This week the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services issued a proposed rule that seeks to restore critical nondiscrimination protections the previous administration rolled back.Section 1557 of the … [Read more...] about Proposed Civil Rights Rule Marks Important Step in Restoring Health Care Protections
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Issue Brief #75- June 2022 – Medicare & Telehealth Report and Other Issues
TELEHEALTH UPDATE Special Report: Telehealth and the Medicare Population: Building a Foundation for the Virtual Health Care RevolutionAs the United States slowly emerges from the COVID-19 pandemic, this exponential expansion of … [Read more...] about Issue Brief #75- June 2022 – Medicare & Telehealth Report and Other Issues
CMA Alert | July 7, 2022
Voices of Medicare | Medicare Advantage Network InadequacyWe recently heard from a Medicare Advantage (MA) enrollee from the Dallas-Forth Worth metropolitan area who went several months without seeing a gastroenterologist due to Cigna’s failure … [Read more...] about CMA Alert | July 7, 2022
Voices of Medicare | Medicare Advantage Network Inadequacy
We recently heard from a Medicare Advantage (MA) enrollee from the Dallas-Forth Worth metropolitan area who went several months without seeing a gastroenterologist due to Cigna’s failure to contract with such specialists. She received no prior notice … [Read more...] about Voices of Medicare | Medicare Advantage Network Inadequacy
CMA Alert | June 23, 2022
Supreme Court Decision Places End-Stage Renal Disease Patients at RiskIn a decision that may place people with end-stage renal disease (ESRD) at risk, the Supreme Court held this week that an employer-sponsored group health plan can restrict … [Read more...] about CMA Alert | June 23, 2022
Nursing Home Staffing at All-Time Low; Which Solutions Will Help?
During the coronavirus pandemic and as of January 2022, nursing facilities lost 238,000 staff members, 15% of their total workforce.[1] According to a survey by the trade association American Health Care Association (AHCA), more than 87% of … [Read more...] about Nursing Home Staffing at All-Time Low; Which Solutions Will Help?
Insurance Industry v. Provider Response to OIG Report re: MA Denials
The recently issued HHS Office of Inspector General report focusing on Medicare Advantage plan denials titled “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary … [Read more...] about Insurance Industry v. Provider Response to OIG Report re: MA Denials
CMA Alert | April 21, 2022
Members of Congress Send Letter to CMS Urging Agency to Address Medicare Advantage OverpaymentsOn April 20, 2022, 19 members of the House and Senate sent a letter to Centers for Medicare & Medicaid (CMS) Administrator Chiquita Brooks-LaSure … [Read more...] about CMA Alert | April 21, 2022
When Artificial Intelligence in Medicare Advantage Impedes Access to Care: A Case Study
The use of artificial intelligence (AI) in healthcare is capturing headlines as a potential tool to streamline operations and predict patient needs for favorable health outcomes, among other things.[1] The Center for Medicare Advocacy, however, has … [Read more...] about When Artificial Intelligence in Medicare Advantage Impedes Access to Care: A Case Study
CMA Alert | April 14, 2022
Federal Government Must Enact and Enforce Nurse Staffing Standards for Nursing FacilitiesAt a roundtable discussion with HHS Secretary Xavier Becerra on March 30, which the Center for Medicare Advocacy attended as one of seven invitees, Mark … [Read more...] about CMA Alert | April 14, 2022