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Sec. Kathleen Sebelius

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The Affordable Care Act - Stronger Benefits to Seniors, Billions in Savings This Year

Posted: 04/29/2012 12:09 pm

Two years ago, President Obama signed the Affordable Care Act. The President's health care law gives hard working, middle-class families security, makes Medicare stronger, and puts more money back in seniors' pockets.

Prior to 2011, people on Medicare faced paying for preventive benefits like cancer screenings and cholesterol checks out of their own pockets. Now, these benefits are offered free of charge to beneficiaries.

Over time, the health reform law also closes the gap in prescription drug coverage, known as the "donut hole." This helps seniors like Helen Rayon: "I am a grandmother who is trying to assist a grandson with his education. I take seven different medications. Getting the donut hole closed, that gives me a little more money in my pocket."

In 2010, those who hit the donut hole received a $250 rebate - with almost 4 million seniors and people with disabilities receiving a collective $1 billion. In 2011, people on Medicare automatically received a 50 percent discount on brand-name drugs in the donut hole. Over 3.6 million beneficiaries received more than $2.1 billion in savings - averaging $604 per person last year.

And today, we have more good news. Even more seniors and people with disabilities on Medicare have benefited from these important measures:

  • In 2010 and 2011, over 5.1 million people on Medicare saved over3.4 billion on prescription drugs in the donut hole. In the first three months of 2012 alone, more than 220,000 people have saved184.5 million - an average of 837 a person so far this year.
  • In the first three months of 2012, 8.9 million beneficiaries on traditional Medicare received at least one free preventive service. This includes over 560,000 who have taken advantage of the Annual Wellness Visit - a new benefit that allows patients to meet with their doctors once a year to develop and update a personalized prevention plan. In 2011, over 32.5 million beneficiaries in traditional Medicare received one or more preventive benefit free of charge.

These new benefits will strengthen over time. In the coming years, the automatic discount on drugs in the donut hole will expand, and by 2020 the donut hole will be closed completely. And Medicare is growing stronger in other ways as well. Doctors and hospitals are beginning to receive new incentives to provide better care to patients, reducing infections that patients receive in the hospital, improving patient safety and lowering costs. The new law also invests more resources in fighting Medicare fraud, to protect the trust fund, and keep Medicare secure for longer.

Thanks to the Affordable Care Act, seniors and people with disabilities are enjoying a Medicare program that is stronger and working better for Helen, and others all across the country.

For more by Sec. Kathleen Sebelius, click here.

For more on health care, click here.

 
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02:11 PM on 05/03/2012
As a direct result of the “Affordable Care Act,” Medicare “as we know it” has already ended. Medicare patients face reduced access to care, which will be increasingly rationed through relentless payment cuts. Key decisions will be made by an unelected board—the Independent Payment Advisory Board—which will determine specific payments Medicare providers receive and under what circumstances. The Center for Medicare and Medicaid Innovation is tasked with shifting traditional Medicare from fee-for-service into new payment and delivery models that are to be imposed in top-down fashion. Meanwhile, the bureaucracy will metastasize, and doctors and hospitals will face more reams of costly rules and red tape.

Medicare premium support, long a bipartisan proposal, is the best alternative (http://1.usa.gov/xQJc3y). Premium support would guarantee better choices and broader access to quality care, faster innovation in care delivery, less waste and fraud in medical transactions, and superior cost control. For the next generation of taxpayers and retirees, there is no better option than premium support.
07:16 PM on 05/01/2012
I don't see the Annual Wellness so-called benefit as a benefit. You don't have to pay a co-pay ONLY if it is just a discussion between you and your doctor. If blood is taken or other tests done, you must pay. My prescription drugs have skyrocketed, my co-pays have increased, including co-pays that didn't exist before, such as on radiological tests. All of the above are sneaky ways to bilk Medicare while the President states Medicare is not being touched. The seniors who benefit from Medicare are those in the gap. SENIORS DON'T BE FOOLED!
11:52 AM on 05/02/2012
Who is "bilking" medicare? You mean the physicians and other providers who are trying to get paid for services? Let me tell you from first hand experience, medicare patients are one of the worst patient groups to have to deal with as a provider.
Loulou72
A smile is a gift
07:59 PM on 05/02/2012
One more reason why Obama's so-called "help for seniors" is bogus. As reimbursements to patient providers become less and less... more and more doctors will opt out; can't blame 'em. We seniors KNOW the government is dipping into Medicare funds. Of course it is. Our president knows it, too.
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02:44 PM on 05/01/2012
If we really wanted cost-effective and universal health care, we would have gone with a government single-payer system. I don't condemn Obama on this, perhaps Obamacare was the best that could be obtained at this time. Still, it shows little likelihood to contain costs and improve coverage, even if it does get past the Supreme Court.
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anthdif
02:00 PM on 05/01/2012
Of the $500 billion dollars in Medicare cuts they made through 2019, $140 billion was supposed to come from reduced payments to Medicare Advantage providers. Over $6 billion in cuts were supposed to happen this year. But when you cut payments to health insurance providers, theyend upcutting backonbenefits, hikingpremiums, orboth, and those are not helpful in an election year.

EntertheMedicareAdvantageQualityBonusPaymentDemonstrationprogram, an $8.3 billion slush fund created by the CenterforMedicare&MedicaidServices. this fund was designed to test how best to structure bonus incentives for insurers who provided better care. Instead, it is patching up politically damaging Medicare cuts. It will alleviate 71 percent of the Medicare Advantage cuts in 2012, and then the percentage plummets in the two years after the election to 32 percent and then 16 percent.

GAO concluded that "[t]he design of the demonstration precludes a credible evaluation of its effectiveness in achieving CMS's stated research goal." AccordingtotheGAO, the $8 billion bonus program "dwarfs all other Medicare demonstrations -- both mandatory and discretionary -- conducted since 1995." Askedb theGAOtoidentifyexactlywheretheygot this $8 billion from, the Obama administration failed to name any specific offsets and said the spending should be considered "inthecontextofotheradministrativeactionsintheMedicareprogram."

Obama's $8 billion Medicare Advantage slush fund is a blatant attempt to stave off seniors' disapproval with Obamacare's effects in an election year. When this temporary patch runs out, millions will be shocked by skyrocketing Medicare premiums and possibly also the deterioration of care. By that time, Obama will never have to face the voters again.
Reneauj
Only the truth be told....
01:46 PM on 05/01/2012
I work with Medicare and so much of this is crap.... Preventive care was approved in the bush years but took several years to implement.... Just because it was reiterated in the ACA does not mean it was his idea. Only 5-6% of all medicare beneficiaries go into the donut hole. The ACA is closing the donut hole BUT the premium will increase the prescription premium by 25-30% disolving any savings. Then lets look at medicare supplement insurance that is increasing at 20% on average per year... tha means a 60% increase in three years.... He is hurting seniors, not helping.
01:42 PM on 05/01/2012
Now if I could just find a reputable doctor in my area that speaks English AND accepts Medicare patients!
11:54 AM on 05/02/2012
Why? Medicare is a pain in the butt for providers and the patients tend to be the worst from a business perspective.

If you were a provider, what would you think? You can either take an appointment with a younger healthy person which takes 5 minutes of your time and pays $70, or you can take a 15 minute slot with an older person, which runs to 30+minutes because of their laundry list of complaints and medications, for $80 from medicare.

Yea, exactly.
01:28 PM on 05/01/2012
What they are not telling you is this, because of this act, doctors are not doing the job they should be doing, mine for instance, did not do an EKG on my physical last October, now in March of this year when I needed surgery on my shoulder, I had the pre-op tests for the surgery, they found I had two major ateries to my heart blocked. Thanks Obama, had my doctor done the EKG last October, I would be on my way to recovery now, instead I had to go into the hospital twice the last being April 25, had two stent's put in this time one the last time! So doctors are only half arsed doing the job they should be doing because they do not want to be saddled with the AFFORDABLE CARE ACT!!! SO THANK YOU BOSS MAN, YOU REALLY DID US FAVOR......NOT!!!!!
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
04:38 PM on 05/01/2012
Right. I don't know how you can blame Obama for this. Stents are bad news you may have been over-treated did you ever think about that?
11:55 AM on 05/02/2012
Riiiiiggghhhtttt. So we should do EKG's are part of a routine physical? Why not full body CT/MRIs as well? And people wonder why medicare is f'n broke.
JimEllisForPresident
I am a former Republican turned Independent or Dem
01:22 PM on 05/01/2012
Obama 2012! He really cares! Romney made a fortune CLOSING and SELLING OFF 100 factories as head of Bain Capital. And he puts down Obama Care, which was actually based on Romney Care. I am disabled and noticed immediately that my medicare part D covers generic rx's 100%. The way to balance the budget isnt cutting back on the things that help the 99%, it is to tax the 1%. something Repubs keeep saying no to!
NO-bama2012
HOPE 2016 brings CHANGE we can believe in
02:13 PM on 05/01/2012
The math has been done. Taxes on the 1% could be raised by 100% over the course of 10 years & it STILL wouldn't cover the expenses of BO's spend-a-thon gov't for more than 2 days!
JimEllisForPresident
I am a former Republican turned Independent or Dem
04:05 PM on 05/01/2012
Wrong, You use Cliches and broad statements without facts. BTW Spending under GW Bush was far higher. And his bailouts were give-aways. While President Obama gave loans that were repaid and saved 1.1 million auto industry jobs.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
04:40 PM on 05/01/2012
Please provide a link to your nonscense.
11:56 AM on 05/02/2012
Medicare has a 47 trillion dollar unfunded liability. You can't tax the rich enough to close that hole.
JimEllisForPresident
I am a former Republican turned Independent or Dem
11:03 PM on 05/02/2012
You accused me of making up stats? Get real! Medicare is a trust fund. It was raided for special interests and corporate loopholes. Close those and demand the return of funds from thosde who stole it. If your grandma paid from her check 50 yrs to a fund and got denied her investment you would raise heck right? Guess what. Thats what happened to granma+granpa. Blame Congress and make em fix it. ZNo exact figures, just quoting two senators who tell me that the retirements of Congress and all their perks exceed the entire social safety net. But the politicos ripping us off have people divided while they laugh all the way to their untaxed caviar. Repubs stick up for the cons, Dems for the people. Why I am an exRepub. Wake up my fellow American. Wake up!
01:11 PM on 05/01/2012
If Obama reformed healthcare and made it affordable to all then how come the monthly payments keep going up ? Im diabled on medicare and the first of this year my monthly payment went up , I remember him saying that if his healthcare passed that would control that and stop it from going up , what happened ? Just another obama promise that means nothing.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
04:42 PM on 05/01/2012
Because our healthcare system poisons with impunity. Half the treatments don't work and some do more harm than good. We need to get pharma out of our healthcare decisions.
Loulou72
A smile is a gift
07:58 PM on 05/03/2012
I can sympathize! My health care premiums have gone up, too. All providers are running scared as they anticipate and prepare for ObamaCare and its numerous expensive regulations. Once ObamaCare kicks in... you can be sure that nothing, absolutely nothing, will suddenly become more affordable; quite the opposite. All will be passed down to the consumer! But, we realists know that, don't we.
12:28 PM on 05/01/2012
Since obamacare isn't fully enacted yet, its not saving anyone anything! Guess obama can say whatever he wants since all this talk is coming from that $8 BILLION slush fund he's throwing around until AFTER the elections! Then the truth for seniors will come out if he's re-elected! obama will do anything to get that vote! If seniors are dumb enough to vote for him, they'll pay the consequenses in the end!
01:33 PM on 05/01/2012
You are so right, read my comment, we are actually getting less care now than we was getting, the only people that benefit from all of this are they people that pop out a baby every year, never worked a day in their lives, they are getting all of this for free. We seniors have been given the shaft big time. You would be a damn fool to vote for his majesty again. SENIORS IF YOU VOTE FOR HIM, YOU WILL BE SORRY BELIEVE ME, HE IS SLASHING EVERYTHING.
JimEllisForPresident
I am a former Republican turned Independent or Dem
01:46 PM on 05/01/2012
The AFFORDABLE CARE ACT saved many seniors and disabled already. I know I am disabled. My generic RX's cost 0! Zero. Repubs only saved the billionaires and millionaires who ZERO taxes! Repubs want to tax the 99% but insist on giving the 1% all the breaks. Ex Repub here and Exsmoker. Both cigs+repubs stink, they only make CEO's rich while costing poor people to do so! Vote Dem straight ticket because Repubs vote partyline against the 99%. Only 99% who vote repub are sheeple who go BAh Bah and dont klnow what they are Bah bahing about. Subscribe to MegaVote dot com, it shows how each of your reps vote in both the House and Senate each time.Gioives a summary of each bill. Costs nothing to subscribe to and you will be informed. Upon being informed you wont vote Repub anymore. They vote how their milionaire party donors tell em to, and not how voters would if they really knew.! Romney lies on TV, Like yesterday he said he was trying to help middle class jobs? How?! As CEO of Baine Capital he took over 1000 small manufacturers and sold the pieces off to foreign investors. All to add to huge wealth he already had. And he cared not about all the small towns and employees that hurt badly. EXREPUB. Become one and brag your are a new Democrat!
12:23 PM on 05/01/2012
folks, we all need to cut back! as americans WE NEED TO LIVE WITHIN A BALANCED BUDGET, we need to downsize government, cut millions in illegal immigrant aide, no billions, tighten our belts and stop worring about democrats and republicans
03:19 PM on 05/02/2012
My wife and I live comfortably on Social Security. We have a budget and we stick to it. Every once in a while, we have to dip into our savings but not for much.
12:19 PM on 05/01/2012
"anothermoderate" you replyed to my statement before and said that " even if the medicare payment did go to 214 a month you would be happy to pay it because for what it pays for exceeds this cost or something very similar"...well I am very happy for you, BUT I know many many many seniors that CAN'T afford the $ 96 a month that it is now. People that live hand to mouth, that cannot afford their medications and their every day expences. The increase to 214 over the next 2 years may just be enough to drive these people onto the food stamp lines or the welfare roles. So weshift the demographics from people that are just making it to those that can't make it any more, and with the reduction of services and medical rationing maybe even you won't be able to make it either. Since "O" has taken office the amount of people on food stamps has INCREASED by 45%, the amount of people on welfare has increased by 6 million, argue all you want about how this affects you sir, but it is about millions of seniors out there that are holding on by a thread.
JimEllisForPresident
I am a former Republican turned Independent or Dem
01:31 PM on 05/01/2012
Your Repubs are the ones hurting Seniors, cutting everyprogram they can just so that because of the Repubs 1400 billionaires paid zero taxes!
Reneauj
Only the truth be told....
01:48 PM on 05/01/2012
blah blah blah...any truth to what you say?
11:59 AM on 05/02/2012
Make up some more statistics why dontcha?

What about the 82 MILLION households who didn't pay a penny of federal income tax last year?
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anothermoderate
Today is the tomorrow you thought about yesterday.
11:40 AM on 05/01/2012
It appears that the folks who don't read the AHCA are those who loudly oppose it.
NO-bama2012
HOPE 2016 brings CHANGE we can believe in
02:19 PM on 05/01/2012
Not true. Pelosi & Reid didn't read it it & they not only supported it, but passed it
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anothermoderate
Today is the tomorrow you thought about yesterday.
11:36 AM on 05/01/2012
If Republicans are so interested in saving money for Medicare, we have they not supported allowing the government to negotiate Medicare drug & durable medical goods prices? Why do the oppose a public plan as those have been shown to be less costly to Americans than the private plans we've had for decades & which have proven to be failures? Those itens alone destroy any credibility for the Republicans.