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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.

CMS Announces Notice for People with Marketplace Coverage and Medicare

CMS recently released a new notice that people with Medicare and Marketplace coverage will receive. The notice informs these individuals that if they have Medicare, they are most likely no longer eligible to receive the premium tax credits to help pay for Marketplace plan premiums. The notice also provides useful information on how to ensure that you are enrolled in Medicare without penalties or gaps in coverage.

Read More »

Medicare Advocates Submit Statement on Part B Prescription Drug Model

This week, Medicare Rights Center, along with a coalition of 20 organizations sent a letter expressing support for the mission and goals of the Centers for Medicare & Medicaid Innovation (CMMI), including the proposed Part B Drug Payment Model. CMMI is the part of the Centers for Medicare & Medicaid Services (CMS) tasked with developing and evaluating ways to make the Medicare program more value-driven, more efficient, and more effective at delivering and paying for needed care.

Read More »

Health Care Transformation Task Force Releases Framework Addressing Consumer Priorities in Value-Based Care

While a significant movement is underway to transform the U.S. health care system to deliver person-centered and value-based care, these efforts often place a greater emphasis on the “value-based” aspects rather than the “person-centered” aspects of the transformation.

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to accelerate the pace of U.S. health care delivery system transformation, commits to close this gap and inspire a greater focus on patient-centered care.

Read More »

Medicare Rights Comments to Protect Appeal Rights

This week, Medicare Rights responded to proposals from the Centers for Medicare & Medicaid Services (CMS) that would make changes to the Medicare appeals process. Medicare Rights was supportive of some proposals to streamline and modernize the appeals process, and expressed concern about others that may undermine important beneficiary rights and protections.

Read More »

Over 70 Groups Urge Lawmakers to Support Bill to Simplify Part B Enrollment

This week, 73 state and national organizations representing older adults, people with disabilities, health insurers, unions, and health care providers expressed strong support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236) in letters to the bill’s lead House and Senate sponsors, Congressmen Raul Ruiz (D-CA) and Patrick Meehan (R-PA) and Senators Bob Casey (D-PA) and Chuck Schumer (D-NY).

Read More »

Former Medicare Administrators Endorse the BENES Act

Eight past Administrators of the Centers for Medicare & Medicaid Services/Health Care Financing Administration—the agency that oversees and runs Medicare—wrote Congressional leaders this week expressing support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236). Developed by the Medicare Rights Center, the BENES Act modernizes and simplifies the Part B enrollment process.

Read More »

New Report Spotlights Medicare Lessons for Stabilizing Affordable Care Act Marketplaces

A report released this week by the Georgetown University Center on Health Insurance Reforms (CHIR) reviews strategies to stabilize the Affordable Care Act health insurance Marketplaces, drawing on lessons learned from Medicare. Through the Marketplaces, millions of Americans—who would otherwise lack coverage altogether—now have health insurance made available through private plans subsidized by the federal government. While some insurers are succeeding in the Marketplace and expanding their reach, others are experiencing losses, leading to withdrawals from the market and premiums hikes. This instability is causing some to question the long-term sustainability of the Marketplaces.

Read More »

New Report on People with Medicare Under Age 65

This week, the Kaiser Family Foundation (KFF) released a report comparing Medicare beneficiaries who are under age 65 and eligible for benefits as a result of receiving Social Security Disability Benefits to those beneficiaries who are eligible for Medicare due to age. The report finds that Medicare beneficiaries under age 65 differ from those ages 65 or older in several ways, including demographically, socioeconomically, and in health status. KFF also reports that those under age 65 have different types and rates of supplemental insurance than older beneficiaries.

Read More »

CMS Announces Changes to the Medicare Advantage Value-Based Insurance Design Model

CMS recently announced planned updates to the Medicare Advantage Value-Based Insurance Design Model (VBID) that will be implemented in the second year of the model, starting January 1, 2018. In year two, CMS will expand the model to include beneficiaries with rheumatoid arthritis and dementia and add Alabama, Michigan, and Texas to the states where the model will take place.

Read More »

Medicare Rights Spotlights Important Work at Annual SHIP/SMP Conference

Last week, as part of the annual conference for State Health Insurance Assistance Programs (SHIPs) and Senior Medicare Patrols (SMPs), the Medicare Rights Center convened with the U.S. Administration for Community Living (ACL), the Northeast Iowa Area Agency on Aging (NEI3A), Health Benefits ABCs, and two consultants in Milwaukee, WI, to spotlight recent successes in reaching SHIPs and SMPs with important support.

Read More »

CMS Announces Notice for People with Marketplace Coverage and Medicare

CMS recently released a new notice that people with Medicare and Marketplace coverage will receive. The notice informs these individuals that if they have Medicare, they are most likely no longer eligible to receive the premium tax credits to help pay for Marketplace plan premiums. The notice also provides useful information on how to ensure that you are enrolled in Medicare without penalties or gaps in coverage.

Medicare Advocates Submit Statement on Part B Prescription Drug Model

This week, Medicare Rights Center, along with a coalition of 20 organizations sent a letter expressing support for the mission and goals of the Centers for Medicare & Medicaid Innovation (CMMI), including the proposed Part B Drug Payment Model. CMMI is the part of the Centers for Medicare & Medicaid Services (CMS) tasked with developing and evaluating ways to make the Medicare program more value-driven, more efficient, and more effective at delivering and paying for needed care.

Health Care Transformation Task Force Releases Framework Addressing Consumer Priorities in Value-Based Care

While a significant movement is underway to transform the U.S. health care system to deliver person-centered and value-based care, these efforts often place a greater emphasis on the “value-based” aspects rather than the “person-centered” aspects of the transformation.

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to accelerate the pace of U.S. health care delivery system transformation, commits to close this gap and inspire a greater focus on patient-centered care.

Medicare Rights Comments to Protect Appeal Rights

This week, Medicare Rights responded to proposals from the Centers for Medicare & Medicaid Services (CMS) that would make changes to the Medicare appeals process. Medicare Rights was supportive of some proposals to streamline and modernize the appeals process, and expressed concern about others that may undermine important beneficiary rights and protections.

Over 70 Groups Urge Lawmakers to Support Bill to Simplify Part B Enrollment

This week, 73 state and national organizations representing older adults, people with disabilities, health insurers, unions, and health care providers expressed strong support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236) in letters to the bill’s lead House and Senate sponsors, Congressmen Raul Ruiz (D-CA) and Patrick Meehan (R-PA) and Senators Bob Casey (D-PA) and Chuck Schumer (D-NY).

Former Medicare Administrators Endorse the BENES Act

Eight past Administrators of the Centers for Medicare & Medicaid Services/Health Care Financing Administration—the agency that oversees and runs Medicare—wrote Congressional leaders this week expressing support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236). Developed by the Medicare Rights Center, the BENES Act modernizes and simplifies the Part B enrollment process.

New Report Spotlights Medicare Lessons for Stabilizing Affordable Care Act Marketplaces

A report released this week by the Georgetown University Center on Health Insurance Reforms (CHIR) reviews strategies to stabilize the Affordable Care Act health insurance Marketplaces, drawing on lessons learned from Medicare. Through the Marketplaces, millions of Americans—who would otherwise lack coverage altogether—now have health insurance made available through private plans subsidized by the federal government. While some insurers are succeeding in the Marketplace and expanding their reach, others are experiencing losses, leading to withdrawals from the market and premiums hikes. This instability is causing some to question the long-term sustainability of the Marketplaces.

New Report on People with Medicare Under Age 65

This week, the Kaiser Family Foundation (KFF) released a report comparing Medicare beneficiaries who are under age 65 and eligible for benefits as a result of receiving Social Security Disability Benefits to those beneficiaries who are eligible for Medicare due to age. The report finds that Medicare beneficiaries under age 65 differ from those ages 65 or older in several ways, including demographically, socioeconomically, and in health status. KFF also reports that those under age 65 have different types and rates of supplemental insurance than older beneficiaries.

CMS Announces Changes to the Medicare Advantage Value-Based Insurance Design Model

CMS recently announced planned updates to the Medicare Advantage Value-Based Insurance Design Model (VBID) that will be implemented in the second year of the model, starting January 1, 2018. In year two, CMS will expand the model to include beneficiaries with rheumatoid arthritis and dementia and add Alabama, Michigan, and Texas to the states where the model will take place.

Medicare Rights Spotlights Important Work at Annual SHIP/SMP Conference

Last week, as part of the annual conference for State Health Insurance Assistance Programs (SHIPs) and Senior Medicare Patrols (SMPs), the Medicare Rights Center convened with the U.S. Administration for Community Living (ACL), the Northeast Iowa Area Agency on Aging (NEI3A), Health Benefits ABCs, and two consultants in Milwaukee, WI, to spotlight recent successes in reaching SHIPs and SMPs with important support.

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