Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Archives for April 2022

Center for Medicare Advocacy Contributes to Report on the Medicare Home Health Benefit

Today, the Bipartisan Policy Center (BPC) released a report titled “Optimizing the Medicare Home Health Benefit to Improve Outcomes and Reduce Disparities” available here.  With support from the Commonwealth Fund, the Center for Medicare … [Read more...] about Center for Medicare Advocacy Contributes to Report on the Medicare Home Health Benefit

Government Watchdog Issues Another Report Highlighting Inappropriate Medicare Advantage Denials

The Department of Health and Human Services Office of Inspector General (OIG) issued a report titled “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care” … [Read more...] about Government Watchdog Issues Another Report Highlighting Inappropriate Medicare Advantage Denials

CMS Issues Proposed Rule That Will Address Significant Medicare Enrollment Pitfalls and Provide Other Important Help

On April 27, 2022, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule in the Federal Register titled “Medicare Program; Implementing Certain Provisions of the Consolidated Appropriations Act, 2021 and Other Revisions to … [Read more...] about CMS Issues Proposed Rule That Will Address Significant Medicare Enrollment Pitfalls and Provide Other Important Help

When Artificial Intelligence in Medicare Advantage Impedes Access to Care: A Case Study

The use of artificial intelligence (AI) in healthcare is capturing headlines as a potential tool to streamline operations and predict patient needs for favorable health outcomes, among other things.[1] The Center for Medicare Advocacy, however, has … [Read more...] about When Artificial Intelligence in Medicare Advantage Impedes Access to Care: A Case Study

Study Finds Relationship Between Religiously Affiliated Nursing Homes and Standard of Care Complaints and Violations

A study published by researchers from Yale School of Management and London Business School determined that violations of standards of care are more severe in religiously affiliated (RA) nursing homes compared to secular facilities.[1] Through an … [Read more...] about Study Finds Relationship Between Religiously Affiliated Nursing Homes and Standard of Care Complaints and Violations

Notice of Proposed Rulemaking for Medicare Part A Payments to Skilled Nursing Facilities Published – CMS Requests Information About Nurse Staffing

Last week, the Centers for Medicare & Medicaid Services (CMS) posted its proposed rule with annual updates to Medicare Part A payments to skilled nursing facilities.[1]  A central issue for residents’ advocates in the rule is CMS’s Request … [Read more...] about Notice of Proposed Rulemaking for Medicare Part A Payments to Skilled Nursing Facilities Published – CMS Requests Information About Nurse Staffing

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