The National Medicare Advocates Alliance

The National Medicare Advocates Alliance, with support from the John A. Hartford Foundation, provides Medicare advocates with a collaborative network to share resources, best practices, and developments of import to Medicare beneficiaries.

Contents

  1. Introduction
  2. Issue Briefs
  3. Advocacy Tool - MAC Decision Database
  4. Alliance Actions
  5. Join Us

Introduction

With the support of the John A. Hartford Foundation, the Center for Medicare Advocacy continues to develop and lead a nationwide alliance of Medicare advocates public interest programs and organizations. Through a series of telephone conference calls and related collaborative support, we hope to enhance advocates’ knowledge of Medicare coverage and increase successful Medicare appeals and efforts at systemic change.  Alliance calls will be held on an “every-other-month” basis and more frequently if needed.

The calls provide public interest advocates with the opportunity to pose questions, discuss complex and ongoing advocacy concerns, and use the Center’s expertise and the collective wisdom of Alliance participants to problem-solve. Senior Center for Medicare Advocacy attorneys will host the calls, and on each call will obtain further suggestions from participants about particular Medicare coverage and appeal topics of concern.  Based on that input, the Center will prepare a short practice-oriented memorandum and guided discussion for the following month’s call.  Such topics might include how to deal with Medicare’s erroneous improvement, chronic and stable standards; how to contest a Part B income-based premium; and tips for appealing denials of Medicare home health coverage.

Project Components

  • Conference calls for advocates every other month and more frequently if needed;
  • Expert analysis and memoranda about Medicare coverage and appeals;
  • Practice Tip Memoranda on specific topics for use in case evaluation and development;
  • Simplified coverage screens for beneficiaries.

Issue Briefs

Advocacy Tool - MAC Decision Database

In January 2003, the Medicare Appeals Council (MAC) initiated the posting of certain significant decisions and actions on the web site of the Departmental Appeals Board (of which it is a component). The decisions and actions were selected for posting since they involve the adjudication of issues that may be of interest to various stakeholders in the Medicare appeals process. They are searchable as well as indexed by primary topic area. MAC decisions issued beginning in October 2010 are carried by WESTLAW exit disclaimer icon (in the Federal Health Law database, identifier FHTH-HHS), a commercial legal research service. Cases with an asterisk (*) were later appealed to the federal courts.

Alliance Actions

The Medicare Advocates Alliance is an initiative to assist public interest advocates throughout the country with Medicare cases and issues, funded by the Retirement Research Foundation.

Some recent Alliance successes Include:

Join Us

Center for Medicare Advocacy attorney David Lipschutz leads the Medicare Advocates Alliance calls. For further information about this project or to join the Alliance, please contact Attorney Lipschutz in the Center’s Washington, DC office at 202-293-5760 or Matthew Shepard in the Center’s Connecticut office at 860-456-7790.