Over 9.6 million older people and people with significant disabilities are dually eligible for both Medicare and Medicaid. Dual eligible beneficiaries are among the poorest and sickest beneficiaries covered by either program. The dual eligible … [Read more...] about Medicaid-Medicare Dual Eligible Updates
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Changes to Nursing Home Compare: Some Good, Some Bad
The Centers for Medicare & Medicaid Services (CMS) announced plans to expand its focused surveys on resident assessments and nurse staffing for nursing facilities nationwide (but not in all facilities), beginning in early fiscal year 2015. … [Read more...] about Changes to Nursing Home Compare: Some Good, Some Bad
Affordable Care Act Enrollment Season Begins Saturday for 2015 Coverage
The open enrollment period for health insurance coverage for 2015 under the Affordable Care Act (ACA) begins November 15, 2014, and ends on February 15, 2015.More information on the ACA health insurance Marketplace is available at: … [Read more...] about Affordable Care Act Enrollment Season Begins Saturday for 2015 Coverage
Welcome Reprieve for People Who Need Speech Generating Devices (SGDs) To Communicate
CMS Rescinds Restrictive Policy and Will Reconsider Technological AdvancesCMS announced yesterday that it has begun the process of updating its Medicare coverage policy for Speech Generating Devices (SGDs). A new SGD National Coverage … [Read more...] about Welcome Reprieve for People Who Need Speech Generating Devices (SGDs) To Communicate
Suppliers Objections to DMEPOS Competitive Bidding; CMA Comments in Response to CMS Requests; More
Medical Equipment Suppliers' Ongoing Opposition to the Competitive Bidding Program and Consequences for BeneficiariesReport prepared by Mario Ramsey, Center for Medicare Advocacy Summer Health Policy FellowSummaryUnder Medicare Part … [Read more...] about Suppliers Objections to DMEPOS Competitive Bidding; CMA Comments in Response to CMS Requests; More
Center for Medicare Advocacy Comments on the Impact of Dual Eligibility on MA and Part D Quality Scores
Submitted electronically via PartCandDStarRatings@cms.hhs.govNovember 3, 2014Centers for Medicare & Medicaid Services Department of Health & Human Services Attention: CMS-6050-P P.O. Box 8013 Baltimore, MD 21244-8013Re: … [Read more...] about Center for Medicare Advocacy Comments on the Impact of Dual Eligibility on MA and Part D Quality Scores
Medical Equipment Suppliers’ Ongoing Opposition to the Competitive Bidding Program and Consequences for Beneficiaries
Report prepared by Mario Ramsey, Center for Medicare Advocacy Summer Health Policy FellowI. IntroductionSince the introduction of … [Read more...] about Medical Equipment Suppliers’ Ongoing Opposition to the Competitive Bidding Program and Consequences for Beneficiaries
Federal Case Settled for Vermont Plaintiff in Landmark Jimmo v. Sebelius Class Action − Medicare Coverage Finally Granted for Jimmo’s Skilled Maintenance Care
Twenty-one months after winning a national class action lawsuit that sought to overturn Medicare's practice of denying skilled maintenance care to patients who did not meet an "improvement standard," plaintiff Glenda Jimmo is finally … [Read more...] about Federal Case Settled for Vermont Plaintiff in Landmark Jimmo v. Sebelius Class Action − Medicare Coverage Finally Granted for Jimmo’s Skilled Maintenance Care
ACA Health Insurance Exchanges
Signed into law by President Obama in 2010, a primary goal of the Affordable Care Act (ACA) is to provide health insurance for citizens who lack such coverage. This alert is designed to guide new and returning consumers on accessing the ACA’s … [Read more...] about ACA Health Insurance Exchanges
We Need Your Speech Generating Device (SGD) Stories!
SGD@MedicareAdvocacy.orgCMS is currently reviewing its SGD policies. We are hopeful that CMS will revise these policies to allow SGD users to keep their speech when they’re admitted into health care facilities and be able to use their SGDs … [Read more...] about We Need Your Speech Generating Device (SGD) Stories!