As Medicare’s Open Enrollment period – also known as the Annual Election Period or Annual Coordinated Election Period – approaches, the Center for Medicare Advocacy is spotlighting issues beneficiaries should consider as they make important decisions … [Read more...] about Spotlight on the Importance of Medigap
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Center Comments on Proposed Clarification of Dental Services
The 2024 Medicare Physician Fee Schedule (PFS) proposed rule includes a proposal to clarify reimbursement for dental services necessary to the clinical success of certain cancer treatments. The Center for Medicare Advocacy has drafted … [Read more...] about Center Comments on Proposed Clarification of Dental Services
Meaningful Nurse Staffing Ratios in Nursing Homes: If Not Now, When?
COVID-19 caused the deaths of more than 200,000 nursing home residents and staff members. The extraordinarily high number of deaths – nearly 20% of the COVID-19 deaths nationwide were nursing home residents although residents constitute only 0.0006% … [Read more...] about Meaningful Nurse Staffing Ratios in Nursing Homes: If Not Now, When?
Join Your CMA Community For A Jimmo Symposium
Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation Make Your Voices Heard Wednesday, September 27 from 2:00 – 4:00 PM ET In 2013, the Center for Medicare Advocacy and Vermont Legal Aid along with additional counsel provided … [Read more...] about Join Your CMA Community For A Jimmo Symposium
A Chaotic Week in Nursing Home Reform
As resident and industry advocates alike awaited proposed rules on nurse staffing ratios for nursing facilities – a centerpiece of President Biden’s nursing home reform agenda – a report on nurse staffing written by Abt Associates, which was expected … [Read more...] about A Chaotic Week in Nursing Home Reform
Nursing Facilities: Are Conditions Improving or Is the Sky Falling?
McKnight’s Long-Term Care News simultaneously offers two diametrically opposing views of the state of the nursing home industry today: industry analysts say conditions are improving as staff return, occupancy rates increase, and Medicare and Medicaid … [Read more...] about Nursing Facilities: Are Conditions Improving or Is the Sky Falling?
Medicare Advantage Plans Receive Bloated Bonus Payments with Little to Show for It
The Kaiser Family Foundation (KFF) recently released a report titled “Spending on Medicare Advantage Quality Bonus Payments Will Reach at Least $12.8 Billion in 2023” by Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman (August 9, 2023); … [Read more...] about Medicare Advantage Plans Receive Bloated Bonus Payments with Little to Show for It
Growing Chorus to Protect and Expand Traditional Medicare
As overpayments to MA plans receive increased attention, along with some of the barriers to accessing care faced by MA enrollees, such as inappropriate use of prior authorization, there is growing recognition among both policymakers and the public … [Read more...] about Growing Chorus to Protect and Expand Traditional Medicare
New Studies on Mental Health and Substance Use Disorder Access Highlight the Need for Parity in Medicare
As our country continues to face a mental health crisis and overdose epidemic, increasing access to mental health and substance use disorder treatment must be a significant priority for policymakers, patients, providers, and advocates. These … [Read more...] about New Studies on Mental Health and Substance Use Disorder Access Highlight the Need for Parity in Medicare
Make Your Voices Heard!
Please Respond to CMS Request for Information About the Importance of Home Health Aides CMS has provided an important opportunity for beneficiaries, and their advocates, to convey experiences and concerns about the devastating lack of access to … [Read more...] about Make Your Voices Heard!