Welcome and Housekeeping (David Lipschutz, Moderator) Recent Policy Changes Relating to Medicare Advantage (David Lipschutz) New Medicare Advantage “Flexibilities” Impact on Beneficiary … [Read more...] about May 2018 – Recent Policy Changes Relating to Medicare Advantage & Other Issues
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CMA Alert – Proposed Payment Rules Will Worsen Home Care Crisis; CMS Clarifies “3-Hour Rule;” Still Time to Register for Next Week’s Summit
Proposed CMS Payment Rules Will Worsen the Home Care Crisis CMS Clarifies 3-Hour “Rule” Should Not Preclude Medicare-Covered Inpatient Rehabilitation Hospital Care Register Now - One Week Left Until the National Voices of Medicare … [Read more...] about CMA Alert – Proposed Payment Rules Will Worsen Home Care Crisis; CMS Clarifies “3-Hour Rule;” Still Time to Register for Next Week’s Summit
Proposed CMS Payment Rules Will Worsen the Home Care Crisis
This is the eighth of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Proposed CMS Payment Rules Will Worsen the Home Care Crisis
Kate McEvoy – VP, Board, National Association of Medicaid Directors
Kate McEvoy is the Director of the Division of Health Services at the Department of Social Services, and is responsible for administration of medical, behavioral health, pharmacy, dental and transportation benefits for over 785,000 Medicaid and CHIP … [Read more...] about Kate McEvoy – VP, Board, National Association of Medicaid Directors
January 2018 – Medicare Appeals & Other Issues
MEDICARE APPEALS Expedited v. Standard Appeals – Not Knowing the Difference Can Cost You Your Appeal Rights Here’s the Issue Expedited Medicare appeals and standard Medicare appeals are designed to address different things … [Read more...] about January 2018 – Medicare Appeals & Other Issues
CMS Halts Enforcement, as Requested by the Nursing Home Industry
In October of 2016, the Obama Administration issued a Final Rule regarding the Requirements of Participation (RoP) for nursing homes. The Final Rule was issued, in part, because the regulations had “not been comprehensively reviewed and updated … [Read more...] about CMS Halts Enforcement, as Requested by the Nursing Home Industry
CMA Alert – Comments on Comments: Nursing Home Enforcement Weakened; More
Nursing Home Enforcement: Center Submits Comments on CMS’s Draft Guidance Regarding the Immediate Imposition of Remedies Comments Submitted on Center for Medicare and Medicaid Innovation (CMMI) Center Submits Comments on HHS Notice of … [Read more...] about CMA Alert – Comments on Comments: Nursing Home Enforcement Weakened; More
Center Comments on Innovation Center New Direction
November 20, 2017 Via Electronic Submission CMMI_NewDirection@cms.hhs.gov Seema Verma, Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, … [Read more...] about Center Comments on Innovation Center New Direction
Center Comments on 2018 Physician Fee Schedule
September 11, 2017 Administrator Seema Verma Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1676-P P.O. Box 8016, Baltimore, MD 21244-8013. Re: CMS-1676 Submitted … [Read more...] about Center Comments on 2018 Physician Fee Schedule
CMA Alert – May 17, 2017
1. Senate Must Reject Health Bill Passed by the House 2. CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy 3. … [Read more...] about CMA Alert – May 17, 2017