Medicare can help older adults and people with disabilities obtain necessary care at home. When individuals meet the home health benefit criteria, Medicare-covered care can include home health aide services as well as skilled nursing and therapies … [Read more...] about New Resource | Medicare Coverage for Home Health Aides
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New Issue Brief | The Premise and Reality of Institutional Special Needs Plans (I-SNPs)
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 authorized new types of Medicare Advantage programs called Special Needs Plans (SNPs) for “special needs individuals.” One type of SNP is Institutional Special Needs Plans … [Read more...] about New Issue Brief | The Premise and Reality of Institutional Special Needs Plans (I-SNPs)
New Issue Brief | Premature Terminations of Coverage by Medicare Advantage Plans
Private Medicare Advantage (MA) plans are allowed under the law to employ utilization management techniques in order to control spending and ensure that plan enrollees receive medically necessary care. Prior authorization, or pre-approval, for … [Read more...] about New Issue Brief | Premature Terminations of Coverage by Medicare Advantage Plans
New Issue Brief | Retiree Auto Enrollment in Medicare Advantage
When an employer or union contracts for a Medicare Advantage plan for its retirees, Medicare allows them to enroll the retirees automatically. In 2021, the Center for Medicare Advocacy wrote about the increasing automatic enrollment of retired … [Read more...] about New Issue Brief | Retiree Auto Enrollment in Medicare Advantage
Issue Brief | Decades of Legislation Has Favored Medicare Advantage Over Traditional Medicare
__________As the Medicare program has become more privatized through growing enrollment in Medicare Advantage (MA), the traditional Medicare program has been neglected. Legislation passed over the last 20 plus years has generally favored … [Read more...] about Issue Brief | Decades of Legislation Has Favored Medicare Advantage Over Traditional Medicare
A Cut to Medicaid is a Cut to Medicare
It’s critical for policymakers and advocates to understand the impacts that the huge cuts to Medicaid - made in order to fund tax cuts for the wealthy - have on people who rely on Medicare.The Center for Medicare Advocacy, Justice in Aging, … [Read more...] about A Cut to Medicaid is a Cut to Medicare
Issue Brief | Closing the VA-Medicare Advantage Payment Loophole
__________This Issue Brief outlines a loophole in the Social Security Act of 1935 that prohibits the Veterans’ Health Administration (VHA) from billing Medicare for health care and services provided to veterans through the VA healthcare system. … [Read more...] about Issue Brief | Closing the VA-Medicare Advantage Payment Loophole
Issue Brief | Statement on the 60th Anniversary of Medicare
Read CMA’s new issue brief regarding Medicare’s 60th Anniversary here.(The below content was sent out as a News Release on 7/29/25)On July 30, 1965, President Lyndon B. Johnson signed Medicare into law, creating a promise that older adults … [Read more...] about Issue Brief | Statement on the 60th Anniversary of Medicare
Issue Brief | Medicare Advantage “Flex Cards” Update
This update expands on our earlier CMA Issue Brief about the “flex cards” offered by many Medicare Advantage (MA) plans. Flex cards, sometimes called Over-the-Counter (OTC) cards, are essentially preloaded debit cards used by MA plans to provide … [Read more...] about Issue Brief | Medicare Advantage “Flex Cards” Update
Report | Nurse Staffing Standards for Nursing Homes
How to Overcome Current Challenges and Ensure Facilities Are Fully Staffed and All Residents Receive the Care they NeedMeaningful nurse staffing levels in nursing facilities are possible and can be achieved, even under current challenges. … [Read more...] about Report | Nurse Staffing Standards for Nursing Homes