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Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the "Improvement Standard" case, Jimmo v. Sebelius.[1] A proposed settlement agreement[2] was filed in federal District Court on October 16, 2012.  When the judge approves the proposed agreement, a process that may … Read more

As discussed in last week’s Alert, the current Medicare Annual Enrollment Period lasts until December 7th.[1]  During this time period, Medicare beneficiaries can choose a Medicare Advantage (Part C) or Part D plan for 2013.  This Alert discusses Part C and D plan quality ratings for 2013, and special enrollment periods related to these ratings.  … Read more

DEMOCRATIC HOUSE STEERING AND POLICY COMMITTEE FORUM SAVING MEDICARE FOR TODAY AND IN THE FUTURE October 2, 2012 _____________________ Leader Pelosi and members of the Committee, thank you for holding this important Forum and for honoring me with the opportunity to appear before you. I am Judith Stein, founder and executive director of the Center … Read more

On April 6, 2012, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal 17, which revises and creates new procedures for the review of quality of care concerns[1] by Quality Improvement Organizations (QIOs).[2] Effective May 7, 2012, the new procedures apply to QIO review of the quality of services "among different cases and settings … Read more

As a result of the Budget Control Act, which outlined mandatory cuts to both defense and non-defense discretionary programs in the event a Congressional committee could not agree to a deficit-reduction package, programs impacting the HIV community and funding are expected to be affected. According to the AIDS Institute, over $500 million would be cut … Read more

September 20, 2012 With the Balanced Budget Act of 1997 (BBA1997), Congress began an expansion of preventive benefits and services available through Medicare.[1]   The Medicare Modernization Act of 2003 (MMA) added additional preventive services.[2]  The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made refinements to Medicare's preventive services.[3]  Finally, the Patient Protection … Read more

This Alert highlights elements of the 2012 annual report of the Coordinating Committee of HHS on improving the health and well being of the Lesbian Gay Bisexual and Transgender (LGBT) community.[1]   This Alert also highlights work identified by HHS in its 2011 annual report, as that work anchors the agency's goals for 2012.  Background In … Read more

As reported in the New York Times on Friday September 7, 2012, Center Attorney Toby Edelman writes to explain the importance of Medicaid to long-term care recipients, and how the Ryan Budget, which purports not to affect current Medicare beneficiaries, would actually have an "immediate and devastating impact" on those who rely on this vital program. … Read more

As students head back to campus and election season moves into full swing, young voters will be in the spotlight. While Medicare has been at the forefront of national discourse, in the media and on the campaign trail, much of the discussion has neglected young Americans under the assumption that they aren't affected by, or … Read more

In March 2012, the House of Representatives passed the House Budget Committee Fiscal Year 2013 Budget Resolution, The Path to Prosperity: A Blueprint for American Renewal – called here, the Ryan Budget.[1]   In August 2012, the Republican Party adopted the Ryan Budget's principles for Medicare and Medicaid in its Platform for 2012, We Believe in … Read more