Policy Changes related to Medicare Advantage (MA); Proposed Skilled Nursing Facility (SNF) Rule; Home Health Update; More
The Federal Budget & Omnibus Bill; Tipping the Scales Toward Medicare Advantage (MA); Budget Act of 2018; More
Expedited v. Standard Appeals – Not Knowing the Difference Can Cost You Your Appeal Rights; Federal Budget, Medicare Extenders, CHIP Reauthorization; Proposed Part C & D Rule for CY 2019; More
CMS Steering People to Medicare Advantage; More Enrollment News; Affordable Care Act Updates; Litigation Updates; More.
The Improvement Standard and Jimmo v. Sebelius; Home Health Access; the Federal Health Care Landscape, and More.
CMA Alert - Medicare Home Health Coverage is Not a Short-Term, Acute Care Benefit ─ Congress Acted in 1980 to Provide for Longer-Term Coverage; Final Home Health Rules and Interpretive Guidance: Proposed Payment Model Rescinded; Advocates Oppose House Tax Cuts Bill that Would Set the Stage for Deep Cuts to Medicare & Other Programs; This Week in Sabotage – and Some Good News!
CMA Alert - Medicare Annual Enrollment Period Begins October 15: Look Before You Leap; This Week in ACA Sabotage; Breast Cancer Awareness Month; International Day of Older Persons
CMA Alert - Joint Replacement Model Undermines Care; OTC Hearing Aids Legislation Passed; Severe Harm if ACA Cost-Sharing Payments End
CMA Alert - Former CMS Administrator Comments on Medicare Advantage Overpayments; Proposed Home Health Rules – Payments Drive Delivery of Care, Harming Beneficiaries; Observation Status Harms Low-Income Medicare Beneficiaries; Poll: Americans Favor Making the ACA Work
CMA strongly opposes the proposed SNF payment system, as well as changes made to the minimization civil money penalties.
CMS rules and policies are resulting in neglected care and endangered safety for some Medicare beneficiaries. While Medicare home health coverage laws apply equally to all individuals, equitable application of coverage laws has been impeded by administrative payment rules and quality measure incentives that favor beneficiaries who have short-term care needs and disfavor those with long-term, chronic care needs.
“As Congress looks to strip health care from millions of people, Medicare has a long tradition of covering everyone who is eligible regardless of pre-existing conditions, all of whom are entitled to the same benefits” states Judith Stein, Executive Director and founder of the Center for Medicare Advocacy.