Discover and read the best of Twitter Threads about #medicare

Most recents (24)

🚨NEW ANALYSIS🚨 The #Medicare Trustees' report shows that the Part A HI trust fund is only 6 years from insolvency, facing a large shortfall with rapidly-growing spending. The outlook is slightly improved, but substantial structural imbalances remain.….
1️⃣ The HI trust fund is only 𝟲 𝘆𝗲𝗮𝗿𝘀 from insolvency.

The Trustees project the trust fund will be insolvent by 2028, just six years from now but two years later than projected last year. At that point, provider + insurer payments would have to be cut by 10% (20% by 2046).
2️⃣ Total #Medicare spending will grow significantly.

All parts of Medicare will grow rapidly in the coming decade. Gross Medicare spending will ⬆️ from 3.9% of GDP in 2022 to 5.4% in 2032 and 6.2% in 2045. This rise is driven partially by the rising cost of #MedicareAdvantage.
Read 8 tweets
🚨NEW🚨 Today's trustees reports show that the #SocialSecurity and #Medicare Hospital Insurance (HI) #trustfunds are rapidly approaching insolvency; these funding imbalances will require #TrustFundSolutions to prevent broad benefit cuts.

More:…. ImageImage
➡️OASI depletion will occur by 2034, while SSDI will not deplete within the projection window.

On a theoretical combined basis, assuming revenue is allocated between the trust funds in the years between OASI and SSDI insolvency, #SocialSecurity will become insolvent by 2035. ⤵️ Image
➡️Upon insolvency, all beneficiaries will face a 20% across-the-board benefit cut, which will grow to 26% by 2096. The Trustees estimate a 75-year actuarial shortfall of 3.42% of taxable payroll for #SocialSecurity – lower than 2021's estimate, but higher than any prior year.
Read 4 tweets
🚨The #SocialSecurity and #Medicare Trustees released their annual reports on the state of the trust funds today, finding that #Medicare HI will be insolvent by 2028 and theoretically combined #SocialSecurity by 2035.

The following is a statement from @MayaMacGuineas:
"#SocialSecurity is only 13 years from insolvency and #Medicare is only 6 years. Policymakers need to get their heads out of the sand and stop pretending these vital programs’ funding issues will fix themselves."….
"Today’s youngest retirees will be 68 years old when #Medicare runs out of reserves and 75 years old when #SocialSecurity becomes insolvent. Workers under the age of 55 will retire into an insolvent system."
Read 10 tweets
🔥A must-read: ⁦@oncologyCOA⁩ report on #PBMs

Some takeaways:

“…PBMs make up an oligopoly of rich, vertically integrated conglomerates that routinely prey on health care practices, providers, and their patients.”
2/ “PBMs have done this by overwhelmingly abusing their responsibility to protect Americans from this country’s drug pricing crisis, instead exploiting the opacity throughout the nation’s drug supply chain to enrich themselves.”
3/ “[The report] explores how the recent levels of consolidation among PBMs and health insurers is adversely impacting #cancer care, fueling drug costs, all while allowing for massive profits for #PBMs and health insurance companies.”
Read 6 tweets
💊💊 New Tweetorial Alert 💊💊
Please take a break from your #doomscrolling and read this thread. If you have an even longer break read the paper @NEJM:… 1/7
This paper is about #PartD & cancer. It is also about #pharmacoequity (shoutout @UREssien). Not the way we typically think about equity, though. This is about how screwed you are if you need cancer treatment and your treatment happens to be covered by #PartD and not #PartB. 2/7
Half of cancer drugs are covered by #PartD. Whether you get a pill versus infusion is based on your cancer type or subtype. For #breastcancer the preferred regimens for #HER2+ cancer are infused (#PartB); for HER2-, ER/PR+ cancer preferred regimens include a #PartD drug. 3/7
Read 8 tweets
Scott Morrison made an announcement about reducing PBS Medicines. Trouble is he INCREASED them on Jan 1st, 2022, during a Pandemic #auspol @Mark_Butler_MP Image
Anyone see the Irony here. On the same day Morrison announces cheaper medication and healthcare - He cuts Heart scans, ECG’s from #Medicare Rebates. #LNPCutsToHealth… ImageImage
The moment Liberals Distracted Voters, while they Cut #MRI’s, sleep apnea, #spinal fusion, skin lesion treatments and #Allergy Testing in 2018.
#LNPHealthCuts @RACGP @gedkearney #Medicare #auspol2022 Image
Read 11 tweets
FYI: A clarification 🧵on a misleading new @medicarepayment chart of brand-name drugs in #Medicare Part D.

Many have misunderstood these data & misrepresented the findings, which say nothing about net drug prices.

Read on for my explanation of what’s really going on.

Background: MedPAC seemed to show that in Part D, brand-name drug prices “net of rebates” grew by 7.5% per year from 2010 to 2020

But this chart is not what it appears to be…

Summary: Contrary to some claims, we can't conclude anything about net prices from the chart above.

In fact, Medicare Part D's "net brand-name drug prices" (as defined by MedPAC) can be increasing, while net prices received by manufacturers can be decreasing.

Here's why.

Read 14 tweets
1/ I’m excited to unveil our new @KFF interactive on #Medicare spending.

We do a deep dive on enrollment growth, spending trends, the expanding role of #MedicareAdvantage, Part A trust fund solvency & more.

Here's a quick look at what's inside:…
2/ #Medicare now covers 65 million older adults and younger people with disabilities, or about 1 in 5 Americans. Its size and importance often make it a big part of federal budget and health care spending discussions.

By 2060, enrollment is expected to grow to 93 million people.
3/ The share of the US population ages 65+ will grow from 17% to 23% over that time – and this group will grow older.

24% of seniors are now age 80+. In 2060, it will be 35%.
Read 8 tweets
Medicare – A National Health Insurance Fund
The history of Medicare goes back to President Teddy Roosevelt. In 1912, his presidential campaign included a national health insurance plan. The idea of a national health plan didn’t gain steam until 1945..
🧵 (thread)

Pres. Harry S Truman championed the idea of a national health care fund in 1945. He wanted national health insurance for all Americans and fought to pass a bill but was unsuccessful. It took another 20 years before Medicare became a reality.


John F. Kennedy
After studies showed that 56% of Americans over the age of 65 were not covered by health insurance, JFK made an unsuccessful push for a national healthcare plan.
Read 12 tweets
@Kristyg1 @PeterBo49858290 @mjrowland68 How about talking about the 900 items REMOVED from #Medicare by the Morrison government from July 1st 2021. These MEDICARE CUTS are hurting low income people & Pensioners right NOW! They must choose between food,rent, gas & electricity bills,medication or tests & scans. #Auspol
@Kristyg1 @PeterBo49858290 @mjrowland68 2. Our “free, fair and fearless media” is yet to go out in the streets or to a medical centres/hospitals or Radiology practices to interview patients,GPs or specialists to find out how #MorrisonsCuts to #Medicare are affecting REAL PEOPLE RIGHT NOW!! Instead like 4 yr olds they
@Kristyg1 @PeterBo49858290 @mjrowland68 3. fall for Morrison’s circus act and distractions like @KatherineDeves in Wentworth who is creating controversy with her statements on Transgender sportswomen. Wake up journos and do YOUR JOBS DAMMIT!! Deal with he real issues that matter to the VOTERS!!
Read 3 tweets
#medicaid presentation. We've had budget surpluses for years. Any issues could be covered.
"This is a year unlike any other in the 50 year history"
convergence of new managed care program and pandemic uncertainty.
Pandemic has increased costs for providers, the program
The good news is that the bump up in #Covid_19 spending has continued longer than we expected. Even tho there are more beneficiaries, there's more federal $$ flowing into program. Projected higher budget, but @ncdhhs had difficulty projecting by how much
Highlights of #Medicaid budget: Expanded coverage for post-partum, more waiver slots, new $$$ for home and community block grants, funding for child services reorganization, then there's IT costs. Lots going on for @ncdhhs
Read 19 tweets
Daily Bookmarks to GAVNet 03/08/2022…
Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans | Kaiser Health News…
#RetireeHealthInsurance, #Medicare, #AdvantagePlans
Down-on-his-luck Peloton founder lists $55M Hamptons mansion at a loss…
#HumanInterest, #InvestmentPlanning, #FinancialPerformance
Read 13 tweets
"Throughout our history we’ve learned this lesson – when dictators do not pay a price for their aggression, they cause more chaos. They keep moving. And, the costs & threats to America & the world keep rising.

Excerpt from @POTUS @JoeBiden #SOTU address.

#Ukraine #Russia #Putin
"American diplomacy matters."

Excerpt from @POTUS @JoeBiden #SOTU address.

#Ukraine #Russia #Putin
"#Putin’s war was premeditated & unprovoked. He rejected efforts at diplomacy. He thought the West & @NATO wouldn’t respond. And, he thought he could divide us here at home.
Putin was wrong. We were ready."

Excerpt from @POTUS @JoeBiden's #SOTU address.

#Ukraine #Russia
Read 78 tweets
#SCOTUS hands down its ruling on #Biden admin #COVID19 safety mandates, and it's classic anti-Federalist "law" that could open the floodgates on all public health efforts. The majority of Justices ruled that Biden can mandate #vaccination and/or masking in...
2/ healthcare facilities that receive fedl $ (#Medicare & #Medicaid), BUT can NOT issue mandates in the private sector. Specifically, #SCOTUS blocked #Biden reg that employers w/100+ workers require either 💉 or 😷 of all staff.
Majority opinion:
“Although #Congress ..."
"...has indisputably given #OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly. Requiring the #vaccination of 84M Americans, selected simply because they work for employers with more..."
Read 6 tweets
In our @JAMA_current editorial, we tackle a timely question in #CardioTwitter: should we recommend #apixaban or #rivaroxaban as first-line anticoagulant for #Afib?The two #DOACs are not interchangeable for bleeding or stroke. Let's review all RCTs & RWE🧵… Image
Why should you care? Why now? 1) >70% of #Medicare pts on anticoagulation are taking #DOACs, practically replacing warfarin 2) Generic DOACs will enter the market in 2022, massively ⬆️ patient access & use 3) Insurance companies may not cover all DOACs in their formularies 💵💊 Image
RCTs first: in ROCKET-AF (n=14K pts), riva was NON-INFERIOR to warfarin for stroke (per-protocol)🧠, w/ similar rates of major/non-major bleed🩸. In ARISTOTLE (n=18K pts), apixa was SUPERIOR to warfarin for stroke (ITT)🧠 AND w significantly⬇️ major bleed🩸, AND even⬇️mortality. Image
Read 17 tweets
Call to action to protect #Medicare!! Direct Contracting Entities #DCE model from @CMSinnovates unwittingly enrolls patients with traditional Medicare into an entity to manage their care and allow DCE to keep what they don’t pay for in health services. No ptnt freedom of choice!
/2 No patient choice!! Entity scans the big data of claims for a patient and then selects the patient!! Privacy invasion. Patient not even notified of enrollment!! #DCEscam
/3 Traditional #Medicare chosen by many so they have freedom to choose where they receive healthcare. #DCEscam chooses its patients and patients are not even notified they are enrolled in an entity. #ProtectOurCare
Read 5 tweets
🧵👏👏Patients & Physicians Grateful for #Congress Fending Off #Medicare Cuts

“These automatic cuts should remind members of the needed reforms. Congress can get a head start on doing the right thing when it reconvenes early next year.”

AMA statement:
2/ Last evening, the Senate passed legislation to halt Medicare physician payment cuts that were scheduled to take effect on January 1. President Biden is expected to sign the bill into law.

Highlights of the physician payment provisions include the following: 👇
3/ a. Delay in resuming 2% Medicare sequester for 3 months (1/1- 3/31/2022), followed by a reduction to 1% for 3 months (4/1-6/30/2022).

b. 1-year increase in the Medicare Physician Fee Schedule of 3% (0.75% less than the conversion factor boost provided for 2021).

Read 4 tweets
Sadly, #MedicareForAll will not help #healthcare costs until the underlying problem with MEDICARE and the ENTIRE HEALTH SYSTEM is FIXED, a LONG 🧵 1 of 24 #Medtwitter @somedocs @AmerMedicalAssn @WCMSSM @MichStateMedSoc References:
2/ b/c @SenateFloor @HouseFloor & @CMSGov are yet again not fixing the true problem & instead are again targeting #Physicians by decreasing payments by another 9.75% on top of the fact that reimbursements to providers has already been decreased by 22% over the past 2 decades
3/ On average only 40% of the what your #insurance , including #Medicare , pays your doctor actually goes to the doctor as #income . The overhead costs to be a doctor takes at least 60% of the payment a doctor gets from Medicare or Insurance equivalent.
Read 25 tweets
🧵New report from ⁦@AmerMedicalAssn⁩ documents UNPRECEDENTED changes in #Medicare spending as people decided to delay or forgo #healthcare services during onset of #COVID19 pandemic.


🎇Warrants urgent action by Congress to stop Medicare cuts Image
2/ Despite a mid-year rebound after sharp declines early in the year, Medicare spending on physician services during 2020 NEVER RECOVERED to its pre-pandemic trend.

Struggling physician practices face a difficult and precarious road to recovery.
3/ Widespread ⬇️ spending on physician services:

“When compared to expected Medicare spending on physician services, the AMA report found that actual Medicare spending on physician services for 2020 declined regardless of service type, setting or specialty, and state or region.”
Read 8 tweets
🧵Statement from ⁦@AmerMedicalAssn⁩:

🔥Congress fails patients and physicians on Medicare cuts

“Physicians have warned #Congress for months about the pending and perilous Medicare cuts coming on January 1.”

@SpeakerPelosi @GOPLeader @SenSchumer@LeaderMcConnellImage
2/ “Yet, the end of the year is quickly approaching and it is clear that #Congress is not prioritizing support for the nation’s health care providers who have been on the front lines of the #COVID19 #pandemic.”
3/ “Throughout the ongoing #pandemic during which physicians have risked their own health and grappled with significant financial instability, #Congress is poised to allow a 10 percent #Medicare cut to take effect.”
Read 7 tweets
New work out this evening in @NEJM @NEJMPerspec on the plan to redesign #Medicare #PartD and how much savings there might be for people enrolled in the program! This has been a moving target (I'm looking at you #BuildBackBetter)! I've got you covered! 1/7
The article is here for your reading pleasure:…
I calculated savings relative to the 2022 benefit for the top 15 highest spending drugs in Part D for the major bills introduced that aimed to redesign the program. None are an exact fit, but HR3 is maybe the closest given the $2000 cap. Some details are still unknown. 2/7
Read 11 tweets
1/ New paper out w/ @bnrome @Beatrice__Brown @akesselheim @PORTAL_Research examines how top-performing hospitals mark up prices on clinician-administered drugs.

🧵 below.…
2/ As of January 1, 2021, hospitals must now post payer-specific prices for all goods and services, including clinician administered drugs.…
3/ Early compliance with the rule has been sluggish. See great work from @suhas_gondi @AdamLBeckman @averyofoje @JMichaelMcW…
Read 30 tweets
🧵A bipartisan pair of congressional physicians ⁦@RepBera⁩ ⁦@RepLarryBucshon⁩ is leading a major effort urging House leadership
@GOPLeader⁩ ⁦@SpeakerPelosi
to avert impending #Medicare payment cuts that add up to a reduction of nearly 10% effective Jan. 1.
2/ More than 245 other representatives from both parties in a letter asking House leadership to provide financial sustainability for physicians and help maintain access to care.

3/ The letter states: “We must act before the end of the year to avert the imminent cuts,” which should include extending the 3.75% Medicare physician fee schedule pay adjustment. Such a move would “provide continued stability for physicians and other health care professionals.”
Read 12 tweets
1/🧵 Billing for #LongCOVID💰

It Matters!

What does it mean that docs can now bill using ICD-10 code U09.9 “Post COVID-19 condition, unspecified”effective October 1, 2021?

Let me explain a tad bit why this is so key.
2/ I fully believe in #LongCOVID, and patients must be validated as the experts of their own narrative. BUT, absence of a billing code sent a terrible message to clinicians & pts.

This legitimizes the #PublicHealth catastrophe & facilitates pts being HEARD & SEEN 👁.
3/ Docs “believe” better when they can charge for testing & get pts covered, too. This also allows databases to track & analyze epidemiology of #LongCOVID. That means research can be carried out to answer questions, improve care & prepare for future pandemics. Read an anecdote👇
Read 7 tweets

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