Costly Penalties for Failing to Enroll in Medicare Part D Highlighted in New Medicare Rights Brief

Mitchell ClarkMedicare Watch0 Comments

This week, the Medicare Rights Center released a new brief on the complexities of knowing when to enroll in Medicare Part D and the consequences of making mistakes. The brief, Medicare Snapshot: Stories from the Helpline, Part D Enrollment: Penalty Pitfalls, reports on a recurring issue heard on the Medicare Rights national helpline. Read More...

Medicare Rights Responds to CMS Questions about People who have Medicare and Marketplace Coverage

Casey SchwarzMedicare Watch0 Comments

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The Affordable Care Act (ACA) requires Marketplace plans to keep people unless they ask to disenroll or stop paying their premiums under a consumer protection called “guaranteed renewability.” This means that people have a right to keep a plan that they are in and their plan cannot drop them because they become older or sicker. In a recently proposed rule, the Centers for Medicare & Medicaid Services (CMS) asks whether this protection conflicts with a longstanding Medicare law that prohibits a health plan from selling a policy to a person who already has Medicare. Medicare Rights responded that guaranteed renewability should be maintained, based on both the simple reading of the law and on fundamental fairness. Read More...

Summer on the Medicare Rights Helpline

Alison HamburgerInside Medicare Rights0 Comments

At the Medicare Rights Center, we know that your healthcare needs don’t take a summer vacation, and neither do we. Over the summer, our national Consumer Helpline staff was hard at work answering thousands of questions for people with Medicare and their families. From Monday-Friday year-round, our dedicated staff and volunteers are available to assist with needs ranging from help with low-income benefit enrollments to submitting complex Medicare coverage appeals. Read More...

Medicare Rights Center and Partners Ask CMS to Revisit Seamless Conversion Practices

Casey SchwarzMedicare Watch0 Comments

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Last week, the Medicare Rights Center and partner organizations, including Justice in Aging, the Center for Medicare Advocacy, and the National Council on Aging, wrote to the Acting Administrator of the Centers for Medicare and Medicaid Services (CMS), to urge the agency to revisit the policy that allows certain private insurance companies to automatically enroll certain people into Medicare Advantage plans. Read More...

Part D Test Program Aims to Improve Quality of Care and Lower Costs

Mitchell ClarkMedicare Watch0 Comments

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The Centers for Medicare and Medicaid Services (CMS) recently announced Part D plan participants for a new demonstration, the Enhanced Medication Therapy Management Model, that seeks to strengthen Medication Therapy Management (MTM) services in Part D. In 2003, the Medicare Modernization Act was enacted, creating the Part D program and requiring every Part D plan to offer an MTM program. MTM programs are meant to improve quality of care by ensuring people are taking their medications safely and as prescribed, addressing any barriers to their doing so, and bringing any medication issues to the attention of the treating physician. CMS claims that these activities can also create cost savings. Read More...