New Bill Calls for Study of Medicare's Toll-Free Line

News October 24, 2024 at 02:19 PM
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What You Need To Know

  • The Improving Medicare Services Act of 2024 would require a study of the line's customer service metrics.
  • A comprehensive study would be the first since the GAO offered recommendations 15 years ago.
  • Service won't improve without an increase in funding, a lobbyist says.
Medicare word on tablet screen with medical equipment on background

New bipartisan legislation would require the comptroller general to study key aspects of the 1-800-Medicare call line's performance, including customer wait times.

The bill, H.R. 9916, the Improving Medicare Services Act of 2024, was introduced by Rep. Monica De La Cruz, R-Texas, and is co-led by Rep. Lou Correa, D-Calif.

"Seniors rely on the 1-800-Medicare call line for essential information and assistance regarding their healthcare coverage," De La Cruz said in a statement. "We must ensure that this service is meeting their needs efficiently and effectively."

The study, De La Cruz continued, "will highlight where improvements are needed and ensure that we have updated data to make informed decisions on behalf of Medicare recipients. With this legislation, we're standing up for our seniors to ensure they get the high-quality service they've earned."

The study would also look at staffing competency and contractor performance as well as benchmarking potential improvements or downgrades in service.

The bill directs the U.S. comptroller general to conduct a comprehensive study and share recommendations on the 1-800-Medicare line, as well as provide recommendations to Congress and the Department of Health and Human Services.

De La Cruz said the study is the first since the U.S. Government Accountability Office offered recommendations 15 years ago.

"The study will also describe any actions taken by the Secretary of Health and Human Services or contractors carrying out 1-800-Medicare services in response to previous recommendations provided by the GAO," De La Cruz said.

By taking a data-driven approach, the bill would "ensure that all Medicare beneficiaries receive timely, accurate, and professional assistance whenever they call the helpline," according to the statement.

Dan Adcock, director of Government Relations and Policy at the National Committee to Preserve Social Security and Medicare, told ThinkAdvisor that while the group has not taken a position on the bill, it agrees "that the wait times on the toll-free Medicare phone number should be reduced."

However, Adcock continued, "that means that the appropriation for the Centers for Medicare and Medicaid Services needs to be adequately increased. But the House majority has repeatedly voted to cut non-defense discretionary spending, which includes funding for CMS. So the goal of the legislation will not be achieved unless Congress agrees to invest in CMS and other agencies and programs critical to seniors."

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