Center for Medicare Advocacy

Know Jimmo | CMS Implementation Activity

The Center for Medicare Advocacy is delighted to report that on February 13, 2024, CMS issued several important reminders to providers and adjudicators in traditional Medicare and Medicare Advantage to refresh and train staff and contractors regarding the erroneous "Improvement Standard."

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Call to Action – Policy Makers Must Increase Medicare Advantage Oversight and Rein in Overpayments

For many years, the Center for Medicare Advocacy has advocated for legislative and administrative efforts to address the growing inequities between Medicare Advantage (MA) and traditional Medicare, that favor MA, and encourage the growing privatization of the Medicare program. These inequities include overpayments to MA plans that unnecessarily drive-up Medicare spending, and lax oversight of MA plans that fails to impose adequate consumer protections.

Issue Brief:
Retiree Auto-Enrollment in Medicare Advantage Plans – Choice is Under Threat

Automatic enrollment of Medicare-eligible beneficiaries into employer or union-sponsored group MA plans is a concern; among other things, it limits care options for millions of people and erodes the Medicare statute’s protection of choice.

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Medicare Home Health Coverage: Reality Conflicts with the Law

Under the law, Medicare coverage is available for people with acute and/or chronic conditions, and for services to improve, or maintain, or slow decline of the individual’s condition, and such coverage is available even if the services are expected to continue over a long period of time. Unfortunately, however, people who legally qualify for Medicare coverage frequently have great difficulty obtaining and affording necessary home care.

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