Originally Published at Nieman Watchdog, in ASK THIS, June 14, 2012 Health care expert Judith Stein, director of the Center for Medicare Advocacy, offers reporters and editors a checklist for stories when the Roberts Court's ruling on the Affordable Care Act is released. The Center for Medicare Advocacy suggests reporters and editors consider the following when … Read more

On May 31, 2012, the Centers for Medicare & Medicaid Services (CMS) announced an initiative to reduce the rampant misuse and overuse of antipsychotic drugs in nursing facilities.  The Center for Medicare Advocacy has been working to educate policy makers, advocates, and the public about the misuse of antipsychotic drugs for many years, and is … Read more

HOSPITALIZATION AND REHOSPITALIZATION OF NURSING HOME RESIDENTS 1.  Concerns about hospitalization and rehospitalization of nursing home residents •         Effects on patients (hospital-acquired infections, delirium, increased use of antipsychotic drugs and physical restraints, increased morbidity and mortality) •         High costs associated with hospitalization 2.  Three distinct issues (some overlap) are involved: •         Reducing hospitalization from the community, … Read more

Since 2008, the Center for Medicare Advocacy (the Center) has been reporting that an increasing number of Medicare beneficiaries are being placed in acute care hospital beds for multiple days – receiving medical and nursing care, diagnostic tests, treatments, medications, and food – but are being called "outpatients" in observation status, rather than admitted "inpatients."[1]  … Read more


NATIONAL MEDICARE ADVOCATES ALLIANCE CALL AGENDA Monday, June 11, 2012– 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. _______________________________________________________________________________________________   Welcome and Housekeeping  (Alfred J. Chiplin, CMA, Moderator)   Presentation: … Read more

Continued health care coverage authorized by the Consolidated Omnibus Budget Reconciliation Act of 1985, commonly referred to as COBRA, provides a great step forwarded in reducing gaps in insurance for people between jobs or losing coverage due to the death of the covered worker in a family.  The rules for COBRA coverage are, nonetheless, complicated.  … Read more

No. C06-02841-TEH (N.D.Cal.), filed April 26, 2006 Issue: Whether CMS' failure to correctly implement the Part D prescription benefit for hundreds of thousands of dual eligibles violates the Medicare statute and the Due Process Clause. Relief sought: A nationwide class of dual eligibles has been alleged.  Plaintiffs seek declaratory and injunctive relief to ensure that dual eligibles … Read more

No. 10-cv-645 (D.Conn.), filed April 27, 2010 Issue: Whether a request under the Freedom of Information Act (FOIA), 5 U.S.C. § 552, about how Medicare's Improvement Standard is explained to employees of CMS and its contractors, had to be answered in a timely fashion. Relief Sought: Full and timely responses to plaintiff's FOIA request. Updated: … Read more

No. 09-cv-16 (D.Vt.), filed January 22, 2009   Issue: Whether the Secretary's policy of terminating Medicare coverage for a home health patient on the ground that her condition is stable or is not improving violates the Medicare statute and regulations.   Relief Sought: Declaratory and permanent injunctive relief prohibiting application of the "improvement" standard, with an award of … Read more