Archives: Publications : Page 4

Look for the Moon!

Beginning no later than March 8, 2017, hospitals are required to give written and oral notice to Medicare patients when they are placed in “outpatient” observation status for 24 hours and are not formally admitted as inpatients. The written notice is called the Medicare Outpatient Observation Notice (MOON).

Repealing Medicaid Expansion Could Lead to Thousands of Deaths in the U.S. Annually

Repealing Medicaid Expansion Could Lead to Thousands of Deaths in the U.S. Annually

Back to the Future: High Risk Pools Annotated Bibliography

High Risk pools are not a new idea. They failed before ACA because they did not provide quality, affordable insurance for quality care.

House Republicans Present Outline of Plan that Would Gut Health Coverage

House plan for ACA repeal is a major step backwards for our nation's health insurance coverage.

The Center for Medicare Advocacy Comments on the Confirmation Hearing of Seema Verma

It was clear that Ms. Verma will favor private insurance models. Her testimony should alarm advocates who fear further privatizing Medicare and capitating Medicaid.

CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)

Beginning no later than March 8, 2017, and as required by the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act), hospitals and critical access hospitals (CAHs) are required to give patients both oral and written notice when they are outpatients and not admitted as inpatients.

Affordable Care Act Replacement Proposals – Concerns and Resources

A list of ACA replacement materials available from colleagues and partnering organizations.

CMS Issues New Rules Governing Medicare Appeals

CMS recently finalized significant changes affecting Medicare appeals, particularly at the Administrative Law Judge (ALJ) level of review. These changes apply to appeals of payment and coverage determinations for items and services furnished to Medicare beneficiaries, enrollees in Medicare Advantage (MA) and other Medicare competitive health plans, and enrollees in Medicare prescription drug plans, as well as to appeals of enrollment and entitlement determinations, and certain premium appeals.

Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant

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.

Study: Uninsured Rates for Older Adults will Increase if ACA is Repealed or Medicare Eligibility Age is Raised

Repealing ACA and raising the Medicare eligibility age is not a "Better Way" as Paul Ryan would have you believe.

Opening Salvo on ACA Replacement Falls Short

Senators Susan Collins (R- ME) and Bill Cassidy (R- LA) introduced the Patient Freedom Act of 2017 (S. 191) billed as a “comprehensive replacement plan for Obamacare.”

CMS Bulletin Moves to Improve Access to Durable Medical Equipment for Dually Eligible Beneficiaries

he Bulletin addresses a serious and persistent obstacle to obtaining DME faced by people dually eligible for Medicare and Medicaid in many states because of the mismatch of processing rules in the two programs.

Page 4 of 31 1 2 3 4 5 6 7 8 9 31