Increase Affordability

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Eliminate beneficiary coinsurance for care coordination services not received in person

Adequate payment of providers for non-in-person care coordination services, like conversations with other treating doctors, assistance setting up appointments, and monitoring communications, is essential. The federal government recently […]

April 28th, 2015|Categories: 50 Medicare Wishes, Increase Affordability|

Allow peer-reviewed literature to support medically-accepted indications for Part D prescription drugs

Medicare has two standards for determining when a medication is covered. One standard, requiring strong evidence in peer-reviewed literature, is used for prescription drugs covered under Part B […]

April 26th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Require all states to enter Part A buy-in agreements

Part A buy-in agreements are contracts between state Medicaid offices and the Social Security Administration that allow eligible individuals with very low incomes and limited assets to enroll […]

April 25th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Streamline Enrollment|

Restore Medicare prescription drug rebates

When the Medicare Part D drug benefit was created, the federal government lost important discounts from pharmaceutical makers for prescription drugs made available for low-income beneficiaries. At a […]

April 22nd, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Strengthen Part D|

Allow Medicare to negotiate Part D prices—especially for high-cost, specialty drugs

Unlike state Medicaid programs and the Veteran’s Administration, Medicare is prohibited from negotiating the price of prescription drugs directly with pharmaceutical makers. This prohibition is becoming increasingly problematic […]

April 21st, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Strengthen Part D|