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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.

New Bill Seeks to Improve Medicare Coverage and Enrollment

Congress took steps this week to improve Medicare coverage and enrollment rules by introducing the “The Medicare Affordability and Enrollment Act of 2016.” If passed, the bill would create an out-of-pocket spending cap, reform the Medicare enrollment process by reducing penalties and gaps in coverage, and increase support for lower-income beneficiaries.

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CMS Announces Notice for People with Marketplace Coverage and Medicare

CMS recently released a new notice that people with Medicare and Marketplace coverage will receive. The notice informs these individuals that if they have Medicare, they are most likely no longer eligible to receive the premium tax credits to help pay for Marketplace plan premiums. The notice also provides useful information on how to ensure that you are enrolled in Medicare without penalties or gaps in coverage.

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Medicare Advocates Submit Statement on Part B Prescription Drug Model

This week, Medicare Rights Center, along with a coalition of 20 organizations sent a letter expressing support for the mission and goals of the Centers for Medicare & Medicaid Innovation (CMMI), including the proposed Part B Drug Payment Model. CMMI is the part of the Centers for Medicare & Medicaid Services (CMS) tasked with developing and evaluating ways to make the Medicare program more value-driven, more efficient, and more effective at delivering and paying for needed care.

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Health Care Transformation Task Force Releases Framework Addressing Consumer Priorities in Value-Based Care

While a significant movement is underway to transform the U.S. health care system to deliver person-centered and value-based care, these efforts often place a greater emphasis on the “value-based” aspects rather than the “person-centered” aspects of the transformation.

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to accelerate the pace of U.S. health care delivery system transformation, commits to close this gap and inspire a greater focus on patient-centered care.

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Medicare Rights Comments to Protect Appeal Rights

This week, Medicare Rights responded to proposals from the Centers for Medicare & Medicaid Services (CMS) that would make changes to the Medicare appeals process. Medicare Rights was supportive of some proposals to streamline and modernize the appeals process, and expressed concern about others that may undermine important beneficiary rights and protections.

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Over 70 Groups Urge Lawmakers to Support Bill to Simplify Part B Enrollment

This week, 73 state and national organizations representing older adults, people with disabilities, health insurers, unions, and health care providers expressed strong support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236) in letters to the bill’s lead House and Senate sponsors, Congressmen Raul Ruiz (D-CA) and Patrick Meehan (R-PA) and Senators Bob Casey (D-PA) and Chuck Schumer (D-NY).

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Former Medicare Administrators Endorse the BENES Act

Eight past Administrators of the Centers for Medicare & Medicaid Services/Health Care Financing Administration—the agency that oversees and runs Medicare—wrote Congressional leaders this week expressing support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236). Developed by the Medicare Rights Center, the BENES Act modernizes and simplifies the Part B enrollment process.

Read More »

New Bill Seeks to Improve Medicare Coverage and Enrollment

Congress took steps this week to improve Medicare coverage and enrollment rules by introducing the “The Medicare Affordability and Enrollment Act of 2016.” If passed, the bill would create an out-of-pocket spending cap, reform the Medicare enrollment process by reducing penalties and gaps in coverage, and increase support for lower-income beneficiaries.

Medicare Rights Center Comments on Proposed Changes to Medicare Physician Fee Schedule

Last week, the Medicare Rights Center submitted comments in response to proposals from the Centers for Medicare & Medicaid Services (CMS) to update and change aspects of the Physician Fee Schedule. This annual, proposed rule includes specific information about the payment rate for select services as well as broad policy initiatives and changes.

CMS Announces Notice for People with Marketplace Coverage and Medicare

CMS recently released a new notice that people with Medicare and Marketplace coverage will receive. The notice informs these individuals that if they have Medicare, they are most likely no longer eligible to receive the premium tax credits to help pay for Marketplace plan premiums. The notice also provides useful information on how to ensure that you are enrolled in Medicare without penalties or gaps in coverage.

Medicare Advocates Submit Statement on Part B Prescription Drug Model

This week, Medicare Rights Center, along with a coalition of 20 organizations sent a letter expressing support for the mission and goals of the Centers for Medicare & Medicaid Innovation (CMMI), including the proposed Part B Drug Payment Model. CMMI is the part of the Centers for Medicare & Medicaid Services (CMS) tasked with developing and evaluating ways to make the Medicare program more value-driven, more efficient, and more effective at delivering and paying for needed care.

Health Care Transformation Task Force Releases Framework Addressing Consumer Priorities in Value-Based Care

While a significant movement is underway to transform the U.S. health care system to deliver person-centered and value-based care, these efforts often place a greater emphasis on the “value-based” aspects rather than the “person-centered” aspects of the transformation.

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to accelerate the pace of U.S. health care delivery system transformation, commits to close this gap and inspire a greater focus on patient-centered care.

Medicare Rights Comments to Protect Appeal Rights

This week, Medicare Rights responded to proposals from the Centers for Medicare & Medicaid Services (CMS) that would make changes to the Medicare appeals process. Medicare Rights was supportive of some proposals to streamline and modernize the appeals process, and expressed concern about others that may undermine important beneficiary rights and protections.

Over 70 Groups Urge Lawmakers to Support Bill to Simplify Part B Enrollment

This week, 73 state and national organizations representing older adults, people with disabilities, health insurers, unions, and health care providers expressed strong support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236) in letters to the bill’s lead House and Senate sponsors, Congressmen Raul Ruiz (D-CA) and Patrick Meehan (R-PA) and Senators Bob Casey (D-PA) and Chuck Schumer (D-NY).

Former Medicare Administrators Endorse the BENES Act

Eight past Administrators of the Centers for Medicare & Medicaid Services/Health Care Financing Administration—the agency that oversees and runs Medicare—wrote Congressional leaders this week expressing support for the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 5772 and S. 3236). Developed by the Medicare Rights Center, the BENES Act modernizes and simplifies the Part B enrollment process.