View the Center for Medicare Advocacy's recent appearances in the media below.
Center for Medicare Advocacy Associate Director warns of possible beneficiary access issues with new prior authorization rules. “We have some concerns to make sure access is not delayed for (Medicare) beneficiaries for sure,” and delays in getting such items “could create quality-of-life issues for people.”
Posted: December 30, 2015, 3:25 pm
The Jimmo Settlement: Its Importance and Implementation to Date: A Conversation With Margaret Murphy (November 10th)
During this 18 minute discussion Ms. Murphy explains the impetus for the case, speculates why DHHS did not act on its own in resolving the problem, how well or effectively CMS has implemented the terms of the settlement agreement (not very well) and why the decision has received so little attention over the past three years.
Posted: November 30, 2015, 8:38 pm
Wendell Potter quotes Center for Medicare Advocacy Executive Director Judith Stein: “Private Medicare Advantage plans work for people when they are relatively well, but fall short of traditional Medicare when they are sick or disabled... This is particularly true for our clients with long-term and chronic conditions, many of whom also have low incomes. They are often denied coverage for necessary skilled care, or it is terminated before it should be, while the same coverage would be available in traditional Medicare.”
Posted: November 24, 2015, 7:32 pm
Judith Stein, founder and executive director of the Center for Medicare Advocacy... offers a mixed review. “While we have concerns about the way in which the Part B cost-sharing resolution is paid for, we are glad people who rely on Medicare can breathe a bit easier – knowing their premiums and deductible will not skyrocket next year.”
Posted: October 29, 2015, 1:52 pm
...open enrollment can be a good time to re-examine whether Medicare Advantage is the right program for you, said Judith Stein, executive director of the Center for Medicare Advocacy.
Posted: October 19, 2015, 6:55 pm
"Those on observation care who suspect they will need rehabilitation services should ask their doctors for help in getting the decision reversed before they are discharged," says David Lipschutz, an attorney with the nonprofit Center for Medicare Advocacy. "After discharge, they can appeal by following the instructions on their quarterly Medicare Summary Notice. For help, see the “Self Help Packet for Medicare Observation Status” at medicareadvocacy.org."
Posted: October 16, 2015, 6:08 pm
Most plans also have a mail-order option, but don’t assume it is cheaper. “Mail order pharmacies can even be more expensive than your local walk-in pharmacy,” said Margaret Murphy, associate director at the Center for Medicare Advocacy.
Posted: October 15, 2015, 3:31 pm
"Frequently beneficiaries pay the bill out of their very limited income," said Kata Kertesz, policy attorney with the Center for Medicare Advocacy Inc. in Washington. "Some may choose to forgo the care that they need because they are concerned that the bill will go to collections, which is too often the case, and they know that they are unable to pay."
Posted: September 22, 2015, 5:55 pm
But Medicare beneficiary advocates are lukewarm to the Notice Act. While a good first step, the bill gives the patient no formal recourse to have their status changed, said Toby Edelman, a senior policy attorney at the Center for Medicare Advocacy. Her group and the Medicare Rights Center prefer another bill called Improving Access to Medicare Coverage Act of 2015, which would count a patient's time in observation toward the three-day hospital inpatient stay requirement for Medicare coverage of SNF care.
Posted: August 3, 2015, 2:30 pm
“Medicare Advantage plans are often more stingy with benefits,” said Judith A. Stein... “We have seen many cases in which people who are really sick cannot get coverage for nursing or therapy at home or in a skilled nursing facility — coverage that they would be able to get if they were in traditional Medicare.”
Posted: July 29, 2015, 7:15 pm