The Center for Medicare Advocacy (CMA) submitted comments together with Justice in Aging on the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding Conditions of Participation in Medicare. Our comments outlined how the NPRM’s … [Read more...] about Joint Comments on Proposed Conditions of Participation
Archives for February 2026
CMA Comments on Proposed 2027 MA Rates
The Center for Medicare Advocacy (CMA) submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) Contract Year (CY) 2027 Medicare Advantage (MA) and Part D Advance Rate Notice. The annual notice establishes payment … [Read more...] about CMA Comments on Proposed 2027 MA Rates
Know Jimmo | Frequently Asked Questions (FAQs) Regarding Jimmo Settlement
(CMS.gov, Sept 10, 2024. Last visited 2/28/2025.)Q1: What is the Jimmo Settlement Agreement (January 2013)?A1: The Jimmo Settlement Agreement clarified that when a beneficiary needs skilled nursing or therapy services under Medicare’s skilled … [Read more...] about Know Jimmo | Frequently Asked Questions (FAQs) Regarding Jimmo Settlement
Recorded Webinar | 40 Years of Medicare Advocacy: Lessons Learned and the Way Forward
April 1, 2026 marked CMA's 40th Anniversary. Join CMA’s Founder and former Executive Director Judy Stein and other staff for this discussion of lessons learned and work still to be done to improve access to care for Medicare … [Read more...] about Recorded Webinar | 40 Years of Medicare Advocacy: Lessons Learned and the Way Forward
From Oklahoma – “State order forces fair Medicare Advantage contracts, faster pay and fewer denials. But can it succeed?”
As Kimberly Marselas reported last month in this article in McKnight's Long -Term Care News, Oklahoma's recent Executive Order "may go further than any other state initiative to rein in practices largely seen as unfavorable to both beneficiaries and … [Read more...] about From Oklahoma – “State order forces fair Medicare Advantage contracts, faster pay and fewer denials. But can it succeed?”
Opposition to Repeal of Nursing Home Nurse Staffing Rule
The Centers for Medicare & Medicaid Services issued an interim final rule with comment to repeal the final nurse staffing rule, which researchers estimated would save the lives of 13,000 residents each year. Comments on the interim final rule … [Read more...] about Opposition to Repeal of Nursing Home Nurse Staffing Rule
Overpayments to Medicare Advantage in 2026: $76 Billion
The Medicare Payment Advisory Commission (MedPAC), an independent congressional agency established to advise Congress on issues affecting the Medicare program, has long warned about overpayments to Medicare Advantage (MA) plans. Most recently, … [Read more...] about Overpayments to Medicare Advantage in 2026: $76 Billion
Know Jimmo | The Medicare Policy Manual
Provisions from Medicare’s Policy Manual Support SNF Coverage for Patients Receiving Skilled Maintenance Care (See, Medicare Benefit Policy Manual, Chapter 8 – Skilled Nursing Facility Services)Section 30Coverage of nursing care and/or … [Read more...] about Know Jimmo | The Medicare Policy Manual
3-Day Inpatient Hospital Requirement Increases Total Medicare Costs
The traditional Medicare program limits coverage in a skilled nursing facility (SNF) to individuals who were first hospitalized as inpatients for at least three consecutive days. The Centers for Medicare & Medicaid Services waived the 3-day … [Read more...] about 3-Day Inpatient Hospital Requirement Increases Total Medicare Costs
Millions of Beneficiaries Could Benefit from Dental Payment Clarifications
Findings from a recent analysis by Harvard School of Dental Medicine and Brigham and Women’s Hospital support that approximately 1.31 million beneficiaries in traditional Medicare annually are eligible for payment of dental services that are … [Read more...] about Millions of Beneficiaries Could Benefit from Dental Payment Clarifications