Medicare Blog

what did bushs medicare modernization act do

by Chesley Macejkovic Published 3 years ago Updated 2 years ago
image

Bush (R) signed the Medicare Prescription Drug, Improvement, and Modernization Act (P.L. 108–173), which authorizes Medicare coverage of outpatient prescription drugs as well as a host of other changes to the program.

Did president Bush sign Medicare reform legislation?

President Bush is congratulated after signing the Medicare reform legislation on Monday at the DAR Constitution Hall in Washington. Watch CNN's "Larry King Live" for an interview with first lady Laura Bush at 9 p.m. EST Monday. President Bush signs the new Medicare legislation. Bill Frist and Tom Daschle talk about passage of the bill.

What is the Medicare Modernization Act?

The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health program's 38-year history.

Why did the President modernize Medicare?

The President modernized Medicare to focus more on preventive care. Part of modern, effective health care is recognizing that if diseases are caught early, effective treatment is more likely, increasing the potential to reduce both cost and suffering.

What does Bush's prescription drug plan mean for seniors?

"Our government," Bush said, "is finally bringing prescription drug coverage to the seniors of America." "With this law, we're giving older Americans better choices and more control over their health care, so they can receive the modern medical care they deserve," he said.

image

What did the Medicare Modernization Act do?

The 2003 Medicare Modernization Act (MMA) is considered one of the biggest overhauls of the Medicare program. It established prescription drug coverage and the modern Medicare Advantage program, among other provisions. It also created premium adjustments for low-income and wealthy beneficiaries.

What was the impact of the Medicare prescription drug Improvement and Modernization?

Summary: Implementation of MMA has affected the entire healthcare continuum by reducing pharmaceutical reimbursement rates and health system revenues and increasing prescription drug copayments, emergency department visits, and hospital admissions.

What Medicare plan did the Medicare Modernization Act of 2003 add and what does this plan cover?

In an attempt to relieve patients of some of the financial burden of prescription drugs, the government has enacted a law that provides new prescription drug coverage under Medicare: the Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003.

What was the impact of the Medicare Prescription Drug Improvement and Modernization Act quizlet?

What was the impact of the Medicare Prescription Drug Improvement and Modernization Act? The Act created Medicare Part D, the drug prescription program.

What was the impact of the Medicare prescription drug and Improvement Act of 2003 quizlet?

The Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003 was signed into law in December of 2003. It added outpatient prescription drug coverage to Medicare beginning in January of 2006.

Which was created by the Medicare Prescription Drug Improvement and Modernization Act to identify and recover?

Medicare Part D Prescription Drug benefit The Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) made the biggest changes to the Medicare in the program in 38 years. Under the MMA, private health plans approved by Medicare became known as Medicare Advantage Plans.

When was Medicare Modernization Act enacted?

December 8, 2003On December 8, 2003, the President signed into law Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003.

When was Medicare Part D added to the Medicare benefit package what services did it add?

Medicare did not cover outpatient prescription drugs until January 1, 2006, when it implemented the Medicare Part D prescription drug benefit, authorized by Congress under the “Medicare Prescription Drug, Improvement, and Modernization Act of 2003.”[1] This Act is generally known as the “MMA.”

How did Medicare Part D expand Medicare services?

Part D was enacted as part of the Medicare Modernization Act of 2003 and went into effect on January 1, 2006. Under the program, drug benefits are provided by private insurance plans that receive premiums from both enrollees and the government.

What is the most significant legislation resulting from public health policy since enactment of the Medicare and Medicaid programs in 1965 quizlet?

The answer is B. (C) Social Security Act amendments creating Medicaid and Medicare.

Does Medicare and Medicaid use DRGs to reduce costs quizlet?

The fixed fees paid by Medicare Part A are based on DRGs. In other words, Medicare uses DRGs to determine appropriate reimbursement for medical diagnoses and procedures, as do many private insurers. DRGs are assigned in the hospital when a patient is discharged.

Who are considered the fathers of public health?

Prince Mahdol's life and work (1891-1929) remains a great inspiration to all Thai medical and public health personnel. He was named 'Father of Public Health and Modem Medicine' in Thailand because of his great contributions in these two important areas.

When was Medicare Modernization Act enacted?

Signed into law by President George W. Bush on December 8, 2003. The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health program's 38-year history.

When did Medicare Advantage start?

Medicare Advantage plans. With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the Original Medicare plan (Parts A and B).

What is Medicare Part D?

Main article: Medicare Part D. The MMA's most touted feature is the introduction of an entitlement benefit for prescription drugs, through tax breaks and subsidies. In the years since Medicare's creation in 1965, the role of prescription drugs in patient care has significantly increased.

How many Americans were enrolled in HSAs in the first 10 years?

After the first 10 years over 12 million Americans were enrolled in HSAs (AHIP;EBRI).

How much did the stimulus program cost in 2015?

One month after passage, the administration estimated that the net cost of the program over the period between 2006 (the first year the program started paying benefits) and 2015 would be $534 billion. As of February 2009, the projected net cost of the program over the 2006 to 2015 period was $549.2 billion.

Who was the chief architect of Medicare?

According to the New York Times December 17, 2004 editorial W.J."Billy" Tauzin, the Louisiana Republican who chaired the Energy and Commerce Committee from 2001 until February 4, 2004 was one of the chief architects of the new Medicare law. In 2004 Tauzin was appointed as chief lobbyist for the Pharmaceutical Research and Manufacturers of America (PhRMA), the trade association and lobby group for the drug industry with a "rumored salary of $2 million a year," drawing criticism from Public Citizen, the consumer advocacy group. They claimed that Tauzin "may have been negotiating for the lobbying job while writing the Medicare legislation." Tauzin was responsible for including a provision that prohibited Medicare from negotiating prices with drug companies.

Can Medicare negotiate drug prices?

Since the enactment of Medicare Prescription Drug, Improvement, and Modernization Act in 2003, only insurance companies administering Medicare prescription drug program, not Medicare, have the legal right to negotiate drug prices directly from drug manufacturers.

Why did the President modernize Medicare?

The President modernized Medicare to focus more on preventive care. Part of modern, effective health care is recognizing that if diseases are caught early, effective treatment is more likely, increasing the potential to reduce both cost and suffering.

How many Americans have been helped by President Bush?

President Bush Has Modernized Medicare And Provided More Than 40 Million Americans With Better Access To Prescription Drugs. President Bush has helped Americans receive the health care they need at a price they can afford, while empowering beneficiaries to make their own decisions to best meet their health needs.

How much did Medicare pay in 2008?

The average premium that beneficiaries paid for a standard prescription drug benefit in 2008 was roughly $25 per month, nearly 40 percent lower than original estimates.

How does private sector competition affect Medicare?

Private sector competition has resulted in more innovation and flexibility in coverage. Under President Bush's Medicare Part D policy, private health plans compete by providing better coverage at affordable prices – helping to control the costs of Medicare by marketplace competition, not government price-setting.

Does Medicare provide drug coverage to retirees?

Private employers receive incentives to continue to provide drug coverage to their retirees. Medicare drug coverage offers many choices for beneficiaries. Beneficiaries can choose from a number of private plans to find the one that best serves them – and plan providers are competing for beneficiaries' business.

Does Medicare pay for prescription drugs?

On average, Medicare will pay for more than 95 percent of the costs of prescription drugs for low-income beneficiaries. In April 2008, the Department of Defense announced the creation of the Armed Forces Institute for Regenerative Medicine (AFIRM), a new partnership among the Federal government, universities, and private companies.

How much is the Medicare Modernization Act?

Backers say the $400 billion Medicare Prescription Drug Modernization Act will provide much-needed help for the nation's 40 million senior citizens to buy medications; critics say it is a giveaway to drug makers and insurance companies and a prelude to the dismantling of the program.

What is Medicare reform?

WASHINGTON (CNN) -- President Bush on Monday signed into law landmark Medicare reform legislation that includes prescription drug benefits and has sparked a bitter fight between opponents and supporters.

How long was the House vote on the stimulus bill?

Last month, the House passed the measure after Bush made late-night, last-minute phone calls asking members to support it. An unusually long three-hour vote was ended by GOP leaders at 6 a.m., after a 218 to 216 deficit flipped to a 220 to 215 victory.

Who is the President of the United States who congratulated on Medicare reform?

President Bush: 'Giving older Americans better choices'. President Bush is congratulated after signing the Medicare reform legislation on Monday at the DAR Constitution Hall in Washington. Watch CNN's "Larry King Live" for an interview with first lady Laura Bush at 9 p.m. EST Monday.

Who supported the lapse in the Drugs Act?

Dianne Feinstein, D-California, who supported the bill, said the lapse was a "major weakness in this bill.". "The theory is that private sector competition will drive down the cost of drugs," Feinstein said last month upon the bill's passage. "That may happen, or it may not happen. We need to watch that, and we will.

Can seniors join HMO?

The prescription drug provision left out a proposed guideline the president had originally sought -- requiring seniors to join an HMO to be eligible for the benefit. The law also allows the importation of drugs from Canada -- where many are cheaper -- but only if the Food and Drug Administration has approved the drugs.

Why did the President modernize Medicare?

The President modernized Medicare to focus more on preventive care. Part of modern, effective health care is recognizing that if diseases are caught early, effective treatment is more likely, increasing the potential to reduce both cost and suffering.

How many Americans have been helped by President Bush?

President Bush Has Modernized Medicare And Provided More Than 40 Million Americans With Better Access To Prescription Drugs. President Bush has helped Americans receive the health care they need at a price they can afford, while empowering beneficiaries to make their own decisions to best meet their health needs.

How does private sector competition affect Medicare?

Private sector competition has resulted in more innovation and flexibility in coverage. Under President Bush's Medicare Part D policy, private health plans compete by providing better coverage at affordable prices – helping to control the costs of Medicare by marketplace competition, not government price-setting.

Does Medicare provide drug coverage to retirees?

Private employers receive incentives to continue to provide drug coverage to their retirees. Medicare drug coverage offers many choices for beneficiaries. Beneficiaries can choose from a number of private plans to find the one that best serves them – and plan providers are competing for beneficiaries' business.

What is the Medicare Modernization Act?

This article also probes whether or not the bill has been successful in meeting the needs of the elderly population to gain secure access to affordable prescription medicine as well as helping the federal government lower its spending. Based on available literature, the Modernization Act has a limited advantage to the people it seeks to serve, while giving private companies more money and business. The Medicare Modernization Act fails to answer the needs of the elderly population to have better access to prescription drug because. While it offers more services and benefits, the MMA does not answer the problem on cost related to medication.

Does Medicare cover disabled people?

The program also covers people under 65 years old who are disabled and are not capable of holding employment. Traditionally, the Medicare provides hospitalization and medical insurance to the elderly [1]. Later amendments allowed an individual to enhance the services by integrating a private health plan into Medicare for an additional cost.

Is Medicare Modernization Act a failure?

Those who believe that the Medicare Modernization Act is a failure have based their arguments on some points. For one, Medicare users can’t avail of the drug prescription benefit without getting involved with private health insurers and paying for monthly premiums. While this is not an issue for some, there are elderly people whose monthly stipends are meager. They could not afford the premiums. Although the MMA provides that this type of people can be accommodated and given prescription drugs for free, the question would lie on what type of drugs would they get, given that they are not paying for them? This would also imply that the MMA becomes discriminatory based on income. Those who can afford to pay get more, while those who cannot get less. This beats the very essence of Medicare being a social program.

image

Overview

The Medicare Prescription Drug, Improvement, and Modernization Act, also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. It produced the largest overhaul of Medicare in the public health program's 38-year history.
The MMA was signed by President George W. Bush on December 8, 2003, after …

Prescription drug benefits

The MMA's most touted feature is the introduction of an entitlement benefit for prescription drugs, through tax breaks and subsidies.
In the years since Medicare's creation in 1965, the role of prescription drugs in patient care has significantly increased. As new and expensive drugs have come into use, patients, particularly senior citizens at whom Medicare was targeted, have found prescriptions harder to afford. The …

Medicare Advantage plans

With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the Original Medicare plan (Parts A and B). These programs were known as "Medicare+Choice" or "Part C" plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the compensation and business practices for insurers that offer these plans changed, a…

Health savings accounts

The MMA created a new Health Savings Account statute that replaced and expanded the previous Medical Savings Account law by expanding allowable contributions and employer participation. After the first 10 years over 12 million Americans were enrolled in HSAs (AHIP;EBRI).

Other provisions

While nearly all agreed that some form of prescription drug benefit would be included, other provisions were the subject of prolonged debate in Congress. The complex legislation also changed Medicare in the following ways:
• it mandated a six-city trial of a partly privatized Medicare system (by 2010)
• it gave an extra $25 billion to rural hospitals (at the request of congressional representatives in the rural West)

Legislative history

According to the New York Times December 17, 2004 editorial W.J."Billy" Tauzin, the Louisiana Republican who chaired the Energy and Commerce Committee from 2001 until February 4, 2004 was one of the chief architects of the new Medicare law. In 2004 Tauzin was appointed as chief lobbyist for the Pharmaceutical Research and Manufacturers of America (PhRMA), the trade association and lobby group for the drug industry with a "rumored salary of $2 million a year," dr…

Costs

Initially, the net cost of the program was projected at $400 billion for the ten-year period between 2004 and 2013. Administration official Thomas Scully instructed analyst Richard Foster not to tell Congress of Foster's finding that the cost would actually be over $500 billion. One month after passage, the administration estimated that the net cost of the program over the period between 2006 (the first year the program started paying benefits) and 2015 would be $534 billion. As of F…

Bar to negotiation of prescription drug prices

Since the enactment of Medicare Prescription Drug, Improvement, and Modernization Act in 2003, only insurance companies administering Medicare prescription drug program, not Medicare, have the legal right to negotiate drug prices directly from drug manufacturers. The Medicare Prescription Drug Act expressly prohibited Medicare from negotiating bulk prescription drug prices. The "donut hole" provision of the Patient Protection and Affordable Care Act was an attem…

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9