the quality of care they provide.

For more details on Medicare’s home health benefit, please read our booklet, “Medicare and Home Health Caree,” on line at www.medicare.gov/publications/pubs/pdf/10969.pdf.

David Sayen is Medicare’s regional administrator for Arizona, California, Nevada, Hawaii, and the Pacific Territories.

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Activism

LIVE! — TOWN HALL ON RACISM AND ITS IMPACT — THURS. 11.14.24 5PM PST

Join us for a LIVE Virtual Town Hall on the Impact of Racism hosted by Post News Group Journalist Carla Thomas and featuring Oakland, CA NAACP President Cynthia Adams & other Special Guests.
Thursday, November 14, 2024, 5 p.m. – 6:30 p.m. PST

Published

1 week ago

November 12, 2024

Oakland Post

Discussion Topics:
• Since the pandemic, what battles have the NAACP fought nationally, and how have they impacted us locally?
• What trends are you seeing concerning Racism? Is it more covert or overt?
• What are the top 5 issues resulting from racism in our communities?
• How do racial and other types of discrimination impact local communities?
• What are the most effective ways our community can combat racism and hate?

Your questions and comments will be shared LIVE with the moderators and viewers during the broadcast.

STREAMED LIVE!
FACEBOOK: facebook.com/PostNewsGroup
YOUTUBE: youtube.com/blackpressusatv
X: twitter.com/blackpressusa

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Art

Brown University Professor and Media Artist Tony Cokes Among MacArthur Awardees

When grants were announced earlier this month, it was noted that seven of the 22 fellows were African American. Among them are scholars, visual and media artists a poet/writer, historian, and dancer/choreographer who each receive $800,000 over a five-year period to spend as they see fit. Their names are Ruha Benjamin, Jericho Brown, Tony Cokes, Jennifer L. Morgan, Ebony G. Patterson, Shamel Pitts, Jason Reynolds, and Dorothy Roberts. This is the third in the series highlighting the Black awardees.

Published

3 weeks ago

November 4, 2024

Oakland Post

Tony Cokes. Photo courtesy of the John D. and Catherine T. MacArthur Foundation

Special to The Post

Tony Cokes

Tony Cokes, 68, is a media artist creating video works that recontextualize historical and cultural moments. Cokes’s signature style is deceptively simple: changing frames of text against backgrounds of solid bright colors or images, accompanied by musical soundtracks.

Cokes was born in Richmond, Va., and received a BA in creative writing and photography from Goddard College in 1979 and an MFA from Virginia Commonwealth University in 1985. He joined the faculty of Brown University in 1993 and is currently a professor in the Department of Modern Culture and Media.

According to Wikipedia, Cokes and Renee Cox, and Fo Wilson, created the Negro Art Collective (NAC) in 1995 to fight cultural misrepresentations about Black Americans.^[^5]

His work has been exhibited at national and international venues, including Haus Der Kunst and Kunstverein (Munich); Dia Bridgehampton (New York); Memorial Art Gallery University of Rochester; MACRO Contemporary Art Museum (Rome); and the Carpenter Center for the Visual Arts (Harvard University), among others.

Like a DJ, he samples and recombines textual, musical, and visual fragments. His source materials include found film footage, pop music, journalism, philosophy texts, and social media. The unexpected juxtapositions in his works highlight the ways in which dominant narratives emerging from our oversaturated media environments reinforce existing power structures.

In his early video piece Black Celebration (A Rebellion Against the Commodity) (1988), Cokes reconsiders the uprisings that took place in Black neighborhoods in Los Angeles, Detroit, Newark, and Boston in the 1960s.

He combines documentary footage of the upheavals with samples of texts by the cultural theorist Guy Debord, the artist Barbara Kruger, and the musicians Morrisey and Martin Gore (of Depeche Mode).

Music from industrial rock band Skinny Puppy accompanies the imagery. In this new context, the scenes of unrest take on new possibilities of meaning: the so-called race riots are recast as the frustrated responses of communities that endure poverty perpetuated by structural racism. In his later and ongoing “Evil” series, Cokes responds to the rhetoric of the Bush administration’s “War on Terror.”

Evil.16 (Torture.Musik) (2009–11) features snippets of text from a 2005 article on advanced torture techniques. The text flashes on screens to the rhythm of songs that were used by U.S. troops as a form of torture.

The soundtrack includes Metallica’s “Enter Sandman” and Britney Spears’s “… Baby One More Time,” songs known to have been played to detainees at deafening decibel levels and on repeated loops. The dissonance between the instantly recognizable, frivolous music and horrifying accounts of torture underscores the ideological tensions within contemporary pop culture.

More recently, in a 2020 work entitled HS LST WRDS, Cokes uses his pared-down aesthetic to examine the current discourse on police violence against Black and Brown individuals. The piece is constructed around the final words of Elijah McClain, who was killed in the custody of Colorado police. Cokes transcribes McClain’s last utterances without vowels and sets them against a monochromatic ground. As in many of Cokes’s works, the text is more than language conveying information and becomes a visualization of terrifying breathlessness. Through his unique melding of artistic practice and media analysis, Cokes shows the discordant ways media color our understanding and demonstrates the artist’s power to bring clarity and nuance to how we see events, people, and histories.

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California Black Media

On Your November Ballot: Prop 2 Seeks to Modernize Public Education Facilities

Proposition 2 would authorize the state to issue $10 billion in bonds with $8.5 billion dedicated to elementary and secondary educational facilities and $1.5 billion for community college facilities. If approved, the proposition will make changes to the formula used to determine the amount each district is required to contribute to be eligible to receive state funding from the bond revenue. It would also require the state government to cover between 50 and 55% of construction project costs and 60 and 65% of modernization project costs.

Published

3 weeks ago

November 4, 2024

Oakland Post

State Superintendent of Public Instruction Tony Thurmond (Courtesy Photo)

By Edward Henderson, California Black Media

Proposition 2 would authorize the state to issue $10 billion in bonds with $8.5 billion dedicated to elementary and secondary educational facilities and $1.5 billion for community college facilities.

If approved, the proposition will make changes to the formula used to determine the amount each district is required to contribute to be eligible to receive state funding from the bond revenue. It would also require the state government to cover between 50 and 55% of construction project costs and 60 and 65% of modernization project costs.

Supporters argue that the money is critical for making safety improvements in schools, as well as modernizing science labs, performing arts spaces and kindergarten classrooms. School districts in lower-income areas have no other way to pay for these improvements.

According to the Public Policy Institute of California, 38% of students attend schools that don’t meet the state’s minimum safety standards. The research shows that schools with sub-standard facilities tend to have students with lower attendance rates, lower morale and lower overall academic performance.

California Black Media spoke with a Los Angeles Unified School District (LAUSD) spokesperson on why she believes it should be a YES vote on Prop 2.

“Measure US, Los Angeles Unified’s Local Public Schools Safety and Upgrades Measure on the November ballot would provide $9 billion to upgrade Los Angeles public schools for safety and 21st century student learning and college and career preparedness. The average annual cost to property owners is estimated at 2.5 cents per $100 of assessed (not market) property value. The Los Angeles Unified Board of Education adopted a Resolution on October 22 to support Los Angeles Unified’s Measure US, and State Propositions 2 and 4,” the spokesperson said.

Opponents argue that the state should include school repairs in its regular budget instead of putting the burden on taxpayers. Opponents also argue that the proposition would not directly impact students. The Howard Jarvis Taxpayers Association is on record as one of the organizations opposing the proposition.

“Proposition 2 is $10 billion of bonds, new state debt, to pay for school facilities. It is almost certain to result in higher property tax bills, because school districts must provide a ‘local match’ of funds in order to receive money from the Prop. 2 state bonds. That will lead to districts issuing new local school bonds, which are paid for by adding new charges to property tax bills,” said Jarvis.

Opponents also have voiced concerns about what they view as an inequitable distribution of funds. They believe that lower-income school districts should receive a greater share of the state’s sliding scale for matching funds.

“Enrollment is declining in both K-12 district schools and community colleges and the declines are projected to continue. But Proposition 2 commits California to pay an estimated $18 billion, including interest, for school buildings that may not even be necessary. Vote no on proposition 2.”

A “yes” vote gives approval to the state to issue $10 billion in bonds to fund construction and modernization of public education facilities.

A “no” vote will prohibit the state from issuing $10 billion in bonds to fund construction and modernization of public education facilities.