30 Medicare Goals

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Make Prescription Drugs More Affordable

Medicare Rights supports efforts to meaningfully reduce drug prices and lower costs for both people with Medicare and the program as a whole. Potentially effective strategies include allowing […]

June 10th, 2015|Categories: 30 Medicare Goals, Access and Affordability, Top Medicare Goals|

Allow Open Enrollment, Guaranteed Issue, and Community Rating in Medigap for All People with Medicare

Though Medigaps help a growing number of people with Original Medicare afford needed care, not everyone is eligible to buy the plans, and most are only guaranteed the […]

June 9th, 2015|Categories: 30 Medicare Goals, Access and Affordability, Top Medicare Goals|

Add a Standard Medicare Out-Of-Pocket Maximum for Beneficiary Cost Sharing

Original Medicare and Part D have no out-of-pocket maximums, exposing beneficiaries to limitless financial risk. While Medicare Advantage (MA) plans do include an out-of-pocket maximum in their benefit […]

June 8th, 2015|Categories: 30 Medicare Goals, Access and Affordability, Top Medicare Goals|

Eliminate the Observation Status Penalty

Medicare beneficiaries who need post-hospital care in a skilled nursing facility (SNF) may be forced to pay out-of-pocket for this care when the hospital chooses to assign them […]

June 7th, 2015|Categories: 30 Medicare Goals, Access and Affordability, Top Medicare Goals|

Ease Access to Medicare Low-income Assistance Programs

Medicare’s low-income assistance programs (Medicare Savings Programs and Part D’s Extra Help) were established to help low-income seniors and people with disabilities afford needed medicines. But today, complex, bureaucratic application […]

June 6th, 2015|Categories: 30 Medicare Goals, Access and Affordability, Top Medicare Goals|

Address the Medicare Part D “Cliff”

Absent congressional action, an Affordable Care Act provision slowing the growth of the Part D catastrophic coverage threshold will expire after 2019. As a result, Medicare Part D enrollees with […]

June 5th, 2015|Categories: 30 Medicare Goals, Access and Affordability, Top Medicare Goals|

Require all States to Enter Part A Buy-in Agreements

Part A Buy-in agreements are contracts between state Medicaid offices and the Social Security Administration that allow eligible individuals with very low incomes and limited assets to enroll in Medicare […]

June 4th, 2015|Categories: 30 Medicare Goals, Access and Affordability|

Eliminate the Two-year Medicare Waiting Period for People with Disabilities

In 1972, Congress granted Medicare benefits to people receiving Social Security disability benefits. This historic step forward was marred by an arbitrary limit, requiring that people with disabilities wait a […]

June 3rd, 2015|Categories: 30 Medicare Goals, Access and Affordability|

Ensure Parity in Original Medicare and Medicare Advantage

Medicare Rights urges Congress to ensure equity between Medicare Advantage (MA) and Original Medicare, including both the scope of services provided and programmatic spending. This includes guaranteeing equal access to […]

June 2nd, 2015|Categories: 30 Medicare Goals, Access and Affordability|

Provide Medicare Coverage for More Home Health and Long-term Care Services

Medicare (including Original Medicare and Medicare Advantage) does not cover many long-term services and supports. And it covers help with activities of daily living, like eating and bathing, only in […]

June 1st, 2015|Categories: 30 Medicare Goals, Expand and Improve Coverage|