Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation Make Your Voices Heard Wednesday, September 27 from 2:00 – 4:00 PM ET In 2013, the Center for Medicare Advocacy and Vermont Legal Aid along with additional counsel provided … [Read more...] about Join Your CMA Community For A Jimmo Symposium
Archives for August 2023
As resident and industry advocates alike awaited proposed rules on nurse staffing ratios for nursing facilities – a centerpiece of President Biden’s nursing home reform agenda – a report on nurse staffing written by Abt Associates, which was expected … [Read more...] about A Chaotic Week in Nursing Home Reform
McKnight’s Long-Term Care News simultaneously offers two diametrically opposing views of the state of the nursing home industry today: industry analysts say conditions are improving as staff return, occupancy rates increase, and Medicare and Medicaid … [Read more...] about Nursing Facilities: Are Conditions Improving or Is the Sky Falling?
Major Step on the Road to Reducing Drug Costs For Immediate Release:August 29, 2023 Washington, DC: Today, the Medicare program announced the first ten drugs selected for price negotiations under new authority given to the Secretary of Health … [Read more...] about News Release | Medicare Announces First 10 Drugs Subject to Price Negotiation
August 29, 2023 Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1780-P, P.O. Box 8013Baltimore, Maryland 21244-8013 Submitted electronically to: https://www.regulations.gov Re: … [Read more...] about Center Comments on 2023-2024 Proposed Home Health Rule
The Kaiser Family Foundation (KFF) recently released a report titled “Spending on Medicare Advantage Quality Bonus Payments Will Reach at Least $12.8 Billion in 2023” by Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman (August 9, 2023); … [Read more...] about Medicare Advantage Plans Receive Bloated Bonus Payments with Little to Show for It
As overpayments to MA plans receive increased attention, along with some of the barriers to accessing care faced by MA enrollees, such as inappropriate use of prior authorization, there is growing recognition among both policymakers and the public … [Read more...] about Growing Chorus to Protect and Expand Traditional Medicare
As our country continues to face a mental health crisis and overdose epidemic, increasing access to mental health and substance use disorder treatment must be a significant priority for policymakers, patients, providers, and advocates. These … [Read more...] about New Studies on Mental Health and Substance Use Disorder Access Highlight the Need for Parity in Medicare
Please Respond to CMS Request for Information About the Importance of Home Health Aides CMS has provided an important opportunity for beneficiaries, and their advocates, to convey experiences and concerns about the devastating lack of access to … [Read more...] about Make Your Voices Heard!
I. MEDICALLY NECESSARY ORAL HEALTH COVERAGE IN MEDICARE The 2024 Medicare Physician Fee Schedule (PFS) proposed rule released recently includes a proposal to clarify reimbursement for dental services necessary to the clinical … [Read more...] about Issue Brief 81 | August 2023 – Medicare Oral Health Updates & Other Issues