Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

litigation update

Center Joins Fight Against Drug Manufacturer Seeking to End Medicare Price Negotiations

This week, the Center for Medicare Advocacy joined a coalition of advocates led by AARP that is urging a federal court to reject an attempt to block Medicare’s drug price negotiation program. The case is one of many brought by drug manufacturers … [Read more...] about Center Joins Fight Against Drug Manufacturer Seeking to End Medicare Price Negotiations

Center for Medicare Advocacy Sues Over Medicare “Self-Administered Drug” Problems

On September 8, 2023, the Center for Medicare Advocacy and Community Legal Services at the McGeorge School of Law filed a class action lawsuit in federal court on behalf of Medicare beneficiaries who have lost coverage for medically necessary, very … [Read more...] about Center for Medicare Advocacy Sues Over Medicare “Self-Administered Drug” Problems

Supreme Court Victory for Court Access and Nursing Home Residents

Court Upholds Right of Residents in Publicly-Owned Nursing Facilities to Sue for Violations of the Nursing Home Reform Law The U.S. Supreme Court upholds the right of nursing home residents in publicly-owned nursing facilities to file lawsuits … [Read more...] about Supreme Court Victory for Court Access and Nursing Home Residents

Lawsuit Settlement Allows Medicare Coverage for “Off-Label” Medication

Medicare has agreed to cover an essential medication for a retired public school teacher in New Jersey who needs the drug to control debilitating symptoms of a digestive system disorder. Cheryl Hough experiences extreme nausea, vomiting, and … [Read more...] about Lawsuit Settlement Allows Medicare Coverage for “Off-Label” Medication

Center Supports Coverage of Gender Affirming Care in Amicus Brief

The Center for Medicare Advocacy has co-authored an amicus brief with the National Health Law Program (NHeLP) in support of West Virginia Medicaid beneficiaries seeking coverage of medically necessary gender affirming care. In Fain v. Crouch, 2022 WL … [Read more...] about Center Supports Coverage of Gender Affirming Care in Amicus Brief

Center for Medicare Advocacy Sues, Again, for Coverage of “Off-label” Prescription Drug

On November 18, 2022, the Center for Medicare Advocacy and Murphy Orlando LLC filed suit on behalf of a retired public-school teacher in New Jersey who seeks coverage of her “off-label” (non-FDA-approved) use of a critically needed medication. … [Read more...] about Center for Medicare Advocacy Sues, Again, for Coverage of “Off-label” Prescription Drug

Reminder: Questions or Comments on Proposed Clarification in Hospital “Observation Status” Case Due November 25

In Alexander v. Becerra, a federal court found that certain beneficiaries must be allowed to appeal to Medicare when their hospitalizations are reclassified from “inpatient” to “outpatient receiving observation services.” The Center for Medicare … [Read more...] about Reminder: Questions or Comments on Proposed Clarification in Hospital “Observation Status” Case Due November 25

Wilson Sonsini Firm Honored for its Pro Bono Work on Center’s “Observation Status” Case

The Center for Medicare Advocacy celebrates Wilson Sonsini Goodrich & Rosati’s well-deserved honor as a “Pro Bono Innovator.” This week Bloomberg Law highlighted the firm’s work with the Center and co-counsel Justice in Aging on the nationwide … [Read more...] about Wilson Sonsini Firm Honored for its Pro Bono Work on Center’s “Observation Status” Case

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