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Medicare Watch

Medicare Watch articles are featured in a weekly newsletter that helps readers stay up-to-date on Medicare policy and advocacy developments, and learn about changes in Medicare benefits and rules.

New Report Spotlights Medicare Lessons for Stabilizing Affordable Care Act Marketplaces

A report released this week by the Georgetown University Center on Health Insurance Reforms (CHIR) reviews strategies to stabilize the Affordable Care Act health insurance Marketplaces, drawing on lessons learned from Medicare. Through the Marketplaces, millions of Americans—who would otherwise lack coverage altogether—now have health insurance made available through private plans subsidized by the federal government. While some insurers are succeeding in the Marketplace and expanding their reach, others are experiencing losses, leading to withdrawals from the market and premiums hikes. This instability is causing some to question the long-term sustainability of the Marketplaces.

Read More »

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.

Read More »

CMS Announces Changes to the Medicare Advantage Value-Based Insurance Design Model

CMS recently announced planned updates to the Medicare Advantage Value-Based Insurance Design Model (VBID) that will be implemented in the second year of the model, starting January 1, 2018. In year two, CMS will expand the model to include beneficiaries with rheumatoid arthritis and dementia and add Alabama, Michigan, and Texas to the states where the model will take place.

Read More »

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.

Read More »

Kaiser Family Foundation Releases Facts on Medicare Spending and Financing

According to a new issue brief by the Kaiser Family Foundation (KFF), the growth in total Medicare spending between 2010 and 2015 (4.4 percent) was notably lower than spending between 2000 and 2010 (9 percent). Even more remarkable, spending in the Medicare program has slowed even as enrollment in Medicare since 2011 has increased with baby boomers becoming eligible. Additionally, the average growth in spending per beneficiary each year was only 1.4 percent between 2010 and 2015, which is considerably lower than average spending growth of 7.4 percent between 2000 and 2010.

Read More »

CMS Projects Relatively Stable Part D Premiums in 2017

The Centers for Medicare & Medicaid Services (CMS) recently announced that the average basic premium for a Part D prescription drug plan is estimated to be $34 per month in 2017. This projected average premium is a slight increase over the average monthly premium in 2016 ($32.56) and represents the continued relative stability of Part D premiums.

Read More »

Attention New York Residents: Important Information About Managed Long-Term Care Plans

Are you, your loved one, or someone you know enrolled in a Managed Long Term Care (MLTC) Plan? If you live in New York State, receive more than 120 days of long term care per year, and have Medicare and Medicaid you most likely are a member of an MLTC plan. If you are not enrolled in an MLTC plan and need long term care services, please read our blog about enrolling in long-term care plans. Before you can enroll in an MLTC plan, you need to be assessed by a nurse.

Read More »

Medicare Rights Brings Consumer Perspective to HHS Roundtable on Bundled Payments

This week, Joe Baker, president of the Medicare Rights Center, joined the honorable Sylvia Mathews Burwell, Secretary of the U.S. Department of Health and Human Services (HHS), for a roundtable discussion on how bundled payments can further ongoing efforts to transition Medicare from a volume-based payment system to one that reimburses for care coordination, quality, and innovation. Bundled payments are a reimbursement mechanism for the treatment of patients with specific conditions.

Read More »

Medicare Rights Center Praises Consumer Protections Embedded in Part D Program to Prevent Prescription Drug Overuse

Among many measures in the Comprehensive Addiction and Recovery Act (CARA) of 2016, signed into law last week by President Obama, was a Part D “lock-in” program intended to prevent people with Medicare from misusing certain prescription drugs. The Medicare Rights Center played a pivotal role in shaping the program’s consumer safeguards along with its national partners.

Read More »

Medicare Premium Support Explained in New Kaiser Family Foundation FAQ

A recent issue brief from the Kaiser Family Foundation (KFF) answers important questions about a controversial Medicare savings proposal called premium support. KFF defines premium support as “a general term used to describe an approach to reform Medicare that aims to reduce the growth in Medicare spending by increasing competition among health plans and providing a stronger incentive for beneficiaries to be cost-conscious in their plan selection.”

Read More »

New Report Spotlights Medicare Lessons for Stabilizing Affordable Care Act Marketplaces

A report released this week by the Georgetown University Center on Health Insurance Reforms (CHIR) reviews strategies to stabilize the Affordable Care Act health insurance Marketplaces, drawing on lessons learned from Medicare. Through the Marketplaces, millions of Americans—who would otherwise lack coverage altogether—now have health insurance made available through private plans subsidized by the federal government. While some insurers are succeeding in the Marketplace and expanding their reach, others are experiencing losses, leading to withdrawals from the market and premiums hikes. This instability is causing some to question the long-term sustainability of the Marketplaces.

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.

CMS Announces Changes to the Medicare Advantage Value-Based Insurance Design Model

CMS recently announced planned updates to the Medicare Advantage Value-Based Insurance Design Model (VBID) that will be implemented in the second year of the model, starting January 1, 2018. In year two, CMS will expand the model to include beneficiaries with rheumatoid arthritis and dementia and add Alabama, Michigan, and Texas to the states where the model will take place.

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 Releases Facts on Medicare Spending and Financing

According to a new issue brief by the Kaiser Family Foundation (KFF), the growth in total Medicare spending between 2010 and 2015 (4.4 percent) was notably lower than spending between 2000 and 2010 (9 percent). Even more remarkable, spending in the Medicare program has slowed even as enrollment in Medicare since 2011 has increased with baby boomers becoming eligible. Additionally, the average growth in spending per beneficiary each year was only 1.4 percent between 2010 and 2015, which is considerably lower than average spending growth of 7.4 percent between 2000 and 2010.

CMS Projects Relatively Stable Part D Premiums in 2017

The Centers for Medicare & Medicaid Services (CMS) recently announced that the average basic premium for a Part D prescription drug plan is estimated to be $34 per month in 2017. This projected average premium is a slight increase over the average monthly premium in 2016 ($32.56) and represents the continued relative stability of Part D premiums.

Attention New York Residents: Important Information About Managed Long-Term Care Plans

Are you, your loved one, or someone you know enrolled in a Managed Long Term Care (MLTC) Plan? If you live in New York State, receive more than 120 days of long term care per year, and have Medicare and Medicaid you most likely are a member of an MLTC plan. If you are not enrolled in an MLTC plan and need long term care services, please read our blog about enrolling in long-term care plans. Before you can enroll in an MLTC plan, you need to be assessed by a nurse.

Medicare Rights Brings Consumer Perspective to HHS Roundtable on Bundled Payments

This week, Joe Baker, president of the Medicare Rights Center, joined the honorable Sylvia Mathews Burwell, Secretary of the U.S. Department of Health and Human Services (HHS), for a roundtable discussion on how bundled payments can further ongoing efforts to transition Medicare from a volume-based payment system to one that reimburses for care coordination, quality, and innovation. Bundled payments are a reimbursement mechanism for the treatment of patients with specific conditions.

Medicare Rights Center Praises Consumer Protections Embedded in Part D Program to Prevent Prescription Drug Overuse

Among many measures in the Comprehensive Addiction and Recovery Act (CARA) of 2016, signed into law last week by President Obama, was a Part D “lock-in” program intended to prevent people with Medicare from misusing certain prescription drugs. The Medicare Rights Center played a pivotal role in shaping the program’s consumer safeguards along with its national partners.

Medicare Premium Support Explained in New Kaiser Family Foundation FAQ

A recent issue brief from the Kaiser Family Foundation (KFF) answers important questions about a controversial Medicare savings proposal called premium support. KFF defines premium support as “a general term used to describe an approach to reform Medicare that aims to reduce the growth in Medicare spending by increasing competition among health plans and providing a stronger incentive for beneficiaries to be cost-conscious in their plan selection.”