Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Weekly Alert

Reflections on the 10th Annual National Voices of Medicare Summit & Sen. Jay Rockefeller Lecture

On April 20, 2023, the Center for Medicare Advocacy held its 10th Annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture in Washington, D.C. Center for Medicare Advocacy Executive Director Judy Stein, and Georgetown … [Read more...] about Reflections on the 10th Annual National Voices of Medicare Summit & Sen. Jay Rockefeller Lecture

Medicare Payments for Skilled Nursing Facility Care during the COVID-19 Pandemic

During the public health emergency, the Centers for Medicare & Medicaid Services (CMS) waived the statutory requirement, 42 U.S.C. §1395x(i), limiting Medicare Part A coverage in skilled nursing facilities (SNFs) to beneficiaries who have a prior … [Read more...] about Medicare Payments for Skilled Nursing Facility Care during the COVID-19 Pandemic

Federal District Court Affirms: Medicaid Survey Teams Investigating Nursing Home Complaints Need Not Include a Registered Nurse

On remand from the Second Circuit and in a summary judgment decision, Chief Judge Laura Taylor Swain of the federal district court for the Southern District of New York upholds a final rule promulgated in August 2017 permitting nursing home complaint … [Read more...] about Federal District Court Affirms: Medicaid Survey Teams Investigating Nursing Home Complaints Need Not Include a Registered Nurse

Special Report | Recent Medicare Advantage (MA) and Part D Rule – Important Consumer Protections re: MA Prior Authorization and Marketing

On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D.  The final rule is available in the Federal Register at 88 Fed Reg 22120 (April 12, 2023) here, … [Read more...] about Special Report | Recent Medicare Advantage (MA) and Part D Rule – Important Consumer Protections re: MA Prior Authorization and Marketing

Center for Medicare Advocacy Opposes Work Requirements for Medicaid and Other Programs for People in Need

Yesterday, the U.S. House of Representatives narrowly passed H.R. 2811, which includes proposals that would be harmful to a number of public programs in exchange for lifting the Debt Ceiling. This includes misguided work requirements for … [Read more...] about Center for Medicare Advocacy Opposes Work Requirements for Medicaid and Other Programs for People in Need

CMS Proposes Updates to Medicare Part A Reimbursement for Skilled Nursing Facilities

The Centers for Medicare & Medicaid Services’s (CMS) proposed annual update to Medicare Part A reimbursement for skilled nursing facilities, published at 88 Federal Register 21316 (Apr. 10, 2023), includes a number of significant changes to … [Read more...] about CMS Proposes Updates to Medicare Part A Reimbursement for Skilled Nursing Facilities

Inspector General Audit: Care Compare Did Not Accurately Report Deficiencies at Two-Thirds of Nursing Facilities

Using a random sample of 100 nursing facilities, identified as of August 2020, the HHS Office of Inspector General (OIG) reports in CMS Did Not Accurately Report on Care Compare One or More Deficiencies Related to Health, Fire Safety, and Emergency … [Read more...] about Inspector General Audit: Care Compare Did Not Accurately Report Deficiencies at Two-Thirds of Nursing Facilities

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