I. FINAL PART C & D RULE On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D. The final rule is available in the Federal Register at 88 Fed … [Read more...] about Issue Brief 80 | may 2023 – Final Part C & D Rule, and Other Issues
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Center for Medicare Advocacy Statement on Recent Medicare Advantage Payment Policies and Proposals
A Step in the Right Direction, But Not Enough to Stem Wasteful Overpayments As documented in various CMA Alerts, there is consistent and growing evidence that Medicare Advantage (MA) plans are paid more on average than traditional Medicare spends … [Read more...] about Center for Medicare Advocacy Statement on Recent Medicare Advantage Payment Policies and Proposals
Report | Too Much Secrecy in The Nursing Home Enforcement System
In “How Nursing Homes’ Worst Offenses Are Hidden From the Public,” The New York Times reported on December 10, 2021 that the nursing home survey and enforcement systems keep hidden from the public important information about some of the … [Read more...] about Report | Too Much Secrecy in The Nursing Home Enforcement System
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 77, October 2022 | Home Health Updates & Other Issues
HOME HEALTH UPDATE Center for Medicare Advocacy Sues on Behalf of Medicare Beneficiaries Seeking Fair Access to Home Health Care After years of fruitless efforts to ensure Medicare beneficiaries can receive Medicare-covered home health care … [Read more...] about Issue Brief 77, October 2022 | Home Health Updates & Other 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 #75- June 2022 – Medicare & Telehealth Report and Other Issues
TELEHEALTH UPDATE Special Report: Telehealth and the Medicare Population: Building a Foundation for the Virtual Health Care Revolution As the United States slowly emerges from the COVID-19 pandemic, this exponential expansion of … [Read more...] about Issue Brief #75- June 2022 – Medicare & Telehealth Report and 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