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Fact Sheets & Issue Briefs

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Table Of Contents
  1. Issue Briefs
    • Home Health
    • Medicaid
    • Medicare Advantage
    • Medicare Coverage & Appeals
    • Medicare Part D
    • Skilled Nursing Facilities
    • Skilled Nursing Facility Staffing
  2. Fact Sheets
    • The Affordable Care Act (ACA)
    • Dental/Oral Health Care
    • Home Health Care
    • Medicare Coverage & Appeals
    • Medicare Overview
    • Skilled Nursing Facility Care

Issue Briefs

Home Health

  • CMA Home Health Survey | Medicare Beneficiaries Likely Misinformed and Underserved December 15, 2021
  • Issue Brief | Medicare Home Health Coverage: Reality Conflicts with the Law April 7, 2021
  • Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care March 3, 2020
  • Plans to Address and Resolve the Medicare Home Care Crisis October 18, 2018
  • Statistical Trends and Published Articles with Studies and Research from 2002-2017 August 23, 2018
  • Proposed CMS Payment Rules Will Worsen the Home Care Crisis March 15, 2018
  • Barriers to Home Care Created by CMS Payment, Quality Measurement, and Fraud Investigation Systems February 7, 2018
  • Beneficiary Protections Expanded in Revised Home Health Conditions of Participation January 3, 2018
  • The Home Care Crisis: An Elder Justice Issue August 2, 2017
  • Misleading and Inaccurate CMS Medicare Home Health Publications June 21, 2017
  • Medicare Coverage for Home Care Is Based On a Need For Skilled Care – Improvement Is Not Required May 31, 2017
  • CMA Issue Brief Series: Medicare Home Health Care Crisis May 31, 2017
  • Brief Description of Medicare Home Health Coverage Under the Medicare Act May 3, 2017
  • Overview: The Crisis in Medicare Home Health Coverage and Access to Care April 19, 2017

Medicaid

  • A Cut to Medicaid is a Cut to Medicare August 21, 2025
  • Issue Brief | Medicaid Cuts Will Devastate Nursing Home Residents February 27, 2025
  • Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant February 1, 2017

Medicare Advantage

  • New Issue Brief | The Premise and Reality of Institutional Special Needs Plans (I-SNPs) April 16, 2026
  • New Issue Brief | Premature Terminations of Coverage by Medicare Advantage Plans April 2, 2026
  • New Issue Brief | Retiree Auto Enrollment in Medicare Advantage March 12, 2026
  • Issue Brief | Decades of Legislation Has Favored Medicare Advantage Over Traditional Medicare August 28, 2025
  • Issue Brief | Closing the VA-Medicare Advantage Payment Loophole August 7, 2025
  • Issue Brief | Statement on the 60th Anniversary of Medicare July 29, 2025
  • Issue Brief | Medicare Advantage “Flex Cards” Update July 22, 2025
  • Issue Brief | Medicare Advantage Supplemental Benefits June 25, 2025
  • Issue Brief | Medicare Advantage Oversight and Consumer Protections April 1, 2025
  • CMA Issue Brief | Marketing Medicare Advantage and Part D Plans: Regulation and Recent Legal Challenges March 27, 2025
  • Issue Brief | Medicare Advantage “Flex Cards” and Public Benefits March 19, 2025
  • Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding July 18, 2024
  • Center for Medicare Advocacy Statement on Recent Medicare Advantage Payment Policies and Proposals February 3, 2023
  • Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues October 31, 2022
  • New Issue Brief | Retiree Auto Enrollment in Medicare Advantage Plans – Choice is Under Threat October 14, 2021
  • MEDICARE & YOU 2022 – An Important First Step Towards Reversing Bias in Favor of Medicare Advantage September 20, 2021
  • Analysis of President Trump’s Medicare Executive Order: October 10, 2019
  • Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program September 17, 2018

Medicare Coverage & Appeals

  • Center for Medicare Advocacy Special Report | The Role of AI-Powered Decision-Making Technology in Medicare Coverage Determinations January 19, 2022
  • Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care March 3, 2020
  • Issue Brief: CMS Issues New Rules Governing Medicare Appeals February 8, 2017

Medicare Part D

  • Special Report: Recent Changes in Law, Regulations and Guidance Relating to Medicare Advantage and the Prescription Drug Benefit Program September 17, 2018

Skilled Nursing Facilities

  • New Issue Brief | The Premise and Reality of Institutional Special Needs Plans (I-SNPs) April 16, 2026
  • Report | Nurse Staffing Standards for Nursing Homes July 10, 2025
  • Issue Brief | Medicaid Cuts Will Devastate Nursing Home Residents February 27, 2025
  • Special Report | The Urgent Need for Criteria for Federal Certification of Nursing Facilities August 15, 2024
  • Report | Too Much Secrecy in The Nursing Home Enforcement System February 2, 2023
  • Report | Trained Workers in Nursing Homes, a Requirement Since 1990, Threatened December 1, 2022
  • Issue Brief | States Are Weakening Training Standards for Nursing Facility Aides February 15, 2022
  • Report | How Do Nursing Homes Spend the Reimbursement They Receive for Care? January 26, 2022
  • Special Report | Why Do Nursing Home Operators Who Provide Poor Quality Care Control Increasing Numbers of Facilities? December 6, 2021
  • Special Report | Nursing Home Industry is Heavily Taxpayer-Subsidized July 9, 2021
  • Special Report | Nursing Facilities Have Received Billions of Dollars in Direct Financial and Non-Financial Support During Coronavirus Pandemic March 17, 2021
  • New Report Documents Causes and Cures for COVID-19 Crisis in Long-Term Care Facilities February 18, 2021
  • CMA Special Report – Infection Control Surveys at Nursing Facilities: It Looks Like Business as Usual May 7, 2020
  • Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care March 3, 2020
  • Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care January 6, 2020
  • Report: There’s Nothing Special About How CMS Treats Special Focus Nursing Facilities February 14, 2019
  • Report: Nurse Staffing Deficiencies January 10, 2019
  • 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 August 15, 2018
  • Special Focus Facilities: Poor Care for Residents, Limited Enforcement Consequences for Facilities July 27, 2018
  • CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy May 17, 2017
  • Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant February 1, 2017

Skilled Nursing Facility Staffing

  • Report | Nurse Staffing Standards for Nursing Homes July 10, 2025
  • Special Report | Nursing Home Industry is Heavily Taxpayer-Subsidized July 9, 2021
  • Protect Nursing Home Nurse Aide Training Requirements; Protect Residents’ Right to High Quality Care January 6, 2020
  • Report: Nurse Staffing Deficiencies January 10, 2019
  • Mandatory Nurse Staffing Levels April 4, 2017
  • Federal Initiatives that May Affect Nurse Staffing Levels April 4, 2017
  • Staffing Requirements: The Revised Requirements of Participation April 4, 2017

Fact Sheets

The Affordable Care Act (ACA)

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

    Dental/Oral Health Care

    • Fact Sheet – Important Facts About Medicare and Oral/Dental Coverage
    • Fact Sheet – Dental Issues Related to Kidney Disease
    • Fact Sheet – Dental Issues Related to Cancer Treatment
    • Fact Sheet – Dental Issues Related to Heart Disease
    • Fact Sheet – Dental Issues Related to Diabetes
    • Fact Sheet – Dental Issues Related to Pulmonary Diseases
    • Fact Sheet – Dental Issues Related to Parkinson’s Disease
    • Fact Sheet – Dental Issues Related to Rheumatic Diseases, Arthritis, and Joint Replacement
    • Adding a Dental Benefit to Medicare Part B: Frequently Asked Questions
    • Adding a Dental Benefit to Medicare Part B: Medicare Advantage & Medigap

    Home Health Care

    • Home Health Webinar Q & A January 21, 2022
    • New Medicare Home Health Fact Sheet – Focus on Home Health Aides July 29, 2021
    • New Factsheet | Medicare Home Health Coverage and Jimmo v. Sebelius May 27, 2021
    • Checklist for Medicare Home Health Care “Improvement Standard” Denials October 18, 2018
    • Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius April 12, 2018

    Medicare Coverage & Appeals

    • Advocacy Tips: Medicare Administrative Law Judge (ALJ) Hearing Process February 11, 2013
    • Expedited v. Standard Medicare Appeals: Not Knowing the Difference Could Cost You Your Appeal Rights! February 1, 2013

    Medicare Overview

    • Medicare Fact Sheet

    Skilled Nursing Facility Care

    • Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement June 1, 2023
    • Updated Factsheet | CMS Nursing Home Visitation Guidance December 2, 2021
    • Checklist for Medicare Nursing Home “Improvement Standard” Denials October 25, 2018
    • Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius April 5, 2018

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