In conjunction with other advocacy organizations, the Center for Medicare Advocacy submitted comments during the re-opened comment period for the Kentucky HEALTH Medicaid Section 1115 waiver demonstration application. The Center strongly believes … [Read more...] about The Center for Medicare Advocacy Submits Comments Opposing Kentucky’s Medicaid Work Requirements
Weekly Alert
Statistical Trends and Published Articles with Studies and Research from 2002-2017
This is part nine of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work to address these issues. We invite … [Read more...] about Statistical Trends and Published Articles with Studies and Research from 2002-2017
Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
Effective October 1, 2019, CMS will replace the prospective payment system for skilled nursing facilities, Resource Utilization Group (RUG-IV), with a new prospective payment system called the Patient-Driven Payment Model (PDPM).[1] In all … [Read more...] about Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
Health Care Sabotage – Slandering a Program Which Has Widely Expanded Access and Coverage
Last week, the Secretary of Health and Human Services was reported as claiming, in remarks to the American Legislative Exchange Council, that the Affordable Care Act (ACA) has caused 28 million Americans to be uninsured. In light of this statement, … [Read more...] about Health Care Sabotage – Slandering a Program Which Has Widely Expanded Access and Coverage
Elder Justice: What “No Harm” Really Means for Residents – Latest Issue
Elder Justice: What "No Harm" Really Means for Residents is a monthly newsletter published by the Center for Medicare Advocacy and the Long Term Care Community Coalition. The purpose of the newsletter is to provide residents, families, … [Read more...] about Elder Justice: What “No Harm” Really Means for Residents – Latest Issue
Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
The Centers for Medicare & Medicaid Services (CMS) identifies some of the most poorly performing nursing facilities in the country as Special Focus Facilities (SFFs). In this Second Report on SFFs, the Center for Medicare Advocacy looks at … [Read more...] about Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
Major Health Care Sabotage: HHS Issues Final Rule on Short-Term Limited-Duration Insurance
Last week, the U.S. Department of Health and Human Services (HHS) released the final rule expanding the use of Short-Term Limited-Duration Insurance. For months, we have been highlighting how these “Junk Plans” would adversely impact both … [Read more...] about Major Health Care Sabotage: HHS Issues Final Rule on Short-Term Limited-Duration Insurance
Inspector General Reports Concerns About Medicare Hospice Care
Last week, the Office of Inspector General (“OIG”) published a report[1] of its study on the growth in hospice utilization and reimbursement since 2005. The Report summarizes key vulnerabilities in the Medicare hospice program … [Read more...] about Inspector General Reports Concerns About Medicare Hospice Care
Nursing Facilities’ “Quality Measures” Do Not Reflect Actual Quality of Care Provided to Residents
The Center for Medicare Advocacy wanted to determine whether nursing facilities that had one-star in their health survey ratings on Nursing Home Compare were able to boost their overall ratings from one star to two stars through the designation of … [Read more...] about Nursing Facilities’ “Quality Measures” Do Not Reflect Actual Quality of Care Provided to Residents
Center for Medicare Advocacy Co-Authors Case Study Journal Article on Nurse Staffing Litigation in Arkansas
Charlene Harrington, professor emerita at the University of California San Francisco, and Center for Medicare Advocacy Senior Policy Attorney Toby S. Edelman have written an analysis of the class action lawsuit against twelve Golden Living nursing … [Read more...] about Center for Medicare Advocacy Co-Authors Case Study Journal Article on Nurse Staffing Litigation in Arkansas