August 16, 2013 Committee on Ways and Means, Subcommittee on Health U.S. House of Representatives 1102 Longworth House Office Building Washington, DC 20515 Dear Committee Member: On behalf of the Leadership … [Read more...] about Letter to Ways & Means Committee re: Cost Sharing Proposals
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Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
General Question: Are professional therapy services available under Medicare only for patients who are improving or who are expected to improve? Answer: No. The Jimmo Settlement confirms that services by a physical therapist, occupational … [Read more...] about Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement
February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
1. PRESENTATIONS UPDATE ON JIMMO: SETTLEMENT APPROVED In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement … [Read more...] about February, 2013 – The Road Forward on Jimmo: the Improvement Standard Lawsuit
Medicaid, Long Term Care and the Ryan Budget
As reported in the New York Times on Friday September 7, 2012, Center Attorney Toby Edelman writes to explain the importance of Medicaid to long-term care recipients, and how the Ryan Budget, which purports not to affect current Medicare … [Read more...] about Medicaid, Long Term Care and the Ryan Budget
Recommendations for Beneficiary Protections In Models Approved by CMMI
Introduction The Affordable Care Act includes a provision establishing a Center for Medicare and Medicaid Innovations (CMMI) that is authorized to test models to reduce Medicare and Medicaid expenditures while preserving or improving quality for … [Read more...] about Recommendations for Beneficiary Protections In Models Approved by CMMI
Resources
While the Center for Medicare Advocacy offers a wide array of information, there are occasionally concerns which we may not be able to address. In those instances, it helps to have other resources available. this page offers contact information for … [Read more...] about Resources
Recommendations for a Beneficiary-Centered Office for Dual Eligibles
The Affordable Care Act creates an office within the Centers for Medicare & Medicaid Services (CMS) whose focus is beneficiaries who are eligible for both Medicare and Medicaid (dual eligibles). [1] Specifically, the Federal Coordinated Health … [Read more...] about Recommendations for a Beneficiary-Centered Office for Dual Eligibles