More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients CMS finalizes Rollback of Pre-Dispute Arbitration Protections Study Finds Home and Community-Based Services Access DisparitiesMore Doors to Medicare … [Read more...] about CMA Alert – July 18, 2019
Archives for July 2019
Study Finds Home and Community-Based Services Access Disparities
An article in the July 2019 issue of Health Affairs, “A National Examination Of Long-Term Care Setting, Outcomes, And Disparities Among Elderly Dual Eligibles,” relayed findings from a national study on home and community-based services (HCBS) use … [Read more...] about Study Finds Home and Community-Based Services Access Disparities
More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients
Many Medicare hospital patients classified as observation status “outpatients” currently forego necessary skilled nursing facility (SNF) care and head home to continue care through Medicare’s home health care benefit. This is because they lack a … [Read more...] about More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients
CMS finalizes Rollback of Pre-Dispute Arbitration Protections
In 2016, the Obama Administration promulgated regulations prohibiting pre-dispute arbitration agreements between nursing homes residents (or their representative) and facilities. On July 18, 2019, the Trump Administration … [Read more...] about CMS finalizes Rollback of Pre-Dispute Arbitration Protections
CMA Alert – July 11, 2019
Observation Status and Surprise Medical Bills Government Watchdog Agency Issues Report Highlighting “Significant Vulnerabilities” in Medicare’s Hospice BenefitObservation Status and Surprise Medical BillsThe Center for Medicare … [Read more...] about CMA Alert – July 11, 2019
Government Watchdog Agency Issues Report Highlighting “Significant Vulnerabilities” in Medicare’s Hospice Benefit
Following up on earlier work analyzing the Medicare hospice benefit, the Department of Health and Human Services (DHSS) Office of Inspector General (OIG) issued two reports this week “which found that from 2012 through 2016, the majority of U.S. … [Read more...] about Government Watchdog Agency Issues Report Highlighting “Significant Vulnerabilities” in Medicare’s Hospice Benefit
Observation Status and Surprise Medical Bills
The Center for Medicare Advocacy frequently hears from Medicare beneficiaries and their families about patients who receive treatment, tests, and services for multiple days while they are in a hospital bed but who are called “outpatients.” If these … [Read more...] about Observation Status and Surprise Medical Bills
CMA Alert – July 3, 2019
Court Hearing Next Week in Case that Threatens the Affordable Care Act – Act Now Nursing Home “Quality Measures” Do Not Reflect Quality of Nursing Home Care New Oral Health Advocacy Collaborative BeginsCourt Hearing Next Week in Case … [Read more...] about CMA Alert – July 3, 2019
New Oral Health Advocacy Collaborative Begins
The Center for Medicare Advocacy is pleased to share a new opportunity for advocates working to add a comprehensive oral health benefit to Medicare. The Oral Health Progress Equity Network (OPEN), a national network of individuals and organizations … [Read more...] about New Oral Health Advocacy Collaborative Begins
Nursing Home “Quality Measures” Do Not Reflect Quality of Nursing Home Care
The federal website for information about nursing homes, Nursing Home Compare,[1] reports information for each Medicare-certified and Medicaid-certified nursing facility in three categories – health inspections, staffing, and quality measures – as … [Read more...] about Nursing Home “Quality Measures” Do Not Reflect Quality of Nursing Home Care