Earlier this week, the Medicare Trustees issued their 2019 annual report, which offers projections concerning the fiscal health of the Medicare and Social Security programs. The Medicare Trustees estimate that the Part A Hospital Trust Fund … [Read more...] about Medicare Trustees Issue 2019 Report: Medicare is Not Going Broke
A recent Bloomberg News article highlighted an important issue for Medicare beneficiaries: limited access to Medigap plans. The Center for Medicare Advocacy has long advocated for improved access to Medigap plans for all Medicare … [Read more...] about Article Raises Concerns about Medicare Advantage and Calls Attention to Limited Medigap Access
On April 25, 2019, the Centers for Medicare & Medicaid Services (CMS) published a notice of proposed rulemaking (NPRM) on fiscal year 2020 payment and policy changes for Medicare-certified skilled nursing facilities. Most notably, the proposed … [Read more...] about CMS Proposed Rule to Redefine Group Therapy in Skilled Nursing Facilities: Concern for Resident Care
CMS has announced updates to its list of items of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) that will require prior authorization as a condition of payment. These new items will join 33 types of power wheelchairs that … [Read more...] about CMS Expands List of DMEPOS Subject to Prior Authorization as a Condition of Payment
The Centers for Medicare & Medicaid Services (CMS) published a Final Rule this week implementing provisions of the Bipartisan Budget Act of 2018. As detailed in this Rule, Medicare Advantage (MA) plans will be allowed to offer telehealth … [Read more...] about The Growing Disparity Between Medicare Advantage and Traditional Medicare: CMS Publishes Final MA Telehealth Benefit Rule
Reducing the re-hospitalization of nursing home residents is a constant and important public policy goal. At present, the goal is largely met by imposing financial sanctions against hospitals and skilled nursing facilities (SNFs) when residents … [Read more...] about How to Prevent Re-Hospitalization Of Nursing Home Residents: More Physicians and Nurses In Nursing Homes
GAO Findings. Federal law requires state survey agencies to investigate allegations of resident abuse and neglect stemming from complaints and facility-reported … [Read more...] about Joint Statement: Federal Report Finds That CMS Failed to Properly Oversee State’s Nursing Home Investigations
Elder Justice: What “No Harm” Really Means for Residents is a newsletter published by the Center for Medicare Advocacy and the Long Term Care Community Coalition. The purpose of the newsletter is to provide residents, families, friends, and advocates … [Read more...] about Latest Issue – Elder Justice Newsletter
The Trump Administration solicited ideas for cutting nursing home standards of care and has announced plans to publish new Requirements of Participation in order to reduce the burden on nursing facilities. In October 2016, the Obama … [Read more...] about Nursing Home Requirements of Participation: Will the Administration Overturn 2016 Rules for Infection Control?
The facts are in: The ever-increasing use of observation status deprives many Medicare beneficiaries of care and coverage in skilled nursing facilities (SNFs). In 2018, research by Avalere Health confirmed that the use of SNFs by … [Read more...] about Observation Status Deprives Medicare Beneficiaries of their Skilled Nursing Facility Benefit. Period.