Observation Status – hospital patients’ classification as outpatients, which makes them ineligible for Medicare Part A coverage of their subsequent stay in a skilled nursing facility (SNF) when they do not have “inpatient” status for at least three consecutive midnights – is an ongoing issue that the Center for Medicare Advocacy has discussed many times.[1]  … Read more

On April 14, 2015, the Senate overwhelmingly (92 to 8) passed H.R. 2 – the Medicare and CHIP Reauthorization Act (MACRA) – which repeals and replaces the flawed Medicare physician reimbursement system known as the sustainable growth rate or SGR.  The House of Representatives passed its own bill, H.R. 2 (392 to 37), on March … Read more

By Frank Miata, Medicare Beneficiary I wonder if "celebrating" is the appropriate stance to take towards 50 years of avoiding the obvious need for a single payer, national health care system. I am old enough to remember what life was like before Medicare and Medicaid. I remember people dying outside hospitals, denied care because they … Read more

In the spirit of aiding the discussion concerning the budget and the SGR “Doc Fix,” we raise many of the myths surrounding Medicare and answer them with facts. Congress is working to repeal and replace the Sustainable Growth Rate (SGR) — also known as the “Doc Fix.”  The House version of the SGR bill asked too … Read more

Every year, the Centers for Medicare and Medicaid Services (CMS) issues payment, performance and other rules that apply to Medicare Advantage (MA) and Part D plans that choose to participate in the Medicare program in the following calendar year. Commonly referred to as the “Call Letter,” this document is first released in draft form, subject … Read more

At the Center for Medicare Advocacy's National Voices of Medicare Summit (March 20, 2015), three Medicare leaders presented their perspectives on Medicare's promise and challenges. All spoke to the value of Medicare for its intended beneficiaries: older and disabled people. They also noted the resources and funds Medicare spends on providers and private industries.    Current … Read more

Reflections on the 2nd Annual National Voices of Medicare Summit A Look Back at the Summit from the Attendees' View 2015 National Voices of Medicare Summit Program and Speakers Reflections on the 2nd Annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture On March 20, 2015, the Center for Medicare Advocacy, held its second … Read more

By Harry Ting, PhD, Health Economist Medicare is the major driver of innovation in health insurance reimbursement. Early examples were establishing per case rates for hospitals in the form of DRG payments and requiring three day hospital stays for coverage of skilled nursing home care.  More recently, it adopted payment reductions for hospital acquired conditions and penalties … Read more

The Center for Medicare Advocacy (“Center”), a non-profit law organization, has an immediate, full-time opening for a position with our computerized case processing team. HOURS:   9am – 5pm, Monday – Friday PURPOSE OF POSITION:   The person holding this position is responsible for the day-to-day operation of the organization’s computerized case processing and tracking system. This … Read more

The Kaiser Family Foundation (KFF) has published a report entitled “Comparison of Consumer Protections in Three Health Insurance Markets: Medicare Advantage, Qualified Health Plans and Medicaid Managed Care Organizations.” The report is authored by Center Senior Policy Attorney David Lipschutz, former Center Policy Attorney Andrea Callow (now at Families USA) and Karen Pollitz, MaryBeth Musumeci … Read more