Medicare

U.S. House Democrats send sweeping climate, health and tax legislation to Biden

BY: - August 15, 2022

WASHINGTON — The U.S. House on Friday cleared Democrats’ long-sought climate, health care and tax package, sending it to President Joe Biden for his signature. The roughly $750 billion measure is much smaller than the $2 trillion reconciliation package the House originally sent to the Senate in November. The final product left out dozens of […]

How Medicare prescription drug coverage would change under U.S. Senate Democrats’ bill

BY: - August 8, 2022

WASHINGTON — A major spending bill from U.S. Senate Democrats would allow Medicare for the first time in its history to begin negotiating the prices of certain high-priced prescription drugs — a proposal that’s been around for years but has never come so close to the finish line. Under the legislation, Medicare would start negotiating the […]

Medicare prescription drug negotiation plan advanced by U.S. Senate Democrats

BY: - July 7, 2022

WASHINGTON — U.S. Senate Democrats have reached a tentative agreement to negotiate the cost of prescription drugs in the Medicare program, the first step in passing a long-stalled package that’s expected to include tax and climate change provisions as well. The deal, brokered between Senate Majority Leader Chuck Schumer and West Virginia Democrat Joe Manchin […]

Former CVS exec accuses it of ripping off seniors, taxpayers

BY: - June 28, 2022

The top leadership of CVS Health directed an illegal scheme to work across the corporation’s sprawling subsidiaries to drive up drug prices in the Medicare program, says a whistleblower suit that was recently unsealed in the Eastern District of Pennsylvania. It accuses CVS of breaching firewalls between its SilverScript prescription drug plan, CVS Caremark, its […]

Government watchdog: Health care giants improperly denied Medicare benefits

BY: - May 6, 2022

The health care companies offering Medicare Advantage plans improperly denied services and payments at what might seem an alarming rate during a one-week test period in 2019, according to a government report released last week. The companies — many of which are also major players in the Ohio Medicaid system — improperly denied payment 18% […]

Report: Medicare drug reforms would save seniors billions

BY: - March 10, 2022

A report published Monday says that another, less-sweeping (Medicare) change would save American seniors $18 billion a year, an annual average of about $281 for each senior getting drugs through Medicare Part D.

Free at-home COVID tests to be handed out to Medicare beneficiaries this spring

BY: - February 4, 2022

WASHINGTON — Starting this spring, Medicare beneficiaries will be able to get up to eight over-the-counter COVID-19 tests per month at no cost. The Center for Medicare and Medicaid Services announced Thursday that eligible pharmacies and participating organizations will begin distributing the tests in the coming months to individuals on either original Medicare or in […]

Record number of Americans sign up for ACA health insurance

BY: - January 3, 2022

By Phil Galewitz and Andy Miller, Kaiser Health News A record 13.6 million Americans have signed up for health coverage for 2022 on the Affordable Care Act marketplaces, the Biden administration announced last month. President Joe Biden’s top health advisers credited the increased government subsidies, which lowered out-of-pocket costs, for the surge in enrollment. They […]

For one drug at least, biggest insurers force Medicare patients to buy the most expensive

BY: - December 7, 2021

In theory, the point of managed care is to save money by negotiating with providers for lower prices. So it would seem that the biggest managed-care providers would use their clout to negotiate the lowest prices from doctors and hospitals and for medicine. But for at least one drug, the largest Medicare managed-care companies are […]

COMMENTARY

$300 million for nursing homes is a head scratcher

BY: - November 29, 2021

Late last month, Republican state Rep. Sara Carruthers of Hamilton introduced House Bill 461, a bill designed to appropriate $300 million in federal American Rescue Plan funds as a one-time payment to Ohio nursing facilities. We all know that as people age, they need extra support. Nursing facilities are a key piece of the puzzle […]

COMMENTARY

Sen. Manchin, others should listen to the compelling case for hearing aid coverage in Medicare

BY: - November 10, 2021

An older fellow who’s hard of hearing can get pretty anxious when he reads that hearing loss is the biggest treatable risk factor for dementia. The good news is that it’s treatable. The bad news is that most people can’t afford the main treatment, hearing aids. Peer-reviewed studies have confirmed a link between hearing loss […]

Despite restraints, Democrats’ drug pricing plan could still aid consumers

BY: - November 8, 2021

By Michael McAuliff, Kaiser Health News The Medicare prescription drug pricing plan Democrats unveiled this week is not nearly as ambitious as many lawmakers sought, but they and drug policy experts say the provisions crack open the door to reforms that could have dramatic effects. Tamping down drug expenses has been a longtime rallying cry for consumers beset […]