THE FIGHT TO PROTECT THE ACA, MEDICARE AND MEDICAIDThe President-Elect and Republican leaders in Congress have promised to repeal, and at some point, “replace” the Affordable Care Act. They also plan to gut the Medicaid program … [Read more...] about January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
Uncategorized
Giving Thanks for Medicare and You
Happy Thanksgiving!Giving ThanksToday and every day the Center for Medicare is grateful for our partners and supporters who help us open doors to health care for the 55 million people who rely on … [Read more...] about Giving Thanks for Medicare and You
November, 2016 – The Election’s Impact on Medicare, Nursing Home RoPs, More
Welcome and Housekeeping (David Lipschutz, Moderator) The Election’s Potential Impact on Medicare (David Lipschutz) Affordable Care Act Medicare Structural Changes Including premium … [Read more...] about November, 2016 – The Election’s Impact on Medicare, Nursing Home RoPs, More
November 2016 – The Election’s Impact on Medicare, New Nursing Home Requirements of Participation and Other Issues
MOVING FORWARD WITH HOPEIt’s no surprise that the election has left many of us worried and disoriented. But we’ll regroup.We may not understand where we’ve landed, but we’ll acclimate and march forward – … [Read more...] about November 2016 – The Election’s Impact on Medicare, New Nursing Home Requirements of Participation and Other Issues
Olsen-Ecker v. Burwell
No. 3:15-cv-1468-JAM, filed October 9, 2015Issue: Whether the extremely high denial rates (98% and higher) at the redetermination and reconsideration stages of administrative review for home health care claims violate the Medicare statute and the … [Read more...] about Olsen-Ecker v. Burwell
Bremby v. Burwell
No. 3:15-cv-01397 (DJS), filed September 22, 2015Issue: Whether the Secretary violated the Medicare statute and the Due Process Clause by not recognizing that Vitamin B-12 injections represent a per se skilled nursing service and therefore the … [Read more...] about Bremby v. Burwell
Ryan v. Burwell
No. 5:14-cv-269 (D.Vt.), filed Dec. 19, 2014Issue: Whether the failure of the Secretary to apply the “prior favorable homebound decision” rule, which accords “great weight” to previous administrative decisions establishing homebound status, … [Read more...] about Ryan v. Burwell
Lessler v. Burwell
No. 3:14-cv-01230 (D.Conn.), filed August 26, 2014Issue: Whether the consistent failure of administrative law judges (ALJs) to issue decisions within 90 days of the request for ALJ review (with an average delay now approaching 500 days) … [Read more...] about Lessler v. Burwell
Haro v. Johnson
No. 09-cv-134-TUC-DCB (D.Ariz.), filed March 10, 2009. Appeal filed June 30, 2011 (No. 11-16606, 9th Cir.).Issue: Whether the Secretary's aggressive methods for attempting to collect payments under his Medicare Secondary Payer (MSP) program, … [Read more...] about Haro v. Johnson
Hull v. Sebelius
No. 14-801 (D.Conn.), filed June 4, 2014Issue: Whether the Secretary of Health & Human Services’ denial rate of about 98% at the lowest two levels of appeal in Medicare’s system of administrative review (redetermination and reconsideration) … [Read more...] about Hull v. Sebelius