Archives: Publications : Page 9

Medicare’s Value-Based Purchasing Program for Hospitals: Paying More to Low-Cost Hospitals That Provide Low Quality Care

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.

Medicare Part D and Off-Label Rx Denials

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.

Organizing for Comprehensive Oral Health Care

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.

Selected Beneficiary Comments from Center for Medicare Advocacy Petition Regarding Oral Health Care

Advocacy Organizations, Health Experts and Elected Officials Call for Medicare to Cover Hearing Services

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 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.

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