Bidens Medicare Price Controls Will Hurt Millions of Americans. We can and must do better

The problem of controlling drug prices

Recently, the Biden administration announced that the makers of the first 10 drugs covered by the pricing provisions of the Inflation Reduction Act (IRA) have agreed to participate in what some have called a negotiating program. What the administration has missed is that manufacturers who resist “bargaining” are subject to… Continue Reading Bidens Medicare Price Controls Will Hurt Millions of Americans. We can and must do better

Misleading Medicare Advantage Ads: What to Watch For

Misleading Medicare Advantage Ads: What to Watch For

I am currently enrolled in Original Medicare, but am considering switching to a Medicare Advantage plan during the open enrollment period. Many Medicare Advantage ads I’ve seen offer many additional benefits beyond what traditional Medicare offers and no monthly premiums. What are your thoughts? Consider a change Dear Consider, Be… Continue Reading Misleading Medicare Advantage Ads: What to Watch For

Jamie Burton’s Column: The ACA’s Role in Managing Health Care Costs Before Medicare

Jamie Burton's Column: The ACA's Role in Managing Health Care Costs Before Medicare

Access to affordable health care has long been a concern for individuals in the United States, particularly before reaching Medicare eligibility age. The Affordable Care Act, signed into law in 2010, brought significant changes to the health care landscape, providing critical solutions to those who were not yet eligible for… Continue Reading Jamie Burton’s Column: The ACA’s Role in Managing Health Care Costs Before Medicare

Healthcare Alignment Loss Reduces as Medicare Advantage Business Grows

Healthcare Alignment Loss Reduces as Medicare Advantage Business Grows

its third quarter by $35 million even as new coverage provider Medicare Advantage increases its membership. Healthcare Alignment Alignment Healthcare reported a third-quarter loss of $35 million on Thursday, even as the new Medicare Advantage coverage provider increases its membership to more than 115,000. Alignment, which improved its results after… Continue Reading Healthcare Alignment Loss Reduces as Medicare Advantage Business Grows

How Payers Expect IRA to Financially Impact Medicare Part D Plans

How Payers Expect IRA to Financially Impact Medicare Part D Plans

Most payers believe the implementation of the Inflation Reduction Act (IRA) will have a financial impact on Medicare Part D plans, according to a poster presented at AMCP Nexus 2023. The researchers noted that the IRA includes several policy provisions related to Medicare Part D benefit design and drug pricing,… Continue Reading How Payers Expect IRA to Financially Impact Medicare Part D Plans

The role of Medicare benefits in reducing health care costs differs by patient condition

The role of Medicare benefits in reducing health care costs differs by patient condition

According to a new study by Professor Jeah Jung, Medicare Advantage generally used fewer resources (and therefore cost less), but to varying extents across conditions, including in some cases where it was not significantly different from traditional Medicare. More than 18 percent of the U.S. population ($65 million) is enrolled… Continue Reading The role of Medicare benefits in reducing health care costs differs by patient condition