On May 22, 2020, the Centers for Medicare & Medicaid Services (CMS) published a final rule regarding Medicare Advantage (Medicare Part C) and Part D prescription drug plans (“C & D Rule”). The rule is entitled “Medicare Program; Contract Year … [Read more...] about Final Rule for Medicare Parts C and D Includes Weakened Standards for Medicare Advantage Networks
Search Results for: maintenance
CMA Alert – May 14, 2020
New Center for Medicare Advocacy Report - Nursing Home Industry Seeks Immunity During COVID Crisis; States Are Obliging Medicare Covers Maintenance Therapy – Therapist Assistants Can Provide It Case Study: Medicare Advantage and … [Read more...] about CMA Alert – May 14, 2020
CMA Alert – April 23, 2020
COVID Updates (April 23, 2020) CMS to Require Transparency Regarding Coronavirus in Nursing Facilities Register for the VIRTUAL National Voices of Medicare Summit and Senator Jay Rockefeller Lecture - April 30, 2020COVID Updates (April 23, … [Read more...] about CMA Alert – April 23, 2020
CMA Alert – February 20, 2020
Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM) Massachusetts Task Force Calls for Closure of Low-Performing, Low Occupancy Nursing Facilities Register Now - Upcoming CMA Events7th Annual National … [Read more...] about CMA Alert – February 20, 2020
Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM)
Background. On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began implementing a new Medicare payment system—“Patient Driven Groupings Model” (PDGM)—for home health services. Under PDGM, home health agencies have a new set … [Read more...] about Medicare Coverage of Home Health Care Has Not Changed Under the New Payment System (PDGM)
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
Home Health Practice Guide with Case Study (January 2020)
Medicare Home Health Coverage and CareIs Jeopardized By the New Payment Model –The Center for Medicare Advocacy May Be Able to HelpActual Recent Case StudyMrs. Green has advanced multiple sclerosis. She spends her time either in bed or in a … [Read more...] about Home Health Practice Guide with Case Study (January 2020)
Statement for the Record – Caring for Aging Americans Hearing – November 14, 2019
WAYS & MEANS COMMITTEE HEARING “CARING FOR AGING AMERICANS” November 14, 2019 STATEMENT FOR THE RECORD Statement of Toby S. Edelman Senior Policy Attorney Center for Medicare Advocacy 1025 Connecticut Avenue, N.W., Suite 709 Washington, … [Read more...] about Statement for the Record – Caring for Aging Americans Hearing – November 14, 2019
CMA Alert – November 27, 2019
Time for Medicare Enrollment – Time to Talk Turkey! Reminder – You CAN Leave the Nursing Home for the Holidays Jimmo Implementation Council Meets to Discuss the State of Skilled Maintenance Care Thank You!Time for Medicare … [Read more...] about CMA Alert – November 27, 2019
Issue Brief – November 2019 – Medicare Enrollment Period Updates & Other Issues
(The views expressed in this Issue Brief and during the Alliance call are solely those of the Center for Medicare Advocacy.)I. ENROLLMENT PERIOD UPDATESOverviewThe Annual Coordinated Election Period (ACEP) – the period during which … [Read more...] about Issue Brief – November 2019 – Medicare Enrollment Period Updates & Other Issues