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ProSense

(116,464 posts)
16. Yes,
Fri Mar 1, 2013, 02:49 PM
Mar 2013

"Medicare - sure there are shortfalls and fraud. Wasn't Obamacare supposed to implement the Patient Protection
and Affordable act?"

...that's correct: Obamacare was "supposed to implement the Patient Protection and Affordable act"

Medicare’s Projected Spending Has Dropped $500 Billion Without Lawmakers Cutting A Dime

By Jeff Spross

Medicare will spend $511 billion less between now and 2020 than was predicted two and a half years ago, according to the latest number crunching by the Center On Budget and Policy Priorities. More importantly, this drop occurred completely separate from any changes in government policy — rather, it resulted from an overall slowdown in the growth of health care costs.

The last time the Congress and the President actually altered Medicare policy in order to bring down the program’s spending was when they passed health reform in March of 2010. By comparing the Congressional Budget Office’s projections from August of that year with their projections from earlier this month, and by leaving out the the SGR cuts and the Medicare cuts in sequestration, the CBPP was able to isolate how much Medicare’s spending is anticipated to drop due purely to changes in the health care markets. And the drop is considerably larger than the proactive cuts in Medicare spending the Simpson-Bowles plan was calling for back in December of 2010:



According to the CBO itself, its projections for Medicare and Medicaid spending between now and 2022 dropped 3.5 percent since its previous projection in August of 2012.

- more -

http://thinkprogress.org/health/2013/02/21/1623151/medicare-spending-drops/

This helps:

Medicare Fraud: HHS announces record-breaking $4.2 Billion recovered in FY 2012
http://www.democraticunderground.com/10022354924

The President's policies also prove that savings do not have to come at the expense of appropriate spending and benefits. The health care law not only expanded benefits for seniors, it's reversing the damage done by Bush, and it strengthened Medicare.

Long before this Supreme Court decision, through the Affordable Care Act, seniors began to see positive changes in their prescription drug costs, access to preventive health care, and more. Thanks to the Supreme Court’s decision the following provisions will continue to be provided to seniors:

Medicare Improvements

The ACA contains several important improvements to the Medicare program, many of which are already helping seniors today.

1) Closing the donut hole

a. Medicare Part D covers the cost of medications up to a certain point. Between that point, and a catastrophic coverage threshold, the older adult must pay out of pocket for medication (this gap in coverage is often called the Part D “donut hole”). One in four beneficiaries fall in this gap, and end up paying an average of $3,610 out of pocket on drug expenses.

b. The ACA requires drug manufacturers to reduce prices for Medicare enrollees in the donut hole. Beginning in 2011, brand‐name drug manufacturers must provide a 50% discount on brand‐name and biologic drugs for Part D enrollees in the donut hole. By 2013, Medicare will begin to provide an additional discount on brand‐name and biologic drugs for enrollees in the donut hole. By 2020, Part D enrollees will be responsible for only 25% of donut hole drug costs.

c. This is a benefit seniors are getting now, and will continue to get as a result of this decision.

2) Improving senior’s access to preventive medical services

a. Prior to the ACA, Medicare beneficiaries were required to pay a deductible and 20% copay for many preventive health services.

b. The ACA eliminated cost‐sharing for many preventive services and introduced an annual wellness visit for beneficiaries.

c. The ACA also eliminated cost‐sharing for screening services, like mammograms, Pap smears, bone mass measurements, depression screening, diabetes screening, HIV screening and obesity screenings.

d. This is a benefit seniors are getting now, and will continue to get as a result of this decision.

- more -

http://www.ncpssm.org/Portals/0/pdf/aca-analysis.pdf


MEDICARE’S FINANCIAL CONDITION

Medicare’s financial condition is measured in several ways, including the solvency of the Part A Trust Fund, the annual growth in spending, and growth in spending on a per capita basis. Average annual growth in total Medicare spending is projected to be 6.6% between 2010 and 2019, but 3.5% on a per capita basis (assuming no reduction in physician fees).

The Part A Trust Fund is projected to be depleted in 2024— eight years longer than in the absence of the health reform law—at which point Medicare would not have sufficient funds to pay full benefits, even though revenue flows into the Trust Fund each year. Part A Trust Fund solvency is affected by growth in the economy, which directly affects revenue from payroll tax contributions, and by demographic trends: an increasing number of beneficiaries, especially between 2010 and 2030 when the baby boom generation reaches Medicare eligibility age, and a declining ratio of workers per beneficiary making payroll contributions (Figure 4).

http://www.kff.org/medicare/upload/7305-06.pdf

The law gets better as it nears full implementation in 2014.

New Federal Rule Requires Insurers to Offer Mental Health Coverage
http://www.democraticunderground.com/10022407451

Here’s one way Obamacare changed today
http://www.democraticunderground.com/1251288922

Rules finalized for the good stuff in Obamacare
http://www.democraticunderground.com/10022415967

Kathleen Sebelius: Holding Insurance Companies Accountable for High Premium Increases
http://www.democraticunderground.com/10022417762

The health care law is still the biggest expansion of the safety net since Medicare
http://www.democraticunderground.com/10022159929




"If we don't stop Obama and Pelosi and Democrats and of course ALL republicans - they will cut our programs..."

They're all the same, huh?





Recommendations

0 members have recommended this reply (displayed in chronological order):

Because they are ignorant or ill. nt MannyGoldstein Mar 2013 #1
Greed is a mental illness....that and ignorance is destroying America. TheProgressive Mar 2013 #9
They are acting like front men for the banks and corporations, woo me with science Mar 2013 #20
Yep. Politicians are spending all their time fundraising. octoberlib Mar 2013 #30
Actually, because some "reform" to both systems is needed. That does not mean kelliekat44 Mar 2013 #45
I very much agree with you. pennylane100 Mar 2013 #79
way too complicated... stillcool Mar 2013 #121
Correct me if I'm wrong, but the "reform" on the table is switching to the chained CPI MannyGoldstein Mar 2013 #137
No. SS is good thru 2090 according to the SS Trustees FogerRox Mar 2013 #140
Oh, Manny, maybe by reform they mean to increase the monthly payments. Jackpine Radical Mar 2013 #60
Because they are in bed with Pete Peterson duffyduff Mar 2013 #118
Perhaps they are trying to drive the unions together . . . ? nt patrice Mar 2013 #2
I don't think threatening to harm SS and Medicare is the right tack...nt TheProgressive Mar 2013 #4
Don't unions need one another? Yeah, it's not the right tack for some of them, but others patrice Mar 2013 #13
Yeah! Maybe that's what Limbaugh's doing, too! Marr Mar 2013 #66
tack marybourg Mar 2013 #14
tanks...! TheProgressive Mar 2013 #17
BTW, the phrase is "... couldn't care less ..." if they "could care less" that means that they care. patrice Mar 2013 #21
lmfao Marr Mar 2013 #64
You may have noticed that I mentioned a couple of things that are driving unions apart. patrice Mar 2013 #70
because they are corporate lapdogs who do as they' like nearly everyone else in national politics.... bowens43 Mar 2013 #3
Yes, but this is an assault on us 300 million... TheProgressive Mar 2013 #6
If 'reform' meant higher benefits ... earthside Mar 2013 #5
Well said and is exactly my points as well. TheProgressive Mar 2013 #8
Well said! Open Medicare to all, raise the cap on the payroll tax. mountain grammy Mar 2013 #33
+1 Liberalynn Mar 2013 #56
I am starting to think they do have a mandate..... djean111 Mar 2013 #7
Nancy Pelosi doesn't care because she's rich. Obama is a millionaire kenny blankenship Mar 2013 #10
Because the GOP can't get away with it n/t leftstreet Mar 2013 #11
You're right Nite Owl Mar 2013 #12
It is infuriating Blecht Mar 2013 #15
Yes, ProSense Mar 2013 #16
Thanks for this...And... TheProgressive Mar 2013 #18
What does any of this have to do with the Deficit? Aren't we supposed to be sabrina 1 Mar 2013 #23
Here: ProSense Mar 2013 #25
I asked about SS and Medicare. Not HC, what do those programs have to do with sabrina 1 Mar 2013 #28
You asked ProSense Mar 2013 #31
I agree with your premise Sabrina... TheProgressive Mar 2013 #32
True, but none of it had anything to do with the specific cause of the deficit. sabrina 1 Mar 2013 #36
Absolutely correct... TheProgressive Mar 2013 #40
Our current NeoLiberal "Free Trade" obsession has to be figurend in too. bvar22 Mar 2013 #120
Yes, Bill signed this into law... TheProgressive Mar 2013 #125
Their "fixing" the deficit makes it worse: patrice Mar 2013 #37
This should all be its own OP. This info is too important for people to miss in a reply. nt stevenleser Mar 2013 #96
Weeeee, a 25% drop in "donut hole" costs by 2020, how will that cut the deficit? just1voice Mar 2013 #102
"All America needs to do ..." "...they could care less ..." = absurdities. Talking as though what's patrice Mar 2013 #19
I am not sure what you are saying here... TheProgressive Mar 2013 #29
That's your phrasing, you should explain it, because it is absurdly over-simplified. nt patrice Mar 2013 #35
It is simple. TheProgressive Mar 2013 #41
I already know that. You didn't say specifically how to make that happen. nt patrice Mar 2013 #50
How? TheProgressive Mar 2013 #53
And of course, you are saying CONGRESS should do these things, because presidents aren't kings. nt patrice Mar 2013 #57
... presidents aren't kings AND they don't write legislation, but then, I bet you know that. nt patrice Mar 2013 #58
You asked for the how and I provided the means. TheProgressive Mar 2013 #61
So specify the legislative process, resources (including persons) & timeline, since it's so simple. patrice Mar 2013 #67
Ok... TheProgressive Mar 2013 #72
Good question. We might not like the answers when we finally get them. sabrina 1 Mar 2013 #22
"Do they think we are stupid?" That's a stupid question ..and yes they do think we are that stupid. L0oniX Mar 2013 #26
I had a cousin who recently passed on Plucketeer Mar 2013 #68
Could it be that it -is- The Grand Bargain? HereSince1628 Mar 2013 #24
If there were no cuts being implemented, they would be saying that Doctor_J Mar 2013 #27
Well, duh, they are expertly and brilliantly faking out the Repugs! MotherPetrie Mar 2013 #34
Apply Occum's Razor. 99Forever Mar 2013 #38
because there is no other way to get $1.5 trillion in deficit reduction hfojvt Mar 2013 #39
The deficit has nothing to do with these trust programs, NOTHING. Cleita Mar 2013 #43
Because these programs NorthCarolina Mar 2013 #44
You're just wrong about that. Recursion Mar 2013 #80
Do you have a link for that piece of misinformation? Because everything I read about Cleita Mar 2013 #84
Do you get how bonds work? Recursion Mar 2013 #87
Get this through your head. The deficit is not the problem of the Social Security trust fund. Cleita Mar 2013 #88
Certainly we *can*, it's just a bad idea Recursion Mar 2013 #89
A thief *can* burglarize your home, but it's still theft just as this is. Cleita Mar 2013 #91
There's nothing criminal about changing benefit formulas Recursion Mar 2013 #93
You know the duck theory don't you? Cleita Mar 2013 #94
It is a default on a debt, and the American citizens are the biggest holder of Federal debt Samantha Mar 2013 #139
Also, this is just a ploy to turn the SS fund over to Wall Street and privatize it. Cleita Mar 2013 #92
Forget it Cleita, I have been down this road with him, he believes in Enron style accounting Dragonfli Mar 2013 #132
Arthur Anderson was the accounting firm for Enron. Cleita Mar 2013 #134
US Treasuries are an obligation of the United States of America TheProgressive Mar 2013 #101
Right! It's an obligation from the general fund Recursion Mar 2013 #103
So what? TheProgressive Mar 2013 #105
I think the whole idea John2 Mar 2013 #112
So you are suggesting we pay 50 cents on the dollar for T-Bills? on point Mar 2013 #114
O rly? KamaAina Mar 2013 #81
I don't know either. Cleita Mar 2013 #42
I am several years out for SS and Medicare TheProgressive Mar 2013 #51
But, importantly, a systemic greed. woo me with science Mar 2013 #46
Absolutely... just one more thing to fix in our government. TheProgressive Mar 2013 #54
It has to be fixed "first.* woo me with science Mar 2013 #65
I am totally with you Woo... TheProgressive Mar 2013 #69
Implement Single Payer for Health Care; and CUT THE DAMN DOD by 50% at LEAST!!! on point Mar 2013 #47
Yes, universal single payer Health Security Administration ... TheProgressive Mar 2013 #55
Why? To make themselves appear to be reasonable and accommodating to those GOPers.... OldDem2012 Mar 2013 #48
Political maneuvers are too complicated for people that look at the world... Comrade_McKenzie Mar 2013 #49
You don't get it. The Beltway Media are the ones that are pushing it.... Spitfire of ATJ Mar 2013 #52
No, I distinctly heard Obama and Pelosi say... TheProgressive Mar 2013 #59
Here's what he said that angered me magellan Mar 2013 #74
Correct. Odd how people appear to think corporate personhood is actively ONLY elsewhere, not ever patrice Mar 2013 #63
Yep, Just wait, you all think you're screwed now, just wait until you become disabled, like me... starzdust22 Mar 2013 #62
The cuts have not happened as of yet... TheProgressive Mar 2013 #73
how are you getting screwed... stillcool Mar 2013 #122
BECAUSE IT IS A DONE DEAL Skittles Mar 2013 #71
Because, by themselves, the Republicans never could. jtuck004 Mar 2013 #75
Here's an idea to save billions on Medicare, red dog 1 Mar 2013 #76
You ask why? I will tell you why! Obama and the Democrats answer to the same boss as Boner and Dustlawyer Mar 2013 #77
For fuck's sake, they do need reforming. Tempest Mar 2013 #78
Raising the age is a cut. C-CPI is a cut. TheProgressive Mar 2013 #82
The only ones I hear calling for an increase in age are Republicans and CEOs Tempest Mar 2013 #90
"Wasting time here"...? TheProgressive Mar 2013 #95
So what increases have you heard about, go ahead.......... just1voice Mar 2013 #100
indeed.. stillcool Mar 2013 #123
and another thing that is done is airplaneman Mar 2013 #83
+ Every single person who understand that Soc Security has a SURPLUS! truedelphi Mar 2013 #86
First off, $16 trillion is the *debt*, not the *deficit* Recursion Mar 2013 #98
Redeeming the trust fund to pay benefits will not significantly increase annual deficits... TheProgressive Mar 2013 #104
my bad - hey I am over 60 airplaneman Mar 2013 #148
Mayeb because people will vote for them whether they are on the side of people truedelphi Mar 2013 #85
The "trust fund" is like me writing an IOU to myself for $2 million, placing it in a safe-deposit Nye Bevan Mar 2013 #97
Well the SS Trust Fund has $2.7 trillion invested in the safest investment in the world... TheProgressive Mar 2013 #107
So how about the government simply issues $100 trillion of Treasuries to the trust fund, Nye Bevan Mar 2013 #109
So how about it? TheProgressive Mar 2013 #111
Why yes I do. But I am not the one claiming that "There is no problems with Social Security". (nt) Nye Bevan Mar 2013 #113
There are no problems with SS that cannot be addressed by: TheProgressive Mar 2013 #116
Well I am confused that first you claim that "There is no problems with Social Security", period, Nye Bevan Mar 2013 #117
There are people who think there are problems with SS. TheProgressive Mar 2013 #119
It's the global "austerity" propaganda brought to us by the 1% just1voice Mar 2013 #99
Maybe because they mean it? Because their sponsors demand it? WinkyDink Mar 2013 #106
Welcome to the weekly ... "Obama is about to kill Social Security" thread. JoePhilly Mar 2013 #108
Some of us what to insure SS/Medicare is strengthened and not cut... TheProgressive Mar 2013 #110
Read the posts ... JoePhilly Mar 2013 #115
That hair on fire insult is so repug-like just1voice Mar 2013 #142
seems daily...maybe hourly... stillcool Mar 2013 #124
Did you hear Obama speak today? Or Pelosi speak today? TheProgressive Mar 2013 #126
yes. stillcool Mar 2013 #127
So, you heard them talk about SS and Medicare 'reform'? TheProgressive Mar 2013 #129
no. I do not get... stillcool Mar 2013 #130
When government and pundits float... TheProgressive Mar 2013 #131
If you really cared then you'd address the President's seemingly weekly swipes and threats TheKentuckian Mar 2013 #128
Damn, you just scared the hell outta me with that! LOL! freshwest Mar 2013 #133
"The shepherd always tries to persuade the sheep that their interests and his own are the same." Tierra_y_Libertad Mar 2013 #135
Things get noticeably worse when you change shepherd to wolf...nt TheProgressive Mar 2013 #136
Latest news: Most entitlement programs are exempt freshwest Mar 2013 #138
That's the sequester. What about the offers from Obama and Pelosi to advert the sequester... TheProgressive Mar 2013 #141
That's a matter of interpretation from media reports that differ from reality. freshwest Mar 2013 #143
This is why: cui bono Mar 2013 #144
The "Fix" for raising medical costs is UNIVERSAL SINGLE PAYER. Anyone who suggests Vincardog Mar 2013 #145
Lobbying bucks- hay rick Mar 2013 #147
Because America is soon to be a 3rd (way) world country... dtom67 Mar 2013 #146
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