A federal judge in Texas dealt a significant blow to efforts to reform Medicare Advantage and Part D marketing misconduct, vacating key provisions of a rule designed to align agent and broker compensation with beneficiary health needs. The August 18, … [Read more...] about Court Strikes Down Key Medicare Marketing Regulations
Archives for August 2025
Issue Brief | Decades of Legislation Has Favored Medicare Advantage Over Traditional Medicare
__________As the Medicare program has become more privatized through growing enrollment in Medicare Advantage (MA), the traditional Medicare program has been neglected. Legislation passed over the last 20 plus years has generally favored … [Read more...] about Issue Brief | Decades of Legislation Has Favored Medicare Advantage Over Traditional Medicare
Elder Justice “No Harm” Newsletter Volume 7 Issue 5 Now Available
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 … [Read more...] about Elder Justice “No Harm” Newsletter Volume 7 Issue 5 Now Available
CMA Submits Comments on Proposed Home Health Payment Rules for 2026
The Center for Medicare Advocacy recently submitted comments on 90 FR 29108, Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update Physician Fee Schedule Proposed Rule (7/2/2025). CMA's comments focused largely on the payment … [Read more...] about CMA Submits Comments on Proposed Home Health Payment Rules for 2026
CMA Comments on 2026 Proposed Home Health Payment Rules
August 27, 2025VIA ELECTRONIC SUBMISSIONCenters for Medicare & Medicaid ServicesDepartment of Health and Human Services7500 Security BoulevardBaltimore, MD 21244-8013Re: Home Health CY2026 Proposed RuleDear Administrator … [Read more...] about CMA Comments on 2026 Proposed Home Health Payment Rules
A Cut to Medicaid is a Cut to Medicare
It’s critical for policymakers and advocates to understand the impacts that the huge cuts to Medicaid - made in order to fund tax cuts for the wealthy - have on people who rely on Medicare.The Center for Medicare Advocacy, Justice in Aging, … [Read more...] about A Cut to Medicaid is a Cut to Medicare
KFF Releases Analysis on Possible Health Coverage Losses
Yesterday KFF released analysis on the possible health insurance coverage losses by state as a result of H.R. 1, which was signed into law on July 4, 2025 (See some CMA comments here). The analysis “How Will the 2025 Reconciliation Law Affect the … [Read more...] about KFF Releases Analysis on Possible Health Coverage Losses
Another Medicare Quality Improvement Organization Changes Name
Livanta is now Commence HealthBeneficiary and Family-Centered Care Quality Improvement Organizations (BFCC-QIOs) help Medicare beneficiaries with their concerns about quality of care, and in filing an appeal if coverage is ending too … [Read more...] about Another Medicare Quality Improvement Organization Changes Name
More Court Wins for the Medicare Drug Price Negotiation
In a series of decisions last week, federal courts continued to reject the pharmaceutical industry’s attempts to stop the Medicare prescription drug price negotiation program.Drug companies and their allies have brought numerous cases … [Read more...] about More Court Wins for the Medicare Drug Price Negotiation
Senators Launch Inquiry into UnitedHealth Group’s Institutional Special Needs Plans
About 125,000 nursing home residents (12%) get their Medicare coverage through institutional special needs plans (I-SNPs), a type of Medicare Advantage plan that is limited to beneficiaries who require, or are expected to need, institutional … [Read more...] about Senators Launch Inquiry into UnitedHealth Group’s Institutional Special Needs Plans