My summer at the Center for Medicare Advocacy gave me great insight into the policy side of healthcare law. Last summer, I worked directly with low-income clients to secure public benefits, including health coverage through Medicare and Medicaid. … [Read more...] about Gilly Knox, Health Policy Intern
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CMA Alert: Medicare Home Health Regs: Improvement NOT Required; Also Extender Act and More
CMA ALERT, DECEMBER 12, 2010 New Medicare Home Health Regulations: Improvement is NOT Required to Maintain Coverage! Congress Passes the Medicare and Medicaid Extenders Act of 2010 CMS Issues Corrected "Choosers" … [Read more...] about CMA Alert: Medicare Home Health Regs: Improvement NOT Required; Also Extender Act and More
Medicare Annual Enrollment Period Started November 15, 2010: Time to Review Coverage Options
The Annual Coordinated Election Period for Medicare Advantage and Medicare Part D drug coverage started November 15, 2010 and goes through December 31, 2010. During this period, Medicare beneficiaries who do not have a Part D plan can enroll in one, … [Read more...] about Medicare Annual Enrollment Period Started November 15, 2010: Time to Review Coverage Options
2011 Medicare Cost Sharing Details
On November 9, 2010, the Centers for Medicare and Medicaid Service (CMS) released three notices detailing the Medicare Part A and Part B premiums and Deductibles for calendar year 2011. See, 75 Fed. Reg. 68790-68802 (Nov. 9, 2010). Advocates need to … [Read more...] about 2011 Medicare Cost Sharing Details
Two Federal Courts Reject "Improvement Standard" for Denying Medicare Coverage
Within a month of each other, two federal district courts have rejected the Center for Medicare & Medicaid Services' (CMS) beleaguered Medicare "Improvement Standard," thereby adding to the chorus of federal judges who have found the standard … [Read more...] about Two Federal Courts Reject "Improvement Standard" for Denying Medicare Coverage
Health Care Reform Does Not Cut Medicare Benefits
Health care reform does not cut Medicare benefits. In fact, health care reform expands Medicare coverage, by eliminating cost-sharing for preventive services, adding a yearly wellness visit, limiting some cost-sharing in private Medicare plans, and … [Read more...] about Health Care Reform Does Not Cut Medicare Benefits
Action Alliance v. Leavitt
No. 06-1607 (D.D.C.), filed September 15, 2006, appeal filed May 21, 2009 (No. 09-5191, D.C.Cir.) Last Update: October 22, 2010 Issue: Whether the Secretary's refusal to inform 230,000 Part D-enrolled beneficiaries, who … [Read more...] about Action Alliance v. Leavitt
Hart v. U.S. Department of Social Services
No. 09-cv-76-CKJ (D. Ariz.), filed February 6, 2009 Last Update: October 22, 2010 Issue: Whether the defendant's failure to respond to a request for documents about the number of attorneys against whom CMS has taken action to recover conditional … [Read more...] about Hart v. U.S. Department of Social Services
UHM v. Humana, Inc.(Amicus Curiae Activity)
No. 06-35672 (9th Cir.), case in progress for several years Updated: October 22, 2009 Issue: Whether the actions and inactions of a Medicare Part D plan, defendant Humana, in failing to enroll, and otherwise provide … [Read more...] about UHM v. Humana, Inc.(Amicus Curiae Activity)
Garcia v. Johnson
No. 09-1747 (E.D.Pa.), filed April 24, 2009 Final Update: October 22, 2010 Issue: Whether the failure of the state and federal defendants to coordinate the exchange of information necessary to ensure that the beneficiaries of the Medicare Savings … [Read more...] about Garcia v. Johnson