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Celebrating 35 years of making Medicare more accessible, affordable, and equitable!

Medicare Watch

Medicare Watch articles are featured in a weekly newsletter that helps readers stay up-to-date on Medicare policy and advocacy developments, and learn about changes in Medicare benefits and rules.

New Issue Brief Clarifies When Medicare Should Cover Skilled Care

This week, the Center for Medicare Advocacy released a new resource on the Medicare Improvement Standard. The issue brief, “Implementing Jimmo v. Sebelius: An Overview Settlement implementation,” is intended to provide Medicare stakeholders with an overview of the Jimmo Settlement, what it means in different care settings, and links and references to helpful resource materials.

Read More »

The BENES Act Advances in the House

This week, the House Committee on Ways and Means advanced the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1280/H.R. 2477) in a markup that considered a series of Medicare-related bills. The BENES Act is now included in a larger bipartisan package that was unanimously reported favorably out of Committee—the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act of 2019 (H.R. 3417).

Read More »

Inefficient Medicare Part D Appeals Process Can Result in Dangerous Medication Delays

The Medicare Rights Center applauds Senators Ben Cardin (D-MD) and John Cornyn (R-TX) for introducing the bipartisan Streamlining Part D Appeals Process Act (S. 1861).

The bill would eliminate unnecessary steps in the Medicare Part D appeals process, making the system less burdensome for people with Medicare, providers, and plans. Specifically, the Cardin-Cornyn bill would simplify the process for Part D enrollees who experience medication denials at the pharmacy counter.

Read More »

MedPAC Calls for Improvements in Medicare Part B Enrollment Process

In its June 2019 report to Congress, the Medicare Payment Advisory Commission (MedPAC) recommends improvements to the complex Medicare Part B enrollment process, including strengthening notification requirements which is, in part, what the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act proposes to do (S. 1280/H.R. 2477).

Read More »

Medicare Rights Lists 30 Policy Goals for Medicare’s Future

This June, the Medicare Rights Center celebrates 30 years of getting Medicare right. Our policy goals are informed by 30 years of serving people with Medicare on our national helpline and through our educational programs. This anniversary represents an important opportunity to look forward and explore how policymakers can make the Medicare program even better.

Read More »

Medicare Rights Testifies About Expiring Medicare Programs

On June 4, Medicare Rights Center President Fred Riccardi testified at a hearing of the House Committee on Energy and Commerce, Subcommittee on Health titled “Investing in America’s Health Care.”

The hearing examined an array of public health initiatives set to expire in September. Riccardi spoke to several of the Medicare-related programs, urging Congress to address these expirations in a health care “extenders” legislative package later this year.

Read More »

Payment Glitch Interrupts Automatic Medicare Advantage and Part D Premium Withdrawals

Earlier this year, a federal government systems issue prevented Medicare Advantage and Part D premiums from being automatically deducted from the Social Security payments of some people with Medicare. Normally, if a beneficiary elects, Social Security deducts the premiums and sends them directly to the plan. In this instance, the payments were not sent to the plans, and beneficiaries did not know that their plans were not receiving them.

Read More »

New Issue Brief Clarifies When Medicare Should Cover Skilled Care

This week, the Center for Medicare Advocacy released a new resource on the Medicare Improvement Standard. The issue brief, “Implementing Jimmo v. Sebelius: An Overview Settlement implementation,” is intended to provide Medicare stakeholders with an overview of the Jimmo Settlement, what it means in different care settings, and links and references to helpful resource materials.

The BENES Act Advances in the House

This week, the House Committee on Ways and Means advanced the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1280/H.R. 2477) in a markup that considered a series of Medicare-related bills. The BENES Act is now included in a larger bipartisan package that was unanimously reported favorably out of Committee—the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act of 2019 (H.R. 3417).

Inefficient Medicare Part D Appeals Process Can Result in Dangerous Medication Delays

The Medicare Rights Center applauds Senators Ben Cardin (D-MD) and John Cornyn (R-TX) for introducing the bipartisan Streamlining Part D Appeals Process Act (S. 1861).

The bill would eliminate unnecessary steps in the Medicare Part D appeals process, making the system less burdensome for people with Medicare, providers, and plans. Specifically, the Cardin-Cornyn bill would simplify the process for Part D enrollees who experience medication denials at the pharmacy counter.

MedPAC Calls for Improvements in Medicare Part B Enrollment Process

In its June 2019 report to Congress, the Medicare Payment Advisory Commission (MedPAC) recommends improvements to the complex Medicare Part B enrollment process, including strengthening notification requirements which is, in part, what the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act proposes to do (S. 1280/H.R. 2477).

Medicare Rights Lists 30 Policy Goals for Medicare’s Future

This June, the Medicare Rights Center celebrates 30 years of getting Medicare right. Our policy goals are informed by 30 years of serving people with Medicare on our national helpline and through our educational programs. This anniversary represents an important opportunity to look forward and explore how policymakers can make the Medicare program even better.

Medicare Rights Testifies About Expiring Medicare Programs

On June 4, Medicare Rights Center President Fred Riccardi testified at a hearing of the House Committee on Energy and Commerce, Subcommittee on Health titled “Investing in America’s Health Care.”

The hearing examined an array of public health initiatives set to expire in September. Riccardi spoke to several of the Medicare-related programs, urging Congress to address these expirations in a health care “extenders” legislative package later this year.

Payment Glitch Interrupts Automatic Medicare Advantage and Part D Premium Withdrawals

Earlier this year, a federal government systems issue prevented Medicare Advantage and Part D premiums from being automatically deducted from the Social Security payments of some people with Medicare. Normally, if a beneficiary elects, Social Security deducts the premiums and sends them directly to the plan. In this instance, the payments were not sent to the plans, and beneficiaries did not know that their plans were not receiving them.

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