NATIONAL MEDICARE ADVOCATES ALLIANCE CALL Monday, April 9, 2012– 2:00 P.M., Eastern Time Call-in Number: 1 (888) 206-2266 Pass Code: 1050263# NOTE: We ask people calling from the same location to gather around one telephone. This … [Read more...] about April 9, 2012 – Challenging Notices of Involuntary Discharge
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December 12, 2011 – What if You Missed the Annual Enrollment Period?
NATIONAL MEDICARE ADVOCATES ALLIANCE CALL Monday, December 12, 2011– 2:00 P.M., Eastern Time Call-in Number: 1(888)206-2266 Pass Code: 1050263# NOTE: We ask people calling from the same location to gather around one telephone. … [Read more...] about December 12, 2011 – What if You Missed the Annual Enrollment Period?
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
When Should Medicare Coverage Be Available For Skilled Nursing Facility (SNF) Care?
Skilled Nursing Facility (SNF) care can be covered by Medicare if it meets the following criteria: Note: Medicare Advantage plans often do not require a prior hospital stay to qualify for SNF coverage. Note: “Daily” is defined as seven … [Read more...] about When Should Medicare Coverage Be Available For Skilled Nursing Facility (SNF) Care?
Know Jimmo | New CMS Implementation Activity!
CMS Joins the Center for Medicare Advocacy to Advance Access to Medicare-Covered Skilled Care to Maintain One’s Condition or Slow Decline In 2011, the Center for Medicare Advocacy and Vermont Legal Aid brought the Jimmo v. Sebelius class … [Read more...] about Know Jimmo | New CMS Implementation Activity!
Basic Introduction to Medicare
Medicare Matters: A Video Timeline about Medicare (Kaiser Family Foundation, www.KFF.org) Overview Medicare is modeled after private health insurance. Thus, it covers some of the cost of some health care. Generally, coverage is … [Read more...] about Basic Introduction to Medicare
Insurance Industry Group Issues Misleading Medicare Advantage Report
Report Suggests Medicare Could Save Money by Providing as Little Care as Private Medicare Advantage Plans Do, While Ignoring the Harm to Beneficiaries, Overpayments to the Private Plans, and Damage to Medicare’s Solvency On November 24, 2023, the … [Read more...] about Insurance Industry Group Issues Misleading Medicare Advantage Report
Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues
I. NEW REPORT ON MEDICARE ADVANTAGE OVERPAYMENTS On October 4, 2023, Physicians for a National Health Program (PNHP) released a report titled “Our Payments Their Profits”, showing that insurance companies offering Medicare Advantage (MA) plans … [Read more...] about Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues
Center Comments on 2023-2024 Proposed Home Health Rule
August 29, 2023 Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1780-P, P.O. Box 8013Baltimore, Maryland 21244-8013 Submitted electronically to: https://www.regulations.gov Re: … [Read more...] about Center Comments on 2023-2024 Proposed Home Health Rule
Issue Brief 81 | August 2023 – Medicare Oral Health Updates & Other Issues
I. MEDICALLY NECESSARY ORAL HEALTH COVERAGE IN MEDICARE The 2024 Medicare Physician Fee Schedule (PFS) proposed rule released recently includes a proposal to clarify reimbursement for dental services necessary to the clinical … [Read more...] about Issue Brief 81 | August 2023 – Medicare Oral Health Updates & Other Issues