The issue of rewarding efficiency, regardless of quality, has assumed even greater significance in light of Congress’s expansion of efficiency incentives to post-acute providers in the Improving Medicare Post-Acute Care Transformation Act of 2014.
Archives: Publications : Page 9
Coverage denials for Lidocaine and other off-label drugs can be a shock and pose a major problem for people who become Medicare eligible and must transition from an Affordable Care Act (ACA) or a private insurance plan.
The Center for Medicare Advocacy is pleased to be working with the DentaQuest Foundation to advance their goal of adding a comprehensive oral health benefit to Medicare.
Hearing loss affects nearly 30 million Americans, but only 1 in 5 people diagnosed with hearing issues have hearing aids – in large part because Medicare currently excludes coverage for hearing aids and related audiology services.
The Center’s comments focused on proposed quality measures and the forthcoming Hospice Compare website.
The Center for Medicare Advocacy’s comments on the Medicare prospective payment system for skilled nursing facilities (SNFs), submitted June 20, 2016 support the recommendation of the Medicare Payment Advisory Commission (MedPAC) not to increase reimbursement to SNFs for FY 2017.
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.
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.
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.
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.
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.