Final Rule Codifies Observation Stay Appeal Rights
October 17, 2024
Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people
📢 Action Needed: Tell Congress to Protect Federal Funding
Medicare Watch
Medicare Watch articles are featured in Medicare Rights’ weekly newsletter, which helps readers stay updated on Medicare policy and advocacy developments and learn about changes in Medicare benefits and rules. Subscribe now by visiting www.medicarerights.org/newsletters.
Medicare Rights Supports Expansion of Medicare Home Health to Allow Beneficiaries to Age in Place
October 10, 2024
Earlier this week, Vice President Harris announced a new proposal that would expand in-home services for people with Medicare. Many people with Medicare struggle with activities of daily living like bathing, dressing, eating, or toileting but do not need intensive medical care.
Changes in Drug Coverage Coming in 2025 Could Influence Your Choice of Plan
October 10, 2024
Medicare open enrollment is just around the corner, and there will be major changes in 2025 that beneficiaries should keep in mind, and some of these changes may affect what plans people choose.
Tracking Health Care Issues Ahead of the 2024 Election
October 3, 2024
A new series of KFF state snapshots captures health care issues at the forefront of national, state, and local elections,
CMS Announces Changes to PrEP Coverage
October 3, 2024
Starting September 30, Medicare changed the way it covers certain services that can reduce an individual’s risk of acquiring HIV. Previously, Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs was covered under Part D and was subject to regular cost sharing. Now, FDA-approved PrEP using antiretroviral drugs and the administration of injectable PrEP are covered under Part B as a preventive service.
Medicare Advantage Denials Increased Before the Implementation of New Prior Authorization Rules
September 26, 2024
KFF recently analyzed Medicare Advantage (MA) data on prior authorization, finding that the rates of requests, or submissions from providers
Researchers Argue that Government Data Fails to Capture Full Scope of Disability in the United States
September 26, 2024
Writing this week in STAT, researchers from the Johns Hopkins Disability Health Research Center, Syracuse University, and the Institute for
Medicare Rights Supports Building on the IRA’s Cost Protections for People With Medicare and Other Coverage
September 19, 2024
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.
Medicare Advantage Pulling in Billions in Dubious Quality Bonuses
September 19, 2024
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to
New Medicare Rights Center Case Study Series Highlights Experiences of Dually Eligible Individuals
September 12, 2024
This week, Medicare Rights released a new case study series to inform conversations and policy decisions around enhancing benefits access
Final Rule Codifies Observation Stay Appeal Rights
October 17, 2024
Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people
Medicare Rights Supports Expansion of Medicare Home Health to Allow Beneficiaries to Age in Place
October 10, 2024
Earlier this week, Vice President Harris announced a new proposal that would expand in-home services for people with Medicare. Many people with Medicare struggle with activities of daily living like bathing, dressing, eating, or toileting but do not need intensive medical care.
Changes in Drug Coverage Coming in 2025 Could Influence Your Choice of Plan
October 10, 2024
Medicare open enrollment is just around the corner, and there will be major changes in 2025 that beneficiaries should keep in mind, and some of these changes may affect what plans people choose.
Tracking Health Care Issues Ahead of the 2024 Election
October 3, 2024
A new series of KFF state snapshots captures health care issues at the forefront of national, state, and local elections,
CMS Announces Changes to PrEP Coverage
October 3, 2024
Starting September 30, Medicare changed the way it covers certain services that can reduce an individual’s risk of acquiring HIV. Previously, Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs was covered under Part D and was subject to regular cost sharing. Now, FDA-approved PrEP using antiretroviral drugs and the administration of injectable PrEP are covered under Part B as a preventive service.
Medicare Advantage Denials Increased Before the Implementation of New Prior Authorization Rules
September 26, 2024
KFF recently analyzed Medicare Advantage (MA) data on prior authorization, finding that the rates of requests, or submissions from providers
Researchers Argue that Government Data Fails to Capture Full Scope of Disability in the United States
September 26, 2024
Writing this week in STAT, researchers from the Johns Hopkins Disability Health Research Center, Syracuse University, and the Institute for
Medicare Rights Supports Building on the IRA’s Cost Protections for People With Medicare and Other Coverage
September 19, 2024
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.
Medicare Advantage Pulling in Billions in Dubious Quality Bonuses
September 19, 2024
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to
New Medicare Rights Center Case Study Series Highlights Experiences of Dually Eligible Individuals
September 12, 2024
This week, Medicare Rights released a new case study series to inform conversations and policy decisions around enhancing benefits access