Healthcare Dive’s Post

How a shifting Medicare Advantage market roils negotiations https://lnkd.in/gxYxMPn6

The Inflation Reduction Act shifts more drug costs to insurers and makes them regulate their access - so what will the insurance companies do? They will increase your Medicare Part D premiums! - but this won't go into effect until AFTER the election in November. This will also push more seniors into Medicare Advantage plans - plans that are raping the government due to overbilling. #medicare #partD #drugs #medicine

"One Of The Major Reasons Medicare Members Make Costly Mistakes Is The Erroneous Information That Is Increasing From Even Reputable Sources ". The biggest problem for Beneficiaries remains wasting thousands of dollars they desperately need on Medicare Supplements instead of using that money for their Long Term Care Needs, but after that there are a number of other problems that are less crucial ( I will list the most harmful in another post ), but increasingly the Internet is full of wrong advice from reputable source written by writers who are not Medicare, or Insurance Experts harming readers who rely on those sources as expert resources. The below headline from a leading financial publication today 03/27/ 24 is a typical example:

Excerpt: "As CMS acknowledges, one goal of shifting costs to insurers in the Part D redesign was to force them to reduce drug spending: “By design, plans will have more liability requiring them to better manage costs.” This was a back-door way for Democrats to ration access to costly drugs while shifting the political blame for doing so to insurers. "The gambit backfired as insurers are raising premiums. CMS’s intervention is another example of how the IRA will cost far more than Democrats claimed. Nobody knows how much more since CMS isn’t doing a normal rule-making that requires a cost analysis." #medicare #medicarepartD #inflationreductionact #prescriptiondrugs #hypocrisy #votebuying #insurancepremiums #weakleaders #cms

Medicare is an important piece of the calculation for determining retirement income. Retirement Income Institute Education Fellow Jae Oh is an expert on the topic. Get educated and get empowered!

The #Medicare Annual Election Period runs from October 15 - December 7th. My very brief comments about what you can do. It is unscripted and without polish, people require clear answers without glamor. Even those with an understanding of financial markets / instruments overlook basics when it comes to healthcare cost planning, of which Medicare is a mere variation. If translated to financial markets terminology, the holes in decision-making would be self-evident, but when translated back to healthcare cost planning, these holes in decision-making remain hidden. Once these holes reveal themselves, inaccurate narratives and labelling begins (e.g. "it's a trap"). Unlikely, to put it mildly, due to regulatory oversight on all parties. There is a reason that I am not a frequent commentor on every health insurance matter that appears on every timeline. Simple examples. ACA: you have the annual right to gamma hedge your risk, at a price that cannot be altered by the seller. Medicare: you have the restricted right, but the seller cannot sell at a risk-adjusted price based on your specific situation. In life insurance to hedging 0DTE options, this framework doesn't exist. Bottom line is that the rules are heavily in the buyer's favor, if the rules are properly understood. I did not say the rules were simple. Maximize Your Medicare has about 100 footnotes, and I intentionally left out another 25 because it would defeat the purpose, which is to inform the 65 million Medicare beneficiaries, with an additional 11,000 a day becoming Medicare eligible. #Peak65 https://lnkd.in/gaExcpt7

Republican members of the House Ways and Means Committee have asked the Congressional Budget Office and the Joint Committee on Taxation how making the Affordable Care Act’s premium tax credit permanent would affect the deficit and health care costs in general. The lawmakers are requesting the “budgetary effects on outlays, revenues and the deficit.” The premium tax credit assists individuals who don’t have access to subsidized insurance through their employers and instead purchase coverage from private health insurers. The lawmakers claim the credit largely benefits those who aren’t truly in need of assistance. Making the credit permanent is part of President Biden’s 2025 budget proposal. #HealthCare #TaxCredits #AffordableCareAct #Congress #BudgetDeficit #HealthPolicy

Republican members of the House Ways and Means Committee have asked the Congressional Budget Office and the Joint Committee on Taxation how making the Affordable Care Act’s premium tax credit permanent would affect the deficit and health care costs in general. The lawmakers are requesting the “budgetary effects on outlays, revenues and the deficit.” The premium tax credit assists individuals who don’t have access to subsidized insurance through their employers and instead purchase coverage from private health insurers. The lawmakers claim the credit largely benefits those who aren’t truly in need of assistance. Making the credit permanent is part of President Biden’s 2025 budget proposal. #HealthCare #TaxCredits #AffordableCareAct #Congress #BudgetDeficit #HealthPolicy

Statistics reveal that individuals from all income brackets would willingly pay higher taxes if the funds were allocated to the NHS 🤯 This underscores the urgent need to address the critical state of the country's healthcare system, particularly amids the UK's living cost crisis 💸 Are you willing to pay higher taxes in exchange for reduced NHS waiting times? 👀📉 Let us know your thoughts in the comments below 👇 #NHS #PublicHealth #LegalAdvice #LivingCostCrisis #ClinicalNegligence

#InsuranceBudget2024 Speech Live Updates: Union Budget 2024 is to be announced by Finance Minister #NirmalaSitharaman on July 23, during the monsoon session of Parliament. Earlier in February 2024, the government released the #InterimBudget as #GeneralElections in India were scheduled for May-June 2024. Now that the Lok Sabha election results are declared and the incumbent government led by PM #NarendraModi remains in power, the stage is set for the announcement of the Full Budget 2024 on July 23. #Budget2024 #UnionBudget2024 #NirmalaSitharaman #HealthInsurance #LifeInsurance