News and investigations of waste, fraud, and abuse in the Medicare program have made waves in the past few weeks. Recently, the Department of Justice uncovered a massive $375 million fraud scheme committed by several providers of Medicare-covered … [Read more...] about Bad Apples: Combating Medicare Fraud While Ensuring Access for Beneficiaries
Weekly Alert
Congressional Subcommittee Examines Issues of Dental Health
Last week, the Senate Health Education Labor and Pensions Subcommittee on Primary Health and Aging held a hearing to discuss the growing dental crisis in America. As the Center recently wrote, most people who rely on Medicare go without basic dental … [Read more...] about Congressional Subcommittee Examines Issues of Dental Health
New Medicare Summary Notice
On March 7, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the redesign of the Medicare Summary Notice (MSN), the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. The … [Read more...] about New Medicare Summary Notice
Reducing Rehospitalizations… The Right Way
For several years, reducing rehospitalizations of Medicare beneficiaries has been a key public policy goal, the intent of which is to improve quality of care for beneficiaries and reduce costs for the Medicare program.[1] Studies have shown … [Read more...] about Reducing Rehospitalizations… The Right Way
The President’s Proposed 2013 Budget: Impact on Medicare
This week, President Obama unveiled his Fiscal Year 2013 Budget.[1] Overall, the Center for Medicare Advocacy believes that the budget demonstrates a commitment to keeping the Medicare program strong and keeping the program's promise … [Read more...] about The President’s Proposed 2013 Budget: Impact on Medicare
Investing in Our Future: Strengthening Medicare for 2012 and Beyond
This year brings another election season, another Congressional session, and another opportunity to fortify Medicare, both for those who rely on it now and for future generations. Medicare has been strengthened during the past few years. … [Read more...] about Investing in Our Future: Strengthening Medicare for 2012 and Beyond
Center for Medicare Advocacy Files Amicus Brief In Support Of the Affordable Care Act
Joining five other national organizations that represent the interests of elderly and disabled people, the Center for Medicare Advocacy filed an amicus brief on January 30 in the United States Supreme Court supporting a position of the federal … [Read more...] about Center for Medicare Advocacy Files Amicus Brief In Support Of the Affordable Care Act
The Medicare Advance Beneficiary Notice of Non-Coverage (ABN): A Tool for Limiting Beneficiary Liability
Medicare's limitation on liability (LOL) protections[1] apply when a provider believes that an otherwise covered Medicare item or service will be denied because the item or service is not reasonable and necessary[2] or is for custodial care.[3] … [Read more...] about The Medicare Advance Beneficiary Notice of Non-Coverage (ABN): A Tool for Limiting Beneficiary Liability
Medicare Cost-Sharing for Qualified Medicare Beneficiaries
Balance Billing is Prohibited. Period. New Guidance released jointly by the Center for Medicaid and CHIP Services (CMCS) and the Medicare-Medicaid Coordination Office (MMCO) once again highlights and advises about an issue that has created … [Read more...] about Medicare Cost-Sharing for Qualified Medicare Beneficiaries
Voluntary Nursing Home Improvement Campaign Does Not Work
Nursing Facilities Participating in Advancing Excellence Still Among Worst Performers Many nursing facilities that are identified by the federal government as among the facilities providing the poorest quality of care to residents in the country … [Read more...] about Voluntary Nursing Home Improvement Campaign Does Not Work