This Halloween, beware of the spooky proposals some have put forward to change how Medicare covers prescription medicines for seniors and people living with disabilities. Tricks like these are no treat; these proposals could limit access to needed medicines for those on Medicare.
Trick #1 – Government meddling in negotiation between plans and manufacturers
Robust negotiation occurs in Medicare Part D between the plans that offer coverage and pharmaceutical manufacturers. A recent study estimates these rebates average around 35 percent. Proposals to have the government meddle in these negotiations come with scary consequences, including jeopardized access to affordable prescription drug coverage, higher premiums, reduced choice and restricted coverage for seniors and people living with disabilities.
Trick #2 – Experimenting with seniors’ access to physician-administered medicines
Another scary idea is the proposal to make changes to Medicare Part B – which covers medicines administered in a physician’s office for serious conditions such as cancer, rheumatoid arthritis, autoimmune diseases and more. The proposal could limit patient access and choice of providers by allowing the government to make one-size-fits-all decisions about health care.
Remember, there are tricky proposals out there and learn more about Medicare here.
Allyson Funk Ally is a senior director of public affairs at PhRMA focusing on Medicare, Medicaid, the Affordable Care Act, and other public programs. Her previous experience includes leading health communications for a large membership organization, supporting public affairs clients, and working for the governor of Louisiana. Ally enjoys travel, trying new restaurants and spending time with Buddy, her 9-year-old rescue Pomeranian. In the fall, she and her husband are almost always wearing Saints gear.