President Biden Signs Inflation Reduction Act into Law – Includes Critical Medicare Prescription Drug ProvisionsOn 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
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CMA Alert | August 11, 2022
Senate Passes Historic Reconciliation Bill, House Vote ImminentBill Includes Critical Medicare and Affordable Care Act ProvisionsOn 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
CMA Alert | July 28, 2022
Medicare Announces Development of Appeal Process for Certain Hospital “Observation Status” PatientsAs 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
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
CMA Alert | July 14, 2022
Medically Necessary Oral Health Coverage Included in Medicare Proposed RuleLast 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
CMA Alert | July 7, 2022
Voices of Medicare | Medicare Advantage Network InadequacyWe 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
CMA Alert | June 30, 2022
Center Comments on Proposed Revisions to Medicare Enrollment and Eligibility RulesThis 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
CMA Alert | June 23, 2022
Supreme Court Decision Places End-Stage Renal Disease Patients at RiskIn 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
CMA Alert | June 16, 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
CMA Alert | June 9, 2022
2022 Medicare Trustees Report | Additional Two Years of Solvency Projected, But Attention Still NeededEvery 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