This week a Medicare beneficiary won a retrospective change of status appeal that granted him coverage of costly hospital services. The appeal was made possible by CMA’s class action litigation regarding “observation status.” These types of appeals … [Read more...] about Observation Status Appeal Results in Hospital Coverage
litigation update
Advocates Seek Transparency on Lawfully Present Immigrants’ Loss of Medicare
A coalition of national advocacy organizations has filed a Freedom of Information Act request seeking transparency from the Social Security Administration and the Centers for Medicare and Medicaid Services regarding new Medicare restrictions for … [Read more...] about Advocates Seek Transparency on Lawfully Present Immigrants’ Loss of Medicare
Coalition Seeks Transparency as 100,000 Lawfully Present Immigrants Face Loss of Medicare Coverage
Washington, DC – A coalition of national advocacy organizations has filed a Freedom of Information Act (FOIA) request with the Social Security Administration and the Centers for Medicare and Medicaid Services seeking records related to Medicare … [Read more...] about Coalition Seeks Transparency as 100,000 Lawfully Present Immigrants Face Loss of Medicare Coverage
Court Strikes Down Key Medicare Marketing Regulations
A federal judge in Texas dealt a significant blow to efforts to reform Medicare Advantage and Part D marketing misconduct, vacating key provisions of a rule designed to align agent and broker compensation with beneficiary health needs. The August 18, … [Read more...] about Court Strikes Down Key Medicare Marketing Regulations
CMA Joins Coalition in Amicus Brief Supporting Disability Rights
The Center for Medicare Advocacy recently joined a coalition, led by Justice in Aging, in filing an amicus brief urging a federal court to protect the right of people with disabilities to receive the services and supports they require to live safely … [Read more...] about CMA Joins Coalition in Amicus Brief Supporting Disability Rights
Court Win for Beneficiaries Denied Drug Coverage Without Warning
In a victory for beneficiaries, the U.S. Court of Appeals for the Ninth Circuit has allowed a lawsuit to proceed against Medicare’s policy of discontinuing coverage for vital medications with no advance notice, and making patients financially … [Read more...] about Court Win for Beneficiaries Denied Drug Coverage Without Warning
Dangerous Proposal Would Undermine Courts’ Enforcement Powers
A dangerous provision buried in the congressional spending bill threatens to severely weaken the power of federal courts to enforce their own orders—particularly those halting unlawful executive actions. The measure included in the House’s “One Big … [Read more...] about Dangerous Proposal Would Undermine Courts’ Enforcement Powers
Maryland Nursing Facility Residents May Proceed with Case Claiming Failed Oversight
A federal court held this week that nursing home residents with disabilities may proceed in a class action against the state of Maryland for failing to provide adequate oversight of its nursing facilities. The plaintiffs are individuals with … [Read more...] about Maryland Nursing Facility Residents May Proceed with Case Claiming Failed Oversight
Center for Medicare Advocacy Supports Beneficiaries’ Right to Sue, Again
This week, the Center for Medicare Advocacy joined the National Health Law Program and numerous other health organizations in urging the Supreme Court to confirm that individuals may sue to enforce Medicaid’s “free choice of provider” provision. The … [Read more...] about Center for Medicare Advocacy Supports Beneficiaries’ Right to Sue, Again
Center Supports Free Preventive Care and Prescription Drug Negotiation
This week the Center for Medicare Advocacy joined two amicus curiae (“friend of the court”) briefs in litigation of importance to older adults and people with disabilities.In Kennedy v. Braidwood, CMA joined members of the Chronic Illness and … [Read more...] about Center Supports Free Preventive Care and Prescription Drug Negotiation