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Seniors Who Conquer the Challenge are Satisfied with Medicare Drug Plan

Problems found in those who lack the energy and do not understand English

March 27, 2006 – Senior citizens who take the time, often with help, to walk through the decisions required to chose a Medicare drug plan are satisfied with the program, according to an in-depth look at how Americans are accepting the new Medicare Part D by the New York Times. The newspaper found, too, that those with dementia and other energy-absorbing problems are giving up on the challenge. KaiserNet.org, also says in their daily report that the Los Angeles Times finds non-English speaking seniors at a serious loss.

Click here to the Daily Health Policy Report - KaiserNetwork.orgNew York Times Examines Group of Beneficiaries Satisfied With Medicare Prescription Drug Benefit

The New York Times on Sunday examined the group of Medicare beneficiaries who are satisfied with the new Medicare drug benefit and "say it was worth wading through the confusion and complexity of the new program to enroll."

 

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Medicare Drug Program Now Covering Over 27 Million as Enrollment Jumps

Good progress made in last few weeks with 2 million more covered

By Tucker Sutherland, editor

March 24, 2006 – Comparing the numbers released yesterday by Medicare on enrollment in the drug plan with those released last month do not exactly match with the news release accompanying the numbers, but anyway you look at the numbers the indicate good progress over the last few weeks. Although, some estimates say as many as 16 million seniors and others eligible are still not covered by a drug plan. Read more...

Read more on Medicare Drug Program

 

According to the Treasury Department, Medicare spent $5.1 billion on prescription drugs for beneficiaries in January and February, paying for more than a million prescriptions daily. Beneficiaries who report the highest rates of satisfaction with the program include those who are "far removed from the raucous debate in Washington" and who live in states such as Oklahoma that did not have "generous state-financed programs to help them with their drug costs," the Times reports.

In addition, most who report satisfaction with the benefit have remained in the plan in which they originally enrolled; received help choosing a plan from Medicare experts, insurance counselors and relatives; and are not enrolled in Medicaid and thus were not switched automatically to Medicare drug coverage.

The Times reports that beneficiaries who are successfully receiving their medications under the program can save thousands of dollars annually. For instance, one couple in Tulsa, Okla., reduced their combined annual drug costs from more than $25,000 to $4,900 after enrolling in the Medicare drug benefit. Dr. Jean Root, a geriatrician in Tulsa, said that beneficiaries with the education and perseverance to navigate the enrollment process are the most likely to be satisfied with the system.

By contrast, those who are dissatisfied often have "dementia and terminal illnesses" and "don't have the energy, the interest or the mental capacity to work through the system," Root said (Pear, New York Times, 3/26).

 

More Medicare News

 
 

Capitol Hill Watch

House Budget Bill Might Include Medicare, Medicaid Spending Reductions

The House Budget Committee on Thursday and Friday plans to mark up the House fiscal year 2007 budget resolution, which likely will "attempt to trim mandatory spending programs while holding the line on discretionary spending,"

CQ Today reports. According to CQ Today, the House budget resolution "will almost certainly take a tougher position" on spending for entitlement programs such as Medicare and Medicaid than the Senate budget resolution.

The Senate budget resolution, which passed on March 16, does not include spending reductions for entitlement programs proposed by President Bush. However, moderate and conservative House Republicans disagree over whether to seek spending reductions for entitlement programs this year.

Rep. Bill Thomas (R-Calif.), chair of the House Ways and Means Committee, has said that he does not expect the House budget resolution to include spending reductions for Medicare. As a result, House Budget Committee members will have "little flexibility to put together a package of entitlement savings," although they "might be able to propose $10 billion or a bit more over five years -- perhaps enough to appease conservatives without driving away moderate Republicans nervous about election-year cuts in social programs," CQ Today reports.

Meanwhile, House Democrats "will try to paint a Republican-backed budget resolution as stingy toward important programs while full of red ink," CQ Today reports (Dennis, CQ Today, 3/24).

 

Language Barriers to Enrollment
The Los Angeles Times on Monday examined how elderly immigrants in California and other areas with large immigrant populations are "swamping clinics, community centers and pharmacies, unable to read the litany of Medicare-related mailings or even ask questions about their new plans."

According to the Los Angeles Times, with the May 15 deadline for enrollment nearing, many elderly immigrants are finding that private health insurers and Medicare officials do not have the capacity to accommodate translation requests, and some who have lived and worked in the U.S. "for years resent feeling excluded from a national program."

Jeanne Finberg, an attorney for the National Senior Citizens Law Center, said, "The federal government has really failed this population," adding, "How outrageous is it that so many of the Medicare beneficiaries are unable to understand any part of this program?"

Medicare officials last week said they are performing outreach at senior centers that serve non-English speakers and are funding toll-free call lines that cater to native Spanish, Chinese, Vietnamese and Korean speakers.

"We have room for improvement," Anne Avery, a health insurance specialist for Medicare, said, adding, "We are just starting a lot more to find out what vehicles we can use to reach out to these people."

CMS spokesperson Peter Ashkenaz said private health insurers providing Medicare drug plans must accommodate non-English-speaking callers. A spokesperson for WellPoint, whose Unicare call center was unable to provide translation services to some callers late last week, said supervisors at call centers have been reminded of the company's policy to provide live interpretation services (Lin, Los Angeles Times, 3/27).

"Reprinted with permission from kaisernetwork.org You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved.”

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