1. PRESENTATIONSUPDATE ON JIMMO: THE IMPROVEMENT STANDARD CASEIn January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about December 2012 – Update on Jimmo: the Improvement Standard Case
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Jimmo v. Sebelius: Federal Settlement Invalidated Medicare Improvement Requirement
Based on an article by Judith A. Stein, Executive Director, Center for Medicare Advocacy, Copyright © 2013 Bloomberg BNA (2/2013).Mrs. “P” was 68 years old and living with Amyotrophic Lateral Sclerosis (ALS, commonly known as Lou … [Read more...] about Jimmo v. Sebelius: Federal Settlement Invalidated Medicare Improvement Requirement
Advocacy Tips: Medicare Administrative Law Judge (ALJ) Hearing Process
1. First StepsReview the Center for Medicare Advocacy’s Self-help Packets and coverage guidelines regarding the particular level of care involved in the appeal at: https://www.medicareadvocacy.org.Watch for, receive and review the Medicare … [Read more...] about Advocacy Tips: Medicare Administrative Law Judge (ALJ) Hearing Process
Reminder: Medicare Advantage Disenrollment Period (MADP) Ends February 14th
The Medicare Advantage Disenrollment Period (MADP) lasts from January 1st through February 14th of each year. During the MADP, a beneficiary can switch from an MA plan to traditional Medicare. The new MADP also provides an opportunity to enroll … [Read more...] about Reminder: Medicare Advantage Disenrollment Period (MADP) Ends February 14th
Nursing Home Enforcement by United States Attorneys: What Happened to the Regulatory System?
Two recent cases – one in Georgia and the other in Pennsylvania – enforce nursing home quality of care standards through actions by United States Attorneys. In neither case had the regulatory agencies cited deficiencies for … [Read more...] about Nursing Home Enforcement by United States Attorneys: What Happened to the Regulatory System?
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Study Shows High Cost-Sharing Significantly Harms Family Health and Finances
A new study out this month in the Annals of Family Medicine highlights the reality facing many people with health insurance and Medicare and their families: high out-of-pocket costs and cost-sharing. These costs have a considerable effect on … [Read more...] about Study Shows High Cost-Sharing Significantly Harms Family Health and Finances
The Worst-Performing Nursing Facilities Are Seldom Sanctioned; Self-Reporting is Not an Accurate Quality Measurement
According to an analysis by the Center for Medicare Advocacy (the Center) few sanctions are imposed for the poor care provided by nursing facilities identified by the Federal Government as among those providing the poorest quality of care and quality … [Read more...] about The Worst-Performing Nursing Facilities Are Seldom Sanctioned; Self-Reporting is Not an Accurate Quality Measurement
Medicare Facts and Fiction: Costs and Spending Edition
In the past few weeks, the media spotlight on the country's fiscal issues has led to a flurry of attacks on Medicare.[1] Pundits and some policymakers decry Medicare spending as "the largest driver of the federal debt" and argue that … [Read more...] about Medicare Facts and Fiction: Costs and Spending Edition
Notes from the Cliff: The Deal and Its Impact on Medicare
This week, the U.S. House of Representatives voted to approve legislation passed by the Senate to address the "fiscal cliff"- the concurrent expiration of tax cuts and the beginning of automatic spending cuts (the Sequester) set to … [Read more...] about Notes from the Cliff: The Deal and Its Impact on Medicare