Tag Archives: Medicare

Dr. Oz Nomination Seen as Potential Boon for Medicare Privatization

“Dr. Oz wants to fully privatize Medicare,” warned one advocacy group. “That’s why Donald Trump put him in charge of Medicare.”

By Eloise Goldsmith. Published 11-20-2024 by Common Dreams

Dr. Mehmet Oz, whose unsuccessful 2022 Pennsylvania Senate bid included pitching voters on a plan to expand the privatized Medicare Advantage program, is now in a position to potentially actualize that plan.

President-elect Donald Trump announced Tuesday that Oz, also known by his TV personality name Dr. Oz, is his pick to lead the Centers for Medicare and Medicaid Services (CMS).

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CBO: GOP Social Security Plan Would Cut Benefits by Thousands, Not Extend Solvency

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“Their goal is to destroy our Social Security system,” one advocate for seniors said of Republican politicians.

By Jessica Corbett. Published 9-25-2024 by Common Dreams

Social Security defenders have long argued that former Republican U.S. President Donald Trump’s return to the Oval Office could spell disaster for seniors, and a nonpartisan government analysis released Wednesday bolsters their warnings.

U.S. House Budget Committee Ranking Member Brendan Boyle (D-Pa.) asked the Congressional Budget Office (CBO) to analyze the impact of raising the full retirement age (FRA) for Social Security from 67 to 69, as various Republican groups have proposed.

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Once Free, Covid-19 Vaccines Now Cost Up to $200 for Uninsured in US

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“What’s at stake is we are reverting back to a system where a person’s financial ability to be able to pay will determine their ability to be healthy.”

By Edward Carver. Published 9-3-2024 by Common Dreams

*Photo: U.S. Secretary of Defense/flickr*

The latest coronavirus vaccine costs up to $200 for the roughly 25 million uninsured people in the U.S., due to the defunding of a federal program that previously covered the costs, The Washington Post reported Tuesday.

It’s the “latest tear in the safety net as pandemic-era programs wind down, the newspaper reported. Covid-19 vaccines were free for everyone in the U.S. in 2021 and 2022, per federal policy. However, in January, congressional Republicans negotiated a deal that rescinded $6.1 billion in emergency coronavirus relief funding, which killed the Bridge Access Program, launched in April 2023, that covered the cost for the uninsured.

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Biden 2025 Budget Would Offer ‘Welcome Relief,’ But Not Enough

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One expert said that enacting his reforms “will begin to reverse the 40-year one-way ratchet of falling taxes for the wealthy and corporations and instead invest in workers and families.”

By Jessica Corbett. Published 3-11-2024 by Common Dreams

*Photto: U.S. Secretary of Defense/flickr/CC*

On the heels of delivering the latest State of the Union speech and signing a package of funding bills, U.S. President Joe Biden on Monday unveiled his budget blueprint for fiscal year 2025, a proposal praised by congressional Democrats and progressive advocates who want him to go even further.

The $7.3 trillion budget comes as the divided Congress is still sorting out funding for the current fiscal year. Given those divisions—and that the Republican House majority is already advancing its own budget resolution for the fiscal year that begins in October—the Democratic president’s plan is widely seen as a statement of priorities going into the November election.

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‘Chilling’: Supreme Court Says Idaho Can Jail Doctors for Providing Abortions

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“Yet again, women’s lives are at the mercy of this extreme Court stacked by Donald Trump.”

By Jake Johnson. Published 1-6-2024 by Common Dreams

The U.S. Supreme Court on Friday opted to reinstate Idaho’s near-total abortion ban, a draconian law that carries up to five years in prison for doctors who perform the procedure outside of extremely narrow circumstances.

The high court, which overturned the constitutional right to abortion in the summer of 2022, agreed to hear a Justice Department challenge to Idaho’s abortion ban in April. In the meantime, it will be a crime in Idaho to perform or attempt to perform an abortion unless the procedure is deemed “necessary to prevent the death of the pregnant woman” or if the pregnancy was a result of rape or incest.

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‘This Should Be a National Scandal’: For-Profit Medicare Advantage Plans Using AI for Denials

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“They’re using AI to predict when to cut off payment for treatments,” said one watchdog group. “We repeat, AI. Not a doctor.”

By Brett Wilkins. Published 11-3-2023 by Common Dreams

*Single payer protest in Baltimore, MD Photo: Elvert Barnes/flickr/CC*

As Medicare Advantage plans rely increasingly upon artificial intelligence to determine—and often deny—payment for patient care, a group of Democratic U.S. lawmakers on Friday urged Medicare’s top official to strengthen oversight of AI and algorithmic tools used to make coverage determinations.

“In recent years, problems posed by prior authorization have been exacerbated by MA plans’ increasing use of AI or algorithmic software to assist in their coverage determinations in certain care settings, including inpatient hospitals, skilled nursing facilities, and home health,” 32 House Democrats led by Rep. Judy Chu (D-Calif.) wrote in a letter to Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Books LaSure.

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Medicare Advantage Overbills Taxpayers by $140 Billion a Year—Enough to Wipe Out Medicare Premiums

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“Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American healthcare,” says a new report from Physicians for a National Health Program.

By Jake Johnson. Published 10-4-2023 by Common Dreams

A report published Wednesday estimates that privately run, government-funded Medicare Advantage plans are overcharging U.S. taxpayers by up to $140 billion per year, a sum that could be used to completely eliminate Medicare Part B premiums or fully fund Medicare’s prescription drug program.

Physicians for a National Health Program (PNHP), an advocacy group that supports transitioning to a single-payer health insurance system, found that Medicare Advantage (MA) overbills the federal government by at least $88 billion per year, based on 2022 spending.

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In ‘First Major Blow to Big Pharma,’ Federal Judge Blocks Medicare Drug Price Negotiation Injunction

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The judge said plaintiff the Chamber of Commerce “demonstrated neither a strong likelihood of success nor irreparable harm.”

By Olivia Rosane. Published 9-30-2023 by Common Dreams

A federal judge in Ohio on Friday blocked an attempt by corporate interests to stop Medicare’s historic negotiation of certain drug prices with pharmaceuticals.

Medicare gained the power to negotiate drug prices as part of the Inflation Reduction Act (IRA), but the several industry groups and drug makers have sued to forestall the program, arguing that it is unconstitutional, CNN explained. One of those groups was the U.S. Chamber of Commerce, which filed its lawsuit in June. The Ohio judge Friday rejected its request for a preliminary injunction to block the program before October 1, the date by which pharmaceuticals must agree to negotiate or not.

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Trustees Report Shows Social Security Expansion a ‘Question of Values, Not Affordability’

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“The trust funds are strong because most Americans contribute to them with every paycheck,” said one advocate. “They could be even stronger if the wealthiest Americans paid their fair share.”

By Jake Johnson. Published 3-31-2023 by Common Dreams

Rally at Minneapolis Social Security Office i August of 2012/ Photo: AFGE/flickr/CC

The board of trustees for Medicare and Social Security released a report Friday showing the programs’ trust funds will be able to cover all benefits and expenses until 2031 and 2034 respectively, findings welcomed by advocates as further confirmation that the key lifelines are strong and can be expanded.

Nancy Altman, president of the progressive advocacy group Social Security Works, argued in a statement that “the takeaway from this report is that whether to expand or cut Social Security’s modest but vital benefits is a question of values, not affordability.” Continue reading →

Pharma Giants to Hike 350+ US Drug Prices in the New Year: Analysis

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“Why? Because they can. Big Pharma does not care about us.”

By Brett Wilkins. Published 12-30-2022 by Common Dreams

Photo: Images Money/flickr/CC

Global pharmaceutical giants plan to hike U.S. prices for hundreds of drugs next month in anticipation of the Biden administration’s Inflation Reduction Act, which will allow Medicare to negotiate the cost of certain drugs starting in 2026, an analysis published Friday revealed.

The analysis, conducted by the healthcare research company 3 Axis Advisors and reported on by Reuters, said that Big Pharma corporations including Pfizer, AstraZeneca PLC, and Sanofi SA are set to raise the list prices—which do not include any rebates—on over 350 drugs early in January. Continue reading →

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Tag Archives: Medicare

‘Chilling’: Supreme Court Says Idaho Can Jail Doctors for Providing Abortions

“Yet again, women’s lives are at the mercy of this extreme Court stacked by Donald Trump.”