KFF recently analyzed Medicare Advantage (MA) data on prior authorization, finding that the rates of requests, or submissions from providers and beneficiaries asking the plan to cover a service, remained steady while plan denials increased compared to the previous two years. Rates of appeal remained low, signaling that most enrollees […]
Writing this week in STAT, researchers from the Johns Hopkins Disability Health Research Center, Syracuse University, and the Institute for Health and Disability Policy Studies at the University of Kansas argue that the questions used by the US Census Bureau and other federal agencies are “missing millions” and severely undercounting […]
On Monday, Medicare Rights Center President Fred Riccardi participated in a press conference with Senator Kirsten Gillibrand. He spoke about the importance of key Inflation Reduction Act (IRA) cost protections for people with Medicare, in particular the law’s safeguards against unlimited enrollee expenses for covered Part D drugs.
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to the program that burden Medicare, beneficiaries, and taxpayers. One driver of these overpayments is a controversial system called the Quality Bonus Program (QBP). As we have outlined before, the QBP […]
This week, Medicare Rights released a new case study series to inform conversations and policy decisions around enhancing benefits access and coordination for individuals who are dually eligible for Medicare and Medicaid. Every year on our national helpline, Medicare Rights hears from Medicare-Medicaid enrollees, their families, and caregivers, as well […]
Earlier this week, Medicare Rights submitted supportive comments on aspects of two proposed rules from the Centers for Medicare & Medicaid Services (CMS). The first, the Outpatient Prospective Payment System (OPPS) proposed rule, would clarify and improve access to Medicare for people leaving incarceration. The second, the Physician Fee Schedule […]
