The Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services (HHS) issued an informal request for information (RFI) on December 26, with significant implications for Medicare and Medicaid. Comments are due January 25. The Medicare Rights Center will be providing input, and we encourage all stakeholders to use our template comments to weigh in as well. Read below to learn what’s in the RFI, and what you can do to respond today!

This week, Medicare Rights Center submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) proposed rule for Medicare Parts C & D. The proposed rule contemplates many broad changes to the Medicare Advantage and prescription drug coverage programs, largely focusing on providing more flexibility and options for plan sponsors. CMS’s stated aim is to allow plans to use the proposed flexibility to better serve beneficiaries—by creating disease- or condition-specific sets of benefits, offering more plans, and altering cost sharing arrangements.

Last week, the Center for Medicare & Medicaid Innovation (CMMI) within the Centers for Medicare & Medicaid Services (CMS) announced plans to test a new way of paying Medicare providers for many of the services they perform, including major joint replacement and some cardiac interventions. This model—the Bundled Payments for Care Improvement Advanced (BPCI Advanced)—is the first of its kind to be introduced by the Trump administration.

Last month, two health policy non-profits released detailed information and graphs about health spending in the U.S. The Peterson Center on Healthcare partnered with the Kaiser Family Foundation to create a Health System Tracker for health spending and other quality and cost trends in the health system.

On December 26, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services (HHS) quietly issued an informal request for information (RFI) with significant implications for Medicare and Medicaid.

This week, the White House’s Office of Management and Budget (OMB) approved a Centers for Medicare and Medicaid Services (CMS) request to increase the frequency of review for Medicare Advantage (MA) plan networks.

Lawmakers began returning to Washington this week, where they face a backlog of unresolved issues and a policy agenda that puts Medicare at risk.

Before adjourning in December, Congress cleared a short-term spending bill that pushed contentious fiscal debates into early 2018. The result is a daunting to-do list this month, which includes the need to pass another temporary spending bill to keep the government open past January 19. Also on that list is a longer-term CHIP fix, full-year appropriations, DACA, a health care package, expiring Medicare policies, and additional disaster aid.

On December 20, Congress passed its tax overhaul package. As expected, the legislation will add $1.5 trillion to the debt over ten years, creating short- and long-term financing challenges for Medicare, Medicaid, and Social Security—and putting those who rely on these programs at risk.

On December 19, the Medicare Rights Center joined over 70 organizations in asking House and Senate leaders to pass the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (S. 1909; HR 2575) by year’s end.

Currently, far too many people with Medicare are irreversibly harmed due to the cumbersome and confusing Part B enrollment system. The consequences of these missteps can be significant—often leading to a lifetime of higher premiums, substantial out-of-pocket health care costs, gaps in coverage, and barriers to accessing needed services.

In the past several years, the Center for Medicare & Medicaid Innovation (CMMI), part of the Centers for Medicare & Medicaid Services (CMS), has designed and implemented demonstration projects and models to try new ways of paying providers to deliver health care to people with Medicare. These tests of new designs attempt to see if there are ways providers can be paid that will increase the quality of care people receive while either keeping costs stable or, ideally, lowering them.