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January 2019 – The nursing home industry is facing tremendous turmoil because some operators are undertaking risky financial deals in an attempt to squeeze out larger profits from their nursing homes, even when these deals could potentially harm residents. The recent collapse of several nursing home chains around the country also raises serious concerns about … Read more

Center for Medicare Advocacy and Florida Health Justice Project Sue to Obtain “Off-label” Part D Prescription Drug Coverage for Beneficiary

April 16, 2018 For Immediate Release Contact: Center for Medicare Advocacy – Kata Kertesz: KKertesz@MedicareAdvocacy.org, 202-293-5760 Florida Health Justice Project – Miriam Harmatz: Harmatz@FloridaHealthJustice.org, 786-853-9385 On April 6, 2018 the Center for Medicare Advocacy and Florida Health Justice Project filed a lawsuit in the United States District Court for the Southern District of Florida on behalf of … Read more

Statement from the Center for Medicare Advocacy and Executive Director Judith Stein: Health Care is Under Assault – CBO Score for AHCA, Trump Budget and ACA Sabotage

May 25, 2017 – WASHINGTON, DC. – Health care coverage through the Affordable Care Act (ACA), Medicare and Medicaid is under assault. The Congressional Budget Office finally released its estimate regarding the devastating impact of the AHCA bill that passed the House earlier this month. Now a select group of Senators is considering its own … Read more

14 million people will become uninsured in 2018 if the proposed Affordable Care Act repeal legislation becomes law according to yesterday’s Congressional Budget Office (CBO) Report, (3/13/2017). The American Health Care Act proposal, which has passed two key committees in the House of Representatives, would cause 24 million people to lose coverage by 2026 and … Read more

CMS Rescinds Restrictive Policy and Will Reconsider Technological Advances CMS announced yesterday that it has begun the process of updating its Medicare coverage policy for Speech Generating Devices (SGDs). A new SGD National Coverage Determination (NCD) is expected to be completed by July 31, 2015.  While CMS considers a new coverage rule for SGDs, it … Read more

Submitted electronically via PartCandDStarRatings@cms.hhs.gov November 3, 2014 Centers for Medicare & Medicaid Services Department of Health & Human Services Attention: CMS-6050-P P.O. Box 8013 Baltimore, MD 21244-8013 Re: Request for Information regarding Data on Differences in Medicare Advantage (MA) and Part D Star Rating Quality Measurements for Dual-Eligible versus Non-Dual Eligible Enrollees To Whom It … Read more

Mansfield, Conn. July 28, 2014 – The Medicare trustees reported good news for Medicare today. The Trustees’ annual report finds the life of the Medicare Trust Fund has been extended another four years since their 2013 report, and an additional 13 years from their last projection before the Affordable Care Act passed. The annual report[1] … Read more

Center for Medicare Advocacy Senior Policy Attorney Toby S. Edelman will testify before the House Ways and Means Health Subcommittee on Tuesday, May 20, 2014 at 9:30 AM regarding current hospital issues in the Medicare program, specifically the ongoing problem of observation status. The hearing, announced on May 13th, is the first Congressional hearing to … Read more

Testimony of Judith A. Stein Executive Director, Center for Medicare Advocacy, Inc. United States House of Representatives Energy & Commerce, Subcommittee on Health "Keeping the Promise: Allowing Seniors to Keep Their Medicare Advantage Plans If They Like Them" March 13, 2014 I. Introduction Chairman Pitts, Ranking Member Pallone, and distinguished members of the Subcommittee on Health, thank you … Read more

Inspector General's Report Underscores Need for Better Staffing and Better Enforcement of Quality Standards March 5, 2014 – The Health and Human Services Office of Inspector General (OIG) recently reported that 32% of Medicare beneficiaries who went to skilled nursing facilities (SNFs) and spent an average of 15.5 days in the SNF in August 2011 experienced … Read more

February 24, 2014 – The Affordable Care Act (ACA) is reining in overpayments to private Medicare Advantage (MA) plans by bringing MA payments closer to what traditional Medicare spends on a given beneficiary. The insurance industry and some legislators suggest that these overpayment reductions are harmful "cuts" to Medicare. This is not true. "Private Medicare … Read more

If you are covered by Medicare and you have a long-term or chronic condition, you may be eligible to have Medicare re-review your claims that were denied in prior years.  Please read carefully. In addition to revising Medicare manual provisions to now allow Medicare coverage for skilled maintenance care, the Settlement Agreement in Jimmo v. … Read more

As our client, Ms. Bricout states in this video, Observation Status is simply "illogical."  But there is a sound, viable solution! Congressman Joe Courtney has a bill pending in Congress that would fix the observation status problem for good: the Improving Access to Medicare Coverage Act of 2015 (H.R. 1571 and S. 843).

In testimony submitted today to the U.S. House Committee on Ways & Means, California Health Advocates, the Center for Medicare Advocacy, Inc. and the Medicare Rights Center urged lawmakers to reject Medicare redesign proposals that burden older adults and people with disabilities with added health care costs. The joint statement pressed policy makers to adopt … Read more