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📢 URGENT: Protect Medicaid for Millions of People with Medicare

Casey Schwarz

Senior Counsel, Education & Federal Policy

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.

Medicare Rights Center Comments on Proposed Changes to Medicare Physician Fee Schedule

Last week, the Medicare Rights Center submitted comments in response to proposals from the Centers for Medicare & Medicaid Services (CMS) to update and change aspects of the Physician Fee Schedule. This annual, proposed rule includes specific information about the payment rate for select services as well as broad policy initiatives and changes.

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.

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).

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.

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.

Kaiser Family Foundation Report Explores Effects of Medicare Redesign Proposals

Last week, the Kaiser Family Foundation (KFF) released a report examining the anticipated effects of four options to modify Medicare’s benefit and cost-sharing design. The proposals include changes to the Medicare Part A and Part B deductible and cost-sharing amounts, as well as further restrictions to Medigap coverage. Each of the proposals are derived from policies proposed in recent years by the Congressional Budget Office (CBO), the Medicare Payment Advisory Commission (MedPAC), and other organizations

Trustee’s Report Offers Outlook on Medicare Finances and 2017 Part B Premiums

The 2016 annual report of the Board of Trustees (the Trustee’s Report) was released this week. The report estimates that the Medicare Part A trust fund will be fully funded through 2028. Health reform is a major contributor to an improved financial outlook for the Medicare program. The Part A trust fund’s projected fully funded date of 2028 is 11 years later than it was before the Affordable Care Act (ACA) was enacted.

MedPAC Makes Part D Recommendations to Congress

In its June report to Congress, the Medicare Payment Advisory Commission (MedPAC) includes several suggestions to improve and reduce costs in the Part D prescription drug program. MedPAC, observing that Part D spending has increased more than 50 percent since 2007 as a result of rising drug costs and other factors, recommends proposals that it estimates could save $10 billion over five years.