Medicare Blog

what does trump want to do to medicare prescription drug coverage

by Alene Gaylord IV Published 2 years ago Updated 1 year ago
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How will President Trump’s drug reform policies affect prescription drugs?

Trump has attempted to usher through prescription drug reforms via a series of executive orders signed in July and September, though the timeline for seeing these policies implemented remains uncertain. A notable order would lower drug prices for those on Medicare parts B and D to comparable costs seen internationally.

Will Trump's budget protect Medicare and Social Security?

His budgets have sought cuts. President Trump vowed Thursday that he “will protect Medicare and Social Security” — a promise akin to one he made as a candidate in 2016. But throughout his first term, he repeatedly tried to cut these programs in his proposed budgets.

What does Trump's new executive order on drug pricing mean for Medicare?

The new executive order repeals the original and expands the drugs covered by Trump's proposed "most favored nations" pricing scheme to include both Medicare parts B and D. The idea is that Medicare would refuse to pay more for drugs than the lower prices paid by other developed nations.

Is the Trump administration helping lower Medicare Part D costs?

“At a time when healthcare costs are going up, the Trump Administration is delivering lower costs to seniors. Part D plans are having to prove their value to beneficiaries – the actions that CMS has taken to strengthen the Medicare prescription drug program are working to drive down costs for seniors.”

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What is the main problem with Medicare Part D?

The real problem with Medicare Part D plans is that they weren't set up with the intent of benefiting seniors. They were set up to benefit: –Pharmacies, by having copays for generic medications that are often far more than the actual cost of most of the medications.

What did Affordable Care Act do for prescription drugs?

The ACA increased base rebate amounts for both generic and brand drugs: the minimum rebate for brand drugs increased from 15.1 percent to 23.1 percent and the base rebate for generic drugs increased from 11 percent to 13 percent. The federal government captures all additional savings.

What is Trumpcare health?

Trumpcare is the moniker given to the American Health Care Act (ACHA), the bill that was designed to replace the Affordable Care Act (ACA or Obamacare) put in place by former President Obama. The ACHA was drafted by President Trump's Republican party and championed by House Speaker Paul Ryan.

Would Medicare Part D be considered a prescription drug benefit?

Medicare Part D is a voluntary outpatient prescription drug benefit for people with Medicare, provided through private plans approved by the federal government.

Is Medicare Part D part of the Affordable Care Act?

The Affordable Care Act makes prescription drug coverage (Part D) for people with Medicare more affordable.

What are the effects of the Affordable Care Act?

The ACA enabled people to gain coverage by 1) expanding the publicly funded Medicaid program to cover adults with annual incomes up to 138% of the federal poverty level; 2) establishing the Health Insurance Marketplace for individuals and small businesses, allowing them to purchase private health insurance (PHI); and 3 ...

What's the difference between Obamacare and Trumpcare?

TrumpCare cuts most taxes on industry. This includes the 3.8% tax on high earners. ObamaCare taxes those who profit the most off of healthcare. Older Americans can be charged 5x more than young people under TrumpCare.

Is Trumpcare passed?

The American Health Care Act of 2017 (often shortened to the AHCA or nicknamed Trumpcare) was a bill in the 115th United States Congress. The bill, which was passed by the United States House of Representatives but not by the United States Senate, would have partially repealed the Affordable Care Act (ACA).

What are Trumpcare plans?

Trumpcare Was Intended to Replace Obamacare For example, the ACA protected people with pre-existing conditions from facing higher premiums for insurance plans. But Trumpcare would have potentially allowed companies to charge more on the basis of a pre-existing condition.

When did Medicare Part D become mandatory?

The MMA also expanded Medicare to include an optional prescription drug benefit, “Part D,” which went into effect in 2006.

Is Medicare Part D optional or mandatory?

Medicare drug coverage helps pay for prescription drugs you need. Even if you don't take prescription drugs now, you should consider getting Medicare drug coverage. Medicare drug coverage is optional and is offered to everyone with Medicare.

What are two options for Medicare consumers to get Part D prescription drug coverage assuming they meet all eligibility requirements )? Select 2?

There is no other way a Medicare consumer could get Part D prescription drug coverage. They could enroll in a Medicare Supplement Insurance Plan. They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage.

How many people are on Medicare?

About 63 million Americans, or 19% of the population, are enrolled in Medicare. One executive order, which applies to Medicare, would eliminate rebates that drug manufacturers give to pharmacy benefit managers or health plans that negotiate discounts on the list prices of drugs.

What is the fourth order of the Trump administration?

Another order concerns insulin and epinephrine for low-income individuals, and the fourth involves allowing the importation of some drugs. Trump signed the four orders on July 24, and tweeted the following day: “Yesterday I signed four measures that will massively reduce the prices of prescription drugs, in many cases by more than 50%.”.

What is the executive order for epinephrine?

Another executive order pertains to insulin and epinephrine. It calls on the HHS secretary to require Federally Qualified Health Centers, or FQHCs, to make those drugs available at low prices to low-income individuals who don’t have health insurance or have high cost-sharing for those drugs.

Is the 4th executive order a tie for Medicare?

Finally, the fourth executive order hasn’t been formally released by the White House, and the president indicated it may not be. The order would tie Medicare prices for drugs administered in a doctor’s office, such as intravenous and injectable drugs, to the prices other countries pay.

Will Trump reduce prescription drug prices?

Trump’s Executive Orders on Prescription Drugs. President Donald Trump recently signed executive orders that he says will reduce drug prices by 50% “and even greater, in certain instances.”. That could happen for some individuals, but it remains to be seen how the orders will be implemented and whether they will result in such large reductions.

Does Medicare raise premiums?

Both the nonpartisan Congressional Budget Office and the Centers for Medicare & Medicaid Services Office of the Actuary found that it would increase federal spending, because without the rebates , health plans would raise Medicare premiums, most of which are paid by the government.

Who said the President gave drug companies a month to come up with a counterproposal?

White House spokesman Judd Deere said the president gave "drug companies a month to come up with a counterproposal," but the "negotiations did not produce an acceptable alternative, so the President is moving forward.".

Did Trump lower prescription drug prices?

President Trump signed an executive order Sunday that he says lowers prescription drug prices "by putting America first," but experts said the move is unlikely to have any immediate impact. The action comes nearly two months after the president signed a different executive order with the exact same name but held it back to see if he could negotiate ...

Why do drug manufacturers include a statement on the label?

The draft guidance also recommends that the drug manufacturer include a statement on the product’s label and in the prescribing information to assist pharmacists to accurately identify, dispense and bill for these products.

Who can submit importation program proposals to FDA?

The NPRM would allow states and certain other non-federal government entities to submit importation program proposals to the FDA for review and authorization. An importation program could be co-sponsored by a pharmacist, a wholesaler, or another state or non-federal governmental entity.

Fact check: 'Record' job gains still leave the U.S. labor market in worse shape than Great Recession

On the last night of his party’s convention, President Trump bragged about “record” job gains in recent months, but the 9.1 million jobs he touts come with some qualifiers.

Trump usually includes new material in major speeches. Not tonight

President Trump spoke for roughly 70 minutes on Thursday, one of the longest convention speeches in modern history.

Trump speech missing several of his favorite talking points

While President Trump launched attack after attack on Joe Biden, he left out a number of his favorite topics of criticism in his acceptance speech.

Fact check: Trump claims Biden wants to 'close all charter schools.' That's false

"Biden also vowed to oppose school choice and close all charter schools, ripping away the ladder of opportunity for Black and Hispanic children," Trump claimed on Tuesday night.

Fact check: Trump repeats out-of-context Biden comment to mislead on police stance

President Trump, arguing that Americans wouldn't be safe under Joe Biden, repeated a claim Mike Pence made Wednesday, quoting the former vice president as saying, "Yes, absolutely," as a response to whether he'd broadly support cutting funding for law enforcement.

Fact check: Trump boasts of delivering PPE early in pandemic, doesn't mention ongoing shortages

"We shipped hundreds of millions of masks, gloves and gowns to our frontline health care workers.

Trump mentions Kenosha, not Jacob Blake

Midway through his speech Thursday, Donald Trump mentioned Kenosha, Wisconsin — but did not make mention of Jacob Blake, who was shot seven times in the back by the city's police.

When will Medicare open enrollment end?

The upcoming annual Medicare Open Enrollment period for 2020 begins on October 15, 2019, and ends on December 7, 2019.

What is Medicare Part D?

In Medicare Part D, beneficiaries choose the prescription drug plan that best meets their needs, and plans have to improve quality and lower costs to attract beneficiaries. This competitive dynamic sets up clear incentives that drive towards value.

How much is Part D premium 2020?

Over the past three years, average Part D basic premiums have decreased by 13.5 percent, from $34.70 in 2017 to a projected $30 in 2020, saving beneficiaries about $1.9 billion in premium costs over that time.

Is Medicare Part D going down?

Today, the Centers for Medicare & Medicaid Services (CMS), under the leadership of President Trump, announced that, for the third year in a row, the average basic premium for Medicare Part D prescription drug plans, which cover prescription drugs that beneficiaries pick up at a pharmacy, is projected to decline.

How much did Medicare spend on prescription drugs in 2017?

For context, in 2017, American health insurers—including Medicare—spent around $500 billion on prescription drugs, prior to rebates. Of that $500 billion, Medicare Part B comprised $30 billion. Part D comprised $155 billion. Put another way: the President, by including Part D in his new order, increased its scope sixfold.

What happens if Trump loses Part D?

The Part D rule, on the other hand, will take time for the Trump administration to develop and seek formal public comment. If Trump loses in November, and Biden wants to undermine the order (out of partisan pique or friendliness to the drug lobby), that portion of the order is at greater risk.

Why do millions of people go uninsured?

And tens of millions go uninsured because health insurance is expensive— in large part due to rising prescription drug prices. Rather than dismissing Trump’s executive orders, the smart play for political journalists is to ask Joe Biden for his view on them.

What is Biden's health care plan?

Biden's health care plan centers around reinforcing and expanding the Affordable Care Act — Obamacare — via a public option while also improving access to care. The public option plan is described as available to all Americans, "whether you're covered through your employer, buying your insurance on your own, or going without coverage altogether," ...

What would Biden's proposal do?

Biden's proposal would work to lower prescription drug prices within Medicare, create an independent commission to oversee and regulate the price of new drugs, and get rid of the tax breaks given to pharmaceutical corporations on advertising.

How much money does Biden want to spend on child care?

Biden also wants to allocate $775 billion toward a plan for child and elder care. A lot of the funding would go toward cutting Medicaid waitlists for people needing home and community care, and to provide tax breaks to people who care for older family members.

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