Following a 2007 New York Times investigative analysis and a 2010 report by the Government Accountability Office documenting quality and disclosure issues involving private investments in nursing facilities, Congress enacted §6101 of the Affordable … [Read more...] about CMS Proposes Rules On Ownership Disclosure for Nursing Facilities
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Center for Medicare Advocacy Comments on Proposed Part C & D Rule
As noted in this December 2022 CMA Alert, CMS released a proposed rule for Medicare Advantage and Part D for 2024 available here (87 Fed Register 79452, December 27, 2022). CMS also published a press release and accompanying fact sheet … [Read more...] about Center for Medicare Advocacy Comments on Proposed Part C & D Rule
Insurance Industry Response to Proposed Medicare Advantage Payment for 2024
“Our Profits are The Sky is Falling!”This is the time of year – between the Centers for Medicare & Medicaid Services’ (CMS) release of proposed Medicare Advantage (MA) payment rates for the following year and the finalization of these … [Read more...] about Insurance Industry Response to Proposed Medicare Advantage Payment for 2024
GAO: Make Nursing Home Ownership Information “More Transparent for Consumers”
In Nursing Homes: CMS Should Make Ownership Information More Transparent for Consumers, the Government Accountability Office (GAO) notes the importance of ownership information, reporting that for-profit and chain-owned nursing facilities often have … [Read more...] about GAO: Make Nursing Home Ownership Information “More Transparent for Consumers”
MSP/LIS Updates
From our colleagues at the National Council on Aging, links to detailed eligibility charts for the Medicare Part D Low-Income Subsidy and Medicare Savings Program:Note that while Medicaid.gov has updated their MSP table for 2023 at: … [Read more...] about MSP/LIS Updates
Traditional Medicare or Medicare Advantage?
A Case Study in Favor of Traditional Medicare“Should I choose traditional Medicare with a supplement plan or a Medicare Advantage plan?”This is a question Center for Medicare Advocacy (Center) attorneys and advocates hear increasingly often. … [Read more...] about Traditional Medicare or Medicare Advantage?
Medicare Advantage Updates – Audits, Payment, and Prior Authorization
There is consistent and growing evidence that Medicare Advantage (MA) plans are paid more on average than traditional Medicare for a given beneficiary, and such payments are causing significant challenges for Medicare’s financial sustainability. … [Read more...] about Medicare Advantage Updates – Audits, Payment, and Prior Authorization
Center for Medicare Advocacy Statement on Recent Medicare Advantage Payment Policies and Proposals
A Step in the Right Direction, But Not Enough to Stem Wasteful OverpaymentsAs documented in various CMA Alerts, there is consistent and growing evidence that Medicare Advantage (MA) plans are paid more on average than traditional Medicare spends … [Read more...] about Center for Medicare Advocacy Statement on Recent Medicare Advantage Payment Policies and Proposals
Race, Language Proficiency, and Age are Barriers to Accessing Telehealth
A study conducted by the UCLA Latino Policy and Politics Institute found that during the height of the COVID-19 pandemic, “Latino and Asian patients were more likely to have challenges with telehealth use compared to white patients due to the limited … [Read more...] about Race, Language Proficiency, and Age are Barriers to Accessing Telehealth
Report | Too Much Secrecy in The Nursing Home Enforcement System
In “How Nursing Homes’ Worst Offenses Are Hidden From the Public,” The New York Times reported on December 10, 2021 that the nursing home survey and enforcement systems keep hidden from the public important information about some of the … [Read more...] about Report | Too Much Secrecy in The Nursing Home Enforcement System