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Monthly Archives: September 2016

CMS Asks: Are People Being Steered Away from Their Best Insurance Options?

The Medicare Rights Center (Medicare Rights) responded to a request for information (RFI) from the Centers for Medicare & Medicaid Services (CMS) asking about inappropriate steering practices encouraging people into coverage that is not right for them. CMS raises concerns about whether providers, plans, or others who stand to gain from an individual’s enrollment decisions may improperly influence people who may be eligible for Medicare or Medicaid to decline public health insurance and retain private market coverage or convince people to give up private market coverage in favor of Medicare or Medicaid.

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National Organizations Make Recommendations to Lessen the Impact of Projected Increases in Part B Premiums and Deductibles

This week, 75 national organizations representing older adults, people with disabilities, insurers, health care providers, unions, and purchasers sent a letter to House and Senate Committee leaders highlighting recommendations regarding projected increases in Medicare Part B premiums and the Part B deductible in 2017.

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Kidney Failure and Medicare: What you should know

In 1972, Medicare benefits were extended to cover the high cost of medical care for most individuals suffering from permanent kidney failure also known as end-stage renal disease (ESRD). People whose kidneys have failed need dialysis or a kidney transplant to live. To this day, kidney failure is one of only two medical conditions that gives people the option to enroll in Medicare without a two-year waiting period, regardless of age. Because Medicare for people with ESRD was established separately and later, there are some specific rules around eligibility and coverage of Medicare for dialysis and transplant patients.

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New Bill Seeks to Improve Medicare Coverage and Enrollment

Congress took steps this week to improve Medicare coverage and enrollment rules by introducing the “The Medicare Affordability and Enrollment Act of 2016.” If passed, the bill would create an out-of-pocket spending cap, reform the Medicare enrollment process by reducing penalties and gaps in coverage, and increase support for lower-income beneficiaries.

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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.

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