INSIDER
All Medicare plans to include cap on prescription drug costs beginning in 2025
Read full article: All Medicare plans to include cap on prescription drug costs beginning in 2025More than 67 million with Medicare can review their options and make changes from Oct. 15 through Dec. 7, and those who miss the deadline will likely have to wait another year to make any changes.
Former insurance agent battling cancer has a dying wish: Warn seniors against having a Medicare Advantage plan
Read full article: Former insurance agent battling cancer has a dying wish: Warn seniors against having a Medicare Advantage planThe Medicare open enrollment period began Tuesday and big changes are in store for Medicare Advantage patients in 2025.
Walz unveils Harris' plan for rural voters as campaign looks to cut into Trump's edge
Read full article: Walz unveils Harris' plan for rural voters as campaign looks to cut into Trump's edgeDemocratic vice presidential nominee Tim Walz unveiled his ticketโs plans to improve the lives of rural voters as Vice President Kamala Harris looks to cut into former President Donald Trumpโs support.
Some things the FTC says you should know this Medicare Open Enrollment Period
Read full article: Some things the FTC says you should know this Medicare Open Enrollment PeriodIf you have Medicare, Open Enrollment โ which runs from Oct. 15 through Dec. 7 โ is when you can make changes to your health and prescription drug plans.
Medicare Advantage shopping season arrives with a dose of confusion and some political implications
Read full article: Medicare Advantage shopping season arrives with a dose of confusion and some political implicationsThinner benefits and coverage changes await many older Americans shopping for health insurance this fall.
An appeals court has revived a challenge to President Biden's Medicare drug price reduction program
Read full article: An appeals court has revived a challenge to President Biden's Medicare drug price reduction programA constitutional challenge to the Biden administration program enabling Medicare to negotiate lower prices for prescription drugs has been revived by a federal appeals court.
Drugs to treat diabetes, heart disease and blood cancers among those affected by price negotiations
Read full article: Drugs to treat diabetes, heart disease and blood cancers among those affected by price negotiationsThe Biden administration says Medicare recipients will save about $1.5 billion dollars on medications to for diabetes, heart disease, types of arthritis and other ailments under new prices negotiated with drug companies that will take effect in 2026.
Jacksonvilleโs proposed capital improvement projects could cost $1.9 billion over 5 years
Read full article: Jacksonvilleโs proposed capital improvement projects could cost $1.9 billion over 5 yearsA brief meeting in the mayorโs office shared how capital improvement funds could be spent over the next five years.
Lost chances to treat overdose survivors are documented in new Medicare study
Read full article: Lost chances to treat overdose survivors are documented in new Medicare studyPeople on Medicare who survived a drug overdose were much more likely to later receive opioid painkillers than any medication to treat addiction โ and some went on to die of an overdose.
Can Medicare money protect doctors from abortion crimes? It worked before, desegregating hospitals
Read full article: Can Medicare money protect doctors from abortion crimes? It worked before, desegregating hospitalsThe Supreme Court's decision regarding Idaho's abortion ban may hinge on whether federal spending power can protect doctors against a state's criminal code.
โGo Brokeโ dates for Social Security, Medicare pushed back but still looming, programs warn
Read full article: โGo Brokeโ dates for Social Security, Medicare pushed back but still looming, programs warnThe trustees for Social Security and Medicare warn policy changes are needed or else the programs won't be able to pay full benefits to retiring Americans.
Medicare and Social Security go-broke dates are pushed back in a 'measure of good news'
Read full article: Medicare and Social Security go-broke dates are pushed back in a 'measure of good news'The go-broke dates for benefit programs Medicare and Social Security have been pushed back as an improving economy has contributed to changed projected depletion dates, according to the annual Social Security and Medicare trustees report.
CVS Health chops 2024 forecast as cost struggles with Medicare Advantage persist
Read full article: CVS Health chops 2024 forecast as cost struggles with Medicare Advantage persistCVS Health missed first-quarter expectations and chopped its 2024 outlook more than a dollar below Wall Streetโs forecast.
About 1 in 4 US adults 50 and older who aren't yet retired expect to never retire, AARP study finds
Read full article: About 1 in 4 US adults 50 and older who aren't yet retired expect to never retire, AARP study findsAbout one-quarter of U.S. adults age 50 and older who aren't yet retired say they expect to never retire and 70% are concerned about prices rising faster than their income.
Biden sees a $35 price cap for insulin as a pivotal campaign issue. Itโs not that clear-cut
Read full article: Biden sees a $35 price cap for insulin as a pivotal campaign issue. Itโs not that clear-cutPresident Joe Biden frequently cites insulin prices as he promotes a $35 price cap for Americans with diabetes who are on Medicare.
2 Jacksonville women accused of scamming Medicare out of nearly $4M by sending unwanted COVID-19 tests
Read full article: 2 Jacksonville women accused of scamming Medicare out of nearly $4M by sending unwanted COVID-19 testsThey would sometimes send as many as eight tests per person and then use a billing company to ask Medicare for reimbursements, according to the US Attorneyโs Office.
The federal debt tops $34 trillion and some in Congress want a commission to find ways to tackle it
Read full article: The federal debt tops $34 trillion and some in Congress want a commission to find ways to tackle itA bill to create a bipartisan commission that would tackle the nationโs soaring debt and make policy recommendations to Congress has won approval from a House committee.
Alzheimerโs drug Leqembi has full FDA approval now and that means Medicare will pay for it
Read full article: Alzheimerโs drug Leqembi has full FDA approval now and that means Medicare will pay for itU.S. officials have granted full approval to a closely watched Alzheimerโs drug for patients with early stages of the disease.
Merck sues federal government, calling plan to negotiate Medicare drug prices extortion
Read full article: Merck sues federal government, calling plan to negotiate Medicare drug prices extortionMerck is suing the federal government over a plan to negotiate Medicare drug prices, calling the program a sham equivalent to extortion.
Debt limit deal is in place, but budget deficit is still a multi-decade challenge for US government
Read full article: Debt limit deal is in place, but budget deficit is still a multi-decade challenge for US governmentEven with new spending restraints included in the congressional debt limit deal, the U.S. governmentโs deficits are still on course to keep climbing to record levels over the next few decades.
Biden says he's expanding some migrants' health care access
Read full article: Biden says he's expanding some migrants' health care accessPresident Joe Biden says his administration is expanding eligibility for Medicaid and the Affordable Care Actโs health insurance exchanges to hundreds of thousands of immigrants who were brought to the U.S. illegally as children.
Most oppose Social Security, Medicare cuts: AP-NORC poll
Read full article: Most oppose Social Security, Medicare cuts: AP-NORC pollAmericans are deeply opposed to cutting into Medicare or Social Security benefits, and most support raising taxes on the nationโs highest earners to keep Medicare running as is.
Medicare, Social Security could fall short over next decade
Read full article: Medicare, Social Security could fall short over next decadeAn annual report on Social Security and Medicare says the financial safety nets millions of older Americans rely on and millions more young people are counting on will run short on funds to pay full benefits within the next decade.
Poll: Cut federal spending โ but not big-ticket programs
Read full article: Poll: Cut federal spending โ but not big-ticket programsIn the federal budget standoff, the majority of U.S. adults are asking lawmakers to pull off the impossible: Cut the overall size of government, but also devote more money to the most popular and expensive programs.
Haley wants entitlement program changes for younger people
Read full article: Haley wants entitlement program changes for younger peopleRepublican presidential candidate Nikki Haley is proposing changes to entitlement programs for younger generations, opening the door to potential cuts to Social Security and Medicare if elected.
Sen. Rick Scott alters policy plan causing heartburn for GOP
Read full article: Sen. Rick Scott alters policy plan causing heartburn for GOPRepublican Sen. Rick Scott of Florida has amended a plan to overhaul how the federal government works after Democrats repeatedly seized on it to accuse Republicans of looking to cut Medicare and Social Security.
LIVE: Pres. Biden discusses plans in Tampa to strengthen Social Security, Medicare
Read full article: LIVE: Pres. Biden discusses plans in Tampa to strengthen Social Security, MedicarePresident Biden is speaking in Tampa about his plans to strengthen Social Security and Medicare and make health care more accessible by lowering costs.
Biden warns of GOP plans for Medicare, Social Security cuts
Read full article: Biden warns of GOP plans for Medicare, Social Security cutsWhen President Joe Biden suggested that Republicans want to slash Medicare and Social Security it brought howls of protests from the GOP side of the aisle during the State of the Union address.
Millions to lose Medicaid coverage under Congress' plan
Read full article: Millions to lose Medicaid coverage under Congress' planMillions of people who enrolled in Medicaid during the COVID-19 pandemic could start to lose their insurance plans by April 1 if Congress passes the $1.7 trillion spending package leaders unveiled Tuesday.
Medicare enrollees warned about deceptive marketing schemes
Read full article: Medicare enrollees warned about deceptive marketing schemesWith Medicareโs open enrollment underway, health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that donโt cover their doctors or prescriptions and drive up their out-of-pocket costs.
Millions of Americans will save on Medicare fees next year
Read full article: Millions of Americans will save on Medicare fees next yearFor the first time in a decade, Americans will pay less next year on monthly premiums for Medicareโs Part B plan, which covers routine doctorsโ visits and other outpatient care.
Pharmacies can't discriminate on reproductive health scripts
Read full article: Pharmacies can't discriminate on reproductive health scriptsThe Biden administration is warning pharmacies not to discriminate against women who may seek reproductive health prescriptions, including some that might be involved in ending a pregnancy.
Go-broke dates pushed back for Social Security, Medicare
Read full article: Go-broke dates pushed back for Social Security, MedicareA stronger-than-expected economic recovery from the pandemic has pushed back the go-broke dates for Social Security and Medicare, but officials warn that the current economic turbulence is putting additional pressures on the bedrock retirement programs.
Medicare weighs premium cut after limiting Alzheimer's drug
Read full article: Medicare weighs premium cut after limiting Alzheimer's drugMedicare says itโs considering a cut in enrollee premiums, after officials stuck with an earlier decision to sharply limit coverage for a pricey new Alzheimerโs drug projected to drive up program costs.
State ends appeal in health worker vaccine case
Read full article: State ends appeal in health worker vaccine caseAfter a U.S. Supreme Court ruling this month that backed the Biden administration, Florida has dropped its appeal in a legal fight against federal COVID-19 vaccination requirements for health-care workers.
$56K Alzheimerโs drug avoiding Bidenโs cost curbs, for now
Read full article: $56K Alzheimerโs drug avoiding Bidenโs cost curbs, for nowA new $56,000-a-year Alzheimerโs medication thatโs leading to one of the biggest increases ever in Medicare premiums is highlighting the limitations of President Joe Bidenโs strategy for curbing prescription drug costs.
Sanders to Biden: Cut back looming Medicare premium hike
Read full article: Sanders to Biden: Cut back looming Medicare premium hikeSen. Bernie Sanders is asking the White House to cut back a big Medicare premium hike set to take effect in weeks and tied to a pricey Alzheimerโs drug whose benefits have been widely questioned.
Cap on drug price hikes for privately insured sparks battle
Read full article: Cap on drug price hikes for privately insured sparks battleWorkers and families with private health insurance would reap savings on prescription drugs from a little-noticed provision in President Joe Biden's social agenda bill.
Real Medicare drug savings in Dems' bill โ but not overnight
Read full article: Real Medicare drug savings in Dems' bill โ but not overnightMedicare enrollees who take expensive medicines could save thousands of dollars a year under the Democratsโ sweeping social agenda bill, but those dividends wonโt come overnight.
Paid leave, immigration, tax changes added to Biden bill
Read full article: Paid leave, immigration, tax changes added to Biden billHouse Democrats have added paid family and medical leave, immigration law changes and a state-and-local tax break to President Joe Biden's $1.75 trillion social services and environmental bill.
Democrats reach drug price deal, Biden upbeat on Manchin
Read full article: Democrats reach drug price deal, Biden upbeat on ManchinDemocrats say they have sealed a deal to lower pharmaceutical drug costs for most older Americans as part of President Joe Bidenโs sweeping $1.75 trillion domestic proposal.
Dems see progress in adding drug cost curbs to budget bill
Read full article: Dems see progress in adding drug cost curbs to budget billTwo congressional aides say Democrats have made significant progress on adding compromise provisions curbing prescription drug prices to their massive social and environment package.
Medicaid issues, not Medicare's, get fixes in Biden budget
Read full article: Medicaid issues, not Medicare's, get fixes in Biden budgetMedicaid issues are turning up as winners in President Joe Bidenโs social budget framework even as divisions force Democrats to hit pause on far-reaching improvements to Medicare.
Agonizing choices as Dems debate shrinking health care pie
Read full article: Agonizing choices as Dems debate shrinking health care pieDemocrats are fretting about how theyโd divide a shrinking pie amid signs that negotiations over President Joe Bidenโs massive domestic policy bill could yield a smaller serving of health care spending.
COVID recession pushed Social Security insolvency up a year
Read full article: COVID recession pushed Social Security insolvency up a yearThe sharp shock of the coronavirus recession pushed Social Security a year closer to insolvency but left Medicareโs exhaustion date unchanged, the government reported Tuesday.
As COVID rises, a vexing hunt for nursing home vaccine stats
Read full article: As COVID rises, a vexing hunt for nursing home vaccine statsWith COVID-19 on the rise again and many nursing home staffers unvaccinated, families still lack easy access to crucial Medicare immunization data that will help them pick the right facility for their loved one.
Feds take down Medicare scams that preyed on virus fears
Read full article: Feds take down Medicare scams that preyed on virus fearsThe Justice Department is announcing criminal charges against more than a dozen people from Florida to California in a series of Medicare scams that exploited coronavirus fears to bill tens of millions of dollars in bogus claims.
Democrats must find narrow path to curb high medicine prices
Read full article: Democrats must find narrow path to curb high medicine pricesPresident Joe Bidenโs call for authorizing Medicare to negotiate lower prescription drug prices has energized Democrats on a politically popular idea theyโve been pushing for nearly 20 years only to encounter frustration.
Biden's Medicare pick would be 1st Black woman to hold post
Read full article: Biden's Medicare pick would be 1st Black woman to hold postThe agency oversees government health insurance programs covering more than 1 out of 3 Americans and is a linchpin of the health care system. CMS also plays a central role in the nationโs $4 trillion health care economy, setting Medicare payment rates for hospitals, doctors, labs and other service providers. The agency also sets standards that govern how health care providers operate. โShe is well-respected and liked by the department veterans who have worked with her in the past.โYears ago, Brooks-LaSure worked with Biden's nominee to run HHS, California Attorney General Xavier Becerra. AdUnder Biden, Brooks-LaSure will be expected to grow Obamacare enrollment by promoting HealthCare.gov and trying to persuade holdout states to adopt Medicaid expansion.
Trump plan to curb drug costs dealt setback in court
Read full article: Trump plan to curb drug costs dealt setback in courtThe Trump regulation would tie what Medicare pays for certain drugs administered in a doctor's office to the lowest price paid among a group of economically advanced countries. Some opponents have likened the Trump policy to a form of socialist price controls. Trump came into office accusing drug companies of โgetting away with murderโ and promising to slash costs for American patients. Even if the Trump rule is ultimately blocked, the idea of using international prices to lower costs for Americans is very much alive. It's at the heart of House Speaker Nancy Pelosi's legislation to empower Medicare to negotiate drug prices.
Trump commutes 20-year sentence in massive health care fraud run out of Florida
Read full article: Trump commutes 20-year sentence in massive health care fraud run out of FloridaPhilip Esformes was listed as the owner/manager of Eden Gardens for 11 years. MIAMI โ President Donald Trump has commuted the 20-year prison sentence imposed on a Miami Beach businessman in a $1 billion health care fraud case, one of the nationโs largest. The president's action for 52-year-old Philip Esformes was among a group of pardons and commutations announced Tuesday night. Esformes' commutation was supported by a number of top former federal legal officials, including former U.S. Trial testimony also showed that Esformes paid bribes to a former University of Pennsylvania basketball coach to get his son into the school.
Trump tries to revive stalled election-eve drug discounts
Read full article: Trump tries to revive stalled election-eve drug discountsFILE - In this Oct. 10, 2020, file photo, President Donald Trump speaks from the Blue Room Balcony of the White House to a crowd of supporters in Washington. (AP Photo/Alex Brandon, File)WASHINGTON โ The Trump administration is trying to revive the president's stalled election-eve plan to send millions of Medicare recipients a $200 prescription discount card. White House spokesman Judd Deere confirmed the administration is continuing to move forward. โItโs simply good policy, and demonstrates President Trump is continuing to deliver on his promises to our nationโs seniors to lower drug prices." Pallone dismissed the latest White House push.
Trump makes late-term bid to lower prescription drug costs
Read full article: Trump makes late-term bid to lower prescription drug costsWASHINGTON โ Trying to close out major unfinished business, the Trump administration issued regulations Friday that could lower the prices Americans pay for many prescription drugs. The Trump administration disputes that and says its rule could potentially result in 30% savings for patients. Trump has taken other action to lower prescription drug costs by opening a legal path for importing medicines from abroad. Also, Medicare drug plans that cap insulin costs at $35 a month are available during open enrollment, currently underway. The Food and Drug Administration has put a priority on approving generics, which cost less.
Feds fine Jacksonville radiology practice $1.4 million after fraud allegations
Read full article: Feds fine Jacksonville radiology practice $1.4 million after fraud allegationsJACKSONVILLE, Fla โ A Jacksonville radiology practice has agreed to pay the United States $1.4 million after allegations that it knowingly submitted false claims to Medicare and Medicaid for radiological images that were ineligible for reimbursement, the Department of Justice announced Friday. (MBB) billed healthcare programs for radiological images that were interpreted outside the United States. โTodayโs announcement demonstrates the Justice Departmentโs commitment to protect public funds and our healthcare beneficiaries,โ said United States Attorney Chapa Lopez in a press release. Heyck sued under the qui tam, or whistleblower, provisions of the False Claims Act permitting a private citizen to sue on behalf of the United States for false claims and to share in the recovery. โKnowingly submitting false claims for financial gain is unacceptable,โ said Special Agent in Charge Omar Perez Aybar of the U.S. Health and Human Services, Office of Inspector General.
Biden has room on health care, though limited by Congress
Read full article: Biden has room on health care, though limited by CongressAnd just like the Trump administration, Biden is expected to aggressively wield the rule-making powers of the executive branch to address health insurance coverage and prescription drug costs. With COVID-19 surging across the country, Biden's top health care priority is whipping the federal governmentโs response into shape. โWeโre going to work quickly with the Congress to dramatically ramp up health care protections, get Americans universal coverage, lower health care costs, as soon as humanly possible,โ the president-elect said earlier this week. A factor that may work in Biden's favor is that many Republicans want to change the subject on health care. Coronavirus relief legislation could provide an early vehicle for some broader health care changes.
Feds issue coverage plan for COVID-19 vaccine and treatments
Read full article: Feds issue coverage plan for COVID-19 vaccine and treatmentsThe regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. Under Wednesday's announcement:โ Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived. โ The government will pay private Medicare Advantage plans to administer the vaccine to seniors. โ Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. โ State Medicaid and Children's Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.
Medicare finalizing coverage policy for coronavirus vaccine
Read full article: Medicare finalizing coverage policy for coronavirus vaccineWASHINGTON โ Medicare will cover the yet-to-be approved coronavirus vaccine free for older people under a policy change expected to be announced shortly, a senior Trump administration official said Tuesday. It's questionable under normal circumstances if Medicare can pay for a drug that receives emergency use authorization from the Food and Drug Administration, as expected for the eventual coronavirus vaccine. A White House-backed initiative called โOperation Warp Speedโ is pushing to have a vaccine ready for distribution in the coming months. States have already begun submitting their plans for vaccine distribution to the federal government. Initially, it's expected vaccines will go to people in high-risk groups such as medical personnel, frontline workers and nursing home residents and staff.
Trump's election-eve drug discounts for seniors get snagged
Read full article: Trump's election-eve drug discounts for seniors get snaggedA White House official had no comment on the status of the prescription cards, which Trump announced with a flourish last month during a health care speech in Charlotte, N.C. We will provide more information about the prescription drug cards soon.โOne administration official said the odds are 75-25 the plan will not happen. Among them:โ The White House asserted that Medicare could legally send out the discount cards under its authority to conduct โdemonstration programsโ testing new ideas. The $200 would test if extra cash made seniors more likely to stay on their medications and avoid costly hospitalizations. โIt would do relatively little for seniors with truly catastrophic prescription drug expenses,โ she said.
Trump's $200 prescription cards won't hit mailboxes just yet
Read full article: Trump's $200 prescription cards won't hit mailboxes just yetMedicare enrollees can get prescription drug coverage by purchasing a โPart Dโ drug plan or by joining a Medicare Advantage plan. Announcing the savings cards Thursday at a speech in Charlotte, N.C., Trump called it a โhistoric provisionโ to benefit seniors. โThese cards are incredible.โUsing Trump's figure of 33 million people getting the $200 cards, the cost would work out to $6.6 billion, not including administrative expenses. The White House says the prescription cards are definitely coming. Oregon Democratic Sen. Ron Wyden, coauthor of the bipartisan drug cost bill that stalled even with the president's endorsement, called the whole exercise a gimmick.
Dem report: Medicare chief used fed money to bolster image
Read full article: Dem report: Medicare chief used fed money to bolster imageThe consultants, many with Republican Party ties, billed taxpayers up to $380 per hour on work largely aimed at polishing the profile of Medicare administrator Seema Verma, the investigators wrote. The contractors were โhandpickedโ by Verma's aides, the report said, creating โa shadow operation" that sidelined the communications staff of the federal Centers for Medicare and Medicaid Services. โCongress did not intend for Administrator Verma or other senior CMS officials to use taxpayer dollars to stockpile CMS with handpicked consultants or promote Administrator Vermaโs public profile and personal brand,โ the report said. โGiven the reckless disregard she has shown for the publicโs trust, Administrator Verma should reimburse the taxpayers for these inappropriate expenditures,โ it said. The report released Thursday was prepared by the Democratic staffs of two Senate and two House committees.