Medicare Advantage plans attract seniors with their appealing price tags and promise of comprehensive health coverage in one convenient package. But are these plans a disadvantage for people with serious health problems? That's the question raised by recent studies. A 2017 review by the U.S. Government Accountability Office , for example, found that in some Advantage plans, enrollees in poor health were substantially more likely to dump the plan than those in good health. A recent study by Brown University researchers found that Medicare Advantage enrollees are more likely to enter lower-quality nursing homes compared with people on original Medicare. Earlier studies have also found that people using high-cost services, such as nursing-home care, disproportionately switch from Medicare Advantage to original Medicare. Medicare Advantage "tends to work for people when they are relatively well," says Judith Stein, of the Center for Medicare Advocacy. "But if they become ill or injured … [Read more...] about Retirement: Is Medicare Advantage a disadvantage when health declines?
Medicare advantage prescription drug plans
President Donald Trump announced plans to make prescription drug prices lower at the White House on Friday. “We will have tougher negotiation, more competition, and much lower prices at the pharmacy counter and it will start to take effect very soon,” Trump said.The president made his remarks in the Rose Garden at the White House, detailing a list of over 50 actions detailed by the Health and Human Services to help reduces costs. “The drug lobby is making an absolute fortune at the expense of American consumers,” Trump said.He disparaged the culture of Washington, DC, that allowed “middle-men” and political lobbyists to rake in hundreds of millions of dollars to keep costs high by using government. “Health insurance companies and other providers spent another $200 million to protect the status quo and to keep prices artificially high,” Trump said. “And they’ve been very successful doing it for many, many years.” … [Read more...] about Donald Trump Vows to Tackle Drug Lobby to Reduce Prescription Drug Costs
Sections SEARCH Skip to content Skip to site index Politics Subscribe Log In Subscribe Log In Advertisement Supported by ByRobert Pear and Peter Baker May 11, 2018 WASHINGTON — President Trump vowed on Friday to “derail the gravy train for special interests” as he outlined a strategy intended to lower the cost of prescription drugs by promoting tougher negotiation, more competition and measures to stop foreign countries from taking advantage of American industry. Mr. Trump said the current system has been corrupted by greedy businesses and middlemen who have made “an absolute fortune” through “dishonest double-dealing” at the expense of consumers who need medicine to extend or improve their lives. “Everyone involved in the broken system — the drug makers, insurance companies, distributors, pharmacy benefit managers and many others — contribute to the problem,” he said in a … [Read more...] about Trump Outlines Plan to Lower Drug Prices
THE PROGNOSIS President Trump arrives on Air Force One at South Bend International Airport in South Bend, Ind. on Thursday. (AP Photo/Carolyn Kaster) President Trump is expected to highlight the wide and confusing gap between the listed price of medications versus what’s actually paid for them – and how much consumers themselves must dish out at the pharmacy counter – in a major address today on prescription drug prices. Administration officials said yesterday the president will outline in his 2 p.m. speech a “comprehensive” plan to tackle drug affordability, involving all parties in the drug supply chain. But lobbyists and industry insiders say he may take particular aim at the pharmacy middlemen – known as pharmacy benefit managers (PBMs) – who negotiate drug coverage, payments and rebates between insurers and drug makers. “I’m planning a drinking game where I take a shot every time my clients get slammed,” one … [Read more...] about The Health 202: Here’s what to expect from Trump’s speech on drug prices
"I hadn't gone to a doctor in over 40 years! So I didn't think I needed an insurance plan to supplement Medicare when I reached age 65, since I was very healthy." That's what a neighbor, Mary, recently told my wife and me as she shared an unfortunate story. She had signed up for Medicare at age 65, but she hadn't bought either a Medigap plan or a Medicare Advantage plan to supplement Medicare, nor had she signed up for a prescription drug plan under Medicare Part D. But at age 70, in spite of being in excellent health, Mary suffered a stroke. We were all surprised, given that she dances, practices yoga and tai chi, and walks regularly. She's slim, athletic, doesn't smoke and eats very healthily. She's one of the last people we thought would have a stroke, but we've since found out that strokes can strike anybody, including people who are otherwise very healthy. Mary spent about 10 days in a hospital, followed by many days in a skilled nursing facility for rehabilitation. Now … [Read more...] about Don’t make this dangerous Medicare mistake