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Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

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Fact Sheets & Issue Briefs

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Table Of Contents


Issue Briefs

Dental/Oral Health

  • Issue Brief – Medicare Coverage of Dental Services May 2, 2019

Home Health

  • 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

  • Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant February 1, 2017

Medicare Advantage

  • 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

  • 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 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
  • 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

  • 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 

    Home Health Care

    • 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

    • 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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    Jimmo v. Sebelius

    Medicare covers skilled care to maintain or slow decline as well as to improve.

    Improvement Isn’t Required. It’s the law!

    Read more.

    Medicare: Build Back Better

    By prioritizing Medicare beneficiaries and the health systems that serve them, we can avoid drastic national consequences. The Center for Medicare Advocacy proposes a five-part plan that will make Medicare a bulwark against the worsening health and economic challenges facing the American people.

    Learn more.

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