What is the Medicare Modernization Act (MMA)?
Medicare Part D System On December 8, 2003, the President signed into law Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003.
What is the Medicare Prescription Drug Improvement and Modernization Act?
Agreements Filed With the Federal Trade Commission Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003: Overview of Agreements Filed In Fiscal Year 2017: A Report By the Bureau of Competition (215.31 KB) Press Release.
What happened to Medicare prescription drug coverage after the MMA?
Medicare Modernization Act of 2003 (MMA) A federal law that provided a prescription drug benefit under the Medicare program. MMA made various other adjustments to the Medicare and Medicaid programs affecting providers, including payment and …
What is the American Medical manufacturers Act?
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. Keywords: Medicare, Modernization Act, Elderly Population, Prescription Drug Bill.
What did the Medicare Modernization Act 2003 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 does MMA stand for in Medicare?
The Medicare Modernization Act (MMA) included three polices to limit the financial. risks that Part D prescription drug plans (PDPs) must bear. These were: • Risk adjustment of the payments to plans, based on the demographics and health.
What came out of the Medicare Prescription Drug Improvement and Modernization Act?
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 was Medicare Prescription Drug Improvement and Modernization Act passed?
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 is the MMA file?
The Master Album Maker Photo Album File is stored in the MMA format and is affixed with MMA extension and is used by Mouse's Master Album Maker software. These MMA files are generally classified as data files that contain multiple images and their display properties consolidated in a digital photo album.
What is FL MMA?
Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. There are three different programs that makeup the Statewide Medicaid Managed Care. Managed Medical Assistance (MMA) Program, Long-term Care (LTC) Program, and Dental Program.
What was notable about the Medicare Modernization Act of 2003 quizlet?
5. What was notable about the Medicare Modernization Act of 2003? The revision included a prescription drug benefit.
When was the Medicare Modernization Act implemented?
On December 8, 2003, the President signed into law Public Law 108-173, 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.
Why did Medicare Part D pass?
Medicare Part D dramatically lowered the number of beneficiaries spending more than one-fifth of their income on prescription drugs from 14% in 2003 to 7% in 2010. Part D coverage has made seniors' finances more stable and less prone to bankruptcy due to drug costs.
What is the name of the legislation that required MTM services to be a part of Medicare Part D?
The Patient Protection and Affordable Care Act (PL 111-148) authorized grants for “medication management services” in all practice settings (Section 3503), noting that such services will help manage chronic disease, reduce medical errors, and improve patient adherence to therapies while reducing acute-care costs and ...
What was the impact of the Medicare prescription drug Improvement?
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 was the impact of the Durham Humphrey Amendment?
This amendment established the distinction between so-called legend (prescription) drugs and over the counter (nonprescription) drugs. The amendment also authorized the taking of prescriptions verbally, rather than in writing, and the refilling of prescriptions.
What was the purpose of the Prescription Drug Marketing Act of 1987?
Prescription Drug Marketing Act of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to permit only the U.S. manufacturer of a drug to reimport such drug into the United States, except for emergency medical care. Prohibits the selling, purchasing, or trading of prescription drug samples or coupons.
When did Part D become mandatory?
Medicare Part D Prescription Drug benefit The MMA also expanded Medicare to include an optional prescription drug benefit, “Part D,” which went into effect in 2006.
What items were reduced in the 2005 Medicare payment?
Provides that for 2005 the payment amount for certain items, oxygen and oxygen equipment, standard wheelchairs, nebulizers, diabetic lancets and testing strips, hospital beds and air mattresses, will be reduced.
What is SSA Title 3?
Title III: Combatting Waste, Fraud, and Abuse - (Sec. 301) Amends SSA title XVIII to allow the Secretary to make a conditional Medicare payment if a primary plan has not made or cannot reasonably be expected to make prompt payment. Requires the payment to be contingent on reimbursement by the primary plan to the appropriate Medicare trust fund. Requires a primary plan as well as an entity that receives payment from a primary plan to reimburse the Medicare Trust Funds for any payment made by the Secretary if the primary plan was obligated to make payment. Makes other changes with regard to Medicare as a secondary payer to address the Secretary's authority to recover payment from any and all responsible entities and to bring action, including the collection of double damages, to recover payment under the Medicare secondary payer provisions.
What is MEDPAC report?
Requires a Medicare Payment Advisory Commission (MEDPAC) study and report to Congress with respect to authority regarding disapproval of unreasonable beneficiary cost-sharing.
What are the beneficiary protection requirements for a PDP?
Establishes beneficiary protection requirements for qualified prescription drug plans, such as requiring each PDP sponsor offering a prescription drug plan to: (1) have a mechanism for providing specific information on a timely basis to enrollees upon request ; (2) have in place with respect to covered part D drugs a cost-effective drug utilization management program and a medication therapy management program ; and (3) provide that each pharmacy that dispenses a covered part D drug shall inform an enrollee of any differential between the price of the drug to the enrollee and the price of the lowest priced generic covered part D drug under the plan that is therapeutically equivalent and bioequivalent and available at such pharmacy.
Which title directs the Secretary to request the Institute of Medicine of the National Academy of Sciences to conduct an evaluation of the
Directs the Secretary to request the Institute of Medicine of the National Academy of Sciences to conduct an evaluation of the peer review program under SSA title XI.
When did the CCA program begin?
241) Directs the Secretary to establish a program for the application of comparative cost adjustment in CCA areas, to begin January 1, 2010, and last six years, and to test whether direct competition between private plans and the original Medicare fee-for-service program will enhance competition in Medicare.
Who conducts a study for a report to the Congress on the extent to which drug utilization and access to covered
Requires the Comptroller General to conduct a study for a report to the Congress on the extent to which drug utilization and access to covered part D drugs by subsidy eligible individuals differs from such utilization and access for individuals who would qualify as such subsidy eligible individuals except for application of the assets test.
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 was the MMA signed?
The MMA was signed by President George W. Bush on December 8, 2003, after passing in Congress by a close margin.
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.
What is the "donut hole" in Medicare?
The "donut hole" provision of the Patient Protection and Affordable Care Act was an attempt to correct the issue.
How many votes did the Senate have to override the conference report?
However, a budget point of order was raised by Tom Daschle, and voted on. As 60 votes were necessary to override it, the challenge was actually considered to have a credible chance of passing.
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).
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).
When did the 2005 Medicare prescription drug reforms end?
The Federal Trade Commission’s Bureau of Competition today issued a summary of agreements filed with the Commission in fiscal year 2005 (ending September 30, 2005 ) by generic and branded drug manufacturers. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 requires drug...
When did the 2007 drug agreement end?
The Federal Trade Commission’s Bureau of Competition today issued a summary of agreements filed with the agency in fiscal year 2007 (ending September 30, 2007 ) by generic and branded drug manufacturers.
Is Hatch-Waxman patent anticompetitive?
A new Federal Trade Commission staff report found that, despite a considerable increase in the total number of final Hatch-Waxman patent settlements in FY 2016, significantly fewer settlements included the types of reverse payments that are likely to be anticompetitive.
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.
What Is the Medicare Modernization Act of 2003?
The Medicare Prescription Drug, Improvement and Modernization Act of 2003 — also known simply as the Medicare Modernization Act (MMA) — is a sweeping piece of legislation that created a prescription drug benefit for millions of Medicare beneficiaries.
What Was the Impact of the Medicare Prescription Drug Improvement and Modernization Act?
The Medicare Modernization Act has impacted the program and its beneficiaries in significant ways. Perhaps the greatest impact is a massive enrollment shift to Medicare Advantage plans.
Medicare Modernization Act Pros and Cons
The Medicare Modernization Act expanded prescription drug coverage to millions of older and disabled Americans.
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. Bushon 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 citizensat 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 insuranceplans, 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 Scullyinstructed 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 Actwas an attem…