Center Attorney Toby Edelman Testifies at Senate Aging Hearing About Overuse of Antipsychotic Drugs in Nursing Facilities Medicare Enrollment Period Ends December 7, 2011 January 2012 Brings Round 2 of CMS' Competitive Bidding … [Read more...] about Fall Updates! Enrollment; Antipsychotic Drugs in SNFs; DME
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Toby Edelman Testifies Before Senate Special Committee Regarding Antipsychotics In Nursing Homes
UNITED STATES SENATE SPECIAL COMMITTEE ON AGING OVERPRESCRIBED: THE HUMAN AND TAXPAYERS' COSTS OF ANTIPSYCHOTICS IN NURSING HOMES November 30, 2011 Testimony of Toby S. Edelman Senior Policy Attorney Center for Medicare Advocacy The … [Read more...] about Toby Edelman Testifies Before Senate Special Committee Regarding Antipsychotics In Nursing Homes
Forcing Dual Eligibles Into Private Health Plans is No Quick Fix
The nearly nine million Medicare beneficiaries who are also eligible for some form of Medicaid, the so-called dual eligibles, are the subject of federal, state and local policy discussions because many of them are among the highest users of health … [Read more...] about Forcing Dual Eligibles Into Private Health Plans is No Quick Fix
Preserving Access to Necessary Care: Ending Hospital “Observation Status”
The Center for Medicare Advocacy has heard increasingly about beneficiaries throughout the country whose entire stays in a hospital, including stays as long as 14 days, are classified by the hospital as outpatient observation. In some … [Read more...] about Preserving Access to Necessary Care: Ending Hospital “Observation Status”
2012 Medicare Premiums, Deductibles and Co-Pays
On October 27, 2011 the Centers for Medicare and Medicaid Service (CMS) released notices detailing the Medicare Part A and Part B premiums and Deductibles for calendar year 2012.Hospital Deductible:$1,156 per spell of illnessHospital … [Read more...] about 2012 Medicare Premiums, Deductibles and Co-Pays
Medicare Advantage and Part D Changes and Enrollment Updates
Once again the Medicare Advantage and Part D Annual Coordinated Election Period (ACEP) is upon us; it's time to contemplate Medicare prescription drug and Medicare Advantage choices for another calendar year. The big news is that the ACEP, … [Read more...] about Medicare Advantage and Part D Changes and Enrollment Updates
COBRA: A Summary
The Center for Medicare Advocacy (the Center) is experiencing an increase in inquiries about obtaining health insurance coverage under COBRA, the Consolidated Budget Reconciliation Act of 1985.[1] This higher volume is likely related to the … [Read more...] about COBRA: A Summary
Next Steps for Some Beneficiaries In Medicare Special Needs Plans
An estimated 50,000[1] Medicare beneficiaries who are currently enrolled in Medicare Advantage "Special Needs Plans" (SNPs) but who do not meet the definition of a special needs individual for purposes of their plan will be disenrolled from … [Read more...] about Next Steps for Some Beneficiaries In Medicare Special Needs Plans
CMS to Begin Round Two of Its Competitive Bidding Program for the Provision of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
On August 19, 2011, the Centers for Medicare & Medicaid Services (CMS) announced Round 2 of its DMEPOS competitive bidding program.[1] Bidding is to begin in January 2012. Round 2 adds more product categories for competitive bidding … [Read more...] about CMS to Begin Round Two of Its Competitive Bidding Program for the Provision of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
Amended Appeal Rules for Employer and Individual Health Plans
On June 24, 2011, the Centers for Medicare & Medicaid Services (CMS), in conjunction with the Internal Revenue Service (IRS) and the Employee Benefits Security Administration (EBSA), released amendments to a set of interim final rules regarding … [Read more...] about Amended Appeal Rules for Employer and Individual Health Plans