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Medicare Has Saved More Than 10 Million People Over $20 Billion
United States Department of Health and Human Services announced that millions of seniors and Americans with disabilities continued to see savings on prescription drugs and improved benefits in 2015 as a result of the Affordable Care Act.
Discounts of over $20.8 billion in prescription drugs were given to nearly 10.7 million Medicare beneficiaries – resulting in an average discount of $1,945 per beneficiary – since the enactment of the Affordable Care Act. In just 2015 alone, nearly 5.2 million senior citizens and citizens with disabilities received discounts of over $5.4 billion – an average discount of $1,054 per ...
Source: Policy and Medicine - March 2, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Narrative Matters: On Our Reading List
Editor’s note: “Narrative Matters: On Our Reading List” is a monthly roundup where we share some of the most compelling health care narratives driving the news and conversation in recent weeks.
Cut Off From Ambulance Rides
In December 2014, Medicare began a pilot program in Pennsylvania, New Jersey, and South Carolina to require prior authorization for “repetitive, scheduled, nonemergency” ambulance rides — enforcing a long-standing Medicare policy under which beneficiaries needed to require a stretcher before Medicare would pay for the nonemergency rides. But the policy crack-down left Charles Prozzillo, ...
Source: Health Affairs Blog - February 29, 2016 Category: Health Management Authors: Jessica Bylander Tags: Equity and Disparities Featured Medicare Narrative Matters Quality big data On Our Reading List Source Type: blogs
Senate Hearing on Opioid Epidemic Focuses on Limiting Multiple Access Points
The Senate Finance Committee held a hearing focused on the opioid abuse epidemic and its effect on the Medicare system. Senators Pat Toomey and Rob Portman have introduced a bipartisan bill Stopping Medication Abuse and Protecting Seniors Act with help from Senators Bob Casey and Sherrod Brown, that would allow Medicare Part D prescription drug plans to work with at-risk beneficiaries to identify one physician to prescribe opioids and one pharmacy to fill all the opioid prescriptions. The Senators believe that having opioids prescribed by only one physician (instead of multiple doctors) may result in better patient c...
Source: Policy and Medicine - February 25, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Smoking v. Obesity: The Economics Of Prevention And Its Dependence On Treatment
In 2012, the Congressional Budget Office (CBO) released an in-depth study of the health and budgetary effects of raising the excise tax on cigarettes. We commented on this study in our blog about the complex economics of disease prevention and longevity. CBO has since turned its attention to obesity and recently released a list of issues needing resolution in order for CBO to estimate the effects of federal policies impacting obesity.
In this Health Affairs Blog post, we summarize research we have done, under a grant from the Robert Wood Johnson Foundation (RWJF), on the value of reductions in cigarette smoking and obesity...
Source: Health Affairs Blog - February 22, 2016 Category: Health Management Authors: Charles Roehrig and George Miller Tags: Costs and Spending Drugs and Medical Technology Health Policy Lab Long-term Services and Supports Population Health Public Health Quality culture of health Obesity Smoking Source Type: blogs
Brother, Can You Spare A Dime ($0.10 CAD) For A PET?
The Canadian healthcare system has been touted as the most wonderful thing since sliced bread, the epitome of the Single-Payer model, the Way It Should Be Done, the ultimate, logical manifestation of where we are headed. The Affordable Obama Care Act is, of course, just a brief bus-stop on the highway to Canada.But wait just a moment, eh? All is not perfect in the land of the frozen. How many Americans (or Saudis or potentates of various small nations) go to Canada for esoteric, life-saving surgery? Conversely, how many Canadians cross the border (no wall as yet) for their care? (Answer: Depending on the source and th...
Source: Dalai's PACS Blog - February 20, 2016 Category: Radiology Source Type: blogs
We want access to safe and effective Avastin. Here’s a solution.
Recently, two states in India halted all use of Avastin for the treatment of eye disease following the report of 15 patients who underwent emergency surgery for potentially blinding infections at the C.H. Nagri Municipal Eye Hospital in Ahmedabad. Though further investigations are ongoing, there is worry that the cluster of infections centered around a tainted lot of compounded Avastin. This most recent event serves as a reminder of the risk that we take every time we inject Avastin into our patients eye.
Recent cluster infections have led to greater oversight: A good thing.
In the U.S., great measures have been taken...
Source: Kevin, M.D. - Medical Weblog - February 15, 2016 Category: Journals (General) Authors: Robert Wong, MD Tags: Conditions Medications Surgery Source Type: blogs
Patients Are The Sun: The Imperative For Consumer Engagement In Transforming Health Care
On January 15, Community Catalyst, a national consumer health advocacy organization, launched its Center for Consumer Engagement in Health Innovation at the National Press Club, in Washington, D.C. The event drew more than 150 leaders in health care and advocacy, including representatives from government agencies, consumer groups, academic institutions, professional associations, foundations, and think tanks.
The center was created through a five-year, $14.8 million legacy grant, awarded in 2015 by The Atlantic Philanthropies, to advance the role of consumers in health system transformation—that is, changes in the health...
Source: Health Affairs Blog - February 11, 2016 Category: Health Management Authors: Ann Hwang Tags: Costs and Spending Equity and Disparities GrantWatch Medicaid and CHIP Medicare Organization and Delivery Quality Aging Consumers Health Care Costs Health Care Delivery health equity Health Philanthropy Innovation Source Type: blogs
Should Medicare negotiate drug prices? Probably not
A popular idea, but not a good one
It’s nice that the vast majority of Democrats (93%) and Republicans (74%) have found something to agree upon. Too bad it’s the overrated idea of having Medicare negotiate drug prices.
Prescription drug costs are rising again after years of flat or modest growth. New, expensive products are hitting the market while drug makers have also found ways to boost the prices of older products, even generics. There’s been a lot of ink (and electrons) spilled by people complaining about “the $1000 pill” and other outrages, like bad boy drug exec and price gouger Martin...
Source: Health Business Blog - February 11, 2016 Category: Health Management Authors: dewe67 Tags: Pharma Policy and politics Uncategorized drug prices election medicare Source Type: blogs
CMS Releases Form And Rate Filing Instructions For Five States, Quality Rating System Guidance
The Affordable Care Act (ACA) provides that if a state lacks the authority or is otherwise substantially unable to enforce the ACA’s health insurance reform provisions, the Centers for Medicare and Medicaid Services (CMS) shall itself enforce those provisions directly. Currently CMS directly enforces the ACA’s insurance market reform provisions in Alabama, Missouri, Oklahoma, Texas, and Wyoming.
On February 5, 2016, CMS released 2017 form and rate filing instructions for insurers in those five states. Insurers providing individual or group health insurance products (other than excepted benefits and grandfathered produc...
Source: Health Affairs Blog - February 9, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Quality Alabama Essential Health Benefits Health Insurance Oversight System Missouri Oklahoma QHPs qualified health plans Texas Wyoming Source Type: blogs
At Last: The Data To Routinely Discuss Health Spending By Medical Condition
Discussions of health spending trends are constrained by available data. The National Health Expenditure Accounts (NHEA), maintained by the Centers for Medicare and Medicaid Services (CMS), presents spending by type of service or product and source of funds. As a result, their annual release analyzes changes primarily in these terms. The BEA National Income and Product Accounts (NIPA) include health sector spending broken out by service/product categories that are similar to those in the NHEA.
Each month, our Center releases a series of health spending reports in which we combine these, and other data sources, to report on...
Source: Health Affairs Blog - February 5, 2016 Category: Health Management Authors: Charles Roehrig Tags: Costs and Spending Drugs and Medical Technology Featured Health Care Satellite Account U.S. Bureau of Economic Analysis Source Type: blogs
The Search for the Elusive Elixir of Life
By TOM EMERICK
Here’s the executive summary: Most disease and health spending is age-related. As we age we get infirmities ranging from dementia to cancer to vascular disease. Nothing can prevent aging. Period. For millennia mankind has been been on a futile search to prevent aging.
Search for the Elusive Elixir of Life
For 3500 or more years mankind has been searching for the mythological Elixir of Life, the fountain of youth, the philosophers stone, pool of nectar, etc, that will defeat aging and extend life, if not achieve immortality.
According to Wiki, “The elixir of life, also known as the elixir of immortality a...
Source: The Health Care Blog - February 4, 2016 Category: Consumer Health News Authors: Simon Nath Tags: THCB Tom Emerick Source Type: blogs
Senators Wyden and Grassley Request Public Comments on Gilead Pricing
On the heels of their December 1, 2015, report on Gilead Sciences' pricing of Hepatitis C drugs Sovaldi and Harvoni, United States Senate Finance Committee leadership, namely Senators Chuck Grassley (R-IA) and Ron Wyden (D-OR), have asked for public comments from the patient and healthcare stakeholder community on the report's findings.
As a refresher, the report determined that Gilead had priced their products by prioritizing revenue and maximizing profit over patient access. The way Gilead prioritized revenue and profit over patient access wound up severely limiting patient access, particularly among beneficiaries who ...
Source: Policy and Medicine - January 27, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
The Mother of the Beast
Editor’s Note: This post is one of two pieces on the Introduction to Social Medicine and Global Health course at Harvard Medical School. Read the other piece here.
By: Benjamin Oldfield, MD, a fourth-year resident in the urban health-focused combined internal medicine-pediatrics residency program at Johns Hopkins Hospital
When asked about my medical school experience, I like to map my memories onto the arc of an epic poem. Both are lengthy, traversing vast ground, formative—the allegory seems to fit. First-year began in medias res, in the middle of things, as epics tend to do. Like the horrific storm at the beginni...
Source: Academic Medicine Blog - January 26, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Trainee Perspective global health health disparities patient centered care patient's story social determinants of health social history social medicine Source Type: blogs
Supplemental Benefits Under Medicare Advantage
Medicare Advantage has grown rapidly since the 2003 Medicare Modernization Act, and now covers 17 million or 33 percent of the 54 million Medicare beneficiaries — up from 13 percent a decade ago. This option allows seniors and the disabled to receive their Medicare benefits from a choice of private health care plans, instead of a single benefit structure managed directly by the federal government through the Centers for Medicare and Medicaid Services (CMS).
Much has been written about the relative merits of Medicare Advantage (MA) and Medicare Fee-For-Service from the standpoint of efficiency and care coordination, b...
Source: Health Affairs Blog - January 21, 2016 Category: Health Management Authors: Christopher Pope Tags: Costs and Spending Featured Insurance and Coverage Medicare Payment Policy CMS fee-for-service Medicare Advantage Medicare Modernization Act Source Type: blogs
