Obama Wants to Cut Medicare Part B Drugs

May 23, 2016

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  1. somarco
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    somarco GA Medicare Expert

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    The Obama administration has proposed regulatory changes in payment for Medicare Part B drugs. They’re looking to impose a broad, multi-year change through a demonstration project.

    Obama's Medicare Executive Overreach

    This "project" will move as many medications as possible from Part B to Part D.
    Mostly cancer drugs, other infusion therapy and insulin (where a pump is involved).

    CMS newsletter link
    https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-03-08.html
     
    somarco, May 23, 2016
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  2. yorkriver1
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    yorkriver1 Guru

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    So, doctors lose the fees they collect for the infusion, as I understand it.

    Part D, each carrier has to negotiate drug prices, not sure if that would help or hurt patients.
     
  3. somarco
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    somarco GA Medicare Expert

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    Shifting drugs from B to D = patient loses
     
    somarco, May 23, 2016
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  4. G.Gordon
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    G.Gordon Guru

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    Yep, this is just another way to make the seniors "feel the pain" of their healthcare cost.
     
    G.Gordon, May 23, 2016
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  5. kgmom219
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    kgmom219 What's Next?

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    Without turning this into yet another "I hate Obama" thread...

    1. There's no date for implementation. Why? And when should we expect it?

    2. This is a massive cost shift to Seniors. Where is AARP? Right now, assuming F, G, or N, you are basically getting Chemo drugs at 100% after $166. Moving them to Part D, is going to put these people into the catastrophic level in 30 days. Which is great and all, except the 5% of a $10K month Chemo drug is $500 a month with no OOP .

    Yeah. Not happy. This is crap.

    The Grey Panthers need to rise up on this one.
     
    kgmom219, May 23, 2016
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  6. somarco
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    somarco GA Medicare Expert

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    I have at least 3 clients on anti-rejection meds that cost them nothing, a few more on chemo, and one hemophiliac I know of that will be hurt by this if/when it happens.

    Don't know if AARP is involved in this fight or not.
     
    somarco, May 23, 2016
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  7. Newby
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    Newby Guru

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    Where is AARP? They are getting their money vaults cleared out for all the extra money they will make. Where do you think they are?
     
    Newby, May 23, 2016
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  8. somarco
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    somarco GA Medicare Expert

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    Apparenly AARP is in FAVOR of this test.

    AARP Supports CMS
     
    somarco, May 23, 2016
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  9. mark1979
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    mark1979 New Member

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    The very best news is that Obama is a lame duck and no much will be accomplished the remainder of his term.
     
    mark1979, May 23, 2016
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  10. Newby
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    You guys realize what AARP is don't you?

    AARP makes money marketing insurance products to seniors. They are always going to be in favor of anything that takes a burden off Medicare and puts it on the consumer. The consumer will buy insurance to cover it and that's where AARP makes their money.
     
    Newby, May 23, 2016
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