Another federal district court has denied the pharmaceutical industry’s attempts to thwart Medicare’s ability to negotiate for lower drug prices. On July 3, 2024, Judge Michael P. Shea of the U.S. District Court in Hartford, Connecticut denied … [Read more...] about Connecticut Federal Court Rejects Challenge to Drug Price Negotiation
Archives for July 2024
Ruling Issued on Affordable Care Act’s Preventive Health Services Rules
The Fifth Circuit court of appeals recently issued a ruling on the Affordable Care Act’s preventive health services rules, including recommendations from the US Preventive Services Task Force (USPSTF). The case challenged the ACA’s … [Read more...] about Ruling Issued on Affordable Care Act’s Preventive Health Services Rules
Nursing Home Industry Complaints about Proposed Penalties Ring Hollow
Following the Supreme Court’s overturning of the Chevron decision, the nursing home industry is challenging federal rules that have not yet been issued. In a letter to the CMS Administrator Chiquita Brooks-LaSure, Leading Age, writing for itself, the … [Read more...] about Nursing Home Industry Complaints about Proposed Penalties Ring Hollow
Longtime Center Friend Steve Gleason to be Honored
The Center for Medicare Advocacy congratulates our friend, and inspiration for many, Steve Gleason. Steve will be presented with the prestigious Arthur Ashe Courage Award at the ESPYs tonight, July 11, 2024, on ABC at 8pm EDT. This well-deserved … [Read more...] about Longtime Center Friend Steve Gleason to be Honored
HHS Releases 2025 PFS Proposed Rule That Addresses Dental Coverage
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), released the calendar year (CY) 2025 Medicare Physician Fee Schedule (PFS) proposed rule yesterday. Of note, the agency stated … [Read more...] about HHS Releases 2025 PFS Proposed Rule That Addresses Dental Coverage
Know Jimmo | The Value of Physical Therapy
Physical therapy services have long been known to cost-effectively improve the lives of those who need them, whether provided to improve a condition or, as affirmed by the Jimmo v. Sebelius settlement and court order, to maintain or prevent decline. … [Read more...] about Know Jimmo | The Value of Physical Therapy
Public Health Laws at Risk as Supreme Court Curtails Power of Federal Agencies
In decisions that will have far-reaching effects on public health and safety, the Supreme Court issued several opinions in its recently concluded term that curtail the power of federal agencies and increase the power of courts. The decisions will … [Read more...] about Public Health Laws at Risk as Supreme Court Curtails Power of Federal Agencies
CMS 2025 Home Health Care Notice of Proposed Rulemaking Released
The Centers for Medicare & Medicaid Services (CMS) released the 2025 Home Health Care Notice of Proposed Rulemaking last week. It was published in the Federal Register today at 2024-14254.pdf (govinfo.gov). The Center for Medicare Advocacy (the … [Read more...] about CMS 2025 Home Health Care Notice of Proposed Rulemaking Released
Two States, Two Different Nursing Home Sales
Financially troubled nursing homes are often sold to new operators. Recent experiences in two states are quite different. The Connecticut Department of Public Health has placed conditions on the purchase of five facilities, with about 500 beds. By … [Read more...] about Two States, Two Different Nursing Home Sales
Court Affirms Ruling that New York Nursing Homes Must Spend 70% of Revenue on Direct Resident Care and Limit Profits to 5%
In 2021, the New York State Legislature enacted Public Health Law §2828, entitled “Residential health care facilities; minimum direct resident care spending,” which requires nursing facilities to spend at least 70% of their revenue on direct resident … [Read more...] about Court Affirms Ruling that New York Nursing Homes Must Spend 70% of Revenue on Direct Resident Care and Limit Profits to 5%