CMS Releases Final Medicare Advantage and Part D Plan Changes for 2017

Casey SchwarzMedicare Watch0 Comments


Last week, the Centers for Medicare & Medicaid Services (CMS) published the 2017 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter (2017 Final Notice and Call Letter). In March, Medicare Rights submitted comments on the draft version of the call letter supporting of many of the proposed changes, which seek to improve the accuracy of payment structures and strengthen plan accountability. The 2017 Call Letter finalizes most of the proposals included in the draft letter, with some moderate changes. Read More...

Prescription Drug Pricing Expert Presents at Medicare Rights

Deane BeebeIn the Know, Inside Medicare Rights0 Comments

Peter Bach, MD, MAPP, director of the Center for Health Policy and Outcomes at Memorial Sloan Kettering Cancer Center, was the guest speaker on “The Future of Drug Pricing” at the Medicare Rights Center’s Policy Breakfast on April 5. Dr. Bach, a physician, epidemiologist, researcher, and healthcare policy expert whose work focuses on the cost and value of anticancer drugs, is an ardent supporter of value-based pricing for prescription drugs and favors the Centers for Medicare and Medicaid Services’ (CMS) recently announced proposal to test value-based payment strategies for medications covered under Medicare Part B. Read More...

Medicare Rights Asks CMS to Withdraw Proposal to Require Prior Authorization for Home Health Care

Casey SchwarzMedicare Watch0 Comments

This week, Medicare Rights submitted comments requesting that the Centers for Medicare & Medicaid Services (CMS) withdraw a proposal to explore requiring prior authorization for home health care services. These services include home-based skilled nursing and therapy care for people with Medicare who are homebound, meaning they are unable to leave their home without difficulty. Read More...

AARP CEO Urges Older Americans to Be Health Care Consumers

Jay JohnsonIn the Know0 Comments

The dynamic CEO of AARP, Jo Ann Jenkins, encourages everyone over 50 to become much more active in defining self-image, personal motivation, health care goals, and wealth/asset management. In Disrupt Aging: A Bold New Path to Living Your Best Life at Every Age, she challenges the outdated beliefs that older people should slow down, take it easy, and become passive and accepting. Read More...

What is an Explanation of Benefits?

Emily WhicheloeDear Marci0 Comments


An Explanation of Benefits (EOB) is a notice that your Medicare Advantage Plan typically sends you after you receive health care services or items. EOBs are usually mailed once per month and may be available online. An EOB is not a bill; it is a summary of services or items you received. Each plan formats its EOB differently, but in general your EOB should tell you: Read More...