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News

Center for Medicare Advocacy
medicareadvocacy.org > prior-authorization-remains-a-problem

Prior Authorization Continues to Get More Scrutiny, But Little Action Taken by Policymakers to Address Problems

2+ day, 23+ hour ago   (343+ words) Advancing Access to Medicare and Healthcare Report – Insurers Denied an Average of up to 18% of Prior Authorization Requests New Report Calls for Federal Ban on Prior Auth This month, the American Economic Liberties Project (AELP) released a report titled “BAN…...

Center for Medicare Advocacy
medicareadvocacy.org > new-resource-skilled-nursing-facility-quick-guide

New Resource - Skilled Nursing Facility Quick Guide

1+ week, 2+ day ago   (333+ words) Advancing Access to Medicare and Healthcare Denials of Medicare coverage for skilled nursing facility care occur with surprising frequency. Because Medicare uses rules and procedures which may improperly restrict coverage, patients are sometimes required to pay for care which should…...

Google News
medicareadvocacy.org > acuity-based-staffing-in-nursing-homes

Getting Acuity Based Staffing in Nursing Homes: State Attorneys General Point the Way - Center for Medicare Advocacy

1+ week, 2+ day ago   (559+ words) Advancing Access to Medicare and Healthcare The Three State Cases Federal regulations to implement the Nursing Home Reform Act (1987) were published on February 2, 1989 at 54 Federal Register 5316. A key aspect of the regulations was setting the same nursing standards for Medicare…...

Center for Medicare Advocacy
medicareadvocacy.org > free-webinar-skilled-nursing-facility-appeals-updates

Free Webinar | Skilled Nursing Facility Appeals & Updates

1+ week, 3+ day ago   (339+ words) Advancing Access to Medicare and Healthcare This webinar will explore practical tips for navigating Medicare Advantage skilled nursing facility discharges and appeals, along with other updates relating to Medicare and nursing facilities, including admission denials, Institutional Special Needs Plans (I-SNPs),…...

Center for Medicare Advocacy
medicareadvocacy.org > know-jimmo-medicare-home-health-coverage-is-available-for-people-with-on-going-needs

Know Jimmo | Medicare Home Health Coverage is Available for People with On-Going Needs

2+ mon, 5+ day ago   (356+ words) Advancing Access to Medicare and Healthcare The key question to ask is: Does the person need and receive skilled care? Skilled means a qualified professional is needed to ensure the care is safe and effective. Skilled care can be covered…...

Center for Medicare Advocacy
medicareadvocacy.org > spotlight-on-msps

Spotlight on Medicare Savings Programs (MSPs)

2+ mon, 1+ week ago   (652+ words) Advancing Access to Medicare and Healthcare There are three main MSPs: Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and Qualifying Individual (QI). Coverage and financial eligibility depend on the specific MSP. Studies consistently demonstrate that the Medicare Savings…...

Center for Medicare Advocacy
medicareadvocacy.org > free-webinar-medicare-savings-programs

Free Webinar | Medicare Savings Programs

2+ mon, 2+ week ago   (380+ words) Advancing Access to Medicare and Healthcare Join us June 16, 2026 at 2:00 ET via live webcast! This webinar will outline the vital role Medicare Savings Programs (MSPs) play in the health and financial security of millions of Medicare beneficiaries, the current obstacles…...

Center for Medicare Advocacy
medicareadvocacy.org > cma-initiative-to-act-locally-think-globally

CMA Initiative to Act Locally, Think Globally

3+ mon, 1+ day ago   (212+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare May 14, 2026 – J. Stein Filed Under: Article Tagged With: about us, CT Consumer’s Guide, Weekly Alert Medicare covers skilled care to maintain or slow decline as well as to improve. Improvement…...

Center for Medicare Advocacy
medicareadvocacy.org > nursing-homes-misuse-of-antipsychotic-drugs

HHS Inspector General Issue Briefs on Nursing Homes' Misuse of Antipsychotic Drugs

3+ mon, 3+ week ago   (195+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare April 23, 2026 – T. Edelman Filed Under: Article Tagged With: antipsychotics, Skilled Nursing Facility, Weekly Alert Medicare covers skilled care to maintain or slow decline as well as to improve. Improvement Isn’t…...

Center for Medicare Advocacy
medicareadvocacy.org > issue-brief-premature-terminations-of-coverage-by-medicare-advantage-plans

New Issue Brief | Premature Terminations of Coverage by Medicare Advantage Plans

4+ mon, 1+ week ago   (206+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare April 2, 2026 – D. Lipschutz Filed Under: Article, issue-brief Tagged With: Medicare Advantage, Prior Auth, Weekly Alert Medicare covers skilled care to maintain or slow decline as well as to improve. Improvement…...