Medicare Blog

what is trump going to do about medicare

by Ms. Karolann Stamm PhD Published 2 years ago Updated 1 year ago
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What did Trump say about Medicare in his budget proposal?

Aug 27, 2020 · Fact check: Trump vows to 'protect' Medicare and Social Security — even though his budgets have sought to cut them. IE 11 is not supported. For an optimal experience visit our site on another ...

Is Trump going after Social Security and Medicare?

U.S. Donald Trump Executive Order Social Security Medicare President Donald Trump's Saturday decision to sign an executive order to defer payroll taxes …

How radical are the changes to Medicare under the Trump administration?

You may have heard that Trump’s budget for 2020 will reduce taxes to the top one percent and cut $845 billion from Medicare over ten years. Here’s more about the politics surrounding funding for Medicare benefits.

Did Trump's fiscal-year 2018 budget cut Medicare and Social Security?

The Trump administration is making fundamental changes to the Medicare program. These reforms are every bit as radical as the changes we have seen in federal policy governing employer-provided...

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What changes are being made to Medicare?

The annual Part B deductible will be $233 this year, an increase of $30. For Medicare Part A, which covers hospitalizations, hospice care and some nursing facility and home health services, the inpatient deductible that enrollees must pay for each hospital admission will be $1,556, an increase of $72 over 2021.Jan 3, 2022

Is Medicare coming to an end?

Medicare is not going bankrupt. It will have money to pay for health care. Instead, it is projected to become insolvent. Insolvency means that Medicare may not have the funds to pay 100% of its expenses.Dec 20, 2021

What does it mean to privatize Medicare?

Privatized plans generally cost the Medicare program more money and can erect barriers to proper care, in the form of higher out-of-pocket costs, denied claims, and limited networks of health care providers. In other words, patients suffer while the private plans make billions.Dec 22, 2021

Are Medicare premiums going down in 2022?

In 2021, the Part B premium increased by only $3 a month, but Congress directed CMS to begin paying that reduced premium back, starting in 2022.Jan 25, 2022

Is Social Security and Medicare running out of money?

Bottom line. Current workers will still receive Social Security benefits after the trust fund's reserves become depleted in 2034, but it's possible that future retirees will only receive 78% of their full benefits unless Congress acts.Feb 10, 2022

What is the future of Medicare?

At its current pace, Medicare will go bankrupt in 2026 (the same as last year's projection) and the Social Security Trust Funds for old-aged benefits and disability benefits will become exhausted by 2034. A quick look at the data proves just how broken our current entitlement programs are.Sep 1, 2021

Which president started Medicare Advantage plans?

President Lyndon B. JohnsonOn July 30, 1965, President Lyndon B. Johnson signed into law legislation that established the Medicare and Medicaid programs. For 50 years, these programs have been protecting the health and well-being of millions of American families, saving lives, and improving the economic security of our nation.Dec 1, 2021

What is a Medicare Advantage Plan vs Medicare?

Medicare Advantage is an “all in one” alternative to Original Medicare. These “bundled” plans include Part A, Part B, and usually Part D. Plans may have lower out-of- pocket costs than Original Medicare. In many cases, you'll need to use doctors who are in the plan's network.

What countries have privatized Social Security?

Social security privatization using individual accounts has occurred two ways. Voluntary carve out plans are used in the United Kingdom and Japan. Mandatory plans are used by a number of Latin American countries, such as Chile and Mexico, and by Sweden.

What changes are coming to Social Security in 2022?

To earn the maximum of four credits in 2022, you need to earn $6,040 or $1,510 per quarter. Maximum taxable wage base is $147,000. If you turn 62 in 2022, your full retirement age changes to 67. If you turn 62 in 2022 and claim benefits, your monthly benefit will be reduced by 30% of your full retirement age benefit.Jan 10, 2022

Can I get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.Jan 3, 2022

Will Social Security get a raise in 2022?

Social Security and Supplemental Security Income (SSI) benefits for approximately 70 million Americans will increase 5.9 percent in 2022. Read more about the Social Security Cost-of-Living adjustment for 2022. The maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $147,000.

What did Pelosi and Schumer say about Trump's executive order?

In a joint statement, Speaker of the House Nancy Pelosi, a California Democrat, and Senate Minority Leader Chuck Schumer, a New York Democrat, warned that Trump's executive order would "endanger seniors' Social Security and Medicare.".

Does Trump have the power to rewrite the payroll tax law?

"President Trump does not have the power to unilaterally rewrite the payroll tax law. Under the Constitution, that power belongs to the American people acting through their members of Congress," Sasse said.

Is there a payroll tax holiday?

Democratic and Republican lawmakers had largely dismissed the idea of a payroll tax holiday in stimulus talks with the White House. Workers currently pay a 6.2 percent payroll tax out of every paycheck, which would be deferred under the executive order through the end of 2020.

Do Democrats support Medicare expansion?

To the contrary, many Democrats currently support expanding Social Security and Medicare. Addressing the concerns on CNN's State of the Union on Sunday, Trump's economic adviser Larry Kudlow said the president was not trying to defund the programs. "He will protect Social Security and Medicare, as he has pledged to do many, ...

Who is Patrick Chovanec?

Patrick Chovanec, an economic advisor at Silvercrest Asset Management and an adjunct professor at Columbia University, explained the concerns about the executive order on Twitter. "Here's the problem: payroll taxes go exclusively to fund Medicare and Social Security, and however much they dislike those payroll taxes, ...

Who is Rashida Tlaib?

Representative Rashida Tlaib, a progressive Democrat from Michigan, shared a similar assessment. "Just so we're all clear on this, payroll taxes fund social security and to some extent Medicare. These systems, which have helped generations retire and live, are already underfunded.

How many presidents have cut Medicare benefits?

The Medicare program has survived eight presidents between Lyndon B. Johnson and Donald J. Trump, including Nixon, Ford, Carter, Reagan, Bush, Clinton, Bush, and Obama.

Have Medicare benefits already decreased under Trump?

According to the Centers for Medicare and Medicaid Services (CMS), Medicare spending has actually increased in the Trump presidency, not just in terms of dollars, which are subject to inflation, but in terms of percentages.

How can Trump cut Medicare benefits?

Although Trump represents one branch of government, the executive branch, his budget must be approved by Congress, the legislative branch. Typically by the first Monday in February, the president gives Congress his budget proposal for the next fiscal year. Congress then votes on a final budget.

How will cuts to Medicare benefits affect me?

You might imagine that cuts to Medicare benefits mean that fewer services will be covered and you’ll have to pay more out of pocket. Rather, according to Forbes, the proposed cuts would affect Medicare providers with little direct effect on beneficiaries.

When will Medicare start telemedicine?

Beginning in 2020 , Medicare Advantage plans and Next Generation ACOs (see below) may seek and obtain waivers to use telemedicine for the monitoring and treatment of diabetes, heart disease and other chronic conditions. If things go well, expect more liberalization in the future. Liberating ACOs.

What does Medicare mean by "liberating telemedicine"?

In Medicare, so far, that means liberating telemedicine, liberating Accountable Care Organizations, ending payment incentives that are driving doctors to become hospital employees, promoting hospital price transparency, deregulating paperwork and creating more transparency in the market for prescription drugs.

Can doctors treat patients remotely?

For the most part, doctors can examine, consult with and treat patients remotely only in rural areas and even there, patients can’t be treated in their own homes. Readers may be surprised to learn that even Medicare Advantage (MA) plans face the same legal constraints.

Is the Trump administration changing Medicare?

The Trump administration is making fundamental changes to the Medicare program. These reforms are every bit as radical as the changes we have seen in federal policy governing employer-provided coverage and the market for individual insurance. Further, it seems likely that the changes initiated so far are only the beginning ...

Can MA plans pay for telehealth?

But MA plans cannot pay their own doctors to conduct remote consultations with their patients.

Can doctors bill Medicare for Skype?

The CMS is acting aggressively to change that. As of January 1 of this year, doctors in MA plans and Accountable Care Organizations (ACOs) can now bill Medicare if they use the phone, email, Skype and other technologies to consult with patients remotely to determine if they need an in-office visit.

When is Pelosi's next news conference?

House Speaker Nancy Pelosi and Senate Minority Leader Chuck Schumer speak during a news conference, on Capitol Hill, Feb.11, 2020 in Washington, D.C. "Don’t get in front of an audience and say I’m here to protect Medicare and Social Security … and put a budget like this forward," Pelosi told reporters on Tuesday.

When is the next press conference for Alex Azar?

7, 2020 , in Washington, D.C.

When is the State of the Union speech?

President Donald Trump delivers his State of the Union address to a joint session of Congress in the House Chamber on Capitol Hill in Washington, Tuesday, Feb. 4, 2020, as Vice President Mike Pence and Speaker Nancy Pelosi look on. There’s no doubt the president’s budget plan would whack away at federal spending on health care over ...

Does the President's proposed budget include work requirements?

President's proposed budget includes work requirements as a condition of eligibility for #Medicaid for non-exempt adults.

Did Trump touch Medicare?

President Donald Trump said he wouldn’t touch Medicare before pitching a budget plan that would do exactly that, along with steep cuts to Medicaid.

Who said the Kaiser plan cuts the growth in Medicare spending without actually cutting benefits for current enrollees?

Tricia Neuman , a policy expert at the nonpartisan Kaiser Family Foundation, said the administration is right that the plan cuts the growth in Medicare spending without actually cutting benefits for current enrollees.

When will Medicare waive late enrollment penalties?

To help them with this transition, Medicare has waived late-enrollment penalties until the end of September.

When will the coverage gap end?

The much-maligned coverage gap (or donut hole) in these plans has been shrinking for years under the Affordable Care Act, and was supposed to end in 2020, at which time consumers in the gap would pay no more than 25 percent of the costs of their drugs. That end date was moved up a year to 2019.

How much does Medicare pay for Part B and D?

Medicare’s high-income premium surcharges will carry even more of a bite for wealthier enrollees. Those making more than $500,000 a year ($750,000 for couples) will pay 85 percent of the actual costs of Part B and D in 2019, up from 80 percent this year. Most Medicare enrollees pay premiums that equal about 25 percent of these costs.

Does Tricare cover Part B?

Part B only pays 80 percent of covered expenses, Tricare should cover you as a secondary insurer here. You should check with Tricare about its coverage. You also could get a Part D drug plan but it’s my understanding that VA coverage is quite good for prescription drugs, making a separate Part D plan unnecessary.

Who is Phil from Medicare?

Phil is the author of the new book, “Get What’s Yours for Medicare,” and co-author of “Get What’s Yours: The Revised Secrets to Maxing Out Your Social Security.”. Send your questions to Phil; and he will answer as many as he can. Seemingly overnight, big changes to Medicare morphed from being an item on various congressional wish lists ...

Has Medicare been killed?

However, the law has already been signed by President Trump, so whether these are good changes or not is moot for the time being. Medicare’s Independent Payment Advisory Board has been killed. It was authorized by the Affordable Care Act to serve as a check on higher Medicare expenses.

Will Medicare be repealed?

It’s a more significant if largely invisible change. Medicare’s caps on covered expenses for outpatient therapy have been officially repealed.

How does a block grant waiver affect health insurance?

States with block grant waivers could deny coverage for prescription drugs, allow states to impose higher copayments on people in poverty , and waive standards for managed care plans (which many states use to provide Medicaid coverage).

How many people in Arkansas lost medicaid in 2018?

In Arkansas, over 18,000 Medicaid beneficiaries — almost 1 in 4 subject to the new rules — lost coverage in 2018 as a result.

What is a block grant waiver?

Inviting State “Block Grant” Waivers. The Trump Administration issued guidance in January 2020 inviting states to seek demonstration projects — known as waivers — that would radically overhaul Medicaid coverage for adults. Under the guidance, states could apply for waivers that would convert their Medicaid programs for adults into a form ...

What are the new immigration rules?

The Department of Homeland Security (DHS) and the Department of State (DoS) issued immigration rules in 2019 that will make it much more difficult for people with low or modest means to immigrate to the United States or for people already here to gain permanent resident status or extend or modify their temporary status. These complicated rules, along with other Trump Administration policies, have led many families that include immigrants to forgo Medicaid and other assistance programs for which they’re eligible despite the fact that most people who qualify for the programs identified in the rules will not undergo the “public charge” assessment that the rules radically changed. Beginning February 24, 2020, DHS immigration officials will be able to reject immigration applicants if they have received, or are judged likely to receive in the future, any of an array of benefits, including Medicaid. Timing for the DoS implementation of the policy has not yet been announced.

What is Trump's goal with Medicaid?

President Trump has made clear that his goal remains to repeal the Affordable Care Act (ACA), including its expansion of Medicaid to low-income adults, and to impose rigid caps on the federal government’s Medicaid spending. While Congress considered and rejected a series ...

How many children would lose Medicaid in 10 years?

After ten years, more than 300,000 children would lose comprehensive coverage ...

What would happen if the poverty line was lowered?

By lowering the poverty line, that proposal would ultimately cut billions of dollars from federal health programs and cause millions of people to lose their eligibility for, or receive less help from, these programs. Many programs, including Medicaid and CHIP, use the poverty line to determine eligibility and benefits, and the cuts to these programs — and the numbers of people losing assistance altogether or receiving less help — would increase with each passing year. After ten years, more than 300,000 children would lose comprehensive coverage through Medicaid and CHIP, as would more than 250,000 adults covered through the ACA Medicaid expansion. Some pregnant women, low-income parents in non-expansion states, and people receiving family planning services through Medicaid would also lose coverage.

How long does it take for Medicare to change?

The specifics will not emerge until the Department of Health and Human Services writes the rules to implement the executive order, which could take six months or longer. In the meantime, here are a few things you should know about the possible Medicare changes.

Why would allowing for more private contracts between patients and doctors encourage doctors to accept more Medicare patients?

Proponents say allowing for more private contracts between patients and doctors would encourage doctors to accept more Medicare patients, partly because they could get higher payments. That was one argument made by supporters of several House and Senate bills in 2015 that included direct-contracting provisions.

When did the "Buck Naked Act" come out?

Both ideas have a long history, with proponents and opponents duking it out since at least 1997, even spawning a tongue-in-cheek legislative proposal that year titled, in part, the "Buck Naked Act.". More on that later.

When did Trump change Medicare?

President Trump signed an executive order requiring changes to Medicare on Oct. 3. The order included some ideas that could raise costs for seniors, depending how they're implemented. President Trump signed an executive order requiring changes to Medicare on Oct. 3. The order included some ideas that could raise costs for seniors, ...

Can a doctor opt out of Medicare?

Alternatively, physicians can "opt out" of Medicare and charge whatever they want. But they can't change their mind and try to get Medicare payments again for at least two years.

Does Medicare pay for balance billing?

Right now, the vast majority of physicians agree to accept what Medicare pays them and not charge patients for the rest of the bill, a practice known as balance billing. Physicians (and hospitals) have complained that Medicare doesn't pay enough, but most participate anyway. Still, there is wiggle room.

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