On May 1, 2023, KFF (formerly Kaiser Family Foundation) issued a report stating that Medicare Advantage (MA) now provides Medicare coverage for just over half of eligible beneficiaries. As outlined in recent CMA Alerts (including this one), … [Read more...] about Medicare Advantage Enrollment Passes 50%: Much More Oversight and Accountability Is Needed
Archives for May 2023
Reflections on the 10th Annual National Voices of Medicare Summit & Sen. Jay Rockefeller Lecture
On April 20, 2023, the Center for Medicare Advocacy held its 10th Annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture in Washington, D.C.Center for Medicare Advocacy Executive Director Judy Stein, and Georgetown … [Read more...] about Reflections on the 10th Annual National Voices of Medicare Summit & Sen. Jay Rockefeller Lecture
Medicare Payments for Skilled Nursing Facility Care during the COVID-19 Pandemic
During the public health emergency, the Centers for Medicare & Medicaid Services (CMS) waived the statutory requirement, 42 U.S.C. §1395x(i), limiting Medicare Part A coverage in skilled nursing facilities (SNFs) to beneficiaries who have a prior … [Read more...] about Medicare Payments for Skilled Nursing Facility Care during the COVID-19 Pandemic
Federal District Court Affirms: Medicaid Survey Teams Investigating Nursing Home Complaints Need Not Include a Registered Nurse
On remand from the Second Circuit and in a summary judgment decision, Chief Judge Laura Taylor Swain of the federal district court for the Southern District of New York upholds a final rule promulgated in August 2017 permitting nursing home complaint … [Read more...] about Federal District Court Affirms: Medicaid Survey Teams Investigating Nursing Home Complaints Need Not Include a Registered Nurse
Special Report | Recent Medicare Advantage (MA) and Part D Rule – Important Consumer Protections re: MA Prior Authorization and Marketing
On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D. The final rule is available in the Federal Register at 88 Fed Reg 22120 (April 12, 2023) here, … [Read more...] about Special Report | Recent Medicare Advantage (MA) and Part D Rule – Important Consumer Protections re: MA Prior Authorization and Marketing
Terri Giardino – Medicare Advocate
Terry Giardino has focused on elder care and people with disabilities since 1991. Working as a social worker in a nursing home early in her career, she saw a great need for people to have the opportunity to age in place, so founded and managed a … [Read more...] about Terri Giardino – Medicare Advocate