Centers for Medicare and Medicaid Services

Medicare open enrollment began this week, and there are many changes that may immediately impact older Missourians' lives.

Around this time last year, a quarter of nursing homes hadn’t been inspected in at least two years. Now the number is closer to 3%, according to Centers for Medicare and Medicaid Services data.

A St. Louis nursing home’s abrupt closure in late 2023 upended the lives of more than 170 residents and families. Advocates and politicians called for its directors to be held accountable, but a $56,000 fine from the federal Centers for Medicare and Medicaid Services could be the only penalty.

The federal Centers for Medicare and Medicaid Services is fining the directors of the closed Northview Village nursing home more than $18,000 for each day they violated federal rules. Advocates for residents of long-term care facilities say it's not enough.

In a letter Wednesday to Missouri Department of Social Services Director Todd Richardson, the Centers for Medicare and Medicaid Services assessed how well the state is complying with rules for disenrolling people from health insurance programs for poor and disabled people. The average person calling the social services helpline had to wait 48 minutes to talk to someone.

Hospitals don’t include mental health patients in federal standardized surveys of adults after they’re discharged. Washington University professor Morgan Shields and her colleagues teamed up with mental health advocates to fight for hospitals to survey those who receive behavioral health care.

Missouri and Illinois rank last in the nation in hours of care nursing home residents receive from workers each day. Advocates for nursing home residents say the Biden administration's plans to call for increased staffing could help residents.

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