CMS Temporarily Suspends Policy that Allows Automatic Enrollment in Medicare Advantage Plans

Mitchell ClarkMedicare WatchLeave a Comment

The Centers for Medicare & Medicaid Services (CMS) recently suspended a policy known as seamless conversion, a practice that allows select insurers to auto-enroll newly eligible Medicare beneficiaries in an issuer’s commercial or Medicaid managed care product into one of the same company’s Medicare Advantage (MA) plans. In light of recent inquiries, including from the Medicare Rights Center, CMS decided to temporarily halt the acceptance of all new seamless conversion proposals from plans. Read More...

Partnership, Equity, and Transparency: Key Themes for Primary Care Payment

Stacy SandersMedicare WatchLeave a Comment

This week, Medicare Rights joined health care leaders from across the country for the annual summit of the Health Care Payment Learning & Action Network (LAN). As a committed partner of the LAN, Medicare Rights is one of over 130 national and state organizations working to change how health care is paid for—moving away from paying on the basis of volume (meaning paying a fee for each discrete service) to paying for value (meaning paying for better quality care at a lower cost). Medicare Rights was proud to be an invited member of the LAN’s Primary Care Payment Model (PCPM) Work Group. As part of the Work Group, we added the consumer and patient perspective to a draft white paper on optimal ways to pay for and deliver primary care services. Read More...

Kaiser Family Foundation Releases First Look at 2017 Part D Plan Offerings

Mitchell ClarkMedicare WatchLeave a Comment

The Kaiser Family Foundation (KFF) recently released an issue brief analyzing the 2017 prescription drug (Part D) plan offerings based on recently released data from the Center for Medicare and Medicaid Services (CMS). The key findings in KFF’s analysis come at an important time as millions of people with Medicare are weighing their plan choices during Fall Open Enrollment, which lasts from October 15 to December 7. Read More...

Advocates Sign Letter Urging Congress to Improve Health Care Programs for Residents of Puerto Rico

Casey SchwarzMedicare WatchLeave a Comment

This week, the Medicare Rights Center signed onto a letter from the Leadership Council of Aging Organizations calling for a Congressional task force to improve Medicare and other health programs for residents of Puerto Rico. These suggested reforms would increase fairness and provide essential access to benefits. The suggestions include improving low income support programs, enhancing Medicaid funding, and providing for automatic enrollment for certain people eligible for Medicare as takes place for residents of the states. Read More...