David Lipschutz Center for Medicare Advocacy Associate - PowerPoint PPT Presentation

An Advocate’s Perspective on the Marketing Guidelines David Lipschutz Center for Medicare Advocacy Associate Director/Senior Policy Attorney dlipschutz@medicareadvocacy.org

Center for Medicare Advocacy . The Center for Medicare Advocacy is a national non-profit law organization, founded in 1986, that works to advance access to comprehensive Medicare and quality health care For further information, or to receive the Center’s free weekly electronic newsletter, CMA Alert, update emails and webinar announcements, contact: Communications@MedicareAdvocacy.org Or visit MedicareAdvocacy.org

Annual Coordinated Election Period -2019 . • 2020 Policy Changes • Medicare Advantage Special Supplemental Benefits for the Chronically Ill (SSBCI) • Medigap changes for individuals eligible for Medicare on 1/1/20 or later • Will no longer be able to purchase plans that cover the Part B deductible (Plans C and F) • Significant increase in the Part D annual out-of-pocket threshold

Revised Medicare Plan Finder . • Updated Medicare Plan Finder (introduced 8/27/19) • No back-up starting Oct 1. • Must create MyMedicare account in order to save data (e.g. rx lists) • These accounts include claims history • Continued MA Steering? • Since 2017 – CMS outreach, education materials revised, resulting in, among other things, omitting or limiting reference to traditional Medicare, and encouraging MA enrollment (over trad. Medicare) • 2020 Medicare & You changes – overall more balanced • Targeted email campaign?

Marketing Misconduct . • After roll-out of Part D and significant changes to Medicare Advantage effective in 2006, marketing misconduct proliferated • Congress responded – Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 (Pub. Law 110-275) • Consumer protections, including prohibition on unsolicited contacts, greater federal-state coordination, and distinction between educational and marketing events

Revisions to Marketing Guidelines . • Flawed process for revisions • Weakens distinction between “educational” and “marketing” events • Agent/broker permission to contact can now be open-ended; marketing appointments generated from educational events need no longer be distinct in place and time • Fails to address guidelines re: marketing new MA SSBCI • Fails to address D- SNP “look - alikes” – even though draft revisions did address • Removes important disclaimers (including availability of non-English translations)

David Lipschutz Center for Medicare Advocacy Associate - PowerPoint PPT Presentation

An Advocates Perspective on the Marketing Guidelines David Lipschutz Center for Medicare Advocacy Associate Director/Senior Policy Attorney dlipschutz@medicareadvocacy.org Center for Medicare Advocacy . The Center for Medicare Advocacy is

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David Lipschutz Center for Medicare Advocacy Associate - PowerPoint PPT Presentation

An Advocates Perspective on the Marketing Guidelines David Lipschutz Center for Medicare Advocacy Associate Director/Senior Policy Attorney dlipschutz@medicareadvocacy.org Center for Medicare Advocacy . The Center for Medicare Advocacy is

Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater

MEDICARE BASICS Welcome to Medicare Presented by the Aging &amp; Disability Resource Center of

Center for Medicare and Medicaid Innovation Center Update Center for Medicare and Medicaid

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OVERVIEW OF MEDICARE PART D IN 2012 AND TRENDS OVER TIME Juliette Cubanski, Ph.D. Associate

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California Health Advocates Our Focus Providing quality Medicare and related healthcare coverage

California Health Advocates Our Focus Providing quality Medicare and related healthcare coverage

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Medicare and Medicaid Fraud Charles Swift Attorney and Director: Constitutional Law Center For

Using Medicare Hospitalization Information and the MedPAR Beth Virnig, Ph.D. Associate Dean for

hospital characteristics Richard L. Skolasky, ScD Department of Orthopaedic Surgery, Associate

Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared

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