David Lipschutz Center for Medicare Advocacy Associate - - PowerPoint PPT Presentation

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Aug 15, 2023 261 likes •328 views

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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An Advocate’s Perspective on the Marketing Guidelines

David Lipschutz Center for Medicare Advocacy Associate Director/Senior Policy Attorney dlipschutz@medicareadvocacy.org

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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

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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

Annual Coordinated Election Period -2019

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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?

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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

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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