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Archives for June 2025

Issue Brief | Medicare Advantage Supplemental Benefits

June 25, 2025

Supplemental benefits in private Medicare Advantage (MA) plans are popular among beneficiaries, drive enrollment into plans, and often appear prominently in MA advertisements. However, these benefits vary widely by plan and are often underutilized by … [Read more...] about Issue Brief | Medicare Advantage Supplemental Benefits

Filed Under: Article, issue-brief Tagged With: Medicare Advantage, Weekly Alert

Reconciliation Legislation Threats to Health Care

June 25, 2025

Congress is continuing negotiations on the reconciliation legislation that places health care for millions of people at risk. NOW is the time to push back on these cruel cuts to health care that will devastate older adults, people with disabilities, … [Read more...] about Reconciliation Legislation Threats to Health Care

Filed Under: Article Tagged With: Medicaid, Related Topics and Medicaid, The Fight, Weekly Alert

Elder Justice “No Harm” Newsletter Volume 7 Now Available

June 25, 2025

In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the … [Read more...] about Elder Justice “No Harm” Newsletter Volume 7 Now Available

Filed Under: Article Tagged With: elder justice, Weekly Alert

Court Win for Beneficiaries Denied Drug Coverage Without Warning

June 25, 2025

In a victory for beneficiaries, the U.S. Court of Appeals for the Ninth Circuit has allowed a lawsuit to proceed against Medicare’s policy of discontinuing coverage for vital medications with no advance notice, and making patients financially … [Read more...] about Court Win for Beneficiaries Denied Drug Coverage Without Warning

Filed Under: Article Tagged With: litigation update, Medicare Part D / Prescription Drugs, Weekly Alert

Know Jimmo | CMS Clarification Fact Sheet

June 25, 2025

“… 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 | CMS Clarification Fact Sheet

Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

CMA Co-Director Joins Center for American Progress Panel on Reconciliation Bill

June 18, 2025

CMA Co-director David Lipschutz will join the Center for American Progress virtual conversation on the far-reaching consequences of the proposed budget reconciliation bill on older adults, people living with disabilities, and other Medicare … [Read more...] about CMA Co-Director Joins Center for American Progress Panel on Reconciliation Bill

Filed Under: Article Tagged With: Activities and Events, The Fight, Weekly Alert

Senate Version of Reconciliation Bill Makes Cuts to Health Care Even Worse

June 18, 2025

The Center for Medicare Advocacy is closely monitoring updates on the reconciliation bill being negotiated by Congress, which takes aim at Medicaid and Medicare and would harm millions of older adults, people with disabilities and their families. … [Read more...] about Senate Version of Reconciliation Bill Makes Cuts to Health Care Even Worse

Filed Under: Article Tagged With: Medicare and Health Care Reform, The Fight, Weekly Alert

“Big Beautiful Bill” Would Strip Medicare from Some Lawfully Present Immigrants, Threatening Health and Economic Security

June 18, 2025

A provision in the expansive “One Big Beautiful Bill Act,” currently under consideration in Congress, would strip Medicare eligibility from certain groups of lawfully present immigrants, many of whom have worked and paid into the Medicare program for … [Read more...] about “Big Beautiful Bill” Would Strip Medicare from Some Lawfully Present Immigrants, Threatening Health and Economic Security

Filed Under: Article Tagged With: equity, The Fight, Weekly Alert

New Jersey Denies Medicaid Participation for Bad Nursing Home Owners

June 18, 2025

In many states, the transfer of ownership of a nursing home is a given: individuals or a company buy a nursing home, inform the state of the transfer of ownership, and get approval for Medicaid participation for the new owners. Not so in New Jersey. … [Read more...] about New Jersey Denies Medicaid Participation for Bad Nursing Home Owners

Filed Under: Article Tagged With: enforcement, Skilled Nursing Facility, Weekly Alert

Know Jimmo | It’s about the Care

June 18, 2025

Coverage does not turn on the presence or absence of potential for improvement but rather on the need for skilled care. Services can be skilled and covered when:CMS revised Medicare policy manuals, guidelines, instructions to reflect these … [Read more...] about Know Jimmo | It’s about the Care

Filed Under: Article Tagged With: Jimmo-practice-tip, The Improvement Standard, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

Learn more.

Center for Medicare Advocacy Follow 10,554 5,337

A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

CMAorg
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
10 Apr 2042683317070250446

We are proud to honor Dr. Natalia Chalmers as the 2026 recipient of the Alfred J. Chiplin, Jr. Social Justice & Advocacy Award at the National Voices of Medicare Summit.
⠀
Join us May 20, 12:00–4:30 PM ET, for this free virtual event bringing together national leaders working to

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alsadvocacy avatar ALS Advocacy @alsadvocacy ·
9 Apr 2042156830223212822

To me, the coding isn't the point. These are tools that provide better quality patient information. Right/left mistakes are less likely to happen. Inaccurate chronology is reduced.

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
8 Apr 2041979725334376804

Medicare is at a crossroads.

Join national advocates, policymakers, legal experts, and researchers on May 20, 12:00–4:30 PM ET, for the Center for Medicare Advocacy’s 13th Annual National Voices of Medicare Summit: Defending the Public Promise.

Free virtual event. Register:

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
7 Apr 2041617206153261353

FDA approval doesn’t mean Medicare coverage.

Some breakthrough medical devices wait 5.7 years on average before seniors can access them. That delay can shape outcomes, innovation, and costs.

Should Medicare move faster on breakthrough tech?

Stay informed:

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