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Search Results for: observation

CMA Alert – Center Comments on “Junk Plans;” Report Examines Oral Health; Observation Status in the News

April 26, 2018

The Sabotage of Health Care Continues - Center Comments on "Junk Plans" State of Decay: Report Examines Oral Health for Older Americans NPR Observation Status Story: How Medicare's Conflicting Hospitalization Rules Cost Me Thousands … [Read more...] about CMA Alert – Center Comments on “Junk Plans;” Report Examines Oral Health; Observation Status in the News

Filed Under: Uncategorized

NPR Observation Status Story: How Medicare’s Conflicting Hospitalization Rules Cost Me Thousands Of Dollars

April 26, 2018

On April 20, 2018, Alison Kodjak of NPR published the story of trying to navigate her own Mother’s “Outpatient” Observation Status and follow-up care.  After four nights in the hospital, all coded as observation, Alison’s … [Read more...] about NPR Observation Status Story: How Medicare’s Conflicting Hospitalization Rules Cost Me Thousands Of Dollars

Filed Under: Article Tagged With: Observation Status, Weekly Alert

Hospitalists Continue to Oppose Observation Status and Call for Significant Change

March 1, 2018

Patients in “outpatient” observation status often receive care in acute care hospitals that is indistinguishable from the care patients receive when they are formally admitted to hospitals as inpatients.[1]  Nevertheless, the … [Read more...] about Hospitalists Continue to Oppose Observation Status and Call for Significant Change

Filed Under: Article Tagged With: Observation Status, Weekly Alert

Annotated Bibliography: Observation Status

September 13, 2017

Abbey, Duane. “Inpatient Versus Outpatient: The Real Issue.” RAC Monitor. 06 March 2014. http://www.racmonitor.com/rac-enews/1618-inpatient-versus-outpatient-the-real-issue.html (site visited September 21, 2016).The author writes … [Read more...] about Annotated Bibliography: Observation Status

Filed Under: Article Tagged With: Observation Status, Weekly Alert

Medicare Hospital Outpatient & Observation Status Toolkit

September 12, 2017

Supported by             The John A. Hartford Foundation  Patients may find themselves in the hospital, receiving medical services, tests, and treatment, sometimes for many … [Read more...] about Medicare Hospital Outpatient & Observation Status Toolkit

Filed Under: Uncategorized Tagged With: Observation Status

CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More

August 16, 2017

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

Filed Under: Article Tagged With: ACA, Home Health, Medicare Advantage, Observation Status, The Fight, Weekly Alert

Court Certifies Nationwide Class in “Observation Status” Case

August 1, 2017

Decision in Alexander v. Price Means Medicare Patients Could Gain Right to Appeal Placement on “Observation Status” and Avoid Large Medical BillsEighty-four-year-old Nancy Niemi of North Carolina was hospitalized for 39 days earlier … [Read more...] about Court Certifies Nationwide Class in “Observation Status” Case

Filed Under: Press Release Tagged With: litigation update, Observation Status

March, 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues

March 15, 2017

Welcome and Housekeeping  (David Lipschutz, Moderator) Litigation Update   (Ali Bers)Jimmo (Improvement standard) Barrows (formerly Bagnall) (Observation) Sherman (Lower level Medicare appeals) Other … [Read more...] about March, 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues

Filed Under: Uncategorized Tagged With: Alliance Agenda

March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues

March 8, 2017

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

Filed Under: Uncategorized Tagged With: Alliance Issue Brief

CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)

February 15, 2017

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)

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

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National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

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A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
20h 2011552543432978851

What did we learn from the 2025–2026 Medicare Annual Enrollment Period?

Join our free webinar as experts from CMA and SHIP review the challenges, lessons learned, and what beneficiaries and advocates should know heading into 2026.

Reserve your spot👇

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Free Webinar | 2025 Medicare Open Enrollment Deep Dive - Center for Medicare Advocacy

We Welcome You to Join Us! Description This webinar will look back at the 2025-2026 Medicare Annual Enrollment Per...

medicareadvocacy.org

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
22h 2011533228717588926

Think appealing Medicare denials is pointless? The data says otherwise.

This article highlights successful, game-changing Medicare appeals, and includes insight from our team.

Full story below👇

For Medicare updates weekly:
👉

https://www.savingadvice.com/articles/2026/01/13/10714249_7-medicare-appeals-that-succeed-more-often-than-expected.html

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7 Medicare Appeals That Succeed More Often Than Expected

Don't take "no" for an answer from Medicare. Discover 7 types of appeals that lead to reversals and learn the secrets to winning your case.

medicareadvocacy.org

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
13 Jan 2011162388423442794

What’s really behind the care gap in Medicare Advantage — and why is it getting attention now?

Find out in the @InsNewsNet article by @sischarlene, with input from our own Christine Huberty👇

For our free weekly newsletter:
👉

https://insurancenewsnet.com/oarticle/whats-behind-the-medicare-advantage-care-gap-for-californias-black-seniors

What's Behind the Medicare Advantage Care Gap for California's Black Seniors

Medicare 1 s a federal health insurance program for people 65 or older, and some people under 65 with certain ...

medicareadvocacy.org

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
12 Jan 2010795446927835304

🏛️Big win for Medicare! Last week, The House passed a 3-year extension of health care tax credits that help keep premiums down and coverage stable.

@TheWellNews and our co-director David Lipschutz explain why this moment matters👇

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House Approves Health Subsidy Bill Expected to Help Medicare Recipients

WASHINGTON — The U.S. House on Thursday approved a three-year extension of health care tax credits that expired ...

www.thewellnews.com

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