On March 22, 2018, the Center for Medicare Advocacy held its fifth annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture at the Kaiser Family Foundation in Washington, DC. The Summit convened advocates and leading experts to … [Read more...] about Reflections on the 5th Annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture
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Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius
Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius
Highlights from FY18 “Omnibus” Appropriations Bill: Some Good, Some Not-So-Good News
On March 23, 2018, the president signed the fiscal year (FY) 2018 appropriations “Omnibus Bill” into law. The Bill provides funding for services and supports on which older people and people with disabilities rely. Fortunately, many … [Read more...] about Highlights from FY18 “Omnibus” Appropriations Bill: Some Good, Some Not-So-Good News
This Week in Healthcare Sabotage: Double Digit Rate Hikes Expected and Proposed “Conscience” Rules
Politico reported this week that due to (1) Congress not taking measures to stabilize the Affordable Care Act (ACA) Marketplace, (2) the repeal of the individual mandate and the (3) “wild card” Administration proposals to allow short-term … [Read more...] about This Week in Healthcare Sabotage: Double Digit Rate Hikes Expected and Proposed “Conscience” Rules
Elder Justice Alert: New York Times Publishes Article on Drug Use Among Older Adults
Revelations have shed light on an opioid crises in the United States that remained largely hidden until recently. These drugs have affected the lives of children and adults nationwide. Unfortunately, the inappropriate use of medication – … [Read more...] about Elder Justice Alert: New York Times Publishes Article on Drug Use Among Older Adults
Eighth Anniversary of the Affordable Care Act
Today marks the eighth anniversary of the Affordable Care Act (ACA), the most significant piece of healthcare legislation since Medicare was enacted in 1965. Like Medicare, the ACA provides security, peace of mind and comprehensive coverage for … [Read more...] about Eighth Anniversary of the Affordable Care Act
Tipping the Scales Toward Medicare Advantage
Part C of the Medicare program, also known as Medicare Advantage (MA), is an option available to Medicare beneficiaries who wish to receive their benefits through private insurance companies, primarily HMOs. In 2017, more than 19 million … [Read more...] about Tipping the Scales Toward Medicare Advantage
CMS Clarifies 3-Hour “Rule” Should Not Preclude Medicare-Covered Inpatient Rehabilitation Hospital Care
Inpatient rehabilitation hospitals (IRHs, also known as Inpatient Rehab Facilities/IRFs) provide intensive rehabilitation services to patients on an inpatient basis.[1] Over time, a myth developed – based on a discredited CMS Policy … [Read more...] about CMS Clarifies 3-Hour “Rule” Should Not Preclude Medicare-Covered Inpatient Rehabilitation Hospital Care
Proposed CMS Payment Rules Will Worsen the Home Care Crisis
This is the eighth of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Proposed CMS Payment Rules Will Worsen the Home Care Crisis
Center for Medicare Advocacy Submits Comments to CMS’ Draft 2019 Call Letter for Medicare Advantage and Part D
On February 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued its draft 2019 Call Letter, an annual set of proposed rules, guidelines and clarifications for Part C Medicare Advantage (MA) and Part D plans that wish to participate … [Read more...] about Center for Medicare Advocacy Submits Comments to CMS’ Draft 2019 Call Letter for Medicare Advantage and Part D