Close

Join Us Live for a Discussion on Medicare, Democracy, and the Future of Health Care

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.

Trustee’s Report Offers Outlook on Medicare Finances and 2017 Part B Premiums

The 2016 annual report of the Board of Trustees (the Trustee’s Report) was released this week. The report estimates that the Medicare Part A trust fund will be fully funded through 2028. Health reform is a major contributor to an improved financial outlook for the Medicare program. The Part A trust fund’s projected fully funded date of 2028 is 11 years later than it was before the Affordable Care Act (ACA) was enacted.

Read More »

Senate Proposes Elimination of Crucial Medicare Counseling Program

The U.S. Senate Appropriations Committee recently approved a 2017 spending bill that completely eliminates funding for the Medicare State Health Insurance Assistance Program (SHIP).

Older adults, people with disabilities, and their families and caregivers need assistance understanding the A, B, C and Ds of Medicare. Operating in every state, SHIPs answer questions about Medicare and help people solve problems. Eliminating SHIPs would leave millions who need support comparing coverage options, appealing denials, applying for financial assistance, and navigating increasingly complex Medicare benefits stranded—with nowhere to turn.

Read More »

MedPAC Makes Part D Recommendations to Congress

In its June report to Congress, the Medicare Payment Advisory Commission (MedPAC) includes several suggestions to improve and reduce costs in the Part D prescription drug program. MedPAC, observing that Part D spending has increased more than 50 percent since 2007 as a result of rising drug costs and other factors, recommends proposals that it estimates could save $10 billion over five years.

Read More »

Fifty Ways to Strengthen Medicare

The Health Subcommittee of the U.S. House Committee on Ways & Means held a hearing this week to discuss legislative opportunities to improve and sustain the Medicare program. Joe Baker, president of the Medicare Rights Center, submitted a letter for the hearing record highlighting 50 ways to strengthen Medicare for today’s beneficiaries and for future generations.

Read More »

U.S. House Members Ask CMS to Withdraw Proposal for Prior Authorization in Home Health Care

Over 100 members of the U.S. House of Representatives wrote to the Centers for Medicare & Medicaid Services (CMS) asking the agency to withdraw a proposal for a demonstration project to test prior authorization requirements in home health care. Home health care services include home-based skilled nursing and therapy care for people with Medicare who are homebound, meaning they are unable to leave their home without difficulty.

Read More »

CMS Highlights Savings from Fraud Prevention

The Centers for Medicare & Medicaid Services (CMS) recently reported $1.5 billion in savings due to “big data” initiatives with the Fraud Prevention System (FPS), which started in June 2011. Over the past five years, CMS used data and predictive analytics to quickly identify and take action on cases of fraud, waste, and abuse in the Medicare program. Working closely with public and private predictive analytics experts, data scientists, and law enforcement, the FPS “has had a profound impact on fraudulent providers and illegitimate payments,” according to CMS.

Read More »

Commonwealth Fund Highlights Risk of High Health Care Costs for Some People with Medicare

In an issue brief released this month, the Commonwealth Fund examines the risk of high health care costs for a certain segment of the Medicare population. For more than 50 years, Medicare has provided guaranteed health benefits for millions of older adults and people with disabilities. Yet, a significant number of people with Medicare are exposed to high health care costs, with lower income populations being the most at risk.

Read More »

Trustee’s Report Offers Outlook on Medicare Finances and 2017 Part B Premiums

The 2016 annual report of the Board of Trustees (the Trustee’s Report) was released this week. The report estimates that the Medicare Part A trust fund will be fully funded through 2028. Health reform is a major contributor to an improved financial outlook for the Medicare program. The Part A trust fund’s projected fully funded date of 2028 is 11 years later than it was before the Affordable Care Act (ACA) was enacted.

Senate Proposes Elimination of Crucial Medicare Counseling Program

The U.S. Senate Appropriations Committee recently approved a 2017 spending bill that completely eliminates funding for the Medicare State Health Insurance Assistance Program (SHIP).

Older adults, people with disabilities, and their families and caregivers need assistance understanding the A, B, C and Ds of Medicare. Operating in every state, SHIPs answer questions about Medicare and help people solve problems. Eliminating SHIPs would leave millions who need support comparing coverage options, appealing denials, applying for financial assistance, and navigating increasingly complex Medicare benefits stranded—with nowhere to turn.

MedPAC Makes Part D Recommendations to Congress

In its June report to Congress, the Medicare Payment Advisory Commission (MedPAC) includes several suggestions to improve and reduce costs in the Part D prescription drug program. MedPAC, observing that Part D spending has increased more than 50 percent since 2007 as a result of rising drug costs and other factors, recommends proposals that it estimates could save $10 billion over five years.

Fifty Ways to Strengthen Medicare

The Health Subcommittee of the U.S. House Committee on Ways & Means held a hearing this week to discuss legislative opportunities to improve and sustain the Medicare program. Joe Baker, president of the Medicare Rights Center, submitted a letter for the hearing record highlighting 50 ways to strengthen Medicare for today’s beneficiaries and for future generations.

U.S. House Members Ask CMS to Withdraw Proposal for Prior Authorization in Home Health Care

Over 100 members of the U.S. House of Representatives wrote to the Centers for Medicare & Medicaid Services (CMS) asking the agency to withdraw a proposal for a demonstration project to test prior authorization requirements in home health care. Home health care services include home-based skilled nursing and therapy care for people with Medicare who are homebound, meaning they are unable to leave their home without difficulty.

CMS Highlights Savings from Fraud Prevention

The Centers for Medicare & Medicaid Services (CMS) recently reported $1.5 billion in savings due to “big data” initiatives with the Fraud Prevention System (FPS), which started in June 2011. Over the past five years, CMS used data and predictive analytics to quickly identify and take action on cases of fraud, waste, and abuse in the Medicare program. Working closely with public and private predictive analytics experts, data scientists, and law enforcement, the FPS “has had a profound impact on fraudulent providers and illegitimate payments,” according to CMS.

Commonwealth Fund Highlights Risk of High Health Care Costs for Some People with Medicare

In an issue brief released this month, the Commonwealth Fund examines the risk of high health care costs for a certain segment of the Medicare population. For more than 50 years, Medicare has provided guaranteed health benefits for millions of older adults and people with disabilities. Yet, a significant number of people with Medicare are exposed to high health care costs, with lower income populations being the most at risk.