Fall is the time for Medicare beneficiaries to explore their options regarding traditional Medicare, Part D prescription drug plans and Part C Medicare Advantage plans. The Annual Coordinated Election Period (ACEP) starts on October 15th and … [Read more...] about Medicare Annual Enrollment Period Starts Today (October 15) and Ends December 7
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CMA Comments on Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities
October 14, 2015 Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave., S.W. Washington, D.C. … [Read more...] about CMA Comments on Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities
Practice Tip: Orders Needed for Maintenance Skilled Care
Based on recent experience, the Center for Medicare Advocacy provides this Practice Tip for providers and advocates for patients who need to change from an improvement mode to maintenance mode for nursing or therapy. The Center is seeing decisions … [Read more...] about Practice Tip: Orders Needed for Maintenance Skilled Care
GAO Issues Report Concerning CMS Oversight of Medicare Advantage Provider Network Adequacy
This week, the General Accounting Office (GAO) issued a report entitled “Medicare Advantage: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy” (August 2015, publicly released September 28, 2015). This report … [Read more...] about GAO Issues Report Concerning CMS Oversight of Medicare Advantage Provider Network Adequacy
CMS Reopens Public Comment Period for Proposed Revisions to the Nursing Home Requirements of Participation
On July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published proposed rules to revise the nursing home Requirements of Participation (RoPs) – the federal rules that govern the standards of care that facilities must meet in … [Read more...] about CMS Reopens Public Comment Period for Proposed Revisions to the Nursing Home Requirements of Participation
CMA Comments re: Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model
September 15, 2015 Submitted electronically Sheila Hanley Director, Policy and Programs Group Center for Medicare & Medicaid Innovation Centers for Medicare & Medicaid Services HealthPlanInnovation@cms.hhs.gov RE: Medicare … [Read more...] about CMA Comments re: Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model
Center Comments on Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016
September 8, 2015 Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1631-P P.O. Box 8016 Baltimore, MD 21244-8016 Delivered Electronically through … [Read more...] about Center Comments on Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016
September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
ADMINISTRATIVE UPDATE 1. Proposed Requirements of Participation for Nursing Facilities On July 16, 2015, the Centers for Medicare & Medicaid Services (CMS) published proposed rules to revise the nursing home Requirements of Participation … [Read more...] about September 2015 – Proposed Rules for Nursing Facilities are Inadequate & Other Issues
Better Medicare Coverage of Speech Generating Devices
Over the past week, problems with Medicare coverage of Speech Generating Devices (SGDs) have been favorably addressed through both final Administrative and Congressional action. Prior to these actions, Medicare only covered SGDs to generate … [Read more...] about Better Medicare Coverage of Speech Generating Devices
41. Medicare’s Appeals Process Is an Important Beneficiary Protection that Must Be Fixed
One of the most fundamental rights set out in the Constitution is the right to due process of law when government action harms an individual. “Due process” means both notice and an opportunity to be heard. In other words, individuals are … [Read more...] about 41. Medicare’s Appeals Process Is an Important Beneficiary Protection that Must Be Fixed