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Archives for June 2026

CT Expanding Oversight of Private Equity-Owned Nursing Homes

June 25, 2026

Connecticut Governor Ned Lamont signed a bill into law in June 2026 that implements greater oversight of private equity ownership of Connecticut’s nursing homes.The legislation was supported by a bipartisan slate of Connecticut lawmakers and was … [Read more...] about CT Expanding Oversight of Private Equity-Owned Nursing Homes

Filed Under: Article Tagged With: connecticut consumers guide, CT Consumer’s Guide, Skilled Nursing Facility, Weekly Alert

Inspector General Audit: Nearly Half of Nursing Homes in Sample Misreported Registered Nurse Hours

June 25, 2026

Nurse staffing levels, particularly registered nurse (RN) time, are an essential prerequisite for high quality care and life for nursing home residents. When the Centers for Medicare & Medicaid Services (CMS) first created the Care Compare … [Read more...] about Inspector General Audit: Nearly Half of Nursing Homes in Sample Misreported Registered Nurse Hours

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

June 2026 Reports on Medicare & Medicaid

June 25, 2026

Medicare Payment Advisory Commission (MedPAC)In its June 2026 report to congress, the Medicare Payment Advisory Commission (MedPAC), the independent government agency that advises Congress on Medicare policy, examines a range of issues affecting … [Read more...] about June 2026 Reports on Medicare & Medicaid

Filed Under: Article Tagged With: Medicaid, Medicare Advantage, Related Topics and Medicaid, Weekly Alert

SSA Assistance Goes National – Beneficiaries Beware

June 25, 2026

In efforts to manage call volumes and distribute workloads, the Social Security Administration (SSA) has been rolling out two national assistance initiatives. The first involves re-routing calls through the National Workload Management (NWLM/WLM) … [Read more...] about SSA Assistance Goes National – Beneficiaries Beware

Filed Under: Article Tagged With: Enrollment, Medicare Enrollment, Weekly Alert

Know Jimmo | Why Skilled Maintenance Care Matters, In a Daughter’s Words

June 25, 2026

“These changes [from the Jimmo Settlement] are extremely meaningful, as my mother has repeatedly been denied the ability to continue the physical therapy she needs in order to prevent further deterioration of her condition. It has been … [Read more...] about Know Jimmo | Why Skilled Maintenance Care Matters, In a Daughter’s Words

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

Medicare and GLP-1’s

June 18, 2026

Medicare has established a short-term demonstration run by CMS that will provide eligible Medicare Part D beneficiaries with access to certain GLP-1 weight-loss drugs between July 1, 2026, and December 31, 2027. The program is called the Medicare … [Read more...] about Medicare and GLP-1’s

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

Nursing Home Advocates Meet with CMS Administrator

June 18, 2026

Following a June 1, 2026 meeting with Mehmet Oz, M.D., the Administrator of the Centers for Medicare & Medicaid Services, nursing home advocates sent a letter to Dr. Oz on June 16 summarizing action steps to implement our recommendations. The … [Read more...] about Nursing Home Advocates Meet with CMS Administrator

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

CMA Client Highlights Inappropriate Medicare Advantage Denials on NBC Nightly News

June 18, 2026

Last week, Connecticut resident and CMA client Ed McMahon was featured on NBC Nightly News, where he described his erroneous Skilled Nursing Facility (SNF) denials and subsequent appeals with UnitedHealthcare. This feature came on the heels of two … [Read more...] about CMA Client Highlights Inappropriate Medicare Advantage Denials on NBC Nightly News

Filed Under: Article Tagged With: Medicare Advantage, Weekly Alert

Elder Justice “No Harm” Newsletter Volume 8 Issue 1 Now Available

June 18, 2026

The majority of nursing home violations are identified as causing “no harm” to residents, despite any harm the resident may have actually experienced. In order to bring attention to the poor enforcement of the nursing home standards of care, and how … [Read more...] about Elder Justice “No Harm” Newsletter Volume 8 Issue 1 Now Available

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

Kevin Metivier, CPA – Finance and Benefits Director

June 16, 2026

Kevin Metivier, CPA joined the Center for Medicare Advocacy in December 2024 as the Finance and Benefits Director.  With over 25 years of experience in accounting, Mr. Metivier brings a comprehensive understanding of financial strategy, operations, … [Read more...] about Kevin Metivier, CPA – Finance and Benefits Director

Filed Under: Biography Tagged With: Bio

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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 10,601 5,346

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 ·
15 Jul 2077388746765262880

Government programs like Medicare can be the difference between life & death - especially denials vs approvals. A denial is rarely the final answer. You have the right to appeal, and we're here to help you with that - from education to advocacy to litigation💙

Our free📬:

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
10 Jul 2075662102665064836

💙 It's Feel Good Friday! Today's feel good news: Medicare’s new GLP-1 Bridge could make treatment more affordable for millions.

Beginning July 1, some eligible people with Part D coverage can access certain weight-management medications for a $50 monthly copay.

GLP-1s may

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
7 Jul 2074602071580446810

🤖 Should Medicare pay for AI diagnostic software?

CMS is proposing a new payment pathway for algorithm-driven tools that can produce diagnoses, risk scores, or treatment recommendations.

Promise, red flag, or both?

Article:

📩More Medicare updates:

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CMS floats new Medicare payment category for AI diagnostic software: 6 notes 

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

www.beckerspayer.com

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ClevelandClinic avatar Cleveland Clinic @ClevelandClinic ·
6 Jul 2074195930111480230

Our cardiovascular researcher shares why AFibs happen when you sleep and what can you do about it:

Image for twitter card

I’m Having AFib at Night: Should I Be Worried?

There are many reasons why you might go into AFib overnight — from sleep apnea to sleeping on your left side. A cardiovascular researcher explains.

cle.clinic

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