Three residents at Saint Francis Center for Rehabilitation and Healthcare, a Pennsylvania nursing facility, “suffered from conditions that should have been identified and routinely treated by the St. Francis staff.” Instead, all three residents were … [Read more...] about Judge Sustains Mandatory Exclusion of Manager, whose Understaffing Caused Three Deaths, from Participating in Medicare
Archives for November 2023
CMS Issues Final Rule on Nursing Home Transparency
The Centers for Medicare & Medicaid Services (CMS) issued final rules on disclosure of ownership of nursing facilities participating in the Medicare and Medicaid programs, as required by §6101(a) of the Affordable Care Act, 88 Fed. Reg. 80141 … [Read more...] about CMS Issues Final Rule on Nursing Home Transparency
New Substance Use Disorder Coverage in Medicare in 2024
Guest article by Deb Steinberg, Senior Health Policy Attorney, Legal Action Center On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) released its Physician Fee Schedule (PFS) and Outpatient Prospective Payment System … [Read more...] about New Substance Use Disorder Coverage in Medicare in 2024
STAT News Report Further Exposes Medicare Advantage Misconduct Concerning Prior Authorization Using Restrictive Algorithmic Tools
The latest in a series of articles, STAT News recently issued a report titled “UnitedHealth pushed employees to follow an algorithm to cut off Medicare patients’ rehab care” by Casey Ross and Bob Herman (Nov. 14, 2023). The report found that ‘[t]he … [Read more...] about STAT News Report Further Exposes Medicare Advantage Misconduct Concerning Prior Authorization Using Restrictive Algorithmic Tools
Center Comments on Proposed Rule to Discourage Discrimination in Federal Programs
The Center for Medicare Advocacy submitted comments this week in response on a proposed rule updating Section 504 of the Rehabilitation Act of 1973 in order to protect against discrimination on the basis of disability in HHS-funded programs. The … [Read more...] about Center Comments on Proposed Rule to Discourage Discrimination in Federal Programs
Help the Veterans in Your Life this Veterans Day with our Recorded Webinars on Medicare for Veterans
Watch as we explore Medicare basics; how Medicare and TRICARE For Life work together; considerations to optimize access to health coverage for Veterans living with paralysis; and engage in discussion and Q&A Join us as we dive into potential … [Read more...] about Help the Veterans in Your Life this Veterans Day with our Recorded Webinars on Medicare for Veterans
2024 Cost of Living Adjustment (COLA)
The Social security Administration has announced that More than 71 million Americans will see a 3.2% increase in their Social Security benefits and Supplemental Security Income (SSI) payments in 2024. On average, Social Security retirement benefits … [Read more...] about 2024 Cost of Living Adjustment (COLA)
CMS Final Rule Includes Important Oral Health Clarification
Last week the Centers for Medicare & Medicaid Services (CMS) issued a final rule that announced finalized policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues. The rule included … [Read more...] about CMS Final Rule Includes Important Oral Health Clarification
Center Joins Fight Against Drug Manufacturer Seeking to End Medicare Price Negotiations
This week, the Center for Medicare Advocacy joined a coalition of advocates led by AARP that is urging a federal court to reject an attempt to block Medicare’s drug price negotiation program. The case is one of many brought by drug manufacturers … [Read more...] about Center Joins Fight Against Drug Manufacturer Seeking to End Medicare Price Negotiations
Center for Medicare Advocacy Comments About Proposed Rule to Mandate Nurse Staffing Standards in Nursing Homes – Comment Period Now Closed
In September 2023, the Centers for Medicare & Medicaid Services published a proposed rule to establish, for the first time, national minimum nurse staffing standards for nursing homes that voluntarily choose to participate in the Medicare or … [Read more...] about Center for Medicare Advocacy Comments About Proposed Rule to Mandate Nurse Staffing Standards in Nursing Homes – Comment Period Now Closed