On February 6, 2013, the Center for Medicare Advocacy’s founder and Executive Director, Judith Stein was appointed to serve on the newly formed national Commission on Long-Term Care, created as part of the American Taxpayer Relief Act (ATRA). … [Read more...] about Judith Stein Quoted in McKnight’s Regarding the Long-Term Care Commission
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Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns
Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program is once again under attack. Many questions have been raised about whether the program is fair to providers and whether … [Read more...] about Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns
New Report: Immigrants and Immigration Reform are Good for Medicare
A new study published in Health Affairs reports that immigrant workers in the United States disproportionately contribute to the Medicare Program and help ensure its financial solvency and strength.[1] The study's authors found that between 2002 … [Read more...] about New Report: Immigrants and Immigration Reform are Good for Medicare
Good News: Trustees Project Longer Medicare Solvency
Today, the Medicare Trustees issued their annual report on Medicare's financial status. According to this year's report, the Part A (Hospital Insurance) Trust Fund has sufficient reserves to fully pay Medicare benefits until 2026 … [Read more...] about Good News: Trustees Project Longer Medicare Solvency
Jimmo v. Sebelius Improvement Standard Case Summary
Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the "Improvement Standard" case, Jimmo v. Sebelius, No. 11-cv-17 (D.VT), filed January 18, 2011. A … [Read more...] about Jimmo v. Sebelius Improvement Standard Case Summary
Why the Jimmo v. Sebelius Case Matters: Improvement Standard Stories
(print stories only)Mrs. JimmoLead plaintiff in the Improvement Standard case, Glenda Jimmo of Bristol, Vermont is blind and has had her right leg amputated due to complications from diabetes. She requires a wheelchair, and receives multiple … [Read more...] about Why the Jimmo v. Sebelius Case Matters: Improvement Standard Stories
Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
GeneralQuestion: Are professional therapy services available under Medicare only for patients who are improving or who are expected to improve?Answer: No. The Jimmo Settlement confirms that services by a physical therapist, occupational … [Read more...] about Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
CMS Updates Guidance for Hospital Discharge Planning
On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its interpretive guidelines for hospital Discharge Planning.[1] Medicare discharge planning … [Read more...] about CMS Updates Guidance for Hospital Discharge Planning
Center for Medicare Advocacy Submits Joint Testimony to Congress on Medicare Reform Proposals
This week, the House Ways and Means Subcommittee on Health held a hearing on proposals to reform Medicare at which critical issues facing the Medicare program and current and future beneficiaries were discussed. The Center for Medicare Advocacy, … [Read more...] about Center for Medicare Advocacy Submits Joint Testimony to Congress on Medicare Reform Proposals
CMS Addresses Observation Status Again… And Again, No Help for Beneficiaries
As part of the annual update to inpatient hospital reimbursement under the Medicare program, the Centers for Medicare & Medicaid Services (CMS) is again considering observation status. This time CMS is proposing "a time-based … [Read more...] about CMS Addresses Observation Status Again… And Again, No Help for Beneficiaries