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On October 27, 2011 the Centers for Medicare and Medicaid Service (CMS) released notices detailing the Medicare Part A and Part B premiums and Deductibles for calendar year 2012. Hospital Deductible: $1,156 per spell of illness Hospital Coinsurance: Days 0-60: $0 Days 61-90: $289 / day Days 91-150: $578 / day Skilled Nursing Facility Coinsurance … Read more

Monday, October 17, 2011– 2:00 P.M., Eastern Time   Call-in Number: 1(888)206-2266  Pass Code: 1050263#   NOTE: We ask people calling from the same location to gather around one telephone. This frees up lines and holds down costs.   ______________________     Special Topic Presentation:   The Supercommittee and Medicare: What Advocates Need to Know    … Read more

On February 2, 2010, the Centers for Medicare & Medicaid Services (CMS), in conjunction with the Internal Revenue Service (IRS) and the Employee Benefits Security Administration of the Department of Labor (DOL), (collectively referred to as the Departments), released interim final rules[1] implementing the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). [2] … Read more

Advocates at the Center for Medicare Advocacy are working on a case involving an individual who was in a hospital bed for four days but was never "formally admitted". Instead, the hospital accorded her "observation status". Although Medicare Part B covered her, she has not only not been unable to obtain a determination of Part … Read more

In recognition of Older Americans' Mental Health Week (May 24-30, 2009), this Weekly Alert reviews the mental health services that are available under the Medicare Program. [1] Advocates seek improved access to mental health services, an expansion in the scope of services covered, and an increase in the types of providers whose services are covered. … Read more

The Medicare statute and regulations authorize payment for skilled nursing facility (SNF) care for a beneficiary who, among other requirements, was a hospital inpatient for at least three days before the admission to the SNF.  The Center for Medicare Advocacy has written before about difficulties in calculating hospital time for purposes of using Medicare's post-acute … Read more

Much of the current talk about the problems of Medicare misses the point. The proposals could end up "fixing" a successful program out of existence. Before supporting any fix, remember: Medicare has been a success Medicare assures the elderly and people with disabilities that neither they nor their families will have to bear the full … Read more

Starting July 1, 2007, hospitals participating in the traditional or Medicare Advantage Medicare program must provide beneficiaries with a new notice of discharge and appeal rights, as discussed in last week’s Weekly Alert. This Weekly Alert describes the new notice as well as beneficiary rights to question and appeal hospital discharge decisions and to receive … Read more

Medicare patients who are hospitalized sometimes find themselves being told to leave the hospital too soon, before they can safely be cared for at home or at a nursing home.[1]    The protections provided for hospital patients in this situation have recently been improved, due to a lawsuit brought by the Center for Medicare Advocacy, Inc. … Read more

Beyond QIO: Modeling a Medicare Beneficiary Complaint Process for Quality of Care A working conference convened on January 19, 2007 in Washington, DC by the Center for Medicare Advocacy, Inc., supported by the Commonwealth Fund, a New York City-based private foundation, and AARP Introduction The Center for Medicare Advocacy, Inc., (the Center), convened a working … Read more