1.  PRESENTATIONS UPDATE ON JIMMO:  SETTLEMENT APPROVED In January 2011, the Center for Medicare Advocacy and Vermont Legal Aid filed a lawsuit in the District Court of Vermont challenging Medicare’s “Improvement Standard.” Jimmo v. Sebelius No. 11-cv-17 (D.Vt., filed 1/18/11). This case argues that the "Improvement Standard", which operates as a rule of thumb to … Read more

Welcome and Housekeeping  (David Lipschutz, Moderator) Presentation:  The Road Forward on Jimmo: Post-Approval Update on the Improvement Standard Litigation – Jimmo v. Sebelius  (Judith Stein) Presentation: Update on Medicare Secondary Payor (MSP): CMS to Establish a New Website For Medicare Secondary Payer Claims Information (Alfred Chiplin) Legislative Update:  The Federal Budget and Medicare (David Lipschutz) … Read more

For Services Provided From:  May 1, 2012 through October 31, 2012 The individuals identified on the attached list (Form A) were eligible for both the state Medicaid program and the federal Medicare program during the period described above.  The home health care services provided to these individuals by your agency during this time period were … Read more

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National Medicare Advocates Alliance Issue brief #18 1.  PRESENTATIONS ADMINISTRATIVE REVIEW PROCESS:  LITTLE SUCCESS, LONG DELAYS Based upon the Center’s extensive experience with the Medicare administrative appeals process, we are continuing to find that: 1) the success rate for beneficiaries at the initial levels of appeal is generally very low; and 2) once appeals get … Read more

NATIONAL MEDICARE ADVOCATES ALLIANCE CALL Monday, October 15, 2012 – 2:00 P.M., Eastern Time Call-in Number: 1(888)206-2266 Pass Code: 9874704 NOTE: We ask people calling from the same location to gather around one telephone. This frees up lines and holds down costs. _______________________________________________________________________________________________ Update on Medicare Appeals and Complaints − AGENDA − (Materials will be sent prior to … Read more

1. MEDICARE AND ACA MESSAGING: FIGHTING FICTION WITH FACT As pundits and politicians continue to discuss the deficit, misinformation and confusion about Medicare abound.  Fiction seems to flourish more than fact. Particularly since the passage of the Affordable care Act (ACA), we are hearing a lot of misinformation about the law and its impact on … Read more

I. LEGISLATIVE UPDATE Failure of the Super-Committee On November 21, 2011, members of the Joint Select Committee on Deficit Reduction ("Super-Committee") announced that they had failed to put together a legislative package to cut the deficit by approximately $1.2 trillion, as outlined by the Budget Control Act of 2011.  Without further Congressional action, automatic cuts … Read more

I.                   Joint Select Committee on Deficit Reduction ("Supercommittee") The Budget Control Act of 2011 created this committee and tasked it with seeking at least $1.2 trillion in federal savings over 10 years. If this committee fails to come to an agreement by November 23, 2011, or if Congress fails to approve the Committee's recommendations by … Read more

NATIONAL MEDICARE ADVOCATES ALLIANCE CALL* Removing the Barrier to Medicare Coverage for Chronic Conditions: Regulatory Clarification, Litigation, And Education Regarding the Medicare Improvement Standard Monday, April 11, 2011 – 2:00 P.M., Eastern Time Call-in Number: 1(888) 206-2266 Pass Code: 1050263 # NOTE: We ask people calling from the same location to gather around one telephone. This frees … Read more

The 2011 Medicare Part A and B general enrollment period runs from January 1st through March 31, 2011.  Medicare Part A enrollment (to purchase Part A – for those who are not entitled to receive it without paying a premium) has become particularly important for low-income older people.  In addition to the important benefits covered … Read more

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