Medicare generally does not cover dental care (see 42 U.S.C. § 1395y(a)(12)). Under the law, however, if dental treatment must be performed in a hospital, either because of a patient’s underlying condition or the severity of the dental procedure, … [Read more...] about Caution: Hospital “Outpatient” Rule Negates Statutory Inpatient Coverage for In-Hospital Dental Care
Archives for December 2019
Fairness in Nursing Home Arbitration Act Provides Important Protections
On December 5, 2019, Representatives Linda Sánchez (D-CA) and Jan Schakowsky (D-IL) introduced the Fairness in Nursing Home Arbitration Act (H.R. 5326). The legislation prohibits long-term care facilities from requiring or requesting residents (or … [Read more...] about Fairness in Nursing Home Arbitration Act Provides Important Protections
Center for Medicare Advocacy Submits Statement to Ways & Means Hearing on “Caring for Aging Americans”
The House Ways and Means Committee held a hearing on November 14, 2019 entitled “Caring for Aging Americans.” In a Statement submitted for the record, the Center for Medicare Advocacy expressed concerns about the Patient-Driven Payment Model (PDPM), … [Read more...] about Center for Medicare Advocacy Submits Statement to Ways & Means Hearing on “Caring for Aging Americans”
Statement for the Record – Caring for Aging Americans Hearing – November 14, 2019
WAYS & MEANS COMMITTEE HEARING “CARING FOR AGING AMERICANS” November 14, 2019 STATEMENT FOR THE RECORD Statement of Toby S. Edelman Senior Policy Attorney Center for Medicare Advocacy 1025 Connecticut Avenue, N.W., Suite 709 Washington, … [Read more...] about Statement for the Record – Caring for Aging Americans Hearing – November 14, 2019
Medicare Experts Call for Swift Passage of HR3 to Lower Drug Prices and Improve Medicare
For Immediate Release December 9, 2019Contact: Kata Kertesz, Esq. – kkertesz@medicareadvocacy.org, 202-293-5760The Center for Medicare Advocacy, leading Medicare beneficiary experts, call on Congress to pass groundbreaking legislation to … [Read more...] about Medicare Experts Call for Swift Passage of HR3 to Lower Drug Prices and Improve Medicare
Quality Care for Nursing Home Residents Act of 2019
Concerns about nursing home quality have increased over the last several years. For instance, a June 2019 report by the Government Accountability Office (GAO) found that the number of cited abuse violations more than doubled between 2013 and 2017. … [Read more...] about Quality Care for Nursing Home Residents Act of 2019
Wasting Time Waiting for Prior Authorization – At What Physical and Emotional Cost?
Mr. Sullivan had been experiencing involuntary hand tremors, muscle weakness and cramping, tripping and balance problems, and occasional slurring of his speech. He thought these symptoms were the result of overwork and fatigue. But rather than … [Read more...] about Wasting Time Waiting for Prior Authorization – At What Physical and Emotional Cost?
In Final Days of Medicare Enrollment Period, CMS Continues to Deny Problems with Medicare Plan Finder, Which Could Hurt Beneficiaries
The Medicare Annual Coordinated Election Period (ACEP) is the period during which individuals review their Medicare coverage for the next year and consider their options. At this time, beneficiaries can return to or continue in Traditional Medicare, … [Read more...] about In Final Days of Medicare Enrollment Period, CMS Continues to Deny Problems with Medicare Plan Finder, Which Could Hurt Beneficiaries
House to Vote on Historic Medicare Bill Next Week
Per a December 5, 2019 press release from Speaker Pelosi’s office, the House of Representatives will vote next week on H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act.The Act, which the Center for Medicare Advocacy has supported since its … [Read more...] about House to Vote on Historic Medicare Bill Next Week
CMA Alert Extra – Adding A Dental Benefit to Medicare Part B – Twitter Chat this Wednesday
Adding a Dental Benefit to Medicare Part B One of the Center for Medicare Advocacy’s top priorities is to expand Medicare coverage to include oral and dental care for all beneficiaries. The addition of a comprehensive dental/oral health benefit … [Read more...] about CMA Alert Extra – Adding A Dental Benefit to Medicare Part B – Twitter Chat this Wednesday