Part D Legislation Markup Today: Improve Beneficiary Appeals CMS Releases Special Focus Facility Candidate List But Transparency Issues Remain Senate Finance Committee Holds Hearing on Nursing Home Issues Private Medicare Advantage Plans … [Read more...] about CMA Alert – July 25, 2019
Archives for July 2019
Private Medicare Advantage Plans Overbill Medicare
This week the CT Mirror published a Kaiser Health News article about overpayments to private Medicare plans. The article, originally titled “Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It” … [Read more...] about Private Medicare Advantage Plans Overbill Medicare
Senate Finance Committee Holds Hearing on Nursing Home Issues
On July 23, 2019, the Senate Finance Committee held its second nursing home hearing this year, “Promoting Elder Justice: A Call for Reform,”[1] following its March 6 hearing “Not Forgotten: Protecting Americans from Abuse and Neglect in Nursing … [Read more...] about Senate Finance Committee Holds Hearing on Nursing Home Issues
Center Statement on Nursing Home Reform for Senate Finance Committee
PROMOTING ELDER JUSTICE: A CALL FOR REFORM HEARING BEFORE THE U.S. SENATE COMMITTEE ON FINANCE July 23, 2019 Statement of Toby S. Edelman Senior Policy Attorney Center for Medicare Advocacy 1025 Connecticut Avenue, N.W., Suite 709 Washington, … [Read more...] about Center Statement on Nursing Home Reform for Senate Finance Committee
CMS Releases Special Focus Facility Candidate List But Transparency Issues Remain
Background. Every month, the Centers for Medicare & Medicaid Services (CMS) identifies nursing homes with an extremely poor record of resident care for inclusion in the Special Focus Facility (SFF) program for enhanced … [Read more...] about CMS Releases Special Focus Facility Candidate List But Transparency Issues Remain
Part D Legislation Markup Today: Improve Beneficiary Appeals
On Tuesday, July 23, the Senate Finance Committee released draft drug pricing legislation, the Prescription Drug Pricing Reduction Act (PDPRA) of 2019. This sweeping bill would make a number of changes aimed at addressing the high and rising costs of … [Read more...] about Part D Legislation Markup Today: Improve Beneficiary Appeals
July 2019 – Legislative Updates, Rollback of Nursing Home Oversight & Other Issues
Updates on the BENES Act and Part D Legislation Guest Speaker: Lindsey Copeland, Medicare Rights Center Overview of the Administration’s Rollback of Nursing Home Protections (Dara Valanejad) Update on Observation Status (Toby … [Read more...] about July 2019 – Legislative Updates, Rollback of Nursing Home Oversight & Other Issues
May 2019 – Medicare Oral Health Coverage & Other Issues
Medicare & Oral Health Updates (Wey-Wey Kwok and Kata Kertesz) Medically Necessary Coverage Adding a Comprehensive Benefit to Medicare Policy Updates Durable Medical Equipment (Kathy Holt) Nursing Facilities (Toby … [Read more...] about May 2019 – Medicare Oral Health Coverage & Other Issues
Issue Brief – July 2019 – Legislative Updates, Rollback of Nursing Home Oversight & other Issues
1. UPDATES on the BENES Act and PART D LEGISLATION Guest Speaker: Lindsey Copeland from the Medicare Rights Center Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1280/H.R. 2477) Medicare Rights Center … [Read more...] about Issue Brief – July 2019 – Legislative Updates, Rollback of Nursing Home Oversight & other Issues
Issue Brief – May 2019 – Medicare Oral Health Coverage & Other Issues
1. MEDICARE & ORAL HEALTH UPDATES Medically Necessary Coverage The Center for Medicare Advocacy has long advocated for coverage of medically necessary oral health care, which is currently supported by the Medicare statue, but is, … [Read more...] about Issue Brief – May 2019 – Medicare Oral Health Coverage & Other Issues