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Medicare Drug Program News

Medicare's Nightmare $50 Million Mistake Draws Senator's, Advocates' Concerns

Medicare says senior citizens must return the check but doesn't say how

August 24, 2006 – The fall-out continues over the mistaken reimbursement by Medicare of $50 million to senior citizens paying for their Medicare drug plan with a deduction for their Social Security check. Sen. Chuck Grassley (R-Iowa), chairman of the powerful Senate Finance Committee, sent a raising concern and several advocacy groups are complaining that this adds further confusion for seniors to an already confusing program.

Click here to the Daily Health Policy Report - KaiserNetwork.orgSen. Grassley Expresses Concern About Checks Sent Erroneously to Medicare Beneficiaries

Senate Finance Committee Chair Chuck Grassley (R-Iowa) on Wednesday sent a letter to CMS Administrator Mark McClellan that raised concerns about a glitch that prompted the agency to send payments erroneously to more than 231,000 Medicare beneficiaries to reimburse them for almost $50 million in prescription drug benefit premiums, the Washington Post reports.

According to McClellan, who announced the glitch on Tuesday, affected Medicare beneficiaries also received letters from the Social Security Administration that erroneously said the agency will no longer deduct their monthly prescription drug benefit premiums from their Social Security checks.

 

Related Stories

 
 

Medicare Makes $50 Million Mistake by Refunding Drug Program Premiums

230,000 senior citizens will have to repay the money

August 23, 2006 – The Medicare drug program, already under criticism for being a confusing program for many senior citizens, has just become a lot more confusing for 230,000 already in the program. The government has mistakenly sent these seniors checks totaling about $50 million supposedly reimbursing them for monthly premiums paid this year. The checks come with a letter that says their monthly premiums will no longer be deducted from their Social Security check – also an error. Read more...

Medicare Advocates Question CMS Tip Sheet on Drug Program's Donut Hole

Info sent to 'CMS Partners' to help explain the coverage gap

August 18, 2006 – The new Tip Sheet recently sent by the Centers for Medicare & Medicaid Services (CMS) to its Partners on "How the Coverage Gap works for People with Medicare Prescription Drug Plans" is misleading and certainly not helpful, according to a Medicare advocacy group. Read more... 


Read more on Medicare or Medicare Drug Program

 

CMS this week sent those Medicare beneficiaries a second letter, signed by agency chief operating officer John Dyer to inform them of the glitch and notify them that they must return the erroneous reimbursements to the federal government.

According to the Post, the letter from Dyer does not provide specific details for how the money should be returned. "We will let you know soon about that process," the letter states, adding, "Again, you do not need to do anything other than set that money aside."

In his letter, Grassley writes that CMS should recover the erroneous reimbursements, which average $215 each, in small, "manageable" increments over "as long a period as possible." Grassley adds that some Medicare beneficiaries "may not realize the error that was made and may not have put the money aside" (Lee, Washington Post, 8/24).

Details From CMS

McClellan said that CMS officials believe they can "smoothly" recover the erroneous reimbursements from Medicare beneficiaries. He added, "We're sorry about the inconvenience this error has caused. We want to make sure (beneficiaries know) their coverage is continuing" (Barfield Berry, Gannett/Rochester Democrat & Chronicle, 8/24).

McClellan said that most of the Medicare beneficiaries affected by the glitch received the erroneous reimbursements by direct deposit, although some received checks. In addition, McClellan said that the glitch -- which occurred when CMS updated SSA about Medicare beneficiary information -- should prove inexpensive to correct "by government standards" (Stout, New York Times, 8/24).

Comments

Paul Precht, policy coordinator of the Medicare Rights Center, said, "This is part of a larger problem which is still unsolved," adding, "We've been trying and other advocates have been trying for months to get those problems fixed and they're still not" (Gannett/Rochester Democrat & Chronicle, 8/24).

Vicki Gottlich, an attorney with the Center for Medicare Advocacy, said, "It's a mess, and this situation was inevitable." She added, "For the last eight months, we've helped people who have had premiums improperly deducted, or were charged for plans they didn't enroll in. ... This week's glitch is evidence that federal government systems can't support the complexities of Part D. We're particularly concerned that people will conclude they're not entitled to their benefits" (Harper, Washington Times, 8/24).

Tricia Neuman, a Kaiser Family Foundation vice president and director of the Medicare Policy Project at the foundation, said, "The problem is for people who aren't sure about what's going on there's a risk that they will spend that money ... and now find themselves liable. That can be really scary."

Study
State Health Insurance Assistance Programs officials have reported several problems with deductions of monthly Medicare prescription drug benefit premiums from Social Security checks, according to a Kaiser Family Foundation report released on Thursday.

About five million Medicare beneficiaries enrolled in the prescription drug benefit have decided to pay their monthly premiums through deductions from their Social Security checks. According to the report, SHIP officials initially had advised Medicare beneficiaries to pay their monthly premiums through deductions from their Social Security checks but currently advise against the practice (Gannet/Rochester Democrat & Chronicle, 8/24).

>> The Kaiser report is available online.

>> CBS' "Evening News" on Wednesday reported on the glitch. The segment includes comments from McClellan (Andrews, "Evening News," CBS, 8/23). The complete segment is available online in RealPlayer.

 

"Reprinted with permission from kaisernetwork.org You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved.”

 

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