The traditional Medicare program pays individual health care providers for the specific services and care they provide to beneficiaries and guarantees that patients have “freedom of choice”[1] to select their Medicare providers. A … [Read more...] about Bundling Payments for Post-Acute Care
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18. Medicare Doesn’t Cover Long-Term Nursing Home Care
Medicare is a wonderful program. It provides important health insurance for millions of older and disabled people. But, contrary to common belief, Medicare does not cover long-term care in skilled nursing facilities (often referred to as … [Read more...] about 18. Medicare Doesn’t Cover Long-Term Nursing Home Care
Center Attorneys Meet with Senate Finance Committee Staff Members About Changes to Medicare Appeals Process
The Medicare appeals system is not working. The success rate at the first two levels of appeal is staggeringly low for beneficiaries. It can take years to get an ALJ hearing decision – the third level of appeal, and the first real opportunity … [Read more...] about Center Attorneys Meet with Senate Finance Committee Staff Members About Changes to Medicare Appeals Process
Senate Finance Committee Holds Hearing on Medicare Appeals Backlog – Proposed Solutions Are of Great Concern
On April 28, 2015, the Senate Finance Committee held a hearing entitled “Creating a More Efficient and Level Playing Field: Audit and Appeals Issues in Medicare.”[1] As noted by Chairman Hatch in his opening statement, … [Read more...] about Senate Finance Committee Holds Hearing on Medicare Appeals Backlog – Proposed Solutions Are of Great Concern
April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Legislative/Budget Update Medicare physician payment (Sustainable Growth Rate, or SGR) (David Lipschutz) House passed SGR bill – review of what … [Read more...] about April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
April 2015 – The Potential Impact of the “Doc Fix” & Other Issues
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
The 2015 National Voices of Medicare Summit
Reflections on the 2nd Annual National Voices of Medicare Summit A Look Back at the Summit from the Attendees' View 2015 Program and Speakers Register Now for 2016! Reflections on the 2nd Annual National Voices of Medicare Summit … [Read more...] about The 2015 National Voices of Medicare Summit
“Doc Fix” Package Passed by House Takes Too Much from Beneficiaries with Too Little In Return
Today, March 26, the House of Representatives passed the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2). While the Center for Medicare Advocacy believes it’s in the best interest of Medicare beneficiaries to find a … [Read more...] about “Doc Fix” Package Passed by House Takes Too Much from Beneficiaries with Too Little In Return
Analysis of SGR Legislation From the Center for Medicare Advocacy
“Beneficiaries Would Pay Too Much, With Too Little in Return” March 24, 2015 – The Center for Medicare Advocacy believes it is in the best interest of Medicare beneficiaries and their doctors to find a permanent solution to … [Read more...] about Analysis of SGR Legislation From the Center for Medicare Advocacy
9. Medicare is Good. It Could Have Been Even Better.
Many people outside the Medicare and health care world don’t know that in 1989 Medicare was briefly, dramatically altered. The “Medicare Catastrophic Coverage Act,” (MCCA) was the most significant revision to Medicare … [Read more...] about 9. Medicare is Good. It Could Have Been Even Better.