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Lawmakers defend the federal budget, passed by Congress and signed by President Donald Trump at the end of March, by repeating a quotation attributed to Otto von Bismarck: "If you like laws and sausages, you should never watch either one being made." In other words, the legislative process can be messy and extremely unappetizing, but it usually produces results. This budget bill to fund the government through Sept. 30, 2018, will be remembered as much for what's not in it as for what is. (An extensive list of wins and woes for seniors appears...
Recently I needed some medical records sent from my previous doctor to a new specialist. I was stunned when this thoroughly modern medical practice told me the only way they could send them quickly was with a fax machine. When was the last time you used a fax machine? 1990s technology in 2018? Efforts to develop a standardized electronic health record (EHR) system to make it easier for the sharing of your medical records between doctors have been planned since that fax machine was the latest technology invention, but only with limited success....
Your new Medicare ID card will be arriving the old-fashioned way, via the US Postal Service. If you barely glance at your mail before you throw it in the garbage because of a deluge of junk mail, be on the lookout for this one. Starting in April and continuing for a year, Medicare will be sending out new ID cards to its 55 million beneficiaries. This will be the first replacement of the cards since Medicare started in 1965. The cards have only one purpose – to help prevent identity fraud. The old cards will be valid for another year, but h...
The frenetic pandemonium of Donald Trump’s first year as president has overshadowed his administration’s efforts through executive orders and regulation changes to reshape American life. Stymied by his failure to win congressional approval for most of his big-ticket campaign promises like a border wall with Mexico or the total repeal of President Barack Obama’s signature healthcare reform, Trump has turned to administrative action for his successes. As he learned with the tax cuts, working with Congress on legislation often takes time. But a...
With the tax bill signed into law, House Speaker Paul Ryan, R-Wis., has set his sights on reforming Medicare, Medicaid, Social Security and welfare in 2018. But he will have to overcome several big barriers to be successful, including reversing President Donald Trump’s repeated campaign pledge not to touch those specific federal entitlement programs for the elderly. Senate Majority Leader Mitch McConnell, R-Ky., and Ryan are also at odds over whether to tackle entitlement reform in a mid-term election year, which traditionally favors the p...
In the nation’s capital, where politicians are always wearing partisan political jerseys, the nomination of Alex Azar to be the new Health and Human Services Secretary may offer the hope of a fresh start on health care issues. President Trump’s recent nominee to run HHS, the largest agency in the federal government, has steadfastly opposed President Obama’s Affordable Care Act (ACA), which Azar often describes as “circling the drain.” So the 50-year-old Indiana native is not likely to get many Democrats on his side when the Senate votes on...
The Trump administration is planning to end another Obama-era regulation involving nursing homes, which was designed to shield the elderly from unscrupulous, abusive or bad nursing home practices. At the end of the Obama administration, the Centers for Medicare and Medicaid Services (CMS) proposed rules that would’ve made it easier for nursing home residents or their families to take facilities to court over alleged abuse, neglect or sexual assault. Now, Trump is proposing to replace that rule with one that could make it almost impossible for n...
More than 25 percent of possible sexual and physical abuse cases against nursing home patients were not reported to police, warns a new government audit. The Health and Human Services inspector general’s office issued an unusual “early alert” recently, based on preliminary findings from a large sampling of cases in 33 states. The IG’s report blamed Medicare for failing to enforce federal law, which requires that nursing homes immediately notify the police in abuse cases. Investigators issued the early warning because they found that the res...
If you thought the bitter partisan fight over the “repeal and replace” of President Obama’s health care law was ugly, ratchet up the intensity – the next fight over Trump’s budget, including sweeping changes to Medicare, is about to start, just as Congress faces a fiscal crisis. These Medicare changes would raise the eligibility age and convert the program to a voucher program affecting all 55.5 million seniors currently using the program and millions more about to become Medicare eligible. President Donald Trump wants Congress’s next move t...
Every day, 10,000 people turn 65 and the eldest baby boomers will begin to turn 80 in 2026, so the demand for long term care services is about to explode in the near future. Already 1.4 million seniors live in nursing home facilities in the U.S. But states are only making lukewarm progress helping millions of seniors on Medicaid avoid costly nursing home care by arranging home or community services for them instead, a new AARP report finds. Overall, AARP says states have made “incremental improvements” since its 2014 Scorecard, but calls the...
Warning: This story may raise your blood pressure. For sure, it raises troubling questions about the U.S. government’s ability to manage a medical bureaucracy. Medicare, the government insurance program that provides health care to 55 million elderly and disabled Americans, continues to provide a steady income stream for criminals who are regularly finding innovative ways to steal a good sized chunk of the half-trillion dollars that are paid out annually by the program. This comes despite strong efforts by health investigators and Justice D...
The Trump administration has proposed slashing the National Institutes of Health (NIH) budget, saying it is bloated with unnecessary expenses resulting in waste and abuse. It has also proposed to eliminate the independent status of the Agency for Healthcare Research and Quality (AHRQ) and absorb it into the NIH. AHRQ is a little-known agency that focuses on improving health care quality and applying it to patient safety. It is one of the true unsung heroes of the federal government, providing vital scientific research that has helped reduce...
In the fall of 2015, Martin Shkreli, the founder and former chief executive of Turing Pharmaceuticals, ignited a firestorm when his company raised the price of a little-known drug to treat toxoplasmosis to $750 a tablet from $13.50. Earlier that year, Valeant Pharmaceuticals bought the rights to a pair of life-saving heart drugs, Nitopress and Isuprel. The same day as the purchase, the company jacked up their list prices by 525 percent and 212 percent respectively. Last year, Mylan, supplier of roughly 95 percent of the nation’s EpiPens, an e...
Pat Howard, living with multiple sclerosis for decades, gets around in a powered wheelchair since she can no longer put any weight on her legs. Last summer, her daughter Cindy was driving her 74-year-old mom back from an adult day care facility 30 minutes from her Santa Clarita, California, home when the car overheated and broke down. “We were stuck,” Cindy recalled in a recent phone call. “I was freaked out about driving the overheated car and worried about our safety. Our only vehicle was now sitting by the side of the road.” They called for...
The federal government is trying to stop nursing homes from forcing people into using private arbitration instead of lawsuits when people bring cases of elder abuse, wrongful death and sexual harassment. The private arbitration issue is actually much larger than just a problem for seniors. Over the last 10 years, thousands of businesses across the country – from big corporations to storefront shops – have used arbitration to create an alternate system of justice. You probably haven’t noticed or paid attention to the notices buried in writt...
Rep. Diane Black, a Tennessee Republican congresswoman, and Earl Blumenauer, a Democratic congressman from Oregon, don’t agree on very much about health care. Both sit on the powerful House Ways and Means Health Subcommittee and both tend to vote on the opposite side of most health care issues. Black, a nurse by training, has called President Barack Obama’s Affordable Care Act an “abject failure,” which she argues was “built on a grand deception.” Black’s dislike of liberal health care policies is well known. She’s best known on Capitol Hill...
Normally, in a presidential election year, Congress doesn’t get much done. This year is no exception. But with a few months before July’s political nominating conventions, a brief window of productivity exists and some lawmakers are pushing bipartisan proposals to help change Congress’ gridlock image. Let’s look at what’s on the agenda (with the exception of the seemingly never-ending attitudes and activities surrounding Obamacare) over the next couple of months before politics overwhelms all congressional activity. Congress left town for...
Most Americans and leading presidential candidates on both sides of the aisle support the idea that the federal government should lower drug prices. But it's not likely to happen any time soon even though the Obama administration and Congress are considering some proposals and ideas moving in that direction. This is a key issue for the 55 million seniors on Medicare. A recent Stanford Center on Longevity study found that almost half (47 percent) of Americans age 75 and older took five or more prescription drugs in 2011, nearly double the 24...
Editor's note: This is an expanded version of the story appearing in the April 2016 Senior Voice print edition. The next big health crisis is the battle over chronic care and long-term care. Patient advocates, policy experts and lawmakers call it the “silent crisis” – one that potentially will affect every American family: the inability to plan and pay for long-term care. Some modest bipartisan cooperation to find a solution is emerging, despite it being a contentious election year. A bipartisan group of senators are trying to find actua...
Editor’s note: The ACOs discussed in this national story have not reached Alaska, but the emphasis on outcomes for patients and reimbursing for coordinated care will become increasingly relevant to the health care system as a whole. Big changes are coming for most seniors as the Obama administration aggressively pushes to change the way doctors are paid – moving from tying their fees for every service provided to payments based on the quality of the care patients receive. This means a big expansion in an effort by Medicare to keep seniors hea...
As the 2016 presidential primaries and the nomination fights move to the political front burner, a look at the health care and Medicare policies of the candidates raises questions of how far the candidates and their parties want to go in pushing for changes. Republican presidential candidates are sharply divided over whether to seek drastic changes to Medicare, Social Security and other entitlement funds at the same time as Congressional Republicans continue to push repealing Obamacare. Democratic presidential candidate Hillary Clinton is...
A new law signed by President Obama will help shield some 17 million Americans from steep premium hikes. But many will continue to see changes in the amounts they pay for Medicare next year. About 30 percent of Medicare beneficiaries were facing a 52 percent increase in their Medicare Part B medical insurance premiums and deductible in 2016. But Congress and the Obama Administration worked out an agreement so beneficiaries will pay about $119 per month instead of $159.30 for Part B. The remaining 70 percent of Medicare beneficiaries will contin...
Medicare’s open enrollment, the time you can keep or switch your Medicare coverage, runs from October 15 until December 7. To Medicare scammers, open enrollment means open season on seniors. The best advice to prevent yourself from being taken advantage of by these con artists and scammers is jarring but to the point: be rude and just hang up the phone. If a solicitation comes via email or on a website, don’t click on the link, as it may open you up to a computer virus. You may also need to watch out for predatory insurance agents, who som...
Here is some Medicare bad news, disguised as good news. Congress has finally moved to change the laws about observation care, a problem that’s been vexing seniors for years because the laws are unclear. This has forced millions of seniors to face huge unexpected medical bills when they get home from short hospital stays. Congress has supposedly “fixed” the problem – with the House and Senate approving legislation, but the fix appears to be a step in the right direction, without fixing the actual problem. Under legislation that passed the Sen...
Doctors are different than you and I. They know how to die. They do not tell family and colleagues to do “everything you can” to save them. This may surprise you, but doctors often choose less end-of-life care for themselves than the average patient – an important lesson for seniors as they discuss end-of-life care decisions with family members. In July, the Centers for Medicare and Medicaid Services (CMS), which administers Medicare, announced it will change its longstanding policy and begin reimbursing doctors and other health professionals,...
