In nine lawsuits filed across the country, the pharmaceutical industry is challenging the Medicare drug price negotiation program established by the Inflation Reduction Act (IRA). So far, the drug companies have not scored any victories, which means … [Read more...] about Good Progress in Litigation Against Medicare Drug Price Negotiations
litigation update
Organizational Sign-On Letter Commenting on Proposed Rule on Observation Status Appeals
The Center for Medicare Advocacy and Justice in Aging invite organizations to sign on to a comment letter responding to CMS’s proposed rule implementing appeal rights for Medicare beneficiaries who are admitted to hospitals as inpatients and … [Read more...] about Organizational Sign-On Letter Commenting on Proposed Rule on Observation Status Appeals
Statement on Proposed Appeal Rules for Hospital Observation Status
As a result of the Center for Medicare Advocacy’s successful litigation, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule on December 21, 2023, to implement appeals processes for hospital patients whose status is changed … [Read more...] about Statement on Proposed Appeal Rules for Hospital Observation Status
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 LawThe 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 Appeals Dismissal of Home Health Aide Lawsuit
The Center for Medicare Advocacy has appealed the dismissal of a lawsuit filed on behalf of beneficiaries with chronic, disabling conditions who cannot access the home health aide services they require. The proposed class action, filed in October … [Read more...] about Center Appeals Dismissal of Home Health Aide Lawsuit
Federal Court Dismisses Home Health Aide Lawsuit
On April 5, 2023, a federal court in D.C. dismissed a lawsuit filed by the Center for Medicare Advocacy on behalf of beneficiaries with chronic, disabling conditions who cannot access the home health aide services they require. By law, Medicare’s … [Read more...] about Federal Court Dismisses Home Health Aide Lawsuit
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