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📢 URGENT: Protect Medicaid for Millions of People with Medicare

Casey Schwarz

Senior Counsel, Education & Federal Policy

Trustees Reports Reflect Largely Unchanged and Improved Projections

The Social Security and Medicare Trustees reports were released this week. The reports include short- and long-term projections for the financial situation of the Social Security Retirement and Disability and the Medicare HI (Part A) and SMI (Part B) trust funds. The findings are largely consistent with those from 2019 and confirm the Medicare and Social Security programs are strong and built to last.

Proposed Rule Would Drastically Affect Access to Food Stamp Benefits

This week, the Medicare Rights Center provided comment to the Food and Nutrition Service (FNS) in response to a proposed rule that would dramatically affect access to benefits by cutting billions of dollars of funding from the Supplemental Nutrition Assistance Program (SNAP), also referred to as food stamps.

CMS Medicaid Demonstrations Lack Transparency, GAO Finds

The US Government Accountability Office (GAO) released a report this week finding that the Centers for Medicare & Medicaid Services (CMS) is insufficiently open about Medicaid demonstrations. Demonstrations allow states to test new approaches to delivering services under the Medicaid Program. Currently, demonstrations account for nearly a third of Medicaid spending.

CMS Releases Early Look at Medicare Beneficiary Survey Data

This week, Centers for Medicare & Medicaid Services (CMS) released an “early look” at the 2017 Medicare Current Beneficiary Survey (MCBS) results, including preliminary estimates about the Medicare population. The MCBS targets the Medicare population that resides in “the community” and does not include individuals who live in a nursing facility.

Middle-Income Older Adults Face Insufficient Resources for Housing and Health Care

This week, Health Affairs released a report finding that, increasingly, middle-income seniors will have not enough money to cover the cost of housing and healthcare. The authors project that by 2029, 14.4 million people over age 75 will be “middle income.” Around 60% of these older adults will have mobility limitations and 20% of whom will have high health care needs, but their incomes will put them at risk of not being able to afford health care or housing. Unfortunately, middle-income seniors are not served by the private seniors housing industry nor by the supportive housing available to lower income individuals. This means that 54% of these individuals will not have sufficient resources to pay for the level of care provided in senor housing.

Medicare Payments for Insulin Have Increased Dramatically, Report Finds

A recent Kaiser Family Foundation report highlights the dramatic increase in Medicare spending on insulin products from 2007 to 2017. When taking into account payments made by plans, beneficiaries, and the federal government, spending increased by 840% from $1.4 to $13.3 billion.

Although there are an increasing number of Part D enrollees and an increase in the percentage of enrollees who have diabetes—with one third (33%) of people with Medicare diagnosed with diabetes in 2016, up from 18% in 2000—these trends do not account for the steep growth in overall spending. Indeed, the study notes that the average total Medicare Part D spending per user on insulin products increased by 358% between 2007 and 2016 (from $862 to $3,949).