Legal aid lawyers Kevin De Liban and Trevor Hawkins, who successfully sued to stop Arkansas’s Medicaid work requirements, recently wrote an opinion piece in the New York Times highlighting the suffering caused by Medicaid work requirements: We Saw … [Read more...] about Medicaid Work Requirements Don’t Work
Article
How Cuts to Medicare Savings Programs Impact Everyday Americans
Research from the Yale School of Public Health estimates that the House-passed reconciliation bill (passed on May 22, 2025) will cause the disenrollment of 1.38 million low-income Medicare beneficiaries. A projected 18,200 people will die annually … [Read more...] about How Cuts to Medicare Savings Programs Impact Everyday Americans
Know Jimmo | What It Means
Coverage does not turn on the presence or absence of potential for improvement but rather on the need for skilled care. Skilled maintenance therapies and nursing are covered by Medicare. Claims should never be denied because patient cannot achieve … [Read more...] about Know Jimmo | What It Means
CMA Sponsors Screening of Caregiving Documentary
The Center for Medicare Advocacy is proud to sponsor a screening of CT Public Broadcasting’s Bradley Cooper documentary, Caregiving. Join us for CT Public Broadcasting’s exclusive screening and panel discussion (including CMA staff) on Monday, June … [Read more...] about CMA Sponsors Screening of Caregiving Documentary
HHS Appeals Decision Vacating Staffing Rule for Nursing Homes
On April 7, 2025, a federal district court in Texas ruled that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority and violated the language of the Nursing Home Reform Law when it issued a final nurse staffing rule … [Read more...] about HHS Appeals Decision Vacating Staffing Rule for Nursing Homes
NAELA News Article on “Observation Status” Appeals
The Center for Medicare Advocacy’s Litigation Director, Alice Bers, has authored an article in the current issue of NAELA News. The article outlines the newly established right for certain Medicare beneficiaries to appeal their reclassification from … [Read more...] about NAELA News Article on “Observation Status” Appeals
Repeated SNF Denials – Remember to File a Grievance!
In April of this year, a Medicare Advantage enrollee contacted CMA with questions about her stay in a Skilled Nursing Facility (SNF). She had broken her leg and required short-term rehabilitation before she could safely return home. Her orthopedist … [Read more...] about Repeated SNF Denials – Remember to File a Grievance!
Reconciliation Bill will Cause Nursing Home Residents to Suffer
The tax and budget bill passed on May 22 by the House of Representatives through the budget reconciliation process is worse for nursing home residents than earlier drafts. The devastating cuts to the Medicaid program, however they are worded, will … [Read more...] about Reconciliation Bill will Cause Nursing Home Residents to Suffer
Destructive Reconciliation Bill Heads to Senate
Seniors, people with disabilities and children are not sparedThis week Congress returned from their Memorial Day recess and the Senate began negotiations over the House-passed reconciliation bill (passed on May 22, 2025). The Center for Medicare … [Read more...] about Destructive Reconciliation Bill Heads to Senate
Know Jimmo | Improvement Isn’t Necessary!
The Jimmo Settlement required the Centers for Medicare & Medicaid to revise its Medicare Benefit Policy Manual "in order to clarify that coverage of skilled nursing and skilled therapy services 'does not turn on the presence or absence of a … [Read more...] about Know Jimmo | Improvement Isn’t Necessary!