WASHINGTON, DC -- U.S. Representatives Jan Schakowsky
(D-IL) and Pete Stark (D-CA) were joined by Representatives John Dingell (D-MI),
Charles Rangel (D-NY), Henry Waxman (D-CA), and Sherrod Brown (D-OH) in sending
a letter to HHS Secretary Leavitt requesting that the agency release the
information it has collected regarding the performance of Part D prescription
drug plan call centers. According to numerous press reports, many of these call
centers have failed to meet federal standards in providing accurate, timely
information to beneficiaries.
A lack of independent counselors has forced most beneficiaries to rely on
private insurance companies to provide them with information on the available
plans. Yet, CMS is refusing to make public information on which plans are
meeting federal standards and which are not. Beneficiaries have until May 15th
to enroll in a plan or switch plans to get coverage that best meets their needs.
Despite bipartisan Congressional support for an extension of that deadline in
light of marketing scams, inaccurate information about plans, and continued
confusion, President Bush has refused to extend the May 15 enrollment deadline.
“As they field calls from marketers and try to sort through dozens of Part D
plans, many beneficiaries are struggling to get the facts about which plan is
best for them. With the May 15th deadline fast approaching, beneficiaries have
an immediate right to know and need to know which insurance companies are
meeting federal standards and which may be providing misleading or inaccurate
information.” Schakowsky said.
Schakowsky and Stark have sponsored a bill to extend the enrollment deadline
until the end of the year to give beneficiaries more time to get unbiased
information and to choose the right plan. Their bill, the Medicare Informed
Choice Act, would also allow beneficiaries to switch their plans in 2006 to
protect those whose plans’ formularies change or who make a mistake. According
to the Congressional Budget Office, an additional 1.1 million would receive
coverage this year if the deadline were extended, and a total of 10 million
would avoid late enrollment penalties.
The full text of the Schakowsky, Stark, Dingell, Rangel, Waxman and Brown letter
is below:
Secretary Leavitt:
It has come to our attention that the Centers for Medicare and Medicaid Services
has information regarding the performance of Part D prescription drug plan “call
centers”. These call centers are intended to provide critically needed
information on plan policies and procedures for Medicare beneficiaries.
Based on press reports, Part D insurance companies have not been meeting federal
standards in providing information to beneficiaries through their call centers.
We are concerned about how these inaccuracies will affect beneficiaries’
abilities to enroll and navigate the new Part D benefit – especially with the
May 15th deadline looming in the very near future.
Moreover, we are concerned that CMS is withholding this information from
beneficiaries -- and from Congress which has a critical role in oversight of CMS
activities. We ask that you provide us -- and the public -- with this
information immediately. It is also imperative that this information be
presented in a format that allows beneficiaries, and those helping them enroll,
to be able to identify specific plans and their performance evaluations.
Aggregated data will not be of any help.
According to The New York Times, ("Deadline Near, Jams Are Seen for Drug
Plan," April 24, 2006):
“A federal contractor is making thousands of calls to insurers to measure
the performance of their call centers. Each insurer has received data
on its own performance. In many cases, the reports say, federal
standards were "not met."
Medicare officials had said the data would be publicly available before
May 15. Insurers are lobbying against disclosure, saying the federal
standards are too stringent."
The knowledge of problems at call centers would be extremely valuable for senior
citizens and persons with disabilities who have not yet enrolled in a Part D
plan or who might want to quickly change plans if they made a choice based on
inaccurate information. Medicare beneficiaries, their families and Congress have
the right to know about identified performance problems.
Immediate and wide dissemination of this information is particularly vital given
the Administration’s refusal to extend the May 15th enrollment deadline for all
people enrolled in Medicare. For the majority of beneficiaries who are trying to
make informed choices in these last weeks, any decisions made based on faulty or
incomplete information or coercion may not be corrected until the next plan year
starting in January 2007.
Accordingly, we request that you provide us with this performance data
immediately and present us with the mechanisms you are using to ensure that this
information is widely disseminated to the public at the same time.
Thank you for your attention to this important, timely matter. |