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The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency—has released a second report on Medicare Advantage (MA) organizations denying coverage for care after an injury or illness. The first report discussed high levels of denials for people seeking admission to a skilled nursing […]
The Medicare Rights Center’s work touches all aspects of the Medicare program, including Original Medicare (OM), private Medicare Advantage (MA) and Part D prescription drug plans, and supplemental coverage like Medigaps. Our Focus Our policy work centers beneficiaries and our commitment to the Medicare promise of guaranteed, high quality, and […]
Today, Medicare Rights joins nonprofits and community organizations across the country for TogetherTuesday, a day to activate our community and amplify the ways we can show up for each other. Our Community of Volunteers At the Medicare Rights Center, we are lucky to work with so many dedicated volunteers who […]
On Tuesday, the Medicare Boards of Trustees released their mandatory annual report on the financial status of Medicare’s trust funds. Like last year’s findings, the trustees project that the Hospital Insurance (HI) trust fund would be partially depleted in 2033. Partial depletion means the income to the program would be sufficient […]
A new report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency— finds Medicare Advantage (MA) plans overturn nearly all (95%) prior authorization denials for admission to skilled nursing facilities (SNFs). This could indicate a harmful and widespread pattern of denying medically […]
Starting in July 2026, some people with Medicare will be eligible for Medicare coverage of certain weight-loss medications through the new Medicare GLP‑1 Bridge Program. Background Under federal law, Medicare Part D plans cannot cover medications prescribed for weight loss, among several other “excluded” categories of drugs and indications. Medications […]
A new report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) found that Medicare may have overpaid Medicare Advantage (MA) plans by millions for unsupported acute stroke diagnoses. Coding Abuses and MA Payment The Centers for Medicare & Medicaid Services (CMS) pays Medicare […]
