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Celebrating 35 years of making Medicare more accessible, affordable, and equitable!

Medicare Watch

Medicare Watch articles are featured in a weekly newsletter that helps readers stay up-to-date on Medicare policy and advocacy developments, and learn about changes in Medicare benefits and rules.

Medicare Payments for Insulin Have Increased Dramatically, Report Finds

A recent Kaiser Family Foundation report highlights the dramatic increase in Medicare spending on insulin products from 2007 to 2017. When taking into account payments made by plans, beneficiaries, and the federal government, spending increased by 840% from $1.4 to $13.3 billion.

Although there are an increasing number of Part D enrollees and an increase in the percentage of enrollees who have diabetes—with one third (33%) of people with Medicare diagnosed with diabetes in 2016, up from 18% in 2000—these trends do not account for the steep growth in overall spending. Indeed, the study notes that the average total Medicare Part D spending per user on insulin products increased by 358% between 2007 and 2016 (from $862 to $3,949).

Read More »
a roll of bills from which spill out pills of many colors

Recent Trends in Drug Pricing Show Stark Differences in Brand-Name and Generic Drug Affordability

A new report from the AARP Public Policy Institute (PPI) examines trends in prices for 390 generic prescription drugs widely used by older adults. The report found that retail prices for these drugs fell by an average of 9.3% between 2016 and 2017; the general inflation rate rose by 2.1% during the same period. This follows two consecutive years of substantial generic drug price decreases; the previous two years saw prices increase.

Read More »

President Trump’s Budget Proposal Represents a Vision for the Country That Does Not Prioritize People with Medicare

The President’s budget is a powerful document, as it represents the Trump administration’s vision for the country—a roadmap for where it would like lawmakers to go. It reflects the administration’s fiscal and programmatic priorities, which again this year do not include people with Medicare.

Further, because many older adults and people with disabilities look to a constellation of programs to stay healthy as they age, the budget’s Medicare cuts alone don’t tell the full story of how the administration’s vision for the future would impact beneficiaries.

Read More »

Enrollment, Coverage, and Prescription Drug Affordability Issues Continue to be Challenges for People with Medicare

Today, the Medicare Rights Center released its annual helpline trends report, which outlines the top ongoing challenges facing people with Medicare. The report’s findings are based on thousands of calls to the Medicare Rights’ national consumer helpline and millions of visits to Medicare Interactive, the online Medicare reference tool developed by Medicare Rights.

Read More »

Medicare Rights Center Applauds Introduction of The Medicare Part B Fairness Act

The Medicare Rights Center applauds Congresswoman Katie Hill (D-CA-25) and Congressman Brian Babin (R-TX-36) for introducing The Medicare Part B Fairness Act (H.R. 1788) in the U.S. House of Representatives.

The bill would improve the health and economic security of people with Medicare by limiting the amount and duration of the Part B Late Enrollment Penalty (LEP) and by expanding Special Enrollment Periods (SEPs) to include people with pre-Medicare coverage other than employer-sponsored group health plans.

Read More »

Once Again, Medicaid Work Requirements are Found Impermissible

Yesterday, a federal judge blocked efforts by two states to impose onerous paperwork and employment requirements on Medicaid recipients as a condition of maintaining coverage. For the second time, the judge found that Kentucky’s plan was not permissible under the Medicaid statute, and that similar rules in Arkansas — that have already led to thousands of Arkansans losing coverage — could not stand. The rulings are a set back for the Trump Administration, which has sought to reshape the Medicaid program by allowing states to implement such restrictions.

Read More »

Department of Justice States Support for Total Invalidation of the Affordable Care Act

This week, the Department of Justice surprised observers by filing a short letter with the Fifth Circuit Court of Appeals indicating the Trump Administration’s agreement with a district court decision invalidating the entirety of the Affordable Care Act (ACA).

This new, more extreme position is a departure from previously stated Administration policy, which sought to strike some of the law while preserving its more popular provisions, like protections for people with pre-existing conditions, the ability for people under 26 to remain on a parent’s insurance, and prohibitions on charging older adults exorbitant amounts for coverage.

Read More »

Electronic Health Records Can Be Useful for Patients, but Concerns Remain

Electronic Health Records (EHRs) allow providers and hospitals to input information about a patient’s health, diagnoses, and treatments into a computer system. These records can, when used correctly, help physicians keep track of patient histories and preferences and improve quality of care. They also give patients more access to their own data, increasing their ability to seek second opinions, better understand their health issues, and make corrections where needed. The use of EHRs has exploded in recent years, with 9% of hospitals using them in 2008 and 96% today.

Read More »

Medicare Payments for Insulin Have Increased Dramatically, Report Finds

A recent Kaiser Family Foundation report highlights the dramatic increase in Medicare spending on insulin products from 2007 to 2017. When taking into account payments made by plans, beneficiaries, and the federal government, spending increased by 840% from $1.4 to $13.3 billion.

Although there are an increasing number of Part D enrollees and an increase in the percentage of enrollees who have diabetes—with one third (33%) of people with Medicare diagnosed with diabetes in 2016, up from 18% in 2000—these trends do not account for the steep growth in overall spending. Indeed, the study notes that the average total Medicare Part D spending per user on insulin products increased by 358% between 2007 and 2016 (from $862 to $3,949).

a roll of bills from which spill out pills of many colors

Recent Trends in Drug Pricing Show Stark Differences in Brand-Name and Generic Drug Affordability

A new report from the AARP Public Policy Institute (PPI) examines trends in prices for 390 generic prescription drugs widely used by older adults. The report found that retail prices for these drugs fell by an average of 9.3% between 2016 and 2017; the general inflation rate rose by 2.1% during the same period. This follows two consecutive years of substantial generic drug price decreases; the previous two years saw prices increase.

President Trump’s Budget Proposal Represents a Vision for the Country That Does Not Prioritize People with Medicare

The President’s budget is a powerful document, as it represents the Trump administration’s vision for the country—a roadmap for where it would like lawmakers to go. It reflects the administration’s fiscal and programmatic priorities, which again this year do not include people with Medicare.

Further, because many older adults and people with disabilities look to a constellation of programs to stay healthy as they age, the budget’s Medicare cuts alone don’t tell the full story of how the administration’s vision for the future would impact beneficiaries.

Enrollment, Coverage, and Prescription Drug Affordability Issues Continue to be Challenges for People with Medicare

Today, the Medicare Rights Center released its annual helpline trends report, which outlines the top ongoing challenges facing people with Medicare. The report’s findings are based on thousands of calls to the Medicare Rights’ national consumer helpline and millions of visits to Medicare Interactive, the online Medicare reference tool developed by Medicare Rights.

Medicare Rights Center Applauds Introduction of The Medicare Part B Fairness Act

The Medicare Rights Center applauds Congresswoman Katie Hill (D-CA-25) and Congressman Brian Babin (R-TX-36) for introducing The Medicare Part B Fairness Act (H.R. 1788) in the U.S. House of Representatives.

The bill would improve the health and economic security of people with Medicare by limiting the amount and duration of the Part B Late Enrollment Penalty (LEP) and by expanding Special Enrollment Periods (SEPs) to include people with pre-Medicare coverage other than employer-sponsored group health plans.

Once Again, Medicaid Work Requirements are Found Impermissible

Yesterday, a federal judge blocked efforts by two states to impose onerous paperwork and employment requirements on Medicaid recipients as a condition of maintaining coverage. For the second time, the judge found that Kentucky’s plan was not permissible under the Medicaid statute, and that similar rules in Arkansas — that have already led to thousands of Arkansans losing coverage — could not stand. The rulings are a set back for the Trump Administration, which has sought to reshape the Medicaid program by allowing states to implement such restrictions.

Department of Justice States Support for Total Invalidation of the Affordable Care Act

This week, the Department of Justice surprised observers by filing a short letter with the Fifth Circuit Court of Appeals indicating the Trump Administration’s agreement with a district court decision invalidating the entirety of the Affordable Care Act (ACA).

This new, more extreme position is a departure from previously stated Administration policy, which sought to strike some of the law while preserving its more popular provisions, like protections for people with pre-existing conditions, the ability for people under 26 to remain on a parent’s insurance, and prohibitions on charging older adults exorbitant amounts for coverage.

Electronic Health Records Can Be Useful for Patients, but Concerns Remain

Electronic Health Records (EHRs) allow providers and hospitals to input information about a patient’s health, diagnoses, and treatments into a computer system. These records can, when used correctly, help physicians keep track of patient histories and preferences and improve quality of care. They also give patients more access to their own data, increasing their ability to seek second opinions, better understand their health issues, and make corrections where needed. The use of EHRs has exploded in recent years, with 9% of hospitals using them in 2008 and 96% today.

CELEBRATING

YEARS

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