Medicareadvocacy.org

Center for Medicare Advocacy | Advancing Access to

Advancing Access to Medicare and Healthcare. Our Commitment to Justice. Black Lives Matter. The Center for Medicare Advocacy mourns for George Floyd and for the named and unnamed people of color who have been murdered or harmed in countless ways in our country.

Actived: Tuesday Feb 23, 2021

URL: https://medicareadvocacy.org/

Medicare’s New “What’s Covered” App Adds to Outreach but

Details: The apps’ relevant pages (outpatient hospital services and inpatient hospital care) do not discuss the possibility that a beneficiary could be in the hospital for days without being an inpatient or that a patient should expect to receive a MOON if he or she is classified as an outpatient on observation status. Again, this is a missed

› Verified 3 days ago

› Url: https://medicareadvocacy.org/medicares-new-whats-covered-app-adds-to-outreach-but-more-work-is-needed/ Go Now

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FTP Instructions and Login | Center for Medicare Advocacy

Details: For Electronic Submission of Records Note: The FTP site is the preferred method of submitting documents to the Center. Please contact Shaun Harrington at 860-456-7790 or [email protected] to register your Agency and receive your new login information. The Center will require the name and the E-Mail Address for one contact person at each Agency site. Each Agency will receive […]

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COVID-19 and Medicare

Details: During the pandemic, individuals can use commonly available interactive apps with audio and video capabilities to visit with their clinician. Home Health Agencies can provide more services to beneficiaries using telehealth, so long as it is part of the patient’s plan of care and does not replace needed in-person visits as ordered on the plan

› Verified 9 days ago

› Url: https://medicareadvocacy.org/covid-19-and-medicare-post/ Go Now

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Medicare and Mental Health | Center for Medicare Advocacy

Details: In the wake of the tragedy in Newtown, Connecticut policymakers, the media, and advocates across the country have turned their attention to the state of mental health care in the United States. In addition to societal stigma, people with mental health needs often face barriers to adequate medical coverage and treatment for their conditions. While […]

› Verified 4 days ago

› Url: https://medicareadvocacy.org/medicare-and-mental-health/ Go Now

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New Medicare Summary Notice | Center for Medicare Advocacy

Details: On March 7, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the redesign of the Medicare Summary Notice (MSN), the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. The Medicare Summary Notice (MSN) generally sets out what Medicare has or hasn't covered, provides information about a beneficiary's payment […]

› Verified 8 days ago

› Url: https://medicareadvocacy.org/new-medicare-summary-notice/ Go Now

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Reducing Rehospitalizations… The Right Way | Center for

Details: For several years, reducing rehospitalizations of Medicare beneficiaries has been a key public policy goal, the intent of which is to improve quality of care for beneficiaries and reduce costs for the Medicare program.[1] Studies have shown that rehospitalizations are common and expensive. In 2006, for example, nearly one-quarter of nursing home residents (23.5%) were […]

› Verified 3 days ago

› Url: https://medicareadvocacy.org/reducing-rehospitalizations%e2%80%a6-the-right-way/ Go Now

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Goodbye POS, Hello LI NET: More Help for Dually Eligible

Details: In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and Medicaid (dual eligibles) in filling their prescriptions at the pharmacy if they have not yet been assigned to a […]

› Verified 25 days ago

› Url: https://medicareadvocacy.org/goodbye-pos-hello-li-net-more-help-for-dually-eligible-people/ Go Now

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Medicare's Future: Letting the Affordable Care Act Work

Details: Medicare provides a foundation for the health and wellness of Americans who are 65 1 or older and for younger persons who qualify for Medicare on the basis of disability. 2 The program currently covers a portion of health care costs for over 47 million individuals throughout the United States. 3 While Medicare is a critical component of helping beneficiaries pay for necessary services, in many

› Verified 6 days ago

› Url: https://medicareadvocacy.org/medicares-future-letting-the-affordable-care-act-work-while-learning-from-the-past/ Go Now

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When a Medicare Advantage Plan Does Not Renew Its Contract

Details: In 2010, as in previous years, some Medicare Advantage (MA) plans and some prescription drug plans (PDPs) have decided not to renew their contracts with the Centers for Medicare & Medicaid Services (CMS) for the coming year. This Alert will address the notice beneficiaries will receive and the rights they have depending on the circumstances under which their MA plan is leaving the Medicare

› Verified 4 days ago

› Url: https://medicareadvocacy.org/when-a-medicare-advantage-plan-does-not-renew-its-contract/ Go Now

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Examining Inappropriate Use of Antipsychotic Drugs, Part

Details: The misuse of antipsychotic drug is a pervasive problem in American nursing facilities. Misuse causes physical and psychological harm and death to residents and costs many hundreds of millions of dollars annually,[1] both for the drugs themselves and in efforts to reverse the poor resident outcomes that are the common consequence of their misuse. Examining […]

› Verified 4 days ago

› Url: https://medicareadvocacy.org/examining-inappropriate-use-of-antipsychotic-drugs-part-one-how-seven-states-cite-antipsychotic-drug-deficiencies/ Go Now

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New Initiatives to Improve Services for Dual Eligibles

Details: The Centers for Medicare & Medicaid Services (CMS) recently announced several new initiatives focused on improving care for people who are eligible for both Medicare and Medicaid (dual eligibles). Two initiatives relate to providing fully integrated services to dual eligibles, through both capitation and fee-for-service structures. A third initiative addresses preventing unnecessary

› Verified 1 months ago

› Url: https://medicareadvocacy.org/new-initiatives-to-improve-services-for-dual-eligibles/ Go Now

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Health Care Reform On Trial | Center for Medicare Advocacy

Details: This week, the Supreme Court heard arguments over the constitutionality of the Affordable Care Act (ACA, or health care reform). As we wrote last week, ACA helps millions of American families by extending health care to those who are either uninsured or underinsured.[1] As the arguments before the Court have revealed, the path to health […]

› Verified 3 months ago

› Url: https://medicareadvocacy.org/healthcare-reform-under-scrutiny-at-the-supreme-court/ Go Now

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CMA Alert | October 22, 2020 | Center for Medicare Advocacy

Details: Medicare Plan Finder Problems Emerge – At Least Three SHIP Programs Cautioning People to Delay Enrollment until Problems Resolved. The Medicare Annual Election Period (AEP), which lasts from October 15 until December 7, is a time during which Medicare beneficiaries can make changes to their Medicare Advantage and/or Part D prescription drug coverage for the following calendar year.

› Verified 18 days ago

› Url: https://medicareadvocacy.org/cma-alert-october-22-2020/ Go Now

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Picking a Plan During the Annual Enrollment Period? Choose

Details: As discussed in last week’s Alert, the current Medicare Annual Enrollment Period lasts until December 7th.[1] During this time period, Medicare beneficiaries can choose a Medicare Advantage (Part C) or Part D plan for 2013. This Alert discusses Part C and D plan quality ratings for 2013, and special enrollment periods related to these ratings. […]

› Verified 1 months ago

› Url: https://medicareadvocacy.org/picking-a-plan-during-the-annual-enrollment-period-choose-carefully/ Go Now

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CMA Alert - January 31, 2019 | Center for Medicare Advocacy

Details: The apps’ relevant pages (outpatient hospital services and inpatient hospital care) do not discuss the possibility that a beneficiary could be in the hospital for days without being an inpatient or that a patient should expect to receive a MOON if he or she is classified as an outpatient on observation status. Again, this is a missed

› Verified 1 months ago

› Url: https://medicareadvocacy.org/cma-alert-january-31-2019/ Go Now

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The Affordable Care Act Strengthens Medicare & Health Care

Details: Health Care Reform consists of two separate laws, the Patient Protection and Affordability Care Act of 2010 (PPACA), Pub.L. 111-148 (March 23, 2010), and the Health Care and Education Reconciliation Act of 2010 (HCERA), Pub. L. 111-152 (March 30, 2010). The laws often are collectively referred to as the Affordable Care Act (ACA). Centers for Medicare and Medicaid Services, available at http

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› Url: https://medicareadvocacy.org/the-affordable-care-act-strengthens-health-care-and-medicare/ Go Now

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October, 2013 - Medicare Annual Election period, and the

Details: 1. PRESENTATION: MEDICARE ANNUAL ELECTION PERIOD & THE MARKETPLACES Medicare Annual Coordinated Election Period (ACEP) – 10/15/13 – 12/7/13 During the Annual Coordinated Election Period (ACEP) people with Medicare can change their choice of health coverage (whether they receive that coverage through a private Medicare Advantage plan or traditional Medicare), and add, drop or change

› Verified 2 months ago

› Url: https://medicareadvocacy.org/october-2013-medicare-annual-election-period-and-the-aca-marketplaces-and-other-issues/ Go Now

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Dismantling the Affordable Care Act Would Harm Medicare

Details: Spotlight on Closing the Part D Coverage Gap (“Donut Hole”) The Supreme Court will review the constitutionality of the Affordable Care Act (ACA) this term in California v.Texas, with oral argument scheduled for November 10, 2020. This ongoing litigation challenges the ACA’s individual mandate, but raises questions about the entire law’s survival, and could result in dismantling the

› Verified 12 days ago

› Url: https://medicareadvocacy.org/dismantling-the-affordable-care-act-would-harm-medicare-and-medicare-beneficiaries/ Go Now

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Health Care Reform Does Not Cut Medicare Benefits | Center

Details: Health care reform does not cut Medicare benefits. In fact, health care reform expands Medicare coverage, by eliminating cost-sharing for preventive services, adding a yearly wellness visit, limiting some cost-sharing in private Medicare plans, and closing the Part D "Donut Hole." It also improves the solvency of the Medicare program itself. Reform does, however, change […]

› Verified 17 days ago

› Url: https://medicareadvocacy.org/health-care-reform-does-not-cut-medicare-benefits/ Go Now

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Recognizing Elder Abuse Awareness Day: Working Together to

Details: On May 31, 2012, the Centers for Medicare & Medicaid Services (CMS) announced an initiative to reduce the rampant misuse and overuse of antipsychotic drugs in nursing facilities. The Center for Medicare Advocacy has been working to educate policy makers, advocates, and the public about the misuse of antipsychotic drugs for many years, and is […]

› Verified 1 months ago

› Url: https://medicareadvocacy.org/recognizing-elder-abuse-awareness-day-working-together-to-curb-misuse-of-powerful-antipsychotic-drugs-in-nursing-homes/ Go Now

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Health Care Reform Update: Where Are We, and What's Up for

Details: The Affordable Care Act (ACA), passed in March 2010, has been implemented steadily over the past two years.[1] Implementation of various provisions will continue next year and in 2013, with the core of the ACA – expanded health insurance coverage for nearly 30 million people – occurring in 2014.[2] ThisAlert will review some of the […]

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› Url: https://medicareadvocacy.org/health-care-reform-update-where-are-we-and-whats-up-for-2012/ Go Now

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Making Sense of Medicare's Preventive Service Benefits

Details: September 20, 2012 With the Balanced Budget Act of 1997 (BBA1997), Congress began an expansion of preventive benefits and services available through Medicare.[1] The Medicare Modernization Act of 2003 (MMA) added additional preventive services.[2] The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made refinements to Medicare's preventive services.[3] Finally, the Patient

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Affordable Care Act in Action: People with Medicare

Details: New data released this week shows that families and individuals who rely on Medicare continue to see direct benefits from the Affordable Care Act by saving billions of dollars on prescription drug costs. So far in 2012, older and disabled Americans have saved an average of $837 on their drug purchases after reaching the donut-hole gap in coverage that forced millions of beneficiaries to scrimp

› Verified 5 days ago

› Url: https://medicareadvocacy.org/affordable-care-act-in-action-people-with-medicare-continue-to-see-savings/ Go Now

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Fact vs. Fiction: Medicare is Not Going "Bankrupt

Details: Medicare Trustees issued their annual report on Medicare's financial status on April 23, 2012. According to this year's report, the Hospital Insurance (Part A) Trust Fund has sufficient reserves to pay out the full amount of Medicare Part A benefits until 2024 – the same projection made in last year's report. Should nothing else change, […]

› Verified 10 days ago

› Url: https://medicareadvocacy.org/fact-vs-fiction-medicare-is-not-going-bankrupt/ Go Now

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We Don't Need the Ryan Plan − Medicare Is Not Going Broke

Details: According to researchers from the Urban Institute, writing in the New England Journal of Medicine, Medicare's purported dire financial condition isn’t actually all that dire. Given the aging of our population, increases in enrollment have obviously contributed to spending growth. But, according to the Urban Institute, “in recent years "spending growth per enrollee slowed in […]

› Verified 7 days ago

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Brown University Confirms Observation Continues to Replace

Details: Since 2008, the Center for Medicare Advocacy (the Center) has been reporting that an increasing number of Medicare beneficiaries are being placed in acute care hospital beds for multiple days – receiving medical and nursing care, diagnostic tests, treatments, medications, and food – but are being called “outpatients” in observation status, rather than admitted “inpatients.”[1] […]

› Verified 5 days ago

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The Affordable Care Act Moves Forward: What’s Up for 2013

Details: Over two years after becoming law, the Affordable Care Act (ACA) continues to improve health care and lower costs for millions of Americans, including those who rely on Medicare. The recent election was key to the future of the landmark legislation, which will expand access to health care coverage and work to improve quality of […]

› Verified 1 months ago

› Url: https://medicareadvocacy.org/the-affordable-care-act-moves-forward-whats-up-for-2013/ Go Now

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Reminder: Medicare Covers Obesity Prevention with No Cost

Details: On November 29, 2011, CMS announced its decision to include coverage for obesity screening and counseling services for Medicare beneficiaries.[1] This new coverage for Medicare beneficiaries is another tool aimed at emphasizing prevention and wellness by CMS, which has already implemented coverage of certain preventive services and screenings as part of the Affordable Care Act.[2] […]

› Verified 1 months ago

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