Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

issue-brief

Report | Trained Workers in Nursing Homes, a Requirement Since 1990, Threatened

When the Nursing Home Reform Law was enacted in 1987, half of the states did not require that nurse aides receive any training in how to do their jobs. One of the major changes mandated by the Reform Law was the requirement that every nurse aide be … [Read more...] about Report | Trained Workers in Nursing Homes, a Requirement Since 1990, Threatened

Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues

News You Won’t Hear from Private Plans During Enrollment Season Introduction/Overview The Medicare Annual Election Period (AEP) is a time during which people can change the way they receive their Medicare coverage – through traditional Medicare … [Read more...] about Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues

Issue Brief #76 – August 2022 – Medicare Provisions in the Inflation Reduction Act & Other Issues

1. MEDICARE PROVISIONS in the INFLATION REDUCTION ACT of 2022 (IRA)    On Tuesday, August 16, 2022, President Biden signed into law the Inflation Reduction Act (IRA) of 2022 (Pub Law 117-169), which includes expansive health and climate … [Read more...] about Issue Brief #76 – August 2022 – Medicare Provisions in the Inflation Reduction Act & Other Issues

Issue Brief – March 2022 – Litigation Update Including Observation Status, Off label Drugs & Other Issues

LITIGATION UPDATE    (Beneficiary Appeals of Observation Status). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a proposed class action lawsuit on behalf of individuals who have been denied Medicare Part A coverage … [Read more...] about Issue Brief – March 2022 – Litigation Update Including Observation Status, Off label Drugs & Other Issues

Issue Brief | States Are Weakening Training Standards for Nursing Facility Aides

Federal nurse aide training standards in nursing facilities have been largely waived during the COVID-19 emergency. When the emergency declarations end, however, all “temporary nurse aides” are required by federal law to receive training and pass … [Read more...] about Issue Brief | States Are Weakening Training Standards for Nursing Facility Aides

Report | How Do Nursing Homes Spend the Reimbursement They Receive for Care?

As nursing homes continue to ask for more reimbursement, a number of states have begun to question more directly how facilities spend the reimbursement they already receive, with some states enacting legislation to require more transparency and … [Read more...] about Report | How Do Nursing Homes Spend the Reimbursement They Receive for Care?

Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations

Artificial intelligence (AI)-powered decision-making tools that are used in health care utilization management (UM) are increasingly used by providers and plans to automate the medical review and prior authorization processes, direct post-acute care, … [Read more...] about Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations

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