The federal judge who found that Medicare is violating beneficiaries’ constitutional rights by disallowing appeals of their placement on “observation status” in hospitals has imposed deadlines and urged Medicare to “take all possible steps, as a … [Read more...] about Judge Orders Medicare to Speed Up Implementation of Observation Status Appeals
Archives for July 2024
Analysis: Nursing Home Nurse Staffing Rule Would Save 13,000 Lives Each Year
In response to a request from Senator Elizabeth Warren (D, MA), researchers at the University of Pennsylvania calculate that enforcing minimum staffing levels in nursing facilities, as required by final rules, “would save approximately 13,000 lives … [Read more...] about Analysis: Nursing Home Nurse Staffing Rule Would Save 13,000 Lives Each Year
Analysis: States’ Minimum Nurse Staffing Laws are Ignored and Unenforced
An analysis by Jordan Rau, KFF Health News, of minimum nurse staffing laws in California, Florida, Massachusetts, New York, and Rhode Island and more than a million public records for the most recent quarter available (October to December 2023) finds … [Read more...] about Analysis: States’ Minimum Nurse Staffing Laws are Ignored and Unenforced
Center Comments to House Ways & Means, July 2024
The Center for Medicare Advocacy recently sent a letter to the House Committee on Ways and Means regarding Medicare consumer protection issues in legislation that the Committee marked up on June 27, 2024. While the Center appreciates the Committee’s … [Read more...] about Center Comments to House Ways & Means, July 2024
Know Jimmo | Frequently Asked Questions
Does the Jimmo Settlement Agreement only apply to people with certain diseases, diagnoses, or conditions?Does the Jimmo Settlement Agreement apply to services provided at home or as an outpatient, or only to nursing home coverage?Does the … [Read more...] about Know Jimmo | Frequently Asked Questions
Ongoing Medicare Advantage Network Challenges
In the Center for Medicare Advocacy’s recent “Special Report: The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding” (July 18, 2024), we highlighted how the Medicare Advantage (MA) program is costing significantly more than … [Read more...] about Ongoing Medicare Advantage Network Challenges
Kata Kertesz, JD – Managing Policy Attorney
Kata M. Kertesz engages in public policy issues surrounding Medicare, those dually eligible for Medicare and Medicaid, oral health in Medicare, and other matters regarding access to health care. Ms. Kertesz engages in federal administrative and … [Read more...] about Kata Kertesz, JD – Managing Policy Attorney
Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding
At a time when over half of all Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans, the MA program is costing significantly more than what traditional Medicare spends on a given beneficiary, adding stress to Medicare’s finances. As … [Read more...] about Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding
Know Jimmo | Medicare Has Never Supported an “Improvement Standard” Rule-Of-Thumb
"Medicare has never supported the imposition of an “Improvement Standard” rule-of-thumb in determining whether skilled care is required to prevent or slow deterioration in a patient’s condition. Thus, such coverage depends not on the beneficiary’s … [Read more...] about Know Jimmo | Medicare Has Never Supported an “Improvement Standard” Rule-Of-Thumb
Federal Courts Put Health Care Anti-Discrimination Rule On Hold
The Center for Medicare Advocacy recently applauded the long-awaited publication of regulations implementing nondiscrimination in health care under Section 1557 of the Affordable Care Act (ACA). The regulations aim to reduce health disparities and … [Read more...] about Federal Courts Put Health Care Anti-Discrimination Rule On Hold