The Inflation Reduction Act (IRA), signed into law by President Biden in 2022, makes a number of changes to the Medicare Part D prescription drug benefit, including instituting a cap on beneficiary out-of-pocket expenses, which is $2,000 in … [Read more...] about Scale Back of Demo Project Drives Higher Part D Plan Costs
Archives for July 2025
Medicare Nursing Home Payment System Has Increased Spending, But Not Care
In October 2019, the Centers for Medicare & Medicaid Services (CMS) implemented a new reimbursement system for skilled nursing facilities (SNFs) under Medicare Part A, called Patient Driven Payment Model (PDPM). The new system replaced the prior … [Read more...] about Medicare Nursing Home Payment System Has Increased Spending, But Not Care
Know Jimmo | CMS Reminded Providers & Contractors Back in 2021
“Skilled Nursing Care & Skilled Therapy Services to Maintain Function Or Prevent or Slow Decline: ReminderMedicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy … [Read more...] about Know Jimmo | CMS Reminded Providers & Contractors Back in 2021
Recorded Webinar | How New Health Care Cuts and Policies Impact You
__________How New Health Care Cuts and Policies Impact YouWatch the recording below!With gratitude, this program is presented in partnership with the National Rural Health Association and The Georgetown University McCourt School of … [Read more...] about Recorded Webinar | How New Health Care Cuts and Policies Impact You
Issue Brief | Statement on the 60th Anniversary of Medicare
Read CMA’s new issue brief regarding Medicare’s 60th Anniversary here.(The below content was sent out as a News Release on 7/29/25)On July 30, 1965, President Lyndon B. Johnson signed Medicare into law, creating a promise that older adults … [Read more...] about Issue Brief | Statement on the 60th Anniversary of Medicare
Impact of the “Big Bill” on Medicare
On July 4, 2025, President Trump signed into law H.R. 1 – the One Big Beautiful Bill Act (OBBB). This sweeping legislation narrowly passed Congress through a special budget process (“reconciliation”), which allowed it to pass the Senate with a … [Read more...] about Impact of the “Big Bill” on Medicare
When Should Medicare Cover Home Health Care?*
A 90-year-old woman needed home care after a hospital and SNF stay. Her family worked to set up the care with a knowledgeable, compassionate care coordinator. Nonetheless, the coordinator definitively informed the family that Medicare simply does not … [Read more...] about When Should Medicare Cover Home Health Care?*
Know Jimmo | Jimmo Applies to Home Health Care
Skilled Maintenance Care is CoveredThe Jimmo Court rulings and related policy changes specifically apply to Medicare coverage for home health care. The Medicare Home Health Benefit Policy Manual makes that very clear. It states: “Coverage of … [Read more...] about Know Jimmo | Jimmo Applies to Home Health Care
Recorded Webinar | How and When to Seek Help from Your Congresspersons
This webinar features staff from CT Congressional and Senate offices who help untangle some problems residents face - particularly with Medicare, Medicaid, the Affordable Care Act and Social Security. Panelists discuss how and when to contact … [Read more...] about Recorded Webinar | How and When to Seek Help from Your Congresspersons
Press Release | Flex Card Updates
For Immediate ReleaseJuly 23, 2025Washington, DC – The Center for Medicare Advocacy is releasing a new resource, Medicare Advantage “Flex Cards” Update. This update expands on our earlier CMA Issue Brief about the “flex cards” offered by many … [Read more...] about Press Release | Flex Card Updates