The Centers for Medicare and Medicaid Services (CMS) recently announced Part D plan participants for a new demonstration, the Enhanced Medication Therapy Management Model, that seeks to strengthen Medication Therapy Management (MTM) services in Part D. In 2003, the Medicare Modernization Act was enacted, creating the Part D program and requiring every Part D plan to offer an MTM program. MTM programs are meant to improve quality of care by ensuring people are taking their medications safely and as prescribed, addressing any barriers to their doing so, and bringing any medication issues to the attention of the treating physician. CMS claims that these activities can also create cost savings.

Last week, the Medicare Rights Center and partner organizations, including Justice in Aging, the Center for Medicare Advocacy, and the National Council on Aging, wrote to the Acting Administrator of the Centers for Medicare and Medicaid Services (CMS), to urge the agency to revisit the policy that allows certain private insurance companies to automatically enroll certain people into Medicare Advantage plans.

A new bill, the Fair Drug Pricing Act, was introduced in both the Senate and the House this month promising to bring greater transparency to increases in drug prices.

The Medicare Rights Center (Medicare Rights) responded to a request for information (RFI) from the Centers for Medicare & Medicaid Services (CMS) asking about inappropriate steering practices encouraging people into coverage that is not right for them. CMS raises concerns about whether providers, plans, or others who stand to gain from an individual’s enrollment decisions may improperly influence people who may be eligible for Medicare or Medicaid to decline public health insurance and retain private market coverage or convince people to give up private market coverage in favor of Medicare or Medicaid.

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.

A new Kaiser Family Foundation (KFF) issue brief analyzes when people with Medicare make changes to their Medicare Advantage and Part D coverage. The paper highlights beneficiaries enrolled in Medicare Advantage plans with prescription drug coverage (MA-PDs) who change plans when given the opportunity.

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.

As Medicare Fall Open Enrollment approaches, the time of year from October 15 to December 7 when people with Medicare can make changes to their coverage, the Medicare Rights Center submitted feedback and suggestions about a critical tool in making these decisions—the Medicare.gov Plan Finder.

CMS recently released a new notice that people with Medicare and Marketplace coverage will receive. The notice informs these individuals that if they have Medicare, they are most likely no longer eligible to receive the premium tax credits to help pay for Marketplace plan premiums. The notice also provides useful information on how to ensure that you are enrolled in Medicare without penalties or gaps in coverage.