I. JIMMO IMPLEMENTATION UPDATE Background – Jimmo Settlement The settlement in Jimmo v. Sebelius, No. 5:11-cv-17 (D. Vt.) was approved on January 24, 2013. CMS issued revisions to its Medicare Benefit Policy Manual to … [Read more...] about September 2017 – Jimmo Implementation Update & Other Issues
Alliance Issue Brief
July 2017 – Update on Health Reform & Other Issues
I. HEALTH REFORM: UPDATE Overview On May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA) by a vote of 217-213. The bill then moved on the Senate, and was reintroduced, with some minor … [Read more...] about July 2017 – Update on Health Reform & Other Issues
May 2017 – House Passes AHCA, Updates on Home Health, SGD’s & Other Issues
HEALTH REFORM: HOUSE PASSES AMERICAN HEALTH CARE ACT (AHCA) On May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA) by a vote of 217-213. The bill will now be taken up by the Senate. American Health … [Read more...] about May 2017 – House Passes AHCA, Updates on Home Health, SGD’s & Other Issues
March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
LITIGATION UPDATE Barrows 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
January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
THE FIGHT TO PROTECT THE ACA, MEDICARE AND MEDICAID The President-Elect and Republican leaders in Congress have promised to repeal, and at some point, “replace” the Affordable Care Act. They also plan to gut the Medicaid program … [Read more...] about January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
November 2016 – The Election’s Impact on Medicare, New Nursing Home Requirements of Participation and Other Issues
MOVING FORWARD WITH HOPE It’s no surprise that the election has left many of us worried and disoriented. But we’ll regroup. We may not understand where we’ve landed, but we’ll acclimate and march forward – … [Read more...] about November 2016 – The Election’s Impact on Medicare, New Nursing Home Requirements of Participation and Other Issues
September 2016 – Progress In Impact Litigation & Other Issues
National Medicare Advocates Alliance Issue Brief #41, September 2016 LITIGATION UPDATE Barrows v. Burwell (formerly Bagnall v. Sebelius), No. 3:11-cv-1703 (D. Conn.) (Observation Status). In November 2011, the Center for Medicare … [Read more...] about September 2016 – Progress In Impact Litigation & Other Issues
July 2016 – Proposed Medicare Appeals Rules & Other Issues
PROPOSED RULE TO REVISE MEDICARE ADMINISTRATIVE APPEALS PROCESS As discussed during previous Alliance calls, there is a significant backlog of cases at the third and fourth levels of the Medicare administrative appeals process, the administrative … [Read more...] about July 2016 – Proposed Medicare Appeals Rules & Other Issues
May 2016 – Medicare’s Coverage of Oral Health & Other Issues
MEDICARE’S COVERAGE OF ORAL HEALTH Current Centers for Medicare & Medicaid Services (CMS) policy[1] broadly bars Medicare coverage for practically all dental services. The Center for Medicare Advocacy firmly believes that … [Read more...] about May 2016 – Medicare’s Coverage of Oral Health & Other Issues
March 2016 – Back to Court in Jimmo, Litigation Update & Other Issues
LITIGATION UPDATE Barrows v. Burwell (formerly Bagnall v. Sebelius) (Observation Status) No. 3:11-cv-01703 (D. Conn., filed 11/3/2011). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a class action lawsuit on … [Read more...] about March 2016 – Back to Court in Jimmo, Litigation Update & Other Issues