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However , certain other technologies that are not new and have historical claims have also been designated for separate payment either by Congress or by the agency that administers Medicare , the Centers for Medicare & Medicaid Services ( CMS ) in the Department of Health and Human Services . No sooner did we finish explaining the ins and outs of Medicare 's new prescription-drug plan than it 's time to reconsider your alternatives . The President 's recent proposal to reform Medicare provides a framework for making significant changes to the program . In March , the Bipartisan Commission on the Future of Medicare completed its deliberations . Others are told if they return to work they can keep their Medicare just not the home health care they need to stay alive and work at the same time .