Information about Medicare and related Issues can be found here on our site, in our CMA Alert, and through our CMA webinars.
The Medicare program must be implemented in a manner that provides better coverage and cost-sharing protections for ALL beneficiaries, not just those in wasteful private plans.
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A Philadelphia Inquirer article discusses the case and highlights one of the named plaintiffs in the lawsuit regarding Medicare beneficiaries’ inability to access the home health aide services they qualify for under law.
Under the law, Medicare coverage is available for people with acute and/or chronic conditions, and for services to improve, or maintain, or slow decline of the individual’s condition, and such coverage is available even if the services are expected to continue over a long period of time. Unfortunately, however, people who legally qualify for Medicare coverage frequently have great difficulty obtaining and affording necessary home care.
The Center for Medicare Advocacy's National Medicare Advocates Alliance provides Medicare advocates with a collaborative network to share resources, best practices, and developments of import to Medicare beneficiaries throughout the country. The Alliance is supported by the John A. Hartford Foundation.
Developed in collaboration with Larry Coffee, DDS, these serve to illustrate why the meaning of health care must include oral health care, and why oral health benefits should be added to Medicare.
We are in search of 2 people interested in joining a great team to help people access Medicare & health care.
The parties in Alexander v. Becerra, 3:11-cv-1703 (MPS), regarding appeal procedures for certain Medicare beneficiaries who receive “observation services,” have jointly proposed a clarification of the judgment. The parties proposed this clarification in the interest of facilitating and streamlining the retrospective appeals process ordered by the Court, and reducing administrative burden.
Read about the clarification here.
For many years, the Center for Medicare Advocacy has advocated for legislative and administrative efforts to address the growing inequities between Medicare Advantage (MA) and traditional Medicare, that favor MA, and encourage the growing privatization of the Medicare program. These inequities include overpayments to MA plans that unnecessarily drive-up Medicare spending, and lax oversight of MA plans that fails to impose adequate consumer protections.Read more.
This Grievance form can be filed with a plan that issues inaccurate and repetitive NOMNCs. After receiving a properly completed Grievance, an MA Plan must respond in writing and complete certain reporting requirements to CMS.
Jimmo Update: CMS Reminds Providers and Contractors of Medicare Coverage to Maintain or Slow Decline
Skilled nursing care and skilled therapy services for beneficiaries who need skilled care to maintain function or to prevent or slow decline is covered by Medicare.
Automatic enrollment of Medicare-eligible beneficiaries into employer or union-sponsored group MA plans is a concern; among other things, it limits care options for millions of people and erodes the Medicare statute’s protection of choice.