Today, March 26, the House of Representatives passed the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2). While the Center for Medicare Advocacy believes it’s in the best interest of Medicare beneficiaries to find a … [Read more...] about “Doc Fix” Package Passed by House Takes Too Much from Beneficiaries with Too Little In Return
Today the Senate releases its budget, which like the companion House budget released yesterday, appears to have significant cuts to the Medicare program. Yet again, yesterday’s House budget includes a proposal to create a “premium … [Read more...] about No Way to Celebrate Medicare’s 50th: Proposed Congressional Budgets Offer More of the Same, Less for Medicare and Beneficiaries
Unless Congress takes action by March 31, 2015, doctors who treat Medicare patients will see a 21% payment cut due to the current physician payment formula called the "sustainable growth rate" or "SGR." Lawmakers have … [Read more...] about Ongoing “Doc Fix” Negotiations
On March 11, 2015, the Diane Rehm program on National Public Radio hosted a discussion of the revisions to the Centers for Medicare & Medicaid Services’s (CMS’s) Five Star Quality Rating System for nursing homes. Patrick Conway, … [Read more...] about National Public Radio Program Features CMS’s New Quality Rating System for Nursing Homes
Last week’s Alert discussed the Centers for Medicare & Medicaid Services’ (CMS’s) National Partnership to Improve Dementia Care and the Government Accountability Office’s (GAO) recent report on antipsychotic … [Read more...] about Antipsychotic Drugs and Nursing Home Residents: What Do the Different Numbers Mean?
Every year, the Centers for Medicare and Medicaid Services (CMS) releases a draft of payment, performance and other rules that apply to Medicare Advantage (MA) and Part D plans that choose to participate in the Medicare program in the following … [Read more...] about Center for Medicare Advocacy Submits Comments to Draft 2016 Call Letter for Medicare Parts C and D
In September 2014, the Centers for Medicare & Medicaid Services (CMS) reported that the National Partnership to Improve Dementia Care had reduced the use of antipsychotic drugs with nursing home residents by 15.1%, “exceeding” the … [Read more...] about Has CMS’s Partnership with the Nursing Home Industry Really Reduced the Inappropriate Use of Antipsychotic Drugs by Nursing Home Residents as Much as CMS Claims? No.
Two-Thirds of Nursing Facilities Nationwide Will See Decline In their Quality Measures; One-Third of Facilities Will See Decline in Their Overall Score As promised in October 2014, the Centers for Medicare & Medicaid Services (CMS) has … [Read more...] about Changes to Nursing Home Compare and the Five Star Quality Rating System
On February 12, 2015, the Centers for Medicare and Medicaid Services (CMS) published final rules entitled “Medicare Program; Contract Year 2016 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit … [Read more...] about 2016 Medicare Advantage (Part C) and Part D Final Rule Issued
As originally enacted, the Affordable Care Act (ACA) required each state to expand Medicaid eligibility to 138 % of the Federal Poverty Level. However, the 2012 U.S. Supreme Court’s decision National Federation of Independent … [Read more...] about Medicaid Expansion Update