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Local Promise

This paper examines several collaborative advocacy efforts in New York, Maine, Kansas, and Florida to increase enrollment in the Medicare Savings Programs (MSPs, which help people with Medicare and low incomes afford medical care), through eligibility expansion and improvements to enrollment and recertification processes. The report also explores opportunities for future reforms in the four states and nationwide, particularly through implementation of recently passed legislation, including the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, which in turn can inform implementation of the Patient Protection and Affordable Care Act (PPACA) of 2010. Opportunities include expanding MSP eligibility and promoting additional eligibility and administrative reforms at the local, state, and federal levels, increasing cooperation between state agencies and policymakers and consumer advocates, and improving communication among state and federal agencies.

Protect & Strengthen Medicare

Any changes to the Medicare program must aim for healthier people, better care, and smarter spending—not paying more for less. As policymakers debate the future of health care, we will provide our insights here.

30 Policy Goals

Thinking ahead to Medicare's future, it’s important to modernize benefits and pursue changes that improve how people with Medicare navigate their coverage on a daily basis. Here are our evolving 30 policy goals for Medicare’s future.

Get Involved

You can help protect and strengthen Medicare by taking action on the important issues we are following, subscribe to newsletter alerts, or follow along on social media. Any way you choose to get involved is a contribution that we appreciate greatly.