Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

issue-brief

Issue Brief 86 | November 2024 – Final Medicare Rules on Dental, Observation and Other Issues

I. FINAL PHYSICIAN FEE SCHEDULE RULECMS Final Rule Includes Important Oral Health ClarificationThis month Centers for Medicare & Medicaid Services (CMS) issued a final rule that announced finalized policy changes for Medicare payments … [Read more...] about Issue Brief 86 | November 2024 – Final Medicare Rules on Dental, Observation and Other Issues

Issue Brief 85 | August 2024 – New Proposed Rule, Medicare Advantage Updates And Other Issues

I. PROPOSED PHYSICIAN FEE SCHEDULE RULEProposed Physician Fee Schedule RuleCMS recently released 2025 Medicare Physician Fee Schedule (PFS) proposed rule, which includes a proposal to allow payment for certain dental services needed by … [Read more...] about Issue Brief 85 | August 2024 – New Proposed Rule, Medicare Advantage Updates And Other Issues

Special Report | The Urgent Need for Criteria for Federal Certification of Nursing Facilities

If an owner or operator fails to run its facilities effectively, why give them more?Nursing facilities must be licensed to do business in their state. To be eligible for reimbursement under the Medicare or Medicaid programs, or both, they must … [Read more...] about Special Report | The Urgent Need for Criteria for Federal Certification of Nursing Facilities

Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding

At a time when over half of all Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans, the MA program is costing significantly more than what traditional Medicare spends on a given beneficiary, adding stress to Medicare’s finances. As … [Read more...] about Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding

Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues

I. NEW REPORT ON MEDICARE ADVANTAGE OVERPAYMENTSOn October 4, 2023, Physicians for a National Health Program (PNHP) released a report titled “Our Payments Their Profits”, showing that insurance companies offering Medicare Advantage (MA) plans … [Read more...] about Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues

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