50 Wishes for
Medicare’s Future

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Wish #26:
End passive enrollment for Medicare-Medicaid managed care plans

Ongoing demonstration programs to test new models of care for dually eligible Medicare and Medicaid beneficiaries are allowing private health plans to passively enroll beneficiaries. This means low-income, vulnerable individuals are not actively choosing their coverage or determining if the selected plan is the best option for their needs. Congress should prohibit the use of passive enrollment, a practice that fundamentally undermines beneficiary choice and informed decision-making.