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All states should elect the option to expand Medicaid to cover uninsured populations with low incomes.
Medicare beneficiaries enrolled in MA plans should be able to disenroll for any reason and at any time—effective the first day of the following month—and to enroll in the Traditional Medicare progr
Training should be available to state Medicaid program personnel to help them understand the Medicare program.
Premiums charged by health plans participating in Medicare must be community-rated for the Medicare population.
Health plans must be able to demonstrate that appropriate and necessary services are reasonably available and accessible 24 hours a day, seven days a week.
CMS should prohibit health plans from altering provider networks during the enrollee lock-in period.
Written clinical review criteria must be developed with the involvement of health plan practitioners. They must be made available to plan practitioners and enrollees.
All private health care plans should be held accountable for their actions.
Enrollees in private health plans should have appropriate access to, information about, and protections within clinical trials.