News You Won’t Hear from Private Plans During Enrollment Season Introduction/Overview The Medicare Annual Election Period (AEP) is a time during which people can change the way they receive their Medicare coverage – through traditional Medicare … [Read more...] about Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues
Archives for October 2022
Notice to the Class of a Proposed Clarification in Hospital “Observation Status” Case
In Alexander v. Becerra, a federal court found that certain beneficiaries must be allowed to appeal to Medicare when their hospitalizations are reclassified from “inpatient” to “outpatient receiving observation services.” The Center for Medicare … [Read more...] about Notice to the Class of a Proposed Clarification in Hospital “Observation Status” Case
Long-Stay Nursing Facility Placements for Younger People Are Increasing
People under age 65 are a growing portion of the long-stay nursing home population, increasing from 10.6% of the nursing home census in 2000 to 16.2% in 2017. (The study defines a long-stay resident as a person residing in a nursing facility for 60 … [Read more...] about Long-Stay Nursing Facility Placements for Younger People Are Increasing
White House Announces Additional Steps to Implement Nursing Home Reform Agenda
On October 21, 2022, the White House announced a series of additional steps to implement the nursing home reform agenda that it launched in February 2022. The October announcement begins with a strong statement describing nursing homes’ longstanding … [Read more...] about White House Announces Additional Steps to Implement Nursing Home Reform Agenda
Center Signs On to Letter Urging End to Harmful Rule
This week the Center for Medicare Advocacy joined with other national and state groups (150 in total) working on behalf of low income and underserved individuals and families urging CMS to fully rescind 42 C.F.R. § 433.400, which was promulgated in … [Read more...] about Center Signs On to Letter Urging End to Harmful Rule
Supreme Court to Hear Nursing Home Case with Broad Implications for Litigation to Enforce Federal Laws
On November 8, the U.S. Supreme Court will hear oral argument in Health and Hospital Corporation of Marion County v. Talevski,[1] a nursing home case that has troubling implications for whether beneficiaries of federal programs can continue, as they … [Read more...] about Supreme Court to Hear Nursing Home Case with Broad Implications for Litigation to Enforce Federal Laws
Center for Medicare Advocacy Sues on Behalf of Medicare Beneficiaries Seeking Fair Access to Home Health Care
Washington, DC: After years of fruitless efforts to ensure Medicare beneficiaries can receive Medicare-covered home health care in general, and aide services in particular, the Center for Medicare Advocacy (the Center) filed a lawsuit today … [Read more...] about Center for Medicare Advocacy Sues on Behalf of Medicare Beneficiaries Seeking Fair Access to Home Health Care
Elder Justice “No Harm” Newsletter | Vol. 4, Issue 5 Now Available
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on … [Read more...] about Elder Justice “No Harm” Newsletter | Vol. 4, Issue 5 Now Available
Medicare Annual Enrollment Period Begins – Look Before You Leap
From October 15 through December 7, 2022, Medicare beneficiaries can review how they receive their Medicare coverage for 2023. They should do so! Whether they are in traditional Medicare with a Part D prescription drug plan, or enrolled in a … [Read more...] about Medicare Annual Enrollment Period Begins – Look Before You Leap
Social Security Announces Largest Cost of Living Increase in Over 40 years
Social Security and Supplemental Security Income (SSI) benefits for approximately 70 million Americans will increase 8.7 percent in 2023, the Social Security Administration announced today. On average, Social Security benefits will increase by more … [Read more...] about Social Security Announces Largest Cost of Living Increase in Over 40 years