The Centers for Medicare & Medicaid Services (CMS) identifies some of the worst performing nursing facilities in the country as Special Focus Facilities (SFFs). This Report looks at one of the four categories of SFFs – those that … [Read more...] about Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
issue-brief
Special Focus Facilities: Poor Care for Residents, Limited Enforcement Consequences for Facilities
Nursing facilities that are identified as among those providing the poorest quality care to their residents face limited, if any, enforcement actions. This Report looks at these nursing facilities. Background In cooperation with states, … [Read more...] about Special Focus Facilities: Poor Care for Residents, Limited Enforcement Consequences for Facilities
Proposed CMS Payment Rules Will Worsen the Home Care Crisis
This is the eighth of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Proposed CMS Payment Rules Will Worsen the Home Care Crisis
Barriers to Home Care Created by CMS Payment, Quality Measurement, and Fraud Investigation Systems
This is Part Seven of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Barriers to Home Care Created by CMS Payment, Quality Measurement, and Fraud Investigation Systems
Beneficiary Protections Expanded in Revised Home Health Conditions of Participation
This is Part Six of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Beneficiary Protections Expanded in Revised Home Health Conditions of Participation
September 2017 – Jimmo Implementation Update & Other Issues
I. JIMMO IMPLEMENTATION UPDATE Background – Jimmo Settlement The settlement in Jimmo v. Sebelius, No. 5:11-cv-17 (D. Vt.) was approved on January 24, 2013. CMS issued revisions to its Medicare Benefit Policy Manual to … [Read more...] about September 2017 – Jimmo Implementation Update & Other Issues
The Home Care Crisis: An Elder Justice Issue
This is Part Five of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about The Home Care Crisis: An Elder Justice Issue
July 2017 – Update on Health Reform & Other Issues
I. HEALTH REFORM: UPDATE Overview On May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA) by a vote of 217-213. The bill then moved on the Senate, and was reintroduced, with some minor … [Read more...] about July 2017 – Update on Health Reform & Other Issues
Misleading and Inaccurate CMS Medicare Home Health Publications
This is Part Four of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Misleading and Inaccurate CMS Medicare Home Health Publications
Medicare Coverage for Home Care Is Based On a Need For Skilled Care – Improvement Is Not Required
This is Part Three of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care, and outlining the Center for Medicare Advocacy’s work to address these issues. We invite you to … [Read more...] about Medicare Coverage for Home Care Is Based On a Need For Skilled Care – Improvement Is Not Required