This is Part Ten 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 Plans to Address and Resolve the Medicare Home Care Crisis
issue-brief
Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program
September 2018 Numerous changes were made to Medicare law, regulations and guidance during the first half of 2018.The changes are particularly noteworthy regarding Part C, governing private Medicare plans, known as Medicare Advantage (MA), and … [Read more...] about Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program
Statistical Trends and Published Articles with Studies and Research from 2002-2017
This is part nine 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 Statistical Trends and Published Articles with Studies and Research from 2002-2017
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
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
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