New Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility CareThe Centers for Medicare & Medicaid Services (CMS) — the federal agency responsible for administering the Medicare program — has begun … [Read more...] about Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
issue-brief
Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care
Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care January 6, 2020 - Certified nurse aides provide most of the direct hands-on care to the nation’s 1.3 million nursing home residents. Aides’ central … [Read more...] about Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care
Analysis of President Trump’s Medicare Executive Order:
Among Vague Language and Proposals, Real Harm to Medicare Beneficiaries On October 3, 2019, President Trump issued his “Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors” (EO).[1] Much of the language of the EO is vague, … [Read more...] about Analysis of President Trump’s Medicare Executive Order:
Issue Brief – Medicare Coverage of Dental Services
The ProblemMr. Jones tripped and fell on his driveway, fracturing his cheek and jaw, tearing the musculature, and crushing several teeth. He was stabilized in the emergency room on the day of the accident, but in the days that followed he … [Read more...] about Issue Brief – Medicare Coverage of Dental Services
Report: There’s Nothing Special About How CMS Treats Special Focus Nursing Facilities
In cooperation with states, the Centers for Medicare & Medicaid Services (CMS) identifies a subset of nursing facilities, generally one to two facilities per state, that are among the most poorly performing facilities in the country. These … [Read more...] about Report: There’s Nothing Special About How CMS Treats Special Focus Nursing Facilities
Report: Nurse Staffing Deficiencies
Most nursing facilities do not have sufficient numbers of nurses to provide the care that residents need. The result is poor care outcomes for residents – avoidable pressure ulcers, medication errors, inappropriate use of psychotropic … [Read more...] about Report: Nurse Staffing Deficiencies
Plans to Address and Resolve the Medicare Home Care Crisis
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
Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program
September 2018Numerous 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