Medicare-Related COVID-19 Update - Legislative & Policy Changes (April 2, 2020) Hospitals Should Discharge Patients with Coronavirus Only to Qualified Nursing Homes HHS Reiterates Prohibitions On Discrimination In the Face of COVID-19 Care … [Read more...] about CMA Alert – April 2, 2020
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Medicare-Related COVID-19 Update – Legislative & Policy Changes (April 2, 2020)
Legislative ChangesOn March 27, 2020, President Trump signed into law the Coronavirus Aid, Relief, and Economic Security (CARES) Act, H.R. 748 which is the third COVID-related bill to pass Congress in recent weeks. As noted on the Center for … [Read more...] about Medicare-Related COVID-19 Update – Legislative & Policy Changes (April 2, 2020)
Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study
January 2020Download this Case StudyI. Background - The Jimmo SettlementIn 2013, a U.S. District Court approved the settlement agreement in Jimmo v. Sebelius,[1] requiring the Centers for Medicare & Medicaid Services (CMS) to confirm … [Read more...] about Incorrect Implementation of the Jimmo V. Sebelius Settlement in a Skilled Nursing Facility: A Case Study
CMA Alert – January 23, 2020
House Committees Work to Address Problems Coordinating COBRA and Medicare Enrollment Center Opposes Harmful “Public Charge” Rule Update on ACA-Repeal Lawsuit Study Finds Differences In Post-Hospital Care Settings and Mortality Rates for … [Read more...] about CMA Alert – January 23, 2020
CMA Alert – December 13, 2019
Patients Need Therapy – Medicare Payment Systems Create Barriers Caution: Hospital “Outpatient” Rule Negates Statutory Inpatient Coverage for In-Hospital Dental Care Fairness in Nursing Home Arbitration Act Provides Important Protections … [Read more...] about CMA Alert – December 13, 2019
Patients Need Therapy – Medicare Payment Systems Create Barriers
A unified Medicare payment system that pays all institutional post-acute care providers the same rates, regardless of setting, runs counter to repeated analysis showing that all post-acute providers are not the same, even when they treat patients … [Read more...] about Patients Need Therapy – Medicare Payment Systems Create Barriers
Analysis of President Trump’s Medicare Executive Order:
Among Vague Language and Proposals, Real Harm to Medicare Beneficiaries On October 3, 2019, President Trump issued his “Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors” (EO).[1] Much of the language of the EO is vague, … [Read more...] about Analysis of President Trump’s Medicare Executive Order:
CMA Alert – August 1, 2019
CMS’s Proposed Changes to Nursing Home Requirements of Participation, Survey and Enforcement: Nothing Good for Residents Federal Reports Find Incidents of Nursing Home Resident Abuse Are on the Rise but also Underreported Self-Help Resources … [Read more...] about CMA Alert – August 1, 2019
Self-Help Resources for Improvement Standard Denials – August, 2019
Medicare coverage of skilled nursing and/or therapy services depends on a beneficiary’s need for the skilled care, not on the individual’s potential for improvement. The Settlement Agreement in Jimmo v. Sebelius, approved by a federal district court … [Read more...] about Self-Help Resources for Improvement Standard Denials – August, 2019
New Issue Brief: Implementing Jimmo v. Sebelius: An Overview
In 2013, a federal district court approved a settlement agreement in Jimmo v. Sebelius, No. 5:11-CV-17 (D. VT). The Jimmo Settlement confirmed that Medicare coverage should be determined based on a beneficiary’s need for skilled care (nursing or … [Read more...] about New Issue Brief: Implementing Jimmo v. Sebelius: An Overview