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Posts on Medicare
July 30, 2019

On Medicaid and Medicare’s 54th birthday, tens of millions of beneficiaries face direct harm from litigation seeking to overturn the Affordable Care Act (ACA) — which strengthened both programs and updated how they operate, transforming Medicaid’s eligibility rules and...

Medical personnel rushing patient to emergency room
July 8, 2019

Medicare beneficiaries, providers, and plans could face severe harm if the federal courts allow a district court decision striking down the Affordable Care Act (ACA) to stand. As we...

Hands holding medicine bottle
June 12, 2019

The Trump Administration is considering whether to use a lower inflation measure to calculate annual adjustments to the federal poverty line. This approach would ultimately...

Elderly couple walking
May 9, 2019

The Trump Administration’s proposed rule that would effectively ban drug rebates in Medicare and Medicaid would raise — not reduce — spending on prescription drugs, the Congressional Budget Office (CBO) says in a new estimate. Drug...

Medical Supplies
March 18, 2019

President Trump’s 2020 budget proposes nearly $600 billion in net Medicare spending reductions over ten years (see table). Most of the proposals...

Hands holding medicine bottle
December 18, 2018

December 19, 2018: We have corrected the list of preventive services for which the ACA eliminated cost-sharing.

If allowed to stand, a U.S. District Court judge’s decision striking down the Affordable Care Act (ACA) would significantly affect Medicare. To be sure, since the legal reasoning behind the decision is...

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October 30, 2018

Private Medicare Advantage (MA) insurers have long received overpayments from Medicare due to their “upcoding,” which makes MA enrollees appear less healthy than they are — and a recent court decision could worsen the problem. As policymakers look to strengthen Medicare, eliminating upcoding should be high on their...

Healthcare providers with patient in hospital
October 4, 2018

Proposals to expand Medicare have moved to the forefront of debate, with several expansion plans advanced in policy journals or introduced in Congress. Although they vary in scope, all raise numerous technical and program design issues. In a new issue brief for the National Academy of...

Elderly Woman And Doctor
September 24, 2018

Beneficiaries in Medicare’s prescription drug program (Medicare Part D) with high drug spending will have to pay much more out of pocket starting in 2020 under a scheduled sharp increase in the spending threshold at which catastrophic coverage kicks in. Policymakers may soon eliminate that looming benefit “cliff.” But they shouldn’t also reduce the discount that drug companies must pay when...

Cash Inside Pill Containers
June 4, 2018

The Social Security and Medicare trustees will release their annual reports on the programs’ finances tomorrow and, though we don’t know how the projections may change from last year’s, we expect them to tell a similar story: ...

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