The Center for Medicare Advocacy has long-highlighted concerns relating to Medicare Advantage (MA) overpayments, as well as access to care issues, including MA plans’ widespread and inappropriate use of prior authorization and on-going denials. … [Read more...] about CMS Issues Final Medicare Advantage Payment Rates for 2024 and Final Rule Addressing Prior Authorization, Marketing, and Other Issues
Archives for April 2023
Federal Court Dismisses Home Health Aide Lawsuit
On April 5, 2023, a federal court in D.C. dismissed a lawsuit filed by the Center for Medicare Advocacy on behalf of beneficiaries with chronic, disabling conditions who cannot access the home health aide services they require. By law, Medicare’s … [Read more...] about Federal Court Dismisses Home Health Aide Lawsuit
Medicaid and Nursing Homes: Don’t Believe Owners and Operators That All Medicaid Rates Are Too Low
Owners and operators of nursing homes, and their trade associations, invariably argue that Medicaid rates are too low. They claim that Medicaid rates must be increased if the Centers for Medicare & Medicaid Services (CMS) imposes mandatory nurse … [Read more...] about Medicaid and Nursing Homes: Don’t Believe Owners and Operators That All Medicaid Rates Are Too Low