Full Alert

President Biden Signs Inflation Reduction Act into Law – Includes Critical Medicare Prescription Drug Provisions On Tuesday, August 16, 2022, President Biden signed into law the Inflation Reduction Act (IRA) of 2022, which includes expansive … [Read more...] about CMA Alert | August 18, 2022

Senate Passes Historic Reconciliation Bill, House Vote Imminent Bill Includes Critical Medicare and Affordable Care Act Provisions On Sunday, August 7, 2022, the U.S. Senate passed the Inflation Reduction Act (IRA) of 2022, which includes … [Read more...] about CMA Alert | August 11, 2022

Medicare Announces Development of Appeal Process for Certain Hospital “Observation Status” Patients As the result of a court case, the Medicare.gov website now alerts a nationwide class of Medicare beneficiaries that they “have appeal rights” when … [Read more...] about CMA Alert | July 28, 2022

Improving Nursing Home Staffing Levels Can And Must Be Done As 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

Medically Necessary Oral Health Coverage Included in Medicare Proposed Rule Last week the Centers for Medicare & Medicaid Services (CMS) released the 2023 Medicare Physician Fee Schedule (PFS) proposed rule, with publication in the Federal … [Read more...] about CMA Alert | July 14, 2022

Voices of Medicare | Medicare Advantage Network Inadequacy We recently heard from a Medicare Advantage (MA) enrollee from the Dallas-Forth Worth metropolitan area who went several months without seeing a gastroenterologist due to Cigna’s failure … [Read more...] about CMA Alert | July 7, 2022

Center Comments on Proposed Revisions to Medicare Enrollment and Eligibility Rules This week the Center for Medicare Advocacy submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed rule titled “Medicare Program; … [Read more...] about CMA Alert | June 30, 2022

Supreme Court Decision Places End-Stage Renal Disease Patients at Risk In a decision that may place people with end-stage renal disease (ESRD) at risk, the Supreme Court held this week that an employer-sponsored group health plan can restrict … [Read more...] about CMA Alert | June 23, 2022

Proposed Cuts to Medicare Part A Reimbursement for Skilled Nursing Facilities: “Crippling” – or Tiny? In its annual proposed rules to update Medicare reimbursement to skilled nursing facilities for fiscal year 2023, the Centers for Medicare & … [Read more...] about CMA Alert | June 16, 2022

2022 Medicare Trustees Report | Additional Two Years of Solvency Projected, But Attention Still Needed Every year, the Social Security and Medicare Boards of Trustees release reports on the fiscal health of the Medicare and Social Security … [Read more...] about CMA Alert | June 9, 2022