Fact Sheets & Issue Briefs

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Issue Briefs

Dental/Oral Health

• Issue Brief – Medicare Coverage of Dental Services

Home Health

• CMA Home Health Survey | Medicare Beneficiaries Likely Misinformed and Underserved
• Issue Brief | Medicare Home Health Coverage: Reality Conflicts with the Law
• Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
• Plans to Address and Resolve the Medicare Home Care Crisis
• Statistical Trends and Published Articles with Studies and Research from 2002-2017
• Proposed CMS Payment Rules Will Worsen the Home Care Crisis
• Barriers to Home Care Created by CMS Payment, Quality Measurement, and Fraud Investigation Systems
• Beneficiary Protections Expanded in Revised Home Health Conditions of Participation
• The Home Care Crisis: An Elder Justice Issue
• 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
• CMA Issue Brief Series: Medicare Home Health Care Crisis
• Brief Description of Medicare Home Health Coverage Under the Medicare Act
• Overview: The Crisis in Medicare Home Health Coverage and Access to Care

Medicaid

• Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant

Medicare Advantage

• Center for Medicare Advocacy Statement on Recent Medicare Advantage Payment Policies and Proposals
• Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues
• New Issue Brief | Retiree Auto Enrollment in Medicare Advantage Plans – Choice is Under Threat
• MEDICARE & YOU 2022 – An Important First Step Towards Reversing Bias in Favor of Medicare Advantage
• Analysis of President Trump’s Medicare Executive Order:
• Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program

Medicare Coverage & Appeals

• Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations
• Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
• Issue Brief: CMS Issues New Rules Governing Medicare Appeals

Medicare Part D

• Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program

Skilled Nursing Facilities

• Report | Too Much Secrecy in The Nursing Home Enforcement System
• Report | Trained Workers in Nursing Homes, a Requirement Since 1990, Threatened
• Issue Brief | States Are Weakening Training Standards for Nursing Facility Aides
• Report | How Do Nursing Homes Spend the Reimbursement They Receive for Care?
• Special Report | Why Do Nursing Home Operators Who Provide Poor Quality Care Control Increasing Numbers of Facilities?
• Special Report | Nursing Home Industry is Heavily Taxpayer-Subsidized
• Special Report | Nursing Facilities Have Received Billions of Dollars in Direct Financial and Non-Financial Support During Coronavirus Pandemic
• New Report Documents Causes and Cures for COVID-19 Crisis in Long-Term Care Facilities
• CMA Special Report – Infection Control Surveys at Nursing Facilities: It Looks Like Business as Usual
• Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
• Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care
• Report: There’s Nothing Special About How CMS Treats Special Focus Nursing Facilities
• Report: Nurse Staffing Deficiencies
• 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
• CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy
• Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant

Skilled Nursing Facility Staffing

• Special Report | Nursing Home Industry is Heavily Taxpayer-Subsidized
• Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care
• Report: Nurse Staffing Deficiencies
• Mandatory Nurse Staffing Levels
• Federal Initiatives that May Affect Nurse Staffing Levels
• Staffing Requirements: The Revised Requirements of Participation

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Fact Sheets

The Affordable Care Act (ACA)

• Fact Sheet – The Affordable Care Act (ACA) Helps Medicare 

Dental/Oral Health Care

• Important Facts about Medicare & Dental /Oral Health Coverage
• Adding a Dental Benefit to Medicare Part B: Frequently Asked Questions
• Adding a Dental Benefit to Medicare Part B: Medicare Advantage & Medigap
• Dental Issues Related to Cancer Treatment
• Rheumatic Diseases, Arthritis, and Joint Replacement
• Oral Health in the Context of Parkinson’s Disease
• The Dental and Heart Disease Relationship
• The Diabetes and Dental Disease Connection
• Dental Issues Related to Pulmonary Diseases
• Dental Issues Related to Kidney Disease

• Fact Sheets | Medicare and the Impact of Oral Health on Major Health Conditions

Home Health Care

• Home Health Webinar Q & A
• New Medicare Home Health Fact Sheet – Focus on Home Health Aides
• New Factsheet | Medicare Home Health Coverage and Jimmo v. Sebelius
• Checklist for Medicare Home Health Care “Improvement Standard” Denials
• Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius

Medicare Coverage & Appeals

• Advocacy Tips: Medicare Administrative Law Judge (ALJ) Hearing Process
• Expedited v. Standard Medicare Appeals: Not Knowing the Difference Could Cost You Your Appeal Rights!

Medicare Overview

• Medicare Fact Sheet

Skilled Nursing Facility Care

• Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
• Updated Factsheet | CMS Nursing Home Visitation Guidance
• Checklist for Medicare Nursing Home “Improvement Standard” Denials
• Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius