On January 30, 2020 The Centers for Medicare & Medicaid Services (CMS) issued new guidance, through a State Medicaid Director Letter, which encourages states to voluntarily adopt caps on their federal Medicaid funds under a Medicaid section 1115 demonstration waiver. This “block granting” of Medicaid would fundamentally change Medicaid programs by allowing states to limit … Read more

On June 3, 2019, The Center submitted comments on the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding interoperability in Medicare and Medicaid programs. In the comments, the Center expressed support for the Administration’s commitment to improving patient access to health information. However, we raised concerns about patient privacy created by increased data … Read more

In conjunction with other advocacy organizations, the Center for Medicare Advocacy submitted comments during the re-opened comment period for the Kentucky HEALTH Medicaid Section 1115 waiver demonstration application. The Center strongly believes that Kentucky HEALTH should be rejected as it will lead to substantial coverage losses. Kentucky’s proposal will take health coverage away from individuals … Read more

The Office of the Inspector General for the Department of Health and Human Services released a report recently regarding Part D coverage of prescription drugs used by people dually eligible for Medicare and Medicaid. The June report, Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2018, found that most Part D plan … Read more

The Medicare-Medicaid Coordination Office’s Integrated Resource Center (ICRC) of the Center for Medicare & Medicaid Services recently released an issue brief addressing the challenges of access to durable medical equipment (DME) for dually eligible beneficiaries. The brief, Facilitating Access to Medicaid Durable Medical Equipment for Dually Eligible Beneficiaries in the Fee-for-Service System: Three State Approaches, … Read more

The Senate bill is still a secret, but what we’ve learned isn’t good.  Senate leadership is pushing for a vote by the end of next week. While some information about policy changes is leaking out, such as the Medicaid payment rates referenced below, the bill is still a secret – no text, no hearings, no … Read more

The proposed Affordable Care Act (ACA) repeal legislation, the American Health Care Act, would cause 24 million people to lose coverage by 2026 and cut Medicaid by $880 billion over the next ten years, according to the Congressional Budget Office (CBO), a non-partisan, independent group of budget economists and analysts used to score the financial … Read more

Congress is now considering the AHCA, the Bill to repeal the Affordable Care Act.  The proposed repeal legislation would lead to extreme cuts in Medicaid.  Thus, it is essential to underscore the role Medicaid plays for millions of Medicare beneficiaries. Kaiser Family Foundation recently released a report, Medicaid’s Role for Medicare Beneficiaries, which details the … Read more

— Advocates Oppose Medicaid Block Grants and Per Capita Caps — March 3, 2017 Contact: Center for Medicare Advocacy – Matthew Shepard: 860-456-7790, mshepard@medicareadvocacy.org Justice in Aging – Vanessa Barrington: 510-256-1200, vbarrington@justiceinaging.org Medicare Rights Center – Mitchell Clark: 212-204-6286, mclark@medicarerights.org Washington, DC — Today, the Center for Medicare Advocacy, Justice in Aging, the Medicare Rights … Read more

According to a recent report from Vox, Congressional plans to repeal key provisions of the Affordable Care Act (ACA) will have devastating consequences for thousands of Americans each year. Vox’s Julia Belluz cites evidence to estimate that 24,000 Americans would die annually if Congress repeals vital provisions of the ACA without simultaneously enacting an appropriate … Read more

If Medicaid becomes a block grant program, nearly one million nursing home residents who rely on Medicaid could immediately lose coverage for their nursing home care.  In addition, all of the federal standards that govern nursing home care today could be in jeopardy.  The United States does not have a comprehensive program to pay for … Read more

On Friday August 19, 2016, the Center for Medicare Advocacy submitted comments in response to a June 30 request from the Centers for Medicare & Medicaid Services (CMS) for information regarding Durable Medical Equipment (DME) access issues faced by individuals who are dually eligible for Medicare and Medicaid.[1] The letter, signed by almost 80 organizations, … Read more

As originally enacted, the Affordable Care Act (ACA) required each state to expand Medicaid eligibility to 138 % of the Federal Poverty Level.  However, the 2012 U.S. Supreme Court’s decision National Federation of Independent Business v. Sebelius, changed that.  The National Federation decision gives states the option to accept federal funds, reject the funds altogether and … Read more

Over 9.6 million older people and people with significant disabilities are dually eligible for both Medicare and Medicaid. Dual eligible beneficiaries are among the poorest and sickest beneficiaries covered by either program. The dual eligible demonstration projects, developed pursuant to the Affordable Care Act (ACA), aim to improve coordination of services between Medicare and Medicaid, … Read more

Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage (MA) plan that enrolls only individuals dually eligible for Medicare and Medicaid. Though results have been mixed, D-SNPs were created as a possible route to better integration between Medicare and Medicaid, in turn leading to better quality, higher value care. Authority for Special … Read more

In the midst of ongoing budget discussions, policymakers are considering a wide array of approaches for cutting spending and saving federal dollars. The Center for Medicare Advocacy recently wrote of ways to strengthen the Medicare program while achieving significant savings.[1] Included in our analysis was a proposal that would save taxpayers billions of dollars: reinstating … Read more

The role of private managed care in Medicare and Medicaid has been growing at a rapid pace in recent years. The Center for Medicare Advocacy has written widely on the dangers of turning these successful community health care programs over to profit-driven private insurers.  Despite the efforts of the Center and other advocacy groups, however, … Read more

As reported in the New York Times on Friday September 7, 2012, Center Attorney Toby Edelman writes to explain the importance of Medicaid to long-term care recipients, and how the Ryan Budget, which purports not to affect current Medicare beneficiaries, would actually have an "immediate and devastating impact" on those who rely on this vital program. … Read more

The Centers for Medicare & Medicaid Services (CMS) recently announced several new initiatives focused on improving care for people who are eligible for both Medicare and Medicaid (dual eligibles). Two initiatives relate to providing fully integrated services to dual eligibles, through both capitation and fee-for-service structures.  A third initiative addresses preventing unnecessary hospitalizations of nursing home … Read more

The Center for Medicare Advocacy would like to bring to your attention this request from the National Academy of Elder Law Attorneys (NAELA) for stories about the importance of Medicaid. Do you provide time and financial support to a family member who receives Medicaid for nursing home services? Are you married to someone who is … Read more

Medicare and Medicaid, which together serve over 95 million Americans,[1] are our two major national public programs offering secure and stable access to health care for beneficiaries, and peace of mind to the their families. Medicaid is under attack by proposals that would limit its scope and/or eliminate current program structures that provide important protections … Read more

June 16, 2010 For Immediate Release Contact: Judith Stein (860) 456-7790 jstein@medicareadvocacy.org The Center for Medicare Advocacy is grateful to Democratic leaders and senators for supporting the continuation of the increased federal Medicaid match. “We are appalled that FMAP failed,” states Judith Stein, Executive Director of the Center for Medicare Advocacy, “this help is so … Read more