
Largest MA Organizations Have Disproportionate Denial Rates for Some Post-Acute Care
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency—has released a second report
Join Us Live for a Discussion on Medicare, Democracy, and the Future of Health Care
Largely driven by prior authorization, MA and Part D coverage denials leave beneficiaries with only bad options: paying out-of-pocket, going without, or getting embroiled in a daunting and deeply flawed appeals process. Each path can lead to delayed care, abandoned therapies, worse health, and higher costs. Particularly egregious are improper coverage denials, which force people to make this choice unnecessarily. Changes are long overdue. Harmful denials must be curbed, and the appeals systems must be reformed to function as a safety valve—rather than as an inadequate substitute for sound plan decisions and robust federal oversight.

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency—has released a second report

A new report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency—

Amid growing attention to the role of artificial intelligence (AI) in health care, a new KFF issue brief examines federal

In 2024, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that improved transparency around prior authorization for

Policymakers often overlook or disregard the problems people may face when they try to enroll or stay enrolled in public programs or to get the care they need. Issues around Medicare and Medicaid enrollments and appeals are legion and can run the gamut from minor one-time annoyances to recurrent bureaucratic nightmares.

This week, Medicare Rights submitted comments in response to the annual Medicare Advantage (MA) and Part D proposed rule for

This week, the Medicare Rights Center released our annual helpline trends report, Medicare Trends and Recommendations: An Analysis of 2023 Call
New York, NY—The Medicare Rights Center (Medicare Rights) released its annual helpline trends report, Medicare Trends and Recommendations: An Analysis of
This report features the top helpline trends and highlights the most commonly sought helpline and Medicare Interactive answers, providing a glimpse into the various questions and needs of Medicare beneficiaries, caregivers, and the professionals assisting them in the community in 2023.

Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency—has released a second report

A new report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)—a watchdog agency—

Amid growing attention to the role of artificial intelligence (AI) in health care, a new KFF issue brief examines federal

In 2024, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that improved transparency around prior authorization for

Policymakers often overlook or disregard the problems people may face when they try to enroll or stay enrolled in public programs or to get the care they need. Issues around Medicare and Medicaid enrollments and appeals are legion and can run the gamut from minor one-time annoyances to recurrent bureaucratic nightmares.

This week, Medicare Rights submitted comments in response to the annual Medicare Advantage (MA) and Part D proposed rule for

This week, the Medicare Rights Center released our annual helpline trends report, Medicare Trends and Recommendations: An Analysis of 2023 Call
New York, NY—The Medicare Rights Center (Medicare Rights) released its annual helpline trends report, Medicare Trends and Recommendations: An Analysis of
This report features the top helpline trends and highlights the most commonly sought helpline and Medicare Interactive answers, providing a glimpse into the various questions and needs of Medicare beneficiaries, caregivers, and the professionals assisting them in the community in 2023.

Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people