Medicare is the national health insurance program to which all Social Security recipients who are either over 65 years of age or permanently disabled are entitled. In addition, individuals receiving railroad retirement benefits and individuals … [Read more...] about Info by Topic
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About Us
Mission StatementThe Center for Medicare Advocacy’s mission is to advance access to comprehensive Medicare coverage, health equity, and quality health care for older people and people with disabilities by providing exceptional legal analysis, … [Read more...] about About Us
Health Care Reform Does Not Cut Medicare Benefits
Health care reform does not cut Medicare benefits. In fact, health care reform expands Medicare coverage, by eliminating cost-sharing for preventive services, adding a yearly wellness visit, limiting some cost-sharing in private Medicare plans, and … [Read more...] about Health Care Reform Does Not Cut Medicare Benefits
Landers v. Leavitt
No. 3:04CV1988JCH (D. Conn.), filed Nov. 23, 2004 Last Updated: September 22, 2009 Issue: Whether the Secretary's policy of not counting time in an emergency room or in "observation status" towards the three-day qualifying hospital … [Read more...] about Landers v. Leavitt
Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
As the Center for Medicare Advocacy has outlined in recent CMA Alerts (including here, here and here), the Centers for Medicare & Medicaid Services (CMS) has recently taken long overdue steps to address Medicare Advantage (MA) overpayments and … [Read more...] about Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
CMA Alert | August 25, 2022
New from the Center: Form to Contest Multiple Medicare Denials Issued by Medicare Advantage PlansDuring the past year, the Center for Medicare Advocacy has received an alarming increase in complaints from Medicare Advantage enrollees who, despite … [Read more...] about CMA Alert | August 25, 2022
CMA Alert | July 21, 2022
Improving Nursing Home Staffing Levels Can And Must Be DoneAs the Biden Administration works to develop and implement a standard for minimum nurse staffing levels in nursing facilities,[1] facility owners and executives attempt to derail this … [Read more...] about CMA Alert | July 21, 2022
NEJM Perspective: ACO REACH – A Progressive Value-Based Payment Model, Promoting Equity
In its “A Year in Review June 2021-May 2022,” CMS cites the introduction of the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) model as a key accomplishment in achieving its strategic initiatives. In … [Read more...] about NEJM Perspective: ACO REACH – A Progressive Value-Based Payment Model, Promoting Equity
CMA Alert | January 20, 2022
CT Governor Issues Executive Order Requiring Nursing Home Visitors Have Vaccine and Booster or Proof of Negative COVID Test - CT Long Term Care Ombudsman Expresses Support and Offers Assistance if NeededCiting a nearly 700% increase in confirmed … [Read more...] about CMA Alert | January 20, 2022
New Study: Men Report Worse Quality of Life Nursing Homes
A new study in The Gerontologist reports potential gender differences in quality-of-life satisfaction for nursing home residents, with men less satisfied than women. Researchers drew their conclusions based on analysis of several data sources from … [Read more...] about New Study: Men Report Worse Quality of Life Nursing Homes