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  • Welcome and Housekeeping  (David Lipschutz, Moderator) 
  • Legislative Update: Congress Mitigates Increases in 2016 Part B Premium and Deductible (David Lipschutz)
  • Bipartisan Budget Act of 2015 – Overview
    • 2016 Part B premiums increases for some, and deductible increases for all, mitigated
      • “Loan” is to be repaid by Medicare beneficiaries over time
      • Underlying cause(s) of increase in Part B expenditures
    • Other provisions
  • Advocacy Update:  Coverage of Home Infusions (Rob Robichaud)
    • Overview of problems concerning coverage of the administration services, equipment and drug costs of home infusion under Medicare Parts B and D
  • Administrative Update   
  • Snapshot of Recent Final and Proposed Rules Issued by CMS (David Lipschutz)
    • Including: Discharge Planning, Two-Midnights, Advance Care Planning
  • CMS Halts Proposed Policy Change on Lower Limb Prostheses (Kathy Holt)
    • Proposed Draft Local Coverage Determination (LCD) on Lower Limb Prostheses (DL33787)
  • Litigation Update   (Ali Bers)
    • Bagnall (Observation)
    • Lessler (ALJ Delay Case)
    • Jimmo (Improvement standard)
    • Hull and Olsen-Ecker (lower level Medicare appeals)
    • Ryan (prior favorable homebound determination)
    • Lodge (extreme dental care)
    • Bremby (per se skilled services)
  • Administration for Community Living (ACL) Grant (Judy Stein)
  • General Medicare Q&A (Moderator)
  • Wrap-up  (Moderator)
    • Keep informed: Myths and Truths, other information and updates on the Center’s Website
    • Next Call

REMINDER: Other information available at: https://www.medicareadvocacy.org/Projects/AdvocatesAlliance/AdvocatesAlliance.IssueBriefs.htm

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