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Medicare Watch

Medicare Watch articles are featured in a weekly newsletter that helps readers stay up-to-date on Medicare policy and advocacy developments, and learn about changes in Medicare benefits and rules.

One-on-One Medicare Counseling Program Safe in the Senate

This week, future funding for State Health Insurance Assistance Programs (SHIPs) is once again at stake. SHIPs provide unique one-on-one, in-person counseling to help people with Medicare understand their rights and navigate their coverage options. Despite their high value and low cost, SHIPs have been under threat for the past several years, but have survived through a combination of strong advocacy and diverse Congressional support.

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Medicare Rights Highlights Ways to Eliminate Red Tape in the Medicare Program

This week, Medicare Rights Center submitted comments on ways to eliminate red tape and bureaucracy in the Medicare program that affect how people with Medicare can access their care and benefits. These comments were generated in response to the “Medicare Red Tape Relief Project,” a request from Representative Pat Tiberi, the Chairman of the U.S. House Ways and Means Subcommittee on Health, for ideas to improve legislation or regulations to help “deliver relief from the regulations and mandates that impede innovation, drive up costs, and ultimately stand in the way of delivering better care for Medicare beneficiaries.”

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New CBO Score Finds That Ending Payments to Insurance Companies to Help Low-Income Marketplace Enrollees would Increase the National Deficit

This week, the Congressional Budget Office (CBO) released an analysis that found that ending payments to insurance companies to assist low-income Marketplace enrollees with health insurance costs would increase the deficit by $194 billion over 10 years. Under the Affordable Care Act (ACA), the federal government reimburses insurance companies for discounts on copays and deductibles the law requires insurers to give to low-income individuals.

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Only Half of Eligible Beneficiaries are Receiving Help with Part B Costs

This week, a report for the Medicaid and CHIP Payment and Access Commission (MACPAC) examines the enrollment of likely eligible Medicare beneficiaries in Medicaid programs that assist with Medicare Part B premiums and cost-sharing, known as the Medicaid Savings Programs (MSPs). Using the most recently available data (2009 and 2010), the analysis shows that participation in the MSPs remains low.

Read More »
a roll of bills from which spill out pills of many colors

CMS Projects Continued Stability of Part D Premiums in 2018

The Centers for Medicare & Medicaid Services (CMS) recently announced that the average basic premium for a Part D prescription drug plan is estimated to be $33.50 per month in 2018. This projected average premium is a slight decrease from the average monthly premium in 2017 ($34.70) and represents the continued relative stability of Part D premiums. It is important to note that while the average, basic premium is lower in 2018, beneficiary premiums will vary—some increasing and some decreasing next year.

Read More »

New Brief Compares Medicare Advantage and Marketplace Plan Offerings in Areas with Limited Availability

This week, the Kaiser Family Foundation (KFF) released a new issue brief examining a recent hot topic—areas with few or no insurers participating in Affordable Care Act (ACA) marketplaces. KFF compared these areas to places where there are very few or no Medicare Advantage (MA) plans offered this year to people with Medicare.

Nationwide, there are currently 19 counties—in Nevada, Indiana, and Ohio—that will have no ACA marketplace plans for sale in 2018. This number has been shrinking as insurers fill some of the gaps, so it is possible each of these counties will have coverage in 2018.

Read More »

One-on-One Medicare Counseling Program Safe in the Senate

This week, future funding for State Health Insurance Assistance Programs (SHIPs) is once again at stake. SHIPs provide unique one-on-one, in-person counseling to help people with Medicare understand their rights and navigate their coverage options. Despite their high value and low cost, SHIPs have been under threat for the past several years, but have survived through a combination of strong advocacy and diverse Congressional support.

Congress Returns, Putting Health Care Back in the Spotlight

Members of Congress are returning to Washington, DC as the summer recess winds down, putting health care policy issues back in the spotlight. Policy experts expect the fall to be busy with significant activity expected in Congress and in the administration.

Medicare Rights Highlights Ways to Eliminate Red Tape in the Medicare Program

This week, Medicare Rights Center submitted comments on ways to eliminate red tape and bureaucracy in the Medicare program that affect how people with Medicare can access their care and benefits. These comments were generated in response to the “Medicare Red Tape Relief Project,” a request from Representative Pat Tiberi, the Chairman of the U.S. House Ways and Means Subcommittee on Health, for ideas to improve legislation or regulations to help “deliver relief from the regulations and mandates that impede innovation, drive up costs, and ultimately stand in the way of delivering better care for Medicare beneficiaries.”

New CBO Score Finds That Ending Payments to Insurance Companies to Help Low-Income Marketplace Enrollees would Increase the National Deficit

This week, the Congressional Budget Office (CBO) released an analysis that found that ending payments to insurance companies to assist low-income Marketplace enrollees with health insurance costs would increase the deficit by $194 billion over 10 years. Under the Affordable Care Act (ACA), the federal government reimburses insurance companies for discounts on copays and deductibles the law requires insurers to give to low-income individuals.

Only Half of Eligible Beneficiaries are Receiving Help with Part B Costs

This week, a report for the Medicaid and CHIP Payment and Access Commission (MACPAC) examines the enrollment of likely eligible Medicare beneficiaries in Medicaid programs that assist with Medicare Part B premiums and cost-sharing, known as the Medicaid Savings Programs (MSPs). Using the most recently available data (2009 and 2010), the analysis shows that participation in the MSPs remains low.

a roll of bills from which spill out pills of many colors

CMS Projects Continued Stability of Part D Premiums in 2018

The Centers for Medicare & Medicaid Services (CMS) recently announced that the average basic premium for a Part D prescription drug plan is estimated to be $33.50 per month in 2018. This projected average premium is a slight decrease from the average monthly premium in 2017 ($34.70) and represents the continued relative stability of Part D premiums. It is important to note that while the average, basic premium is lower in 2018, beneficiary premiums will vary—some increasing and some decreasing next year.

New Brief Compares Medicare Advantage and Marketplace Plan Offerings in Areas with Limited Availability

This week, the Kaiser Family Foundation (KFF) released a new issue brief examining a recent hot topic—areas with few or no insurers participating in Affordable Care Act (ACA) marketplaces. KFF compared these areas to places where there are very few or no Medicare Advantage (MA) plans offered this year to people with Medicare.

Nationwide, there are currently 19 counties—in Nevada, Indiana, and Ohio—that will have no ACA marketplace plans for sale in 2018. This number has been shrinking as insurers fill some of the gaps, so it is possible each of these counties will have coverage in 2018.

After 52 Years, Medicare Remains a Bright Spot in Our Nation’s Health Care System

Last week, Medicare celebrated 52 years since it was signed into law. In those 52 years, Medicare has provided guaranteed health benefits to millions of older adults and people with disabilities. Today, 57 million Americans and their families rely on Medicare for basic health and economic security and the program remains on solid footing.