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Medicare Watch

Medicare Watch articles are featured in Medicare Rights’ weekly newsletter, which helps readers stay updated on Medicare policy and advocacy developments and learn about changes in Medicare benefits and rules. Subscribe now by visiting www.medicarerights.org/newsletters.

Balance Billing Would Allow Doctors to Bill Whatever They Choose

As policymakers continue to debate the future of our country’s health care system, some policymakers endorse proposals to give Medicare providers the right to charge seniors and people with disabilities more for their care through balance billing or private contracting. Under these plans, Medicare providers could require patients to negotiate a contract for the cost of their care, and people with Medicare would have additional payments on top of their premiums, copayments, and coinsurance. Unless they successfully negotiate otherwise, patients would also be responsible for filing the Medicare claim.

Read More »

Medicare Commits to a New Ombudsman Program

In December, the Centers for Medicare & Medicaid Services (CMS) finalized a demonstration program that will test new ways for Medicare to pay hospitals that perform heart or hip surgeries. Under the new model, Medicare will pay participating hospitals one payment, known as a “bundled payment,” for a person’s hospital stay and the 90 days following a heart attack, cardiac bypass surgery, or surgical hip treatment. The hospital stay and 90-day post-stay period together are known as an “episode of care.” As part of this demonstration, CMS announced the creation of an ombudsman to serve people with Medicare in this model and other similar programs—a move applauded by Medicare Rights.

Read More »

Kaiser Issue Brief Provides Clarity About Medicare’s Financial Outlook

Last week, the Kaiser Family Foundation (KFF) released an issue brief on Medicare’s financial outlook. Medicare’s funding, finances, and future continue to be major topics of conversation, including during the confirmation hearings for President Trump’s administrative nominees. With this brief, KFF brings much-needed clarity to these discussions. The brief explains Medicare funding, the Affordable Care Act’s (ACA’s) impact on Medicare’s long-term financial stability, and what an aging population means for Medicare going forward.

Read More »

New Brief on Proposals to Expand Medicare Private Contracting

Last week, the Kaiser Family Foundation (KFF) released an issue brief on private contracting—also sometimes referred to as balance billing. The brief explains existing rules that determine what health care providers can and cannot charge their Medicare patients. It also summarizes proposals to relax these rules, allowing doctors to set any price they choose for services and to require people with Medicare to sign contracts to pay above Medicare approved amounts in order to receive care. This proposal has been in the news recently as one of its champions is Congressman Tom Price, the nominee for Secretary of the U.S. Department of Health and Human Services.

Read More »

Medicare Rights Highlights Harmful Consequences of Increasing the Medicare Eligibility Age

As policymakers continue to debate the future of our country’s health care system, some lawmakers support increasing the Medicare eligibility age from 65 to 67 in order to save money for the federal government. This costly benefit cut is sometimes defended by arguing that as Americans live longer and delay retirement, most people will not need Medicare at age 65. But most Americans retire well before age 67—half of all men are retired by age 64 and half of all women by age 62. Our latest issue brief, “Paying More for Less: Raising the Eligibility Age,” highlights the harmful consequences of increasing the eligibility age for Medicare above 65.

Read More »

Tell Congress: Protect Our Caregivers

You may have already called your members of Congress about plans to dismantle Affordable Care Act (ACA) benefits for seniors, people with disabilities, and their families, without showing us a plan to replace it. Today is different. Today is a day especially for caregivers and the people they help to support.

Read More »

Widespread Inaccuracies in Medicare Advantage Provider Directories Uncovered

For years, Medicare Rights has encouraged the Centers for Medicare & Medicaid Services (CMS) to ensure that Medicare Advantage (MA) plans publish provider directories that are accurate and easily available to people with Medicare. Last week, CMS announced findings from a review of 54 MA organizations showing widespread inaccuracies in MA provider directories published online. According to the review, around 45% of the provider directory locations listed in these online directories were inaccurate.

Read More »

Join National Call-In Day to #ProtectOurCare

Lawmakers in the U.S. House and Senate and President Trump have doubled down on their plan to repeal the ACA—with no meaningful replacement in sight. Today’s an important day to make your voice heard. Join a national call-in day to protect the Affordable Care Act (ACA), Medicaid, and Medicare. Call 866-426-2631 today.

Read More »

65 National Advocates Sound Alarm on Affordable Care Act Repeal

Last week, Medicare Rights partnered with Justice in Aging and the Center for Medicare Advocacy to defend access to affordable health care for older adults and people with disabilities. Together, we wrote a letter urging Congress not to repeal the Affordable Care Act (ACA) without a viable and simultaneous replacement that provides American families with equal or improved access to high-quality, affordable health coverage.

65 national organizations signed the letter which details the risks a repeal and delay strategy poses for millions of Americans. We all agree: No older American or person with a disability should be made worse off by a vote to repeal the ACA.

Read More »

Balance Billing Would Allow Doctors to Bill Whatever They Choose

As policymakers continue to debate the future of our country’s health care system, some policymakers endorse proposals to give Medicare providers the right to charge seniors and people with disabilities more for their care through balance billing or private contracting. Under these plans, Medicare providers could require patients to negotiate a contract for the cost of their care, and people with Medicare would have additional payments on top of their premiums, copayments, and coinsurance. Unless they successfully negotiate otherwise, patients would also be responsible for filing the Medicare claim.

Medicare Commits to a New Ombudsman Program

In December, the Centers for Medicare & Medicaid Services (CMS) finalized a demonstration program that will test new ways for Medicare to pay hospitals that perform heart or hip surgeries. Under the new model, Medicare will pay participating hospitals one payment, known as a “bundled payment,” for a person’s hospital stay and the 90 days following a heart attack, cardiac bypass surgery, or surgical hip treatment. The hospital stay and 90-day post-stay period together are known as an “episode of care.” As part of this demonstration, CMS announced the creation of an ombudsman to serve people with Medicare in this model and other similar programs—a move applauded by Medicare Rights.

Kaiser Issue Brief Provides Clarity About Medicare’s Financial Outlook

Last week, the Kaiser Family Foundation (KFF) released an issue brief on Medicare’s financial outlook. Medicare’s funding, finances, and future continue to be major topics of conversation, including during the confirmation hearings for President Trump’s administrative nominees. With this brief, KFF brings much-needed clarity to these discussions. The brief explains Medicare funding, the Affordable Care Act’s (ACA’s) impact on Medicare’s long-term financial stability, and what an aging population means for Medicare going forward.

New Brief on Proposals to Expand Medicare Private Contracting

Last week, the Kaiser Family Foundation (KFF) released an issue brief on private contracting—also sometimes referred to as balance billing. The brief explains existing rules that determine what health care providers can and cannot charge their Medicare patients. It also summarizes proposals to relax these rules, allowing doctors to set any price they choose for services and to require people with Medicare to sign contracts to pay above Medicare approved amounts in order to receive care. This proposal has been in the news recently as one of its champions is Congressman Tom Price, the nominee for Secretary of the U.S. Department of Health and Human Services.

Medicare Rights Highlights Harmful Consequences of Increasing the Medicare Eligibility Age

As policymakers continue to debate the future of our country’s health care system, some lawmakers support increasing the Medicare eligibility age from 65 to 67 in order to save money for the federal government. This costly benefit cut is sometimes defended by arguing that as Americans live longer and delay retirement, most people will not need Medicare at age 65. But most Americans retire well before age 67—half of all men are retired by age 64 and half of all women by age 62. Our latest issue brief, “Paying More for Less: Raising the Eligibility Age,” highlights the harmful consequences of increasing the eligibility age for Medicare above 65.

Tell Congress: Protect Our Caregivers

You may have already called your members of Congress about plans to dismantle Affordable Care Act (ACA) benefits for seniors, people with disabilities, and their families, without showing us a plan to replace it. Today is different. Today is a day especially for caregivers and the people they help to support.

New Study Highlights Impact of Raising the Medicare Eligibility Age

This week, the National Committee to Preserve Social Security and Medicare Foundation and Actuarial Research Corporation (ARC) released a new study on the impact of raising the eligibility age for Medicare from 65 to 67. The study compared two hypothetical situations.

Widespread Inaccuracies in Medicare Advantage Provider Directories Uncovered

For years, Medicare Rights has encouraged the Centers for Medicare & Medicaid Services (CMS) to ensure that Medicare Advantage (MA) plans publish provider directories that are accurate and easily available to people with Medicare. Last week, CMS announced findings from a review of 54 MA organizations showing widespread inaccuracies in MA provider directories published online. According to the review, around 45% of the provider directory locations listed in these online directories were inaccurate.

Join National Call-In Day to #ProtectOurCare

Lawmakers in the U.S. House and Senate and President Trump have doubled down on their plan to repeal the ACA—with no meaningful replacement in sight. Today’s an important day to make your voice heard. Join a national call-in day to protect the Affordable Care Act (ACA), Medicaid, and Medicare. Call 866-426-2631 today.

65 National Advocates Sound Alarm on Affordable Care Act Repeal

Last week, Medicare Rights partnered with Justice in Aging and the Center for Medicare Advocacy to defend access to affordable health care for older adults and people with disabilities. Together, we wrote a letter urging Congress not to repeal the Affordable Care Act (ACA) without a viable and simultaneous replacement that provides American families with equal or improved access to high-quality, affordable health coverage.

65 national organizations signed the letter which details the risks a repeal and delay strategy poses for millions of Americans. We all agree: No older American or person with a disability should be made worse off by a vote to repeal the ACA.