Close
Open Enrollment ends on Dec. 7! Download the free guide to help weigh coverage options. 

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.

Relief Opportunity Announced for Marketplace Enrollees Who Need Medicare

The Centers for Medicare & Medicaid Services (CMS) recently announced a time-limited opportunity allowing Medicare-eligible people who were or are currently enrolled in the Affordable Care Act’s Marketplaces to enroll in Medicare Part B and to be relieved of any associated late enrollment penalties.

This chance to request equitable relief is welcome news for Marketplace enrollees who wrongly delayed or declined Medicare Part B enrollment. The relief may include retroactive or immediate Medicare Part B enrollment and a reduction in or elimination of Medicare Part B late enrollment penalties. People who were or are enrolled in Marketplace coverage and who are entitled to premium-free Medicare Part A can apply for this relief through September 2017.

Read More »

Medicare Rights Comments on Proposed Changes to MA and Part D in 2018

This week, the Medicare Rights Center (Medicare Rights) submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) 2018 Advance Rate Notice and Draft Call Letter (2018 Call Letter). CMS announces proposed changes to the Medicare Advantage (MA) and Part D programs through a yearly call letter, and every year Medicare Rights provides feedback to the agency on proposals we support and where we have concerns.

Read More »

Positive Effects of Medicaid Expansion under the Affordable Care Act

Last week, the Kaiser Family Foundation (KFF) released an issue brief on the effects Medicaid expansion under the Affordable Care Act (ACA) had on coverage, access to care, and economic outcomes. In the brief, KFF reviews the findings of over 100 studies of the impact of states extending the eligibility of the Medicaid program to low-income adults between ages 19 and 64.

Read More »

Persistent Challenges for People with Medicare Identified in New Medicare Rights Center Report

Today, the Medicare Rights Center released its annual helpline trends report, which outlines persistent challenges facing people with Medicare heard through thousands of calls to its national consumer helpline.

The report, Medicare Trends and Recommendations: An Analysis of 2015 Call Data from the Medicare Rights Center’s National Helpline, highlights the leading issues heard on Medicare Rights’ helpline. Each issue is demonstrated through consumer stories and accompanied by policy solutions, which the Centers for Medicare & Medicaid Services (CMS), state agencies, insurers, elected officials, and others can pursue to improve the Medicare program for the more than 55 million people it serves.

Read More »

Under Premium Support, People with Medicare Could Pay More for Less

Currently, people with Medicare are all entitled to the same set of basic benefits, and the program treats all people with Medicare equally. Some policymakers support changing Medicare into a premium support program, which would mean people with Medicare would receive a voucher to purchase health coverage through a private plan or Original Medicare.

Read More »

Balance Billing Would Allow Doctors to Bill Whatever They Choose

As policymakers continue to debate the future of our country’s health care system, some policymakers endorse proposals to give Medicare providers the right to charge seniors and people with disabilities more for their care through balance billing or private contracting. Under these plans, Medicare providers could require patients to negotiate a contract for the cost of their care, and people with Medicare would have additional payments on top of their premiums, copayments, and coinsurance. Unless they successfully negotiate otherwise, patients would also be responsible for filing the Medicare claim.

Read More »

Medicare Commits to a New Ombudsman Program

In December, the Centers for Medicare & Medicaid Services (CMS) finalized a demonstration program that will test new ways for Medicare to pay hospitals that perform heart or hip surgeries. Under the new model, Medicare will pay participating hospitals one payment, known as a “bundled payment,” for a person’s hospital stay and the 90 days following a heart attack, cardiac bypass surgery, or surgical hip treatment. The hospital stay and 90-day post-stay period together are known as an “episode of care.” As part of this demonstration, CMS announced the creation of an ombudsman to serve people with Medicare in this model and other similar programs—a move applauded by Medicare Rights.

Read More »

Kaiser Issue Brief Provides Clarity About Medicare’s Financial Outlook

Last week, the Kaiser Family Foundation (KFF) released an issue brief on Medicare’s financial outlook. Medicare’s funding, finances, and future continue to be major topics of conversation, including during the confirmation hearings for President Trump’s administrative nominees. With this brief, KFF brings much-needed clarity to these discussions. The brief explains Medicare funding, the Affordable Care Act’s (ACA’s) impact on Medicare’s long-term financial stability, and what an aging population means for Medicare going forward.

Read More »

New Brief on Proposals to Expand Medicare Private Contracting

Last week, the Kaiser Family Foundation (KFF) released an issue brief on private contracting—also sometimes referred to as balance billing. The brief explains existing rules that determine what health care providers can and cannot charge their Medicare patients. It also summarizes proposals to relax these rules, allowing doctors to set any price they choose for services and to require people with Medicare to sign contracts to pay above Medicare approved amounts in order to receive care. This proposal has been in the news recently as one of its champions is Congressman Tom Price, the nominee for Secretary of the U.S. Department of Health and Human Services.

Read More »

Medicare Rights Highlights Harmful Consequences of Increasing the Medicare Eligibility Age

As policymakers continue to debate the future of our country’s health care system, some lawmakers support increasing the Medicare eligibility age from 65 to 67 in order to save money for the federal government. This costly benefit cut is sometimes defended by arguing that as Americans live longer and delay retirement, most people will not need Medicare at age 65. But most Americans retire well before age 67—half of all men are retired by age 64 and half of all women by age 62. Our latest issue brief, “Paying More for Less: Raising the Eligibility Age,” highlights the harmful consequences of increasing the eligibility age for Medicare above 65.

Read More »

Relief Opportunity Announced for Marketplace Enrollees Who Need Medicare

The Centers for Medicare & Medicaid Services (CMS) recently announced a time-limited opportunity allowing Medicare-eligible people who were or are currently enrolled in the Affordable Care Act’s Marketplaces to enroll in Medicare Part B and to be relieved of any associated late enrollment penalties.

This chance to request equitable relief is welcome news for Marketplace enrollees who wrongly delayed or declined Medicare Part B enrollment. The relief may include retroactive or immediate Medicare Part B enrollment and a reduction in or elimination of Medicare Part B late enrollment penalties. People who were or are enrolled in Marketplace coverage and who are entitled to premium-free Medicare Part A can apply for this relief through September 2017.

Medicare Rights Comments on Proposed Changes to MA and Part D in 2018

This week, the Medicare Rights Center (Medicare Rights) submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) 2018 Advance Rate Notice and Draft Call Letter (2018 Call Letter). CMS announces proposed changes to the Medicare Advantage (MA) and Part D programs through a yearly call letter, and every year Medicare Rights provides feedback to the agency on proposals we support and where we have concerns.

Positive Effects of Medicaid Expansion under the Affordable Care Act

Last week, the Kaiser Family Foundation (KFF) released an issue brief on the effects Medicaid expansion under the Affordable Care Act (ACA) had on coverage, access to care, and economic outcomes. In the brief, KFF reviews the findings of over 100 studies of the impact of states extending the eligibility of the Medicaid program to low-income adults between ages 19 and 64.

Persistent Challenges for People with Medicare Identified in New Medicare Rights Center Report

Today, the Medicare Rights Center released its annual helpline trends report, which outlines persistent challenges facing people with Medicare heard through thousands of calls to its national consumer helpline.

The report, Medicare Trends and Recommendations: An Analysis of 2015 Call Data from the Medicare Rights Center’s National Helpline, highlights the leading issues heard on Medicare Rights’ helpline. Each issue is demonstrated through consumer stories and accompanied by policy solutions, which the Centers for Medicare & Medicaid Services (CMS), state agencies, insurers, elected officials, and others can pursue to improve the Medicare program for the more than 55 million people it serves.

Under Premium Support, People with Medicare Could Pay More for Less

Currently, people with Medicare are all entitled to the same set of basic benefits, and the program treats all people with Medicare equally. Some policymakers support changing Medicare into a premium support program, which would mean people with Medicare would receive a voucher to purchase health coverage through a private plan or Original Medicare.

Balance Billing Would Allow Doctors to Bill Whatever They Choose

As policymakers continue to debate the future of our country’s health care system, some policymakers endorse proposals to give Medicare providers the right to charge seniors and people with disabilities more for their care through balance billing or private contracting. Under these plans, Medicare providers could require patients to negotiate a contract for the cost of their care, and people with Medicare would have additional payments on top of their premiums, copayments, and coinsurance. Unless they successfully negotiate otherwise, patients would also be responsible for filing the Medicare claim.

Medicare Commits to a New Ombudsman Program

In December, the Centers for Medicare & Medicaid Services (CMS) finalized a demonstration program that will test new ways for Medicare to pay hospitals that perform heart or hip surgeries. Under the new model, Medicare will pay participating hospitals one payment, known as a “bundled payment,” for a person’s hospital stay and the 90 days following a heart attack, cardiac bypass surgery, or surgical hip treatment. The hospital stay and 90-day post-stay period together are known as an “episode of care.” As part of this demonstration, CMS announced the creation of an ombudsman to serve people with Medicare in this model and other similar programs—a move applauded by Medicare Rights.

Kaiser Issue Brief Provides Clarity About Medicare’s Financial Outlook

Last week, the Kaiser Family Foundation (KFF) released an issue brief on Medicare’s financial outlook. Medicare’s funding, finances, and future continue to be major topics of conversation, including during the confirmation hearings for President Trump’s administrative nominees. With this brief, KFF brings much-needed clarity to these discussions. The brief explains Medicare funding, the Affordable Care Act’s (ACA’s) impact on Medicare’s long-term financial stability, and what an aging population means for Medicare going forward.

New Brief on Proposals to Expand Medicare Private Contracting

Last week, the Kaiser Family Foundation (KFF) released an issue brief on private contracting—also sometimes referred to as balance billing. The brief explains existing rules that determine what health care providers can and cannot charge their Medicare patients. It also summarizes proposals to relax these rules, allowing doctors to set any price they choose for services and to require people with Medicare to sign contracts to pay above Medicare approved amounts in order to receive care. This proposal has been in the news recently as one of its champions is Congressman Tom Price, the nominee for Secretary of the U.S. Department of Health and Human Services.

Medicare Rights Highlights Harmful Consequences of Increasing the Medicare Eligibility Age

As policymakers continue to debate the future of our country’s health care system, some lawmakers support increasing the Medicare eligibility age from 65 to 67 in order to save money for the federal government. This costly benefit cut is sometimes defended by arguing that as Americans live longer and delay retirement, most people will not need Medicare at age 65. But most Americans retire well before age 67—half of all men are retired by age 64 and half of all women by age 62. Our latest issue brief, “Paying More for Less: Raising the Eligibility Age,” highlights the harmful consequences of increasing the eligibility age for Medicare above 65.