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The Center for Medicare Advocacy Submits Comments on Proposed Rule for Hospice

The Center’s comments focused on proposed quality measures and the forthcoming Hospice Compare website.

Center Comments on Proposed Rules for Medicare Skilled Nursing Facilities

The Center for Medicare Advocacy’s comments on the Medicare prospective payment system for skilled nursing facilities (SNFs),[1] submitted June 20, 2016 support the recommendation of the Medicare Payment Advisory Commission (MedPAC) not to increase reimbursement to SNFs for FY 2017.

Elder Abuse in Nursing Facilities: The Over-Administration of Antipsychotic Drugs to Nursing Home Residents

The Administration on Aging defines a subcategory of elder abuse – “physical abuse” – as “inflicting physical pain or injury on a senior, e.g. slapping, bruising, or restraining by physical or chemical means.” Administering antipsychotic drugs to more than a quarter of a million nursing home residents meets the definition of elder abuse and, left unanswered, is a national scandal.

New Report Supports Need for Advancing Medicare Coverage for Hearing Loss

The Center for Medicare Advocacy urges policymakers to recognize and respond to the very significant consequences of hearing loss by advancing Medicare coverage for audiology care.

Former CMS Administrator Says Expand Medicare Access to Dental Care

In a recent Boston Globe piece, former CMS Administrator Donald M. Berwick, MD called for expanded access to dental care, which he characterized as a critical aspect of health care that is out of reach for many.

DME: GAO Releases Study on Utilization and Expenditures for Complex Wheelchair Accessories

The GAO report, released on June 1, 2016, provides information on utilization, expenditures, and how the 2016 CBP adjusted payment rates for accessories compare to the 2016 unadjusted fee schedule payment rates for the same items.

Medicare Beneficiaries Still Prefer Traditional Medicare

A truly successful Medicare Advantage program would no longer need to be paid more per beneficiary than traditional Medicare. It’s time to insist on complete parity between MA plans and traditional Medicare.

Center for Medicare Advocacy Calls for Medicare Coverage of Hearing Aids and Audiology Services in Response to New Report from National Academies of Sciences, Engineering, and Medicine

The Report’s findings demonstrate the urgent need to update Medicare coverage to reflect the serious health issues that stem from hearing loss.

Case Study: Enrolled In a Medicare Advantage Plan Without Her Knowledge Through “Seamless Conversion Enrollment”

Those enrolled in a health plan offered by an MA organization at the time they become eligible for Medicare should be attentive. Be on the lookout for written notice regarding conversion and carefully consider whether to opt-out of the MA plan.

Report Studies Oral Health in Older Adults

Oral Health America recently released a report, A State of Decay, a state-by-state ranking of healthcare delivery and public health factors that affect the oral health of older adults.

Federal Court Issues Favorable Off-label Part D Drug Coverage Decision

The Medicare Advocacy Project of Greater Boston Legal Services recently received a favorable decision from the U.S. District Court in Massachusetts for “off-label” coverage of the drug Dronabinol.

Value of Inpatient Rehabilitation Hospital Care Reaffirmed

American Heart Association/American Stroke Association Recommends That Patients Who Have Strokes Receive Rehabilitation at Inpatient Rehabilitation Hospitals, not Skilled Nursing Facilities

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