The Medicare Secondary Payer (MSP) program authorizes the Centers for Medicare & Medicaid Services (CMS) to recover compensation payments from beneficiaries who have private insurance that should be primarily responsible for their medical … [Read more...] about CMS Revises Its Medicare Secondary Payer Collection Letters Following Haro v. Sebelius Decision
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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
CMS Permits States to Extend Certain Medicaid Spousal Protections to Same-Sex Couples
In a continuation of the Obama Administration's effort to extend rights to same sex couples, the Centers for Medicare & Medicaid Services (CMS) issued a new State Medicaid Director Letter 11-006 (SMDL). There are currently federal … [Read more...] about CMS Permits States to Extend Certain Medicaid Spousal Protections to Same-Sex Couples
Bittersweet Transitions at the Center for Medicare Advocacy
Vicki Gottlich Headed to the Centers for Medicare & Medicaid Services (CMS) The Center for Medicare Advocacy is sad to say goodbye to Vicki Gottlich, who has been a Senior Policy Attorney in our Washington, DC office since January, 2000. Vicki … [Read more...] about Bittersweet Transitions at the Center for Medicare Advocacy
New Rules for Medicare Advantage and Part D Plans
On April 15, 2011, the Centers for Medicare & Medicaid Services (CMS) issued final regulations to provide policy and technical changes to the Medicare Parts C (Medicare Advantage) and D programs.[1] The regulations address concerns raised … [Read more...] about New Rules for Medicare Advantage and Part D Plans
CMS Sends Out Reminders to LIS-Eligible Medicare Beneficiaries
The Centers for Medicare & Medicaid Services (CMS) announced that it is sending "Choosers Reminder Notices" to approximately 944,000 Medicare beneficiaries who are eligible for the Part D low-income subsidy (LIS). The notices, … [Read more...] about CMS Sends Out Reminders to LIS-Eligible Medicare Beneficiaries
Combating Fraud, Waste and Abuse in Health Care
Combating fraud, waste and abuse in health care and in other federal programs remains a popular refrain for reducing federal expenditures. In a survey conducted by AARP in September 2009, 80% of Medicare beneficiaries age 65 and older agreed that … [Read more...] about Combating Fraud, Waste and Abuse in Health Care
Medicare Secondary Payer Practices that Harm Medicare Beneficiaries
A group of organizations has identified collection practices in the Medicare Secondary Payer (MSP) program that are unnecessarily harmful to beneficiaries. On April 28, 2011, the Center for Medicare Advocacy, together with the American Bar … [Read more...] about Medicare Secondary Payer Practices that Harm Medicare Beneficiaries
Medicare Advocates Alliance Call Agendas
The National medicare Advocates Alliance is an initiative to assist public interest advocates throughout the country with Medicare cases and issues, supported by the John A. Hartford Foundation. Older agendas are in .pdf form Call … [Read more...] about Medicare Advocates Alliance Call Agendas
Help Someone Retain Part D Extra Help
The Social Security Administration (SSA) has released state by state information on numbers of individuals whose Part D low income subsidy (extra help) will end March 31 if they do not respond to SSA’s request for information concerning their … [Read more...] about Help Someone Retain Part D Extra Help