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

Free Webinar | Skilled Nursing Facility Appeals & Updates

4+ hour, 56+ min 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 > spotlight-on-msps

Spotlight on Medicare Savings Programs (MSPs)

2+ mon, 2+ day 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, 1+ 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 > issue-brief-premature-terminations-of-coverage-by-medicare-advantage-plans

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

4+ mon, 4+ day 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…...

Center for Medicare Advocacy
medicareadvocacy.org > know-jimmo-home-health-care-is-available

Know Jimmo | Home Health Care is Available for Medicare Beneficiaries with Long Term, Chronic, and Terminal Conditions

6+ mon, 1+ day ago   (232+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare The key to coverage is whether the individual requires skilled nursing or therapy and whether care would be safe and effective if skilled care was not provided. (And the individual…...

Center for Medicare Advocacy
medicareadvocacy.org > comments-on-2027-cd-rules

CMA Comments to Proposed CY 2027 Rule re: Medicare Advantage and Part D

6+ mon, 1+ week ago   (295+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare CMA’s comments included the following issues: January 29, 2026 – D. Lipschutz Filed Under: Article Tagged With: Medicare Advantage, Medicare Part D / Prescription Drugs, Weekly Alert Medicare covers skilled care to maintain or…...

Center for Medicare Advocacy
medicareadvocacy.org > cms-rate-notice-2026

CMS Rate Notice Includes Changes to Risk Scores

6+ mon, 1+ week ago   (499+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare Despite the purpose of risk scores and adjustment, extensive research has shown that the reality is that many MA plans, particularly larger plans, currently exploit the risk adjustment system by…...

Center for Medicare Advocacy
medicareadvocacy.org > know-jimmo-no-rules-of-thumb-including-ai

Know Jimmo | Looking at You, AI - Rules of Thumb Should Not Be Used to Deny Medicare

6+ mon, 3+ week ago   (390+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare To qualify for most Medicare-covered care, the individual must need and receive skilled care. Skilled services include nursing, physical therapy, occupational therapy, and speech-language pathology services. In November 2010, CMS revised…...

Center for Medicare Advocacy
medicareadvocacy.org > cms-suspends-snf-off-cycle-medicare-revalidation

CMS Indefinitely Suspends Off-Cycle Medicare Revalidation Process for Nursing Homes

6+ mon, 4+ week ago   (366+ words) Center for Medicare Advocacy Advancing Access to Medicare and Healthcare Data includes homes purchased by Warburg Pincus, Formation Capital, and National Senior Care The Times reported that facilities owned by investment companies were “41 percent more profitable than the average facility....