Join Your CMA Community for a Jimmo Symposium Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation WED, SEP 27, 2023 2:00 PM - 4:00 PM EDT In 2013, the Center for Medicare Advocacy and Vermont Legal Aid along with additional … [Read more...] about Improvement Standard and Jimmo News
Search Results for: maintenance
Discharge Planning
Rights and Procedures for Medicare Beneficiaries in Various Care Settings What does "Discharge Planning" plan for? What is the hospital supposed to do to prepare me for discharge? How do I get notified? How can I argue being … [Read more...] about Discharge Planning
Medicare Coverage for People with Disabilities
I'm not 65 yet, but I am disabled. Can I get Medicare coverage? I heard that I had to collect disability for 24 months to be eligible. Is this ALWAYS true? I have trouble getting private insurance. Can my illness disqualify me for Medicare … [Read more...] about Medicare Coverage for People with Disabilities
Chronic Conditions
Services for Beneficiaries with Chronic Conditions Many beneficiaries and providers often have questions about obtaining Medicare and Medicare Advantage coverage for services provided to individuals with on-going, chronic conditions. Medicare … [Read more...] about Chronic Conditions
Glossary of Terms
The letters at the top of the glossary chart will act as alphabetical links. To search for a specific word or phrase on this page, use the Ctrl+F keys on your keyboard, and enter the word you are looking … [Read more...] about Glossary of Terms
CMA Alert: Medicare Home Health Regs: Improvement NOT Required; Also Extender Act and More
CMA ALERT, DECEMBER 12, 2010 New Medicare Home Health Regulations: Improvement is NOT Required to Maintain Coverage! Congress Passes the Medicare and Medicaid Extenders Act of 2010 CMS Issues Corrected "Choosers" … [Read more...] about CMA Alert: Medicare Home Health Regs: Improvement NOT Required; Also Extender Act and More
Two Federal Courts Reject "Improvement Standard" for Denying Medicare Coverage
Within a month of each other, two federal district courts have rejected the Center for Medicare & Medicaid Services' (CMS) beleaguered Medicare "Improvement Standard," thereby adding to the chorus of federal judges who have found the standard … [Read more...] about Two Federal Courts Reject "Improvement Standard" for Denying Medicare Coverage
Private Medicare Plans Do Not Offer Better Health Outcomes
For more than a year, the Center for Medicare Advocacy has been outspoken about the overpayments made to the private insurance plans in the subsection of the Medicare program called "Medicare Advantage." [1]During this same time period, the … [Read more...] about Private Medicare Plans Do Not Offer Better Health Outcomes
The Medicare Improvement Standard: A Barrier to Necessary Care
Mrs. P, 68 years old, was diagnosed with Amyotrophic Lateral Sclerosis (ALS, also known as Lou Gehrig's Disease) five years ago. She now needs a wheelchair, cannot stand on her own, needs assistance to move from bed to wheelchair, and is … [Read more...] about The Medicare Improvement Standard: A Barrier to Necessary Care
Health Reform: Linking Medicare Payment to Quality Outcome
This is the seventh in a series of Alerts by Center for Medicare Advocacy regarding the Patient Protection and Affordability Care Act of 2010 (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA). This Alert focuses on changes … [Read more...] about Health Reform: Linking Medicare Payment to Quality Outcome