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Weekly Alert

Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns

June 13, 2013

Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program is once again under attack.  Many questions have been raised about whether the program is fair to providers and whether … [Read more...] about Let DMEPOS Competitive Bidding Proceed While Addressing Identified Problems and Concerns

Filed Under: Article Tagged With: Durable Medical Equipment, Medicare Part B, Weekly Alert

New Report: Immigrants and Immigration Reform are Good for Medicare

June 6, 2013

A new study published in Health Affairs reports that immigrant workers in the United States disproportionately contribute to the Medicare Program and help ensure its financial solvency and strength.[1] The study's authors found that between 2002 … [Read more...] about New Report: Immigrants and Immigration Reform are Good for Medicare

Filed Under: Article Tagged With: Medicare and Health Care Reform, Weekly Alert

CMS Updates Guidance for Hospital Discharge Planning

May 30, 2013

On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its interpretive guidelines for hospital Discharge Planning.[1]  Medicare discharge planning … [Read more...] about CMS Updates Guidance for Hospital Discharge Planning

Filed Under: Article Tagged With: Acute Hospital Care, Discharge Planning, Weekly Alert

Center for Medicare Advocacy Submits Joint Testimony to Congress on Medicare Reform Proposals

May 23, 2013

This week, the House Ways and Means Subcommittee on Health held a hearing on proposals to reform Medicare at which critical issues facing the Medicare program and current and future beneficiaries were discussed. The Center for Medicare Advocacy, … [Read more...] about Center for Medicare Advocacy Submits Joint Testimony to Congress on Medicare Reform Proposals

Filed Under: Article Tagged With: Medicare and Health Care Reform, Weekly Alert

CMS Addresses Observation Status Again… And Again, No Help for Beneficiaries

May 16, 2013

As part of the annual update to inpatient hospital reimbursement under the Medicare program, the Centers for Medicare & Medicaid Services (CMS) is again considering observation status.  This time CMS is proposing "a time-based … [Read more...] about CMS Addresses Observation Status Again… And Again, No Help for Beneficiaries

Filed Under: Article Tagged With: Acute Hospital Care, Medicare and Health Care Reform, Observation Status, Skilled Nursing Facility, Weekly Alert

Debunking Medicare Myths: Drug Rebates for Dual Eligibles

May 8, 2013

In the midst of ongoing budget discussions, policymakers are considering a wide array of approaches for cutting spending and saving federal dollars. The Center for Medicare Advocacy recently wrote of ways to strengthen the Medicare program while … [Read more...] about Debunking Medicare Myths: Drug Rebates for Dual Eligibles

Filed Under: Article Tagged With: Fact and Fiction, Medicaid, Medicare and Health Care Reform, Medicare Part D / Prescription Drugs, Related Topics and Medicaid, Weekly Alert

Immigration Reform and Access to Health Care

May 2, 2013

Recently, a bipartisan group of Senators unveiled a plan to overhaul our nation's immigration system, a key portion of which aims to provide a pathway to citizenship for the 11 million undocumented immigrants living in the United States, … [Read more...] about Immigration Reform and Access to Health Care

Filed Under: Article Tagged With: disparities, Weekly Alert

Privatization: Not Right for Medicaid, Not Right for Medicare

April 25, 2013

The role of private managed care in Medicare and Medicaid has been growing at a rapid pace in recent years. The Center for Medicare Advocacy has written widely on the dangers of turning these successful community health care programs over to … [Read more...] about Privatization: Not Right for Medicaid, Not Right for Medicare

Filed Under: Article Tagged With: Medicaid, Medicare and Health Care Reform, Weekly Alert

Medicare Paid $5.1 Billion to SNFs that Did Not Provide Care-Planning and Discharge-Planning (February 2013 OIG Report)

April 18, 2013

In its most recent report on nursing home payments and quality, February 2013, the Office of Inspector General (OIG), Department of Health and Human Services (HHS) reports that many skilled nursing facilities (SNFs) failed to provide adequate care … [Read more...] about Medicare Paid $5.1 Billion to SNFs that Did Not Provide Care-Planning and Discharge-Planning (February 2013 OIG Report)

Filed Under: Article Tagged With: Medicare and Health Care Reform, Quality of Care, Skilled Nursing Facility, Weekly Alert

The Impact of the President’s Budget on People Who Depend on Medicare and Social Security

April 11, 2013

Yesterday, President Obama unveiled his Fiscal Year 2014 Budget.[1]   It contains significant changes to the Medicare program – including some that would strengthen the program's fiscal stability, and some that would weaken the … [Read more...] about The Impact of the President’s Budget on People Who Depend on Medicare and Social Security

Filed Under: Article Tagged With: Medicare and Health Care Reform, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

Learn more.

Center for Medicare Advocacy Follow 10,601 5,346

A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

CMAorg
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
15 Jul 2077388746765262880

Government programs like Medicare can be the difference between life & death - especially denials vs approvals. A denial is rarely the final answer. You have the right to appeal, and we're here to help you with that - from education to advocacy to litigation💙

Our free📬:

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
10 Jul 2075662102665064836

💙 It's Feel Good Friday! Today's feel good news: Medicare’s new GLP-1 Bridge could make treatment more affordable for millions.

Beginning July 1, some eligible people with Part D coverage can access certain weight-management medications for a $50 monthly copay.

GLP-1s may

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
7 Jul 2074602071580446810

🤖 Should Medicare pay for AI diagnostic software?

CMS is proposing a new payment pathway for algorithm-driven tools that can produce diagnoses, risk scores, or treatment recommendations.

Promise, red flag, or both?

Article:

📩More Medicare updates:

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CMS floats new Medicare payment category for AI diagnostic software: 6 notes 

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

www.beckerspayer.com

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Retweet on Twitter Center for Medicare Advocacy Retweeted
ClevelandClinic avatar Cleveland Clinic @ClevelandClinic ·
6 Jul 2074195930111480230

Our cardiovascular researcher shares why AFibs happen when you sleep and what can you do about it:

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I’m Having AFib at Night: Should I Be Worried?

There are many reasons why you might go into AFib overnight — from sleep apnea to sleeping on your left side. A cardiovascular researcher explains.

cle.clinic

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