LEGISLATIVE/BUDGET UPDATE 1.Medicare Physician Payment (SGR) In an effort to address the perennial issue of payment for Medicare physicians -- the fundamentally flawed reimbursement system known as the sustainable growth rate or SGR – the … [Read more...] about April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
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Center Comments on Proposed Rules for SNFs & ACOs
Centers for Medicare & Medicaid Services Submitted electronically, http://www.regulations.gov Re: CMS-1461-P Dear CMS Colleagues: The Center for Medicare Advocacy (Center) is pleased to provide the Centers for Medicare & Medicaid … [Read more...] about Center Comments on Proposed Rules for SNFs & ACOs
50 Insights for Medicare’s 50th Anniversary
As part of our recognition of Medicare’s first 50 years, this week begins our Medicare Matters: 50 Insights for Medicare’s 50th Anniversary. Help us spread the word – on Twitter, Facebook – in … [Read more...] about 50 Insights for Medicare’s 50th Anniversary
October 2014 – The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) & Other Isues
1. LEGISLATIVE UPDATE: THE IMPACT ACT OF 2014 On October 6, 2014, President Obama signed into law the “Improving Medicare Post-Acute Care Transformation Act of 2014” or IMPACT Act. The bill resulted from a bipartisan, … [Read more...] about October 2014 – The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) & Other Isues
Self-Help Packet for Medicare “Observation Status”
Introduction How to Use This Packet Observation Status Self-Help Federal Regulations – Requirements for Medicare Coverage for Skilled Nursing Facility Care Pertinent Federal Regulations for Medicare … [Read more...] about Self-Help Packet for Medicare “Observation Status”
Observation Status – Notice and Appeal
Connecticut Passes Observation Notice Law On June 12, 2014, Connecticut Governor Dannel P. Malloy signed into law a requirement that, starting October 1, 2014, Connecticut hospitals give oral and written notice to patients placed on observation … [Read more...] about Observation Status – Notice and Appeal
Senior Policy Attorney Toby S. Edelman Testifies about Observation Status before Congress
Center for Medicare Advocacy Senior Policy Attorney Toby S. Edelman will testify before the House Ways and Means Health Subcommittee on Tuesday, May 20, 2014 at 9:30 AM regarding current hospital issues in the Medicare program, specifically the … [Read more...] about Senior Policy Attorney Toby S. Edelman Testifies about Observation Status before Congress
Hospice and Access to Medications – New CMS Guidance
On March 10, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum to Part D Plan Sponsors and Medicare Hospice Providers entitled, "Part D Payment for Drugs for Beneficiaries Enrolled in Hospice – Final 2014 … [Read more...] about Hospice and Access to Medications – New CMS Guidance
$2.2 Billion Johnson & Johnson Settlement Sends New Warning: Antipsychotic Drugs Should Not Be Used to Treat Dementia
November 14, 2013 For Immediate Release Statement of California Advocates for Nursing Home Reform, Center for Medicare Advocacy, Legal Aid Justice Center, Long Term Care Community Coalition, The National Consumer Voice for Quality Long-Term … [Read more...] about $2.2 Billion Johnson & Johnson Settlement Sends New Warning: Antipsychotic Drugs Should Not Be Used to Treat Dementia
Medicare’s Future: Letting the Affordable Care Act Work, While Learning From the Past
This article is part of a NAELA Journal symposium edition that focuses on "The Future of Elder Law and Special Needs Planning." This article will provide an overview of the policy debate that led to the creation of the Medicare … [Read more...] about Medicare’s Future: Letting the Affordable Care Act Work, While Learning From the Past