Care is Compromised Under CMS’s Comprehensive Care for Joint Replacement (CJR) Model: A Case In Point Over-the-Counter (OTC) Hearing Aid Act Signed into Law Severe Harm if ACA Cost-Sharing Payments EndCare is Compromised Under … [Read more...] about CMA Alert – Joint Replacement Model Undermines Care; OTC Hearing Aids Legislation Passed; More
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CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More
Former CMS Administrator Comments on Medicare Advantage Overpayments Proposed Home Health Rules – Payments Drive Delivery of Care, Harming Beneficiaries Observation Status Harms Low-Income Medicare Beneficiaries Poll: Americans Favor … [Read more...] about CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More
Center Comments on Proposed Redesign of Reimbursement for Skilled Nursing Facilities
August 9, 2017Thomas E. Price Secretary Department of Health and Human ServicesSeema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey … [Read more...] about Center Comments on Proposed Redesign of Reimbursement for Skilled Nursing Facilities
CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy
Proposed changes to nursing facility payment under consideration by CMS would reduce financial incentives to provide therapy, and would do so with such force – providing higher reimbursement to skilled nursing facilities (SNFs) that provide … [Read more...] about CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy
CMA Alert – May 17, 2017
1. Senate Must Reject Health Bill Passed by the House 2. CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy 3. … [Read more...] about CMA Alert – May 17, 2017
May 2017 – House Passes AHCA, Updates on Home Health, SGD’s & Other Issues
HEALTH REFORM: HOUSE PASSES AMERICAN HEALTH CARE ACT (AHCA)On May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA) by a vote of 217-213. The bill will now be taken up by the Senate.American Health … [Read more...] about May 2017 – House Passes AHCA, Updates on Home Health, SGD’s & Other Issues
March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
LITIGATION UPDATEBarrows v. Price (formerly Bagnall v. Sebelius, Barrows v. Burwell), No. 3:11-cv-1703 (D. Conn.) (Observation Status). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a proposed class action … [Read more...] about March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)
Beginning no later than March 8, 2017, and as required by the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act),[1] hospitals and critical access hospitals (CAHs) are required to give patients both oral and written … [Read more...] about CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)
January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
THE FIGHT TO PROTECT THE ACA, MEDICARE AND MEDICAIDThe President-Elect and Republican leaders in Congress have promised to repeal, and at some point, “replace” the Affordable Care Act. They also plan to gut the Medicaid program … [Read more...] about January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
The Promise and Failure of Medicare Home Health Coverage
1.The ProblemThe Center for Medicare Advocacy has been hearing from people who meet Medicare coverage criteria but are unable to access Medicare-covered home health care, or the appropriate amount of care. These problems have been escalating in … [Read more...] about The Promise and Failure of Medicare Home Health Coverage