As a result of the Center for Medicare Advocacy’s class action litigation, the Centers for Medicare and Medicaid Services (CMS) issued a final rule this week to establish appeals for hospital patients whose status is changed from inpatient to … [Read more...] about Medicare Publishes Final Rule for Hospital Observation Status Appeals
Archives for October 2024
New Resources on 2025 Part D Changes
Beginning January 1, 2025, everyone with Part D plans through traditional Medicare and Medicare Advantage plans with prescription coverage (MA-PDs) won’t pay more than $2,000 in annual out-of-pocket prescription costs. All prescription medications … [Read more...] about New Resources on 2025 Part D Changes
Nursing Home Industry Files Third Legal Challenge to Nurse Staffing Rule
Nursing home residents, just 0.003% of the U.S. population, accounted for at least 23% of the COVID-19 deaths in the country. The pandemic-related deaths of so many residents made it impossible to continue ignoring the critical cause of poor outcomes … [Read more...] about Nursing Home Industry Files Third Legal Challenge to Nurse Staffing Rule
Webinar | Medicare Open Enrollment Period Updates for 2025
-Medicare Open Enrollment Period Updates for 2025Watch the recording below!This webinar covers the basics surrounding Medicare’s Open Enrollment Period, with an emphasis on considerations for people with longer-term and chronic … [Read more...] about Webinar | Medicare Open Enrollment Period Updates for 2025
Know Jimmo | Medicare Law and CMS Policy Spell It Out
The Code of Federal Regulations:“Restoration potential is not the deciding factor in determining whether skilled care is required. Even if full recovery or medical improvement is not possible, a patient may need skilled services to prevent … [Read more...] about Know Jimmo | Medicare Law and CMS Policy Spell It Out
Hospice CARE Act Introduced to Improve End-of-Life Care and Reduce Fraud
Rep. Earl Blumenauer (D – Oregon) recently introduced H.R. 9803, the Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. The Center for Medicare Advocacy supports this legislation, which proposes a number of significant payment … [Read more...] about Hospice CARE Act Introduced to Improve End-of-Life Care and Reduce Fraud
Center for Medicare Advocacy Statement on Vice President Harris’ Proposal re: Medicare and Home Care
For Immediate ReleaseOctober 8, 2024Washington, DC - Today, Vice President Harris announced an historic proposal to expand Medicare coverage of care for critical services.The Center for Medicare Advocacy strongly supports this proposed … [Read more...] about Center for Medicare Advocacy Statement on Vice President Harris’ Proposal re: Medicare and Home Care
Warning: MA Plan Flex Cards May Impact Housing Benefits of Low-Income Beneficiaries
The Center for Medicare Advocacy has recently learned of Connecticut residents whose subsidized rents will increase due to money that is pre-loaded onto “flex cards” they receive from a private Medicare Advantage (MA) plan. The individuals are dually … [Read more...] about Warning: MA Plan Flex Cards May Impact Housing Benefits of Low-Income Beneficiaries
Medicare Advantage Industry Blames 2025 Service Cut-Backs on Policy Changes That Hold Them More Accountable
In advance of the upcoming Medicare Annual Enrollment Period (AEP) from October 15 through December 7, the period during which beneficiaries can make changes to Medicare Advantage (MA) and Part D coverage for the following year, the Centers for … [Read more...] about Medicare Advantage Industry Blames 2025 Service Cut-Backs on Policy Changes That Hold Them More Accountable
Nursing Home Residents Have the Right to Vote
The Centers for Medicare & Medicaid Services (CMS) has issued surveyor guidance about nursing home residents’ rights related to voting, “affirming the regulatory expectation that ensures nursing home residents have the unimpeded ability to … [Read more...] about Nursing Home Residents Have the Right to Vote