Alice Bers represents older adults and people with disabilities in federal litigation aimed at making systemic improvements to Medicare. She has litigated numerous class actions challenging policies that improperly deny Medicare coverage or that … [Read more...] about Alice Bers
Search Results for: jimmo
Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
At a September 19, 2023 hearing, held by the Subcommittee on Health Care of the Senate Finance Committee and entitled “Aging in Place: The Vital Role of Home Health and Access to Care,” Subcommittee Chair Senator Benjamin L. Cardin (D – MD) confirmed … [Read more...] about Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
Center Comments on 2023-2024 Proposed Home Health Rule
August 29, 2023 Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1780-P, P.O. Box 8013Baltimore, Maryland 21244-8013 Submitted electronically to: https://www.regulations.gov Re: … [Read more...] about Center Comments on 2023-2024 Proposed Home Health Rule
CMS Reimbursement Rules for Skilled Nursing Facilities Disappoint Residents’ Advocates
In final rules that provide the annual update to Medicare Part A reimbursement for skilled nursing facilities (SNFs), the Centers for Medicare & Medicaid Services (CMS) increases Part A reimbursement by approximately $1.4 billion (4.0%), a higher … [Read more...] about CMS Reimbursement Rules for Skilled Nursing Facilities Disappoint Residents’ Advocates
Newly Revised CMS Home Health Benefit Brochure
The Center for Medicare Advocacy (the Center) is grateful to the Center for Medicare & Medicaid Services (CMS) for revising a CMS Medicare home health brochure issued earlier this year. The Center identified some concerns about the brochure’s … [Read more...] about Newly Revised CMS Home Health Benefit Brochure
Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
The Centers for Medicare & Medicaid Services’ proposed annual update to Medicare Part A reimbursement for skilled nursing facilities, published in the Federal Register on April 10, 2023, includes policy issues of concern to advocates for … [Read more...] about Submit Comments on Part A Medicare Reimbursement For Skilled Nursing Facilities – Due June 5
Center Comments on Skilled Nursing Facilities Payments and Oversight, 2023
Centers for Medicare & Medicaid ServicesDepartment of Health and Human Services June 5, 2023 Re: Medicare and Medicaid Programs; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality … [Read more...] about Center Comments on Skilled Nursing Facilities Payments and Oversight, 2023
Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
In 2013, a federal district court approved a settlement agreement in the case of Jimmo v. Sebelius that confirmed Medicare coverage should be determined by a beneficiary’s need for skilled care, not the individual’s potential for improvement. The … [Read more...] about Updated Factsheet: Medicare Skilled Nursing Facility Coverage Does Not Require Improvement
Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues
I. FINAL PART C & D RULE On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D. The final rule is available in the Federal Register at 88 Fed … [Read more...] about Issue Brief 80 | May 2023 – Final Part C & D Rule, and Other Issues
Medicare Agency is Seeking Comments on Medicare Advantage
On August 1, 2022, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) that “seeks input from the public regarding various aspects of the Medicare Advantage program. Responses to this request for … [Read more...] about Medicare Agency is Seeking Comments on Medicare Advantage