Close

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

Coverage and Benefits

Medicare provides health coverage to over 67 million older adults and people with disabilities, paying for important medical care in hospital and outpatient settings. Nearly 12.5 million beneficiaries also rely on Medicaid, which helps with affordability through the Medicare Savings Programs (MSPs), and covers services Medicare does not, such as long-term services and supports. The Medicare Rights Center supports strengthening Medicare and Medicaid, modernizing benefits and financial assistance, and bolstering the workers and caregivers who deliver this vital care.

Comments on 2026 Outpatient Prospective Payment System (OPPS)

Our comments are informed by our work helping callers to our National Helpline navigate and afford their care. These experiences drive us to support efforts within this rule to bring more sustainability and rationality to Medicare payment, including by establishing greater site neutrality.

Read More »

Comments on the Proposed 2026 Physician Fee Schedule

Our comments are informed by our work helping beneficiaries, including callers to our National Helpline, navigate, understand, access, and afford their care. Based on this experience, we know many people with Medicare want and need to maintain deep and trusting relationships with their providers. Finding the right provider fit, spending time with that provider, and staying with that provider over the years is a priority for many people across Original Medicare and Medicare Advantage.

Read More »

Medicare Site Neutrality: Pursuing a More Rational Payment System

Under current site-specific payment rates, the same service can cost patients and Medicare vastly different amounts based on the location and hospital affiliation of the provider. This part of the series explains how these payment rules incentivize hospitals to vertically integrate routine care in order to drive up profits. Site-neutral payments offer a more rational alternative that would minimize arbitrary differences in cost and protect Medicare sustainability.

Read More »

Comments on 2026 Outpatient Prospective Payment System (OPPS)

Our comments are informed by our work helping callers to our National Helpline navigate and afford their care. These experiences drive us to support efforts within this rule to bring more sustainability and rationality to Medicare payment, including by establishing greater site neutrality.

Comments on the Proposed 2026 Physician Fee Schedule

Our comments are informed by our work helping beneficiaries, including callers to our National Helpline, navigate, understand, access, and afford their care. Based on this experience, we know many people with Medicare want and need to maintain deep and trusting relationships with their providers. Finding the right provider fit, spending time with that provider, and staying with that provider over the years is a priority for many people across Original Medicare and Medicare Advantage.

Medicare Site Neutrality: Pursuing a More Rational Payment System

Under current site-specific payment rates, the same service can cost patients and Medicare vastly different amounts based on the location and hospital affiliation of the provider. This part of the series explains how these payment rules incentivize hospitals to vertically integrate routine care in order to drive up profits. Site-neutral payments offer a more rational alternative that would minimize arbitrary differences in cost and protect Medicare sustainability.