Author Archives: admin

No. 06-35672 (9th Cir.), case in progress for several years Updated: October 22, 2009   Issue: Whether the actions and inactions of a Medicare Part D plan, defendant Humana, in failing to enroll, and otherwise provide prescription drug coverage to, the plaintiff beneficiaries cannot be challenged under state law fraud and breach of contract causes of actions … Read more

No. 09-1747 (E.D.Pa.), filed April 24, 2009 Final Update: October 22, 2010 Issue: Whether the failure of the state and federal defendants to coordinate the exchange of information necessary to ensure that the beneficiaries of the Medicare Savings Program have their Medicare premiums timely paid by the Medicaid program violates the Medicare and Medicaid statutes … Read more

No. 1:05CV2266 (D.D.C.), filed November 23, 2005 Updated: April 9, 2009   Issue: Whether HHS violated the Freedom of Information Act when it failed to respond to a request for documents about the videoconferencing technology to be employed in the new system for handling Medicare appeals to ALJs.   Relief sought: The production of the relevant documents.   … Read more

No. 2:05-cv-6201 (E.D.Pa.), filed November 30, 2005 Last Update: August 25, 2006 Issue: Whether CMS' implementation of so-called "passive enrollment" into a Medicare managed care plan for over 110,000 dual eligibles in Pennsylvania, without prior notice and publication, violates the Medicare statute, (especially the Medicare Modernization Act), the Administrative Procedure Act, and the Due Process Clause. … Read more

No. 399CV2020(SRU) (D.Conn.), filed October 18, 1999 Last Updated: August 25, 2006   Issue: Whether the Dept. of Health and Human Services (via CMS) violates the Medicare statute and due process clause by allowing a fiscal intermediary, United Government Services (UGS), to fail to provide written initial determinations, timely initial determinations and reconsiderations, and correct … Read more

No. 03-1346 (6th Cir.), appeal filed March 6, 2003 Final Update: September 19, 2005 Amicus information: Amici are the Center for Medicare Advocacy and AARP.  They are supporting the claim of the plaintiff, a Medicare beneficiary who is seeking coverage.  Amici did not participate in the district court. Issues: (1) Whether a beneficiary could only … Read more

During my six week tenure at the Center for Medicare Advocacy I had three key obligations: to create a research report which will be used as a reference guide for the Center after my departure, to attend Senate hearings and other group meetings for the Center, and to learn about advocacy, government, and the Medicare … Read more

As a medical student intern at the Center for Medicare Advocacy, I studied health policy issues as they pertained to the Medicare and Medicaid programs.  My responsibilities included investigating the use of prescription drugs under Medicare Part D, analyzing the potential impact of Special Needs Programs for the dual eligible and institutionalized populations, and attending … Read more

I had an amazing experience interning at the Center for Medicare Advocacy.  Working at the Center is a gateway into the major cutting edge health care issues confronting the nation.  The Center advocates on behalf of beneficiaries through litigation, lobbying, and education, and also provides key policy analysis.  They provide a voice for those whose … Read more

No. 1:01CV01374(HHK)(D.D.C), filed June 22, 2001 Updated: December 15, 2004 Issue: Whether the Secretary of HHS could dispense with the statutory deadline for MCOs to submit information about their plans for the upcoming year and the Secretary could refuse to mail comparative written information about plans to beneficiaries, again as required by the statute (Click … Read more

Shaun Harrington joined the Center for Medicare Advocacy in April 2008 as Assistant Data Manager, after a distinguished tenure with CT Tymetrix, a corporate/legal data support company where he earned multiple honors, including employee of the year.   Mr. Harrington brings to the Center his technical expertise in Windows based programs, network solutions, and data management, … Read more

Lisa Hall joined the Center for Medicare Advocacy's Data Unit in 1991 to temporarily assist with a large mailing project.  Soon after, she was hired as the Center’s third, full-time, Data Unit staff member. With the rapid increase in staff at the Data Unit shortly thereafter, Ms. Hall's position developed into that of Entitlement Analyst/Manager which … Read more

Gill Deford is of-counsel to the Litigation team at the Center for Medicare Advocacy.  Mr. Deford was a staff attorney for eighteen years with the National Senior Citizens Law Center in Los Angeles, specializing in health law, public pensions, ERISA, and SSI.  He was later the director of a Massachusetts agency providing legal assistance to … Read more

Wey-Wey Kwok has been a staff attorney at the Center for Medicare Advocacy since 2002. In addition to her work with the Litigation Unit, she represents Medicare beneficiaries in appealing coverage denials of home health and skilled nursing facility care. Previously, Ms. Kwok worked as an attorney with the Legal Aid Society of Hawaii in … Read more

Toby S. Edelman has been representing older people in long-term care facilities since 1977. As a Senior Policy Attorney with the Center for Medicare Advocacy since January 2000, Ms. Edelman provides training, research, policy analysis, consultation, and litigation support relating to nursing homes and other long-term care facilities.  Under two grants from the Commonwealth Fund, she … Read more

Mary Ashkar has worked as an attorney for the Center for Medicare Advocacy since 2002.  She is currently a senior attorney, co-manages the cases of the Center’s largest client, and provides legal assistance, education, and representation on behalf of Medicare beneficiaries who have been unfairly denied Medicare coverage or access to health care.  Ms. Ashkar … Read more

Matthew Shepard came to the Center For Medicare Advocacy in 1996, seeking a brief respite from the education field. Expecting a short-term, uninvolved job, Matt found, upon getting to know his fellow staff and the work of the Center, that he had no desire to leave. He has since moved from general office assistance to coordinating … Read more

David A. Lipschutz, joined the Center for Medicare Advocacy in June 2010. Based in the Center’s Washington, DC office, Mr. Lipschutz engages in public policy issues surrounding Medicare and related coverage as they impact Medicare beneficiaries. This work includes federal administrative and legislative advocacy, collaboration with other consumer advocates to address systemic issues, and monitoring, analyzing and … Read more