This case study focuses on how automatic enrollment in Medicare Savings Programs can remove many individuals’ barriers when enrolling. Simplifying the enrollment process is essential to increasing participation and ensuring that more people can benefit from these vital programs. 

Medicare Savings Program recertification varies widely nationwide. This case study compares two experiences—one with automatic recertification and one with a more complex process—to illustrate the need for nationwide Medicare Savings Program recertification improvements. 

Renewing Aged, Blind, and Disabled Medicaid is necessary to maintain benefits. This case study contrasts a complicated renewal process with one eased by COVID-19 public health emergency flexibilities, arguing for lasting reforms in Medicaid renewal procedures. 

Coordinating benefits and services for dually eligible individuals is often complex and disjointed. This study examines the challenges of poorly integrated care and offers recommendations for improving integration at both state and federal levels. 

Our comments focus on the important proposals in support of formerly incarcerated individuals. We appreciate the Centers for Medicare & Medicaid Services (CMS) working to ensure Medicare payment and enrollment rules align with the lived experiences of this population and their responsibility for their own health care costs.

As science and medicine progress, they reveal the interconnectedness of bodily systems and expose the folly of historic silos in care. We greatly appreciate the Centers for Medicare & Medicaid Services (CMS) focusing on mental health and substance use disorder treatment and to medically necessary dental services.