Your Source for Health Reform

Topic: Medicare



Medicare is the federal health insurance program for people 65 and older. It also covers younger people with certain disabilities. It is administered by the CMS and is America’s largest health insurance program. Medicare beneficiaries are largely unaffected by health reform, although some provisions of the ACA strengthen the program.


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Managed Long Term Services and Supports

Starting July, 2016 managed care organizations will be responsible for coordinating long-term services and supports for people who live in a nursing facility or receive home and community-based services through a Medicaid waiver program. This April 2016 fact sheet from Health & Disability Advocates informs consumers about the change.

New Observation Status Rules

Starting August 2016, hospitals are required to let people know if they are an outpatient on observation status. This April 2016 fact sheet from Health & Disability Advocates prepares patients for the changes.

Effective Health Care Outreach

This September 2015 brief from the Center for Health Care Strategies presents approaches for engaging with Medicaid and Medicare eligible health care consumers. This group is more likely to have chronic health conditions and is harder to engage.

Turning 65?

This September 2015 tip sheet from AgeOptions outlines the health care options for older adults once they become Medicare eligible.

Asking the Right Questions

Benefits counselors can use this September 2015 intake sheet from AgeOptions to obtain necessary information to counsel consumers on their Medicare options.

Shop Smart for the Right Health Insurance Plan This Year

This September 2015 Consumer Reports blog entry describes best practices when shopping for health insurance. The post offers tips on comparing plans.

Maneuvering the Medicare and Medicaid Maze

This July 2015 report from Health & Disability Advocates and the Make Medicare Work Coalition shares the experiences of professionals in helping older adults and people with disabilities navigate the health care system. The report is based on a survey of MMW membership that covered topics including Medicare and Medicaid enrollment, Medicaid redeterminations, and Medicaid managed care.

Partnerships for Healthy Aging

Healthcare and affordable housing providers learn collaboration strategies to better serve older adults in this December 2014 guide from LeadingAge.

Retiree Coverage Choices

This flowchart from In The Loop illustrates the insurance options for employees who retire before they are eligible for Medicare.

Health Education with Meals on Wheels

The University of Georgia created the Good Questions for Good Health tool kit to increase the health literacy of older adults in Meals on Wheels. Staff and volunteers learn strategies to integrate health topics into their interactions with older adults.

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