As previously reported, a court preliminarily approved settlement in the case of Exley v. Burwell, 3:14-cv-1230 (JAM) (D. Conn.), in March of this year. Since then the government requested and the plaintiffs agreed to a revision in the proposed … [Read more...] about Exley v. Burwell: Fairness Hearing on Class Action Settlement about Delays in ALJ Appeals Rescheduled to August 1, 2016
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Center Submits Comments to CMS Opposing Prior Authorization of Home Health Services
As discussed in our March 2, 2016 CMA Alert, the Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register in February 2016 announcing its effort to seek approval from the Office of Management and Budget (OMB) to … [Read more...] about Center Submits Comments to CMS Opposing Prior Authorization of Home Health Services
Center Comments on Medicare Prior Authorization of Home Health Services Demonstration
April 5, 2016Centers for Medicare & Medicaid Services Office of Strategic Operations and Regulatory Affairs Division of Regulations Development 7500 Security Blvd. Baltimore, MD 21244-1850Delivered Electronically through … [Read more...] about Center Comments on Medicare Prior Authorization of Home Health Services Demonstration
March 2016 – Back to Court in Jimmo, Litigation Update & Other Issues
LITIGATION UPDATEBarrows v. Burwell (formerly Bagnall v. Sebelius) (Observation Status) No. 3:11-cv-01703 (D. Conn., filed 11/3/2011). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a class action lawsuit on … [Read more...] about March 2016 – Back to Court in Jimmo, Litigation Update & Other Issues
Center Comments on Medicare Advantage Rates, Part C and Part D Payment Policies
March 4, 2016VIA ELECTRONIC SUBMISSION AdvanceNotice2017@cms.hhs.govAndrew Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services P.O. Box 8016 Baltimore, MD … [Read more...] about Center Comments on Medicare Advantage Rates, Part C and Part D Payment Policies
Medicare’s Home Health Benefit Under Threat
1. CMS Proposes Medicare Home Health Prior Authorization DemonstrationOn February 5, 2016, the Centers for Medicare & Medicaid Services (CMS) published a two-page Paperwork Reduction Act notice in the Federal Register announcing their effort … [Read more...] about Medicare’s Home Health Benefit Under Threat
Jimmo v. Sebelius Plaintiffs Return to Court to Urge Enforcement
Beneficiaries Across the Country Still Denied Needed Coverage Due to Illegal Use of Improvement StandardMarch 1, 2016 – Today, Plaintiffs’ counsel, the Center for Medicare Advocacy and Vermont Legal Aid, filed a Motion for Resolution … [Read more...] about Jimmo v. Sebelius Plaintiffs Return to Court to Urge Enforcement
Attention Patients and Prescribers of Part D Drugs
March 2016 Update:CMS is now delaying enforcement of the Part D Prescriber Enrollment Requirements until February 1, 2017.Nevertheless, prescribers of Part D drugs should submit their Medicare enrollment applications or opt-out affidavits to … [Read more...] about Attention Patients and Prescribers of Part D Drugs
“Discharge” from a Skilled Nursing Facility: What Does it Mean and What Rights Does a Resident Have?
Skilled nursing facilities (SNFs) often tell Medicare beneficiaries and their families that they intend to “discharge” a Medicare beneficiary because Medicare will not pay for the beneficiary’s stay under either Part A (traditional Medicare) or Part … [Read more...] about “Discharge” from a Skilled Nursing Facility: What Does it Mean and What Rights Does a Resident Have?
January 2016 – Senate Finance Request for Comments on Chronic Care & Other Issues
LEGISLATIVE UPDATESenate Finance Committee Releases Document for Comment In December 2015, the Senate Finance Committee’s Bipartisan Chronic Care Working Group released a Policy Options Document. The following is an excerpt … [Read more...] about January 2016 – Senate Finance Request for Comments on Chronic Care & Other Issues