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
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
Issue Brief 81 | August 2023 – Medicare Oral Health Updates & Other Issues
I. MEDICALLY NECESSARY ORAL HEALTH COVERAGE IN MEDICARE The 2024 Medicare Physician Fee Schedule (PFS) proposed rule released recently includes a proposal to clarify reimbursement for dental services necessary to the clinical … [Read more...] about Issue Brief 81 | August 2023 – Medicare Oral Health Updates & Other Issues
Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues
I. FINAL PART C & D RULEOn 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
Issue Brief 79 | February 2023 – Medicare Advantage Updates & Other Issues
I. MEDICARE ADVANTAGE UPDATES There is consistent and growing evidence that Medicare Advantage (MA) plans are paid more on average than traditional Medicare for a given beneficiary, and such payments are causing significant challenges for … [Read more...] about Issue Brief 79 | February 2023 – Medicare Advantage Updates & Other Issues
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 OverpaymentsAs 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 SeasonIntroduction/OverviewThe 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 CareAfter 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