The Jimmo case was settled in 2013, with an agreement, approved by the court, confirming that improvement potential is not the deciding factor to determine Medicare coverage for nursing home care, home health care, and outpatient therapy. The Jimmo … [Read more...] about Know Jimmo – Jimmo Can Open Doors to Necessary Care
Weekly Alert
Center for Medicare Advocacy Comments About Proposed Rule to Mandate Nurse Staffing Standards in Nursing Homes – Comment Period Now Closed
In September 2023, the Centers for Medicare & Medicaid Services published a proposed rule to establish, for the first time, national minimum nurse staffing standards for nursing homes that voluntarily choose to participate in the Medicare or … [Read more...] about Center for Medicare Advocacy Comments About Proposed Rule to Mandate Nurse Staffing Standards in Nursing Homes – Comment Period Now Closed
Medicare Advantage Focus: Drawbacks During Annual Enrollment Period
As Medicare’s annual enrollment period proceeds through December 7th, during which beneficiaries can make changes to their Medicare Advantage (MA) and/or Part D coverage, Medicare beneficiaries continue to be bombarded with advertisements and sales … [Read more...] about Medicare Advantage Focus: Drawbacks During Annual Enrollment Period
Reminder – Add Your Voice! Comment on CMS’ Proposed Rule About Nurse Staffing Standards for Nursing Homes
Sign-On Letter Available for Organizations The Centers for Medicare & Medicaid Services (CMS) published a proposed rule to establish, for the first time, national minimum nurse staffing standards for nursing homes that voluntarily choose … [Read more...] about Reminder – Add Your Voice! Comment on CMS’ Proposed Rule About Nurse Staffing Standards for Nursing Homes
Report: Medicare Satisfaction is High, But those Under 65 Have More Difficulties
A recent KFF report, “Overall Satisfaction with Medicare is High, But Beneficiaries Under Age 65 With Disabilities Experience More Insurance Problems Than Older Beneficiaries,” found that Medicare beneficiaries are overwhelmingly satisfied with the … [Read more...] about Report: Medicare Satisfaction is High, But those Under 65 Have More Difficulties
A Tribute to Ady Barkan, 1983 – 2023
The Center for Medicare Advocacy mourns the loss and celebrates the extraordinary life of our friend, inspiring advocate, and activist, Ady Barkan. Ady was a brilliant lawyer and leader for fair and just health care as a human right. The Center has … [Read more...] about A Tribute to Ady Barkan, 1983 – 2023
Know Jimmo | Underscoring the Value of Physical Therapy: A New American Physical Therapy Association Report
Physical therapy services have long been known to cost-effectively improve the lives of those who need them, whether provided to improve a condition or, as affirmed by the Jimmo v. Sebelius settlement and court order, to maintain or prevent decline. … [Read more...] about Know Jimmo | Underscoring the Value of Physical Therapy: A New American Physical Therapy Association Report
Disparities in Opioid Use Disorder Treatment
A recent Health Affairs article, “Racial And Ethnic Disparities In Buprenorphine Receipt Among Medicare Beneficiaries, 2015–19”, discussed a study that found racial and ethnic disparities in buprenorphine use, a highly effective treatment for Opioid … [Read more...] about Disparities in Opioid Use Disorder Treatment
Thank You, Pro Bono Partners
During this 2023 National Celebration of Pro Bono, the Center for Medicare Advocacy celebrates and honors the attorneys and law firms that contribute their time, expertise, and resources to supporting our mission of advancing access to Medicare, … [Read more...] about Thank You, Pro Bono Partners
More Medicare Prescription Drug Help for Beneficiaries in 2024 – Including Out-of-Pocket Cap
The Inflation Reduction Act of 2022 (IRA), signed into law by President Biden on August 16, 2023, is already providing cost-savings for Medicare beneficiaries in 2023, including a monthly cap of $35 for covered insulin and free vaccines for certain … [Read more...] about More Medicare Prescription Drug Help for Beneficiaries in 2024 – Including Out-of-Pocket Cap