Alliance Issue Brief

I. FINAL PART C & D RULE On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D.  The final rule is available in the Federal Register at 88 Fed … [Read more...] about Issue Brief 80 | may 2023 – Final Part C & D Rule, and Other Issues

HOME HEALTH UPDATE     Center for Medicare Advocacy Sues on Behalf of Medicare Beneficiaries Seeking Fair Access to Home Health Care After years of fruitless efforts to ensure Medicare beneficiaries can receive Medicare-covered home health care … [Read more...] about Issue Brief 77, October 2022 | Home Health Updates & Other Issues

1. MEDICARE PROVISIONS in the INFLATION REDUCTION ACT of 2022 (IRA)    On Tuesday, August 16, 2022, President Biden signed into law the Inflation Reduction Act (IRA) of 2022 (Pub Law 117-169), which includes expansive health and climate … [Read more...] about Issue Brief #76 – August 2022 – Medicare Provisions in the Inflation Reduction Act & Other Issues

TELEHEALTH UPDATE    Special Report: Telehealth and the Medicare Population: Building a Foundation for the Virtual Health Care Revolution As the United States slowly emerges from the COVID-19 pandemic, this exponential expansion of … [Read more...] about Issue Brief #75- June 2022 – Medicare & Telehealth Report and Other Issues

LITIGATION UPDATE    (Beneficiary Appeals of Observation Status). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a proposed class action lawsuit on behalf of individuals who have been denied Medicare Part A coverage … [Read more...] about Issue Brief – March 2022 – Litigation Update Including Observation Status, Off label Drugs & Other Issues

FEDERAL UPDATE   Medicare and Build Back Better During the last Alliance webinar in November 2021, we discussed the legislative package Congress was debating called the Build Back Better Act (BBB) that was to be passed through the … [Read more...] about Issue Brief – January 2022 – Home Health Survey Report and Other Issues

MEDICARE and the RECONCILIATION PACKGE Overview Over the last several months, Congress has been debating a legislative package called the Build Back Better Act (BBB) to be passed through the reconciliation process in order to avoid a filibuster … [Read more...] about Issue Brief – November 2021 – Medicare & Build Back Better, and Other Issues

MEDICARE and the RECONCILIATION PACKGE Overview Congress is currently debating a $3.5 trillion legislative package that, according to the New York Times (Aug. 11, 2021) “is aimed at creating the largest expansion of the federal safety net in … [Read more...] about Issue Brief – September 2021 – Exp[anfing Medicare to Cover Dental, Hearing & Vision, and Other Issues

MEDICARE COVERAGE of SUBSTANCE USE DISORDER CARE   Legal Action Center Issue Brief: Medicare Coverage of Substance Use Disorder Care: A Landscape Review of Benefit Coverage, Service Gaps and a Path to Reform In February 2021, the Legal … [Read more...] about Issue Brief – July 2021 – Medicare Coverage of Substance Use Disorder Care, and Other Issues

LITIGATION UPDATE Affordable Care Act Case California v. Texas is the lawsuit brought by several states that seeks to strike down the entire Affordable Care Act (ACA). In 2019, a divided panel of the Fifth Circuit ruled that the ACA’s … [Read more...] about Issue Brief – May 2021 – Health Care Reform, Medicare Fiscal Solvency & Other Issues