Category

Medicare

Unnatural Disaster: Seniors Hit Hardest in Floods and Fires

By | BLOG, Health Care, Medicaid, Medicare, Nursing Homes | No Comments
The heartbreaking stories from our recent spate of natural disasters just keep coming. The hurricanes in Houston, Florida and Puerto Rico; the wildfires in Northern California. Stories of destruction, panic, fear and – sadly – death. And there is one disturbing through line: the victims of these disasters, especially those who lose their lives, are overwhelmingly older adults. Read More

Fact Sheet: Open Enrollment for 2018 Coverage through Medicare & Covered California

By | CA Health Network Alert, FACT SHEET, Health Care, Medicare, REPORTS | No Comments

Here’s what older adults need to know about this year’s Open Enrollment periods for both Medicare and Covered California.

Open Enrollment

Fall is open enrollment time for both Medicare beneficiaries and enrollees in Covered California purchasing coverage in 2018.

Justice in Aging’s California open enrollment fact sheet reveals who is impacted by fall open enrollment, covers critical dates for each group, and provides key information on actions to take to ensure continuous coverage.

Key Facts:

  • Medicare Part C and Part D enrollees should review their coverage options each year as Medicare Advantage and Prescription Drug plans can change their cost-sharing, provider networks, and drug formularies.
  • Medicare’s open enrollment period is from October 15-December 7, 2017.
  • Covered California open enrollment is from November 1-January 31, 2018.
  • Open enrollment periods have been extended for victims of natural disasters like the California wildfires.

Read the California Fact Sheet

Fact Sheet: Open Enrollment for 2018 through Medicare & the Marketplace

By | Affordable Care Act, FACT SHEET, Health Care, Medicare, REPORTS | No Comments

Here’s what older adults need to know about this year’s Open Enrollment periods for both Medicare and the Affordable Care Act Health Insurance Marketplaces.

Open Enrollment

Fall is open enrollment time for both Medicare beneficiaries and enrollees in the Affordable Care Act Health Insurance Marketplaces for coverage in 2018.

Justice in Aging’s open enrollment fact sheet reveals who is impacted by fall open enrollment, covers critical dates for each group, and provides key information on actions to take to ensure continuous coverage.

Key Facts:

  • Part C and Part D enrollees should review their coverage options each year as Medicare Advantage and Prescription Drug plans can change their cost-sharing, provider networks and drug formularies.
  • Medicare’s open enrollment period is from October 15-December 7, 2017.
  • The Marketplace enrollment period has been cut in half from 12 weeks to 6 weeks.
  • The Marketplace enrollment period is from November 1-December 15, 2017.
  • Open enrollment periods have been extended for victims of some natural disasters.

Read the Fact Sheet

WEBINAR: Updates on Managed Care for Dual Eligibles and Medicare Coordination Programs

By | DUAL ELIGIBLES, Health Care, Medicaid, Medicare, WEBINAR | No Comments
When: Wednesday, September 20th at 11:00 a.m. PT/2:00 p.m. ET.

Dual eligible individuals, those with both Medicare and Medicaid coverage, represent the most medically needy and costly population for both Medicare and Medicaid. In an effort improve health outcomes and reduce healthcare spending, the Centers for Medicare and Medicaid Services (CMS) has been testing  financial alignment demonstrations in thirteen states to better coordinate and integrate care for dual eligibles. Read More

Court Certifies Nationwide Class in “Observation Status” Case

By | Health Care, Medicare, PRESS RELEASE | No Comments

Decision in Alexander v. Price Means Medicare Patients Could Gain Right to Appeal Placement on “Observation Status” and Avoid Large Medical Bills

August 1, 2017 – Eighty-four-year-old Nancy Niemi of North Carolina was hospitalized for 39 days earlier this year after her doctor sent her to the emergency room. It took weeks to stabilize her blood pressure and she experienced serious complications. But unbelievably, Ms. Niemi was categorized as an outpatient on “observation status” for her entire hospitalization, and she therefore lacked the three-day inpatient stay Medicare requires for coverage of her subsequent, very expensive care at a nursing home. Ms. Niemi’s son tried to help her challenge her lengthy placement on observation status, but Medicare does not allow beneficiaries to appeal this issue. She still owes thousands of dollars to the nursing facility. However, due to the federal court decision issued July 31, 2017, she is now a member of a nationwide class of hospital patients who may gain the right to appeal their placement on observation status.
Read More

Justice in Aging’s Statement on Senate ACA Repeal Efforts

By | Health Care, Medicaid, Medicare, PRESS RELEASE | No Comments

Senate leadership has announced that they will no longer move forward with the Better Care Reconciliation Act (BCRA) of 2017. Instead, they seek to proceed to a vote to immediately repeal the Affordable Care Act, and delay replacement to a later date.

While we are relieved that the BCRA, and its unprecedented cuts to Medicaid, is off the table, repealing the ACA remains a terrible idea that would harm older adults—especially in the absence of a meaningful replacement bill.

Read More

Proposed Cuts to Medicaid Put Medicare Savings Programs At Risk

By | ISSUE BRIEF, Medicare, REPORTS | No Comments
For low-income older adults who are eligible for Medicare but can’t afford the premiums, co-pays, and deductibles, Medicare Savings Programs (MSPs) have been a lifeline–making it possible for millions to get Medicare-covered care. However, the huge cuts to Medicaid that both the House and Senate ACA-repeal plans propose could cause states to limit participation in the program, causing many to be priced out and lose access to care.

MSPs currently reach over 7 million people with Medicare. Many are too poor to afford Medicare but do not qualify for other Medicaid programs. This issue brief discusses how the program is structured and administered and outlines how cuts in Medicaid could force cuts to the program. Read More

The Republican Health Care Bill is Bad News for Your Grandparents. And Your Parents. And You.

By | Affordable Care Act, BLOG, Health Care Defense, Medicaid, Medicare, Nursing Homes | No Comments
Who needs Medicaid? Probably someone you know. Medicaid is the backstop government program that provides coverage when someone can’t afford necessary health care. Historically, Medicaid coverage focused on children, older adults, and persons with disabilities, although 2010’s Affordable Care Act expanded Medicaid coverage to some low-income adults without disabilities. The Better Care Reconciliation Act, which Senate Republicans just released, not only aims to take away the expanded coverage, but also makes deep cuts to the core Medicaid program that inevitably will lead to health care rationing. Read More