Resource Library

A comprehensive commentary by the Medicare Rights Center on the Centers for Medicare & Medicaid Services (CMS) proposed rule for Contract Year 2026 (CMS–4208–P). The document outlines feedback and recommendations on changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and related policies. Topics include consumer protections, health equity, benefit transparency, drug affordability, and the integration of AI in healthcare services. This submission emphasizes safeguarding beneficiary access to affordable, equitable, and transparent healthcare.

This report features the top helpline trends and highlights the most commonly sought helpline and Medicare Interactive answers, providing a glimpse into the various questions and needs of Medicare beneficiaries, caregivers, and the professionals assisting them in the community in 2023. 

This case study focuses on how automatic enrollment in Medicare Savings Programs can remove many individuals’ barriers when enrolling. Simplifying the enrollment process is essential to increasing participation and ensuring that more people can benefit from these vital programs. 

Medicare Savings Program recertification varies widely nationwide. This case study compares two experiences—one with automatic recertification and one with a more complex process—to illustrate the need for nationwide Medicare Savings Program recertification improvements. 

Renewing Aged, Blind, and Disabled Medicaid is necessary to maintain benefits. This case study contrasts a complicated renewal process with one eased by COVID-19 public health emergency flexibilities, arguing for lasting reforms in Medicaid renewal procedures. 

Coordinating benefits and services for dually eligible individuals is often complex and disjointed. This study examines the challenges of poorly integrated care and offers recommendations for improving integration at both state and federal levels.