Medicare Blog

what will happen to medicare and medicaid under trump

by Ms. Mossie Shanahan MD Published 3 years ago Updated 2 years ago
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What are the harmful changes to Medicaid under the Trump administration?

Trump Administration’s Harmful Changes t... 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.

Will Medicare be affected by the Trump administration’s proposed rule?

Older adults. While Medicare-eligible seniors would be excluded, early retirees receiving Social Security but not yet eligible for Medicare could be affected. The Trump Administration proposed a rule in November 2019 that would make it harder for states to pay for their share of Medicaid costs.

Why didn't President Trump's proposed budget cut Medicare spending?

His fiscal-year 2021 budget (proposed earlier this year) would cut hundreds of billions of dollars from Medicare over 10 years. The reason none of the changes went into effect is that Congress controls U.S. spending, not the president.

Can trump fulfill his long-held republican dream of curbing Medicaid costs?

(CNN) Just days before leaving office, the Trump administration took a step toward fulfilling a long-held Republican dream of curbing Medicaid costs and giving states more flexibility to run the program.

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Is Medicare going up in 2021?

The standard monthly premium for Medicare Part B enrollees will be $170.10 for 2022, an increase of $21.60 from $148.50 in 2021. The annual deductible for all Medicare Part B beneficiaries is $233 in 2022, an increase of $30 from the annual deductible of $203 in 2021.

Is Congress trying to cut Medicare Advantage?

Most of Congress warns CMS against any Medicare Advantage cuts, calls for benefit flexibility. A large swath of House and Senate lawmakers is pushing the Biden administration not to install any cuts to Medicare Advantage (MA) plans in the coming 2023 rates.

Is Medicare going down?

According to CMS, the average Medicare Advantage (Medicare Part C) premiums for 2022 is about $19/month (in addition to the cost of Part B), which is down from about $21/month for 2021, and $23/month in 2020. Average Advantage premiums have been declining for the last several years.

Can the federal government force states to expand Medicaid?

In 2012, the Supreme Court of the United States ruled that the federal government could not force states to expand Medicaid under the ACA. That's because it would cost money for states to cover more people under Medicaid. As a result, each state could choose whether or not to expand their Medicaid program.

Are Democrats trying to cut Medicare Advantage?

Sadly, as part of their push for the $5 billion socialist Build Back Better agenda, Democrats proposed spending $285 billion to pull beneficiaries away from Medicare Advantage—despite its popularity among seniors—into an outdated single-payer system that rewards volume over value.

Who is trying to cut Medicare Advantage?

Democrats Ponder Cutting Medicare Advantage to Fund $3.5 Trillion Spending Bill.

What changes are coming to Medicare in 2021?

The Medicare Part B premium is $148.50 per month in 2021, an increase of $3.90 since 2020. The Part B deductible also increased by $5 to $203 in 2021. Medicare Advantage premiums are expected to drop by 11% this year, while beneficiaries now have access to more plan choices than in previous years.

What will Medicare cost in 2021?

The standard monthly premium for Medicare Part B enrollees will be $148.50 for 2021, an increase of $3.90 from $144.60 in 2020. The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020.

What changes are coming to Social Security 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.

How does Biden want to expand Medicaid?

Biden supported a provision in the covid relief bill that gives states the option to extend Medicaid to new mothers for up to a year after they give birth. Many experts say such coverage could help reduce the U.S. maternal mortality rate, which is far higher than rates in other wealthy nations.

Why is Medicaid expansion unconstitutional?

2 The most complex part of the Court's decision concerned the ACA's Medicaid expansion: a majority of the Court found the ACA's Medicaid expansion unconstitutionally coercive of states because states did not have adequate notice to voluntarily consent to this change in the Medicaid program, and all of a state's ...

What is the lowest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

Is Medicare being lowered to 60?

More than 125 House lawmakers introduced legislation Friday that lowers the Medicare eligibility age to 60 from 65. The Improving Medicare Coverage Act — led by Reps.

Is Medicare running out of money?

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.

What will happen to Medicare in the future?

After a 9 percent increase from 2021 to 2022, enrollment in the Medicare Advantage (MA) program is expected to surpass 50 percent of the eligible Medicare population within the next year. At its current rate of growth, MA is on track to reach 69 percent of the Medicare population by the end of 2030.

How will new bill affect Medicare?

UPDATE: Dec. 10, 2021: The Senate on Thursday passed legislation averting Medicare cuts that were set to go into effect in roughly three weeks. The vote was 59-34. The bill, which passed the House earlier this week, delays 2% cuts to Medicare rates through March and a separate round of 4% cuts to 2023.

What is the new rule for Medicare?

The new rule promoted the use of generic drugs and would allow beneficiaries to know out-of-pocket costs in advance. The change was expected to increase revenue for the two Medicare programs by just under 1%. The Part D program was required to offer drug price comparisons beginning in January 2022.

How many federal employees are covered by Medicare Advantage?

We already have seen the effectiveness of that approach in the Medicare Advantage program and the Federal Employees Health Benefits Program, [which] covers approximately 8 million federal employees and retirees and their families.

What did Verma say about Trump?

Verma said that Trump “wants to deliver on his promise to take care of beneficiaries and for Medicaid to ensure we have a safety net system that is sustainable.”

What is Medicare Advantage?

In February, the Centers for Medicare and Medicaid Services issued a rule to modernize Medicare Advantage, which offers private health plans that contract through Medicare and the Medicare Part D prescription drug program. The new rule promoted the use of generic drugs and would allow beneficiaries to know out-of-pocket costs in ...

How much does Medicare cost in 2019?

In 2019, Medicare spending reached $796.2 billion, with an average per capita benefit of $13,879 and a total administrative cost of 10.6%. Medicare is projected to grow from 3.7% of gross domestic product in 2019 to 6% in 2044, or 6.3 % under a more realistic scenario.

Did Trump make reforms to Medicare?

by Fred Lucas. The Trump administration has made several free market reforms in health care that should contribute to the solvency of Medicare and Medicaid, the official in charge of the programs says. President Donald Trump, both as a candidate and as an officeholder, has opposed structural entitlement reforms backed by some conservatives.

Has Trump cracked down on fraud?

The Trump administration has cracked down on fraud and abuse, she noted.

How much does the federal government pay for medicaid?

Funding for Medicaid, which covers more than one in five Americans, is now open-ended, with the federal government paying more than 60% of total Medicaid costs and states shouldering about 40% of the bill.

How long does the Biden administration have to reverse the decision?

The Biden administration, however, is expected to oppose the approval, which lasts 10 years. While incoming officials can reverse the decision, the state can request a hearing to challenge that determination. The overturning of approvals has rarely, if ever, happened.

Does the block grant waiver prohibit the state from taking such steps?

They point out the waiver approval does not prohibit the state from taking such steps.

Is Tennessee getting a modified block grant?

The Centers for Medicare and Medicaid Services Friday granted Tennessee's request to turn its federal Medicaid funding arrangement into a so-called modified block grant. It is the first state to receive such permission and is similar to a guidance the agency issued in early 2020.

Does Tennessee have a Medicaid waiver?

Tennessee's waiver shifts federal funding for its TennCare program to a lump sum, which will increase annually based on projected Medicaid spending growth rates in the president's budget. If enrollment rises or falls more than 1%, the block grant is adjusted accordingly. TennCare currently covers about 1.5 million low-income residents.

How much was Medicaid in 2015?

Total Medicaid spending was $532 billion in fiscal 2015, with about 62 percent funded by the federal government. One major change endorsed by both Trump and House Speaker Paul Ryan (R-Wis.) would transform Medicaid from an entitlement program into a block grant program. Here’s the difference.

What is the biggest risk for Medicaid?

The biggest risk for Medicaid beneficiaries comes from pledges by Trump and other Republicans to repeal the Affordable Care Act, which provided federal funding to states to expand Medicaid eligibility starting in 2014.

When does medicaid expire?

The program expires if not reauthorized by Sept. 30, 2017.

Will Medicaid lose under Trump?

Millions Could Lose Medicaid Coverage Under Trump Plan. Millions of low-income Americans on Medicaid could lose their health coverage if President-elect Donald Trump and a Republican-controlled Congress follow through on GOP proposals to cut spending in the state-federal insurance program.

Is Medicaid a block grant?

Turning Medicaid into a block grant program has been discussed for more than 25 years, but the idea has always met resistance from some states, health providers, health care advocates and Democrats. Even with a Republican majority in Congress and Trump in the White House, the plan would still face an uphill legislative battle.

What about Medicare?

The budget proposes several changes to the way health-care providers are paid in order to save money, not cut services. An estimated $117 billion could be saved over 10 years by stopping the practice of paying hospitals more than doctor’s offices for the same services.

How much money would a medicaid worker save?

The budget also requires all states to establish work requirements for Medicaid recipients, which it says would save an estimated $152 billion. But in practice, policy experts say, Medicaid work requirements won’t achieve anything like such savings by insisting that people earn more money.

What is Trump's policy on healthcare?

Trump policy toward health care is based on the idea of promoting choice, competition and market prices. 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. We’ll cover some of those policy changes today and the rest next week.

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.

Can doctors bill Medicare?

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. Patients can be anywhere, including their own homes. Doctors can also bill Medicare to review and analyze medical images patients send them. And, they can bill for telemedical consultations with other doctors.

How many pages are there in the document Reforming America's Healthcare System Through Choice and Competition?

The vision behind these reforms can be found in Reforming America’s Healthcare System Through Choice and Competition. This 124-page document from the Department of Health and Human Services challenges a premise behind 50 years of thinking in health policy circles: the idea that our most serious problems in health care arise because of flaws in the private sector. Most problems arise because of government failure, not market failure, the document declares, and it goes into great detail on how to correct the policy errors.

Where are patients transported after hip replacement?

After hip and knee replacements at Tallahassee Memorial HealthCare , patients are transported to rehab facilities, nursing homes and even to their own homes -- where follow-up observations are made with video cameras.

Can a Medicare Advantage plan pay for telehealth?

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

Who is suing to block the rule change?

The American Hospital Association is suing to block the rule change. But this illustrates something important about the powers of the executive branch. Many of the reforms described here would have been done by Congress – but for the influence of powerful special interests.

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.

Healthcare.gov marketplaces

The Trump administration also considered reopening the Obamacare marketplace for people to sign up, but decided against that. In response to this decision, Presidential candidate Joe Biden tweeted, “This callous decision will cost lives.

Medicare for All?

Presidential candidate Sen. Bernie Sanders (I-VT) and Rep. Alexandria Ocasio-Cortez (D-NY) argue that every American should be covered now. Cortez recently tweeted: “We need to drop the Medicare eligibility age to 0 right now.”

How many people are covered by medicaid?

Medicaid is a health insurance program for low-income people that now covers roughly 1 in 5 Americans. States are in charge of it, subject to a complex set of rules about who and what the program covers. Those rules come from the federal government, which provides the majority of the funding.

How long can you get medicaid if you have a medical emergency?

That’s a safeguard for people who have a medical emergency but can’t get onto Medicaid until days or weeks after they’ve started getting treatment.

Why are block grants important for Republicans?

Republicans have historically promoted block grants as a way to limit or reduce Medicaid spending, and many experts believe such proposals would lead to cuts in enrollment or benefits that would harm beneficiaries. Advertisement.

Does Medicaid cover the extra people?

If an economic downturn causes more people to fall into poverty, or if the pharmaceutical industry develops an especially expensive and crucial drug, or if an epidemic leads to a surge in hospital use, Medicaid will cover the extra people or pay for their extra services. This can be an expensive proposition.

Is Trump back with a new initiative?

The Trump administration is back with a new initiative that could make it harder for some low-income Americans to get health care. Officials on Thursday told states that they can request major changes in the operation and funding of their Medicaid programs. Under the new arrangement, the outlines of which were first reported by Politico over ...

Can states change their Medicaid funding?

Now the Trump administration says states can change their financing in more or less the same fashion even without new legislation, because Medicaid allows states to get waivers if they want to experiment with new coverage models. Waivers are pretty common and come from all kinds of states.

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