Medicare Rights Center
Getting Medicare right.
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Latest posts
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Supplemental Benefits Need Simplification
As people with Medicare assess their coverage options for 2027, one of the more difficult comparisons is the supplemental benefit coverage Medicare Advantage (MA) plans offer. Medicare Advantage plans often do not share complete information on supplemental benefits. MA plans…
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Lawsuit Halts Portion of Flawed Medicaid Work Requirements Rule in Plaintiff States
In August, Medicare Rights submitted comments on the Medicaid Community Engagement final rule, which implements HR 1’s work and reporting requirements for expansion Medicaid. In our comments, we objected to a deeply flawed definition of “medical frailty.” If implemented, this…
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ACA Marketplace Numbers Plunging as Open Enrollment Period Nears
Affordable Care Act (ACA) open enrollment is set to begin on November 1. This year, prospective enrollees may face new headwinds as they attempt to find coverage. Congress declined to extend enhanced ACA subsidies late last year, undermining access and affordability. Experts…
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What’s at Stake in 2026: Medicaid Waivers
The federal Medicaid program sets minimum standards for eligibility, benefits, and costs, but beyond these basic requirements, states are given lots of freedom in designing and operating their Medicaid programs. With Section 1115 demonstration waivers, states can apply for…
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Fall Open Enrollment Begins Today
Starting today, October 15, and until December 7, people with Medicare have an opportunity to make changes to the way they access their Medicare coverage. During Fall Open Enrollment, people can switch from Original Medicare to Medicare Advantage (MA) and vice versa, pick a new…
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Lack of Medigap Option Could Keep Many in Medicare Advantage
As Medicare’s Fall Open Enrollment begins, we encourage everyone with Medicare to explore their options and ensure they are getting their care and coverage needs met. Among the possible changes people with Medicare Advantage (MA) can make this fall is switching back to Original…
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Winning on Behalf of Ms. G: How Medicare Rights Opens Pathways to Affording Care
It was May of 2024, and Ms. G—a 75-year-old woman living in Ulster County—was figuring out how to navigate her lung cancer diagnosis. She needed to begin chemotherapy but would need a referral from an oncologist to get the PET scans that would determine the specific combination…
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In Case You Missed It: Two Conversations on the Future of Medicare
At Medicare Rights, we are fortunate to work with many individuals and organizations that share our mission to protect and strengthen Medicare. This network informs and strengthens our advocacy as we reckon with threats to affordable and accessible health coverage nationwide. In…
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States Rushed to Enact Medicaid Red Tape, Results Trickling In
New resources from KFF show early results from two states that rushed to implement Medicaid work and reporting requirements before H.R. 1’s deadline went into effect. Starting January 1, 2027, all states with expansion Medicaid must put rules in place that bar coverage unless…
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CMS Announces One-Time $90 Payments to Some Medicare Beneficiaries
Last week, the administration announced a plan to send one-time $90 payments to people enrolled in Original Medicare Part B who do not pay an enhanced premium because of higher incomes and who do not get state help with their Medicare premiums. The administration’s rationale is…
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New Insights on 2027 Medicare Advantage and Part D Offerings
Medicare’s annual Fall Open Enrollment (FOE) period runs October 15–December 7. During this time, people with Medicare can make certain changes to their coverage, like switching from Original Medicare (OM) to Medicare Advantage (MA) and vice versa, picking a new standalone Part…
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What’s at Stake in 2026: Medicaid Cuts
In July 2025, the passage of H.R. 1 set into motion cuts to Medicaid totaling about $1 trillion over ten years. Some of them have already gone into effect (as of today, October 1, Medicaid eligibility was ended for most lawfully present immigrants), and others will take effect…
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New Records Show Medicare WISeR AI Prior Authorization Model Causing Inappropriate Denials of Care
Historically, Original Medicare (OM) uses very little prior authorization and has fewer barriers to accessing care than coverage through Medicare Advantage (MA). Starting in January of this year, the Centers for Medicare & Medicaid Services (CMS) launched a six-year model—the…
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Medicare Beneficiaries With Multiple and Complex Health Needs Face Challenges
New KFF polling focuses on the health care access and affordability challenges among adults with multiple or complex health conditions, including older Medicare beneficiaries. The results suggest important opportunities for policymakers to strengthen Medicare access and…
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Thousands of Immigrants Scheduled to Lose Medicare Coverage in the New Year
This week, Medicare Rights commented on a proposed rule that implements Medicare eligibility changes for certain immigrants under H.R. 1, the reconciliation bill Congressional Republicans passed last year. In our comments, we urge the Centers for Medicare & Medicaid Services…
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Model Policies Tackle Medicaid Estate Recovery
The Aging & Disability Health Policy Lab, a nonpartisan venture dedicated to making health care and home- and community-based services (HCBS) more accessible, recently released model federal and state policies for limiting Medicaid estate and Achieving a Better Life Experience…
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Financial Pressures Erode Affordability for Low-Income Older Adults
A new report from the AARP Public Policy Institute (PPI) examines spending patterns and affordability challenges in households with low-income older adults. Examining data from the U.S. Bureau of Labor Statistics’ Consumer Expenditure Survey, the researchers identify key drivers…
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High Prices, Cuts in Programs Keep Food Insecurity Rates High for Older Adults
Food insecurity for adults 50 and older rose after the pandemic. Now, H.R. 1’s cuts to public funding for the Supplemental Nutrition Assistance Program (SNAP) are pushing millions of people out of the program and causing older adults to face increasing challenges affording…
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Evidence of MA Overpayment Continues to Mount
A recent analysis from the Committee for a Responsible Federal Budget (CRFB) examines the latest projections on Medicare spending to warn of $1 trillion in possible Medicare Advantage (MA) overpayments over the next decade. MA Enrollment and Costs Rising CRFB cites a recent…
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What’s at Stake in 2026: The Inflation Reduction Act
The Inflation Reduction Act of 2022 (IRA) included several key changes to Medicare prescription drug coverage that advanced consumer protections. Prior to the IRA’s passage, there was no hard out-of-pocket cap on Part D costs, no Medicare drug price negotiation, and no mechanism…