Drug Industry Continues to Fight It; President Biden Proposes to Expand ItThe Inflation Reduction Act of 2022 (IRA), signed into law by President Biden on August 16, 2022, has already provided cost-savings for Medicare beneficiaries through … [Read more...] about Implementation of Medicare Drug Law Proceeds
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Know Jimmo | CMS Reiterates that Medicare Coverage is Available to Maintain Function or Slow Decline
See MLN Connects Newsletter (2024-02-08-MLNC, 2/8/2024)“Medicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care to … [Read more...] about Know Jimmo | CMS Reiterates that Medicare Coverage is Available to Maintain Function or Slow Decline
Update on Medicaid Unwinding from KFF
KFF’s Medicaid Enrollment and Unwinding Tracker provides information on Medicaid disenrollments, renewals, overall enrollment and other key indicators reported by states during the unwinding of the Medicaid continuous enrollment provision, which had … [Read more...] about Update on Medicaid Unwinding from KFF
Nursing Homes Hide Profits
Nursing homes claim to lose money every year, but they stay in business and don’t close or file for bankruptcy. How is that possible? It’s possible because industry claims aren’t true. Nursing homes hide 62.9% of profits by paying inflated prices to … [Read more...] about Nursing Homes Hide Profits
Medicare & Oral Health Care – Webinar Recording
Concerted, broad-based advocacy over the past several years has achieved results in advancing policies and initiatives to improve equity and access in oral health care for older adults and persons with disabilities. One recent example is Medicare’s … [Read more...] about Medicare & Oral Health Care – Webinar Recording
Medicare Program Cannot Afford Medicare Advantage “Stability” – Especially as New Study Shows Inferior Home Health Care Provided by MA Plans
MA OverpaymentAs discussed in a recent CMA Alert (Feb. 22, 2024), the Centers for Medicare & Medicaid Services (CMS) has issued proposed MA payment rates for 2025 (“Rate Notice”), which will be finalized by April 1, 2024. As described … [Read more...] about Medicare Program Cannot Afford Medicare Advantage “Stability” – Especially as New Study Shows Inferior Home Health Care Provided by MA Plans
New From the House Ways & Means Committee: No Nursing Home Staffing Standards Ever
On March 6, 2024, the House Ways and Means Committee passed a bill, H.R. 7513, “Protecting America’s Seniors’ Access to Care Act,” that prohibits the Secretary of Health and Human Services from promulgating any nursing home staffing standards, now or … [Read more...] about New From the House Ways & Means Committee: No Nursing Home Staffing Standards Ever
Know Jimmo | It’s Not About Care Setting
The Jimmo Settlement Agreement is consistent with the Medicare program’s regulations governing maintenance nursing and therapy in skilled nursing facilities, home health services, and outpatient therapy (physical, occupational, and speech) and … [Read more...] about Know Jimmo | It’s Not About Care Setting
Two Courts Reject Nursing Home Industry Challenges to New York Law Requiring Minimum Spending on Care and Caps on Profit
In 2021, New York enacted a state law requiring facilities to spend 70% of their revenue on resident care, including 40% of resident-facing care, and limiting profits to 5%. The law has not been implemented.The nursing home industry filed two … [Read more...] about Two Courts Reject Nursing Home Industry Challenges to New York Law Requiring Minimum Spending on Care and Caps on Profit
Greetings & Goodbyes for the Center for Medicare Advocacy Board
The Center for Medicare Advocacy is thrilled to announce the addition of three new members to its Board of Directors. We wholeheartedly welcome:As we welcome these three incredible women and honor their commitment to advocacy and social justice … [Read more...] about Greetings & Goodbyes for the Center for Medicare Advocacy Board