I. COVID-19 and Medicare A. Latest General Updates Policy Updates Issued by CMS While there are some Medicare coverage provision changes in the bills discussed below, most of the Medicare-related changes have been issued by the Centers for … [Read more...] about Issue Brief – May 2020 – Medicare and COVID-19 & Other Issues
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Issue Brief – March 2020 – Updates to Medicare Payment v. Coverage – Barriers to Medicare-Covered Care & Other Issues
Updates on Payment v. Coverage – Access To Care Threats As discussed on previous Alliance calls, the Center for Medicare Advocacy has been drawing attention to changes in two new Medicare payment systems that pose significant threats to … [Read more...] about Issue Brief – March 2020 – Updates to Medicare Payment v. Coverage – Barriers to Medicare-Covered Care & Other Issues
Issue Brief – January 2020 – Medicare Payment and Coverage – Barriers to Medicare-Covered Care & Other Issues
Payment V. Coverage – Access To Care Threats During the last several months, the Center for Medicare Advocacy has been drawing attention to changes in two new Medicare payment systems that pose significant threats to beneficiaries’ access to … [Read more...] about Issue Brief – January 2020 – Medicare Payment and Coverage – Barriers to Medicare-Covered Care & Other Issues
CMA Alert | May 28, 2020
Final Rule for Medicare Parts C and D Includes Weakened Standards for Medicare Advantage Networks CMS Rule: Nursing Facilities Must Report Covid-19 Data to CDC, Residents, Families and Representatives Government Appeals “Observation Status” Court … [Read more...] about CMA Alert | May 28, 2020
Final Rule for Medicare Parts C and D Includes Weakened Standards for Medicare Advantage Networks
On May 22, 2020, the Centers for Medicare & Medicaid Services (CMS) published a final rule regarding Medicare Advantage (Medicare Part C) and Part D prescription drug plans (“C & D Rule”). The rule is entitled “Medicare Program; Contract Year … [Read more...] about Final Rule for Medicare Parts C and D Includes Weakened Standards for Medicare Advantage Networks
CMA Alert – May 14, 2020
New Center for Medicare Advocacy Report - Nursing Home Industry Seeks Immunity During COVID Crisis; States Are Obliging Medicare Covers Maintenance Therapy – Therapist Assistants Can Provide It Case Study: Medicare Advantage and … [Read more...] about CMA Alert – May 14, 2020
CMA Alert – April 23, 2020
COVID Updates (April 23, 2020) CMS to Require Transparency Regarding Coronavirus in Nursing Facilities Register for the VIRTUAL National Voices of Medicare Summit and Senator Jay Rockefeller Lecture - April 30, 2020 COVID Updates (April 23, … [Read more...] about CMA Alert – April 23, 2020
CMA Alert – February 20, 2020
Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM) Massachusetts Task Force Calls for Closure of Low-Performing, Low Occupancy Nursing Facilities Register Now - Upcoming CMA Events 7th Annual National … [Read more...] about CMA Alert – February 20, 2020
Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM)
Background. On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began implementing a new Medicare payment system—“Patient Driven Groupings Model” (PDGM)—for home health services. Under PDGM, home health agencies have a new set … [Read more...] about Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM)
Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study
January 2020Download this Case Study I. Background - The Jimmo Settlement In 2013, a U.S. District Court approved the settlement agreement in Jimmo v. Sebelius,[1] requiring the Centers for Medicare & Medicaid Services (CMS) to confirm … [Read more...] about Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study