Tuesday, September 9, 2014
One of the things (among the many things) I like to post about is the concept of age-friendly communities that allow a person to age in place. Governing ran an article last month, showcasing a cool project in Oregon that provides intergenerational housing. Young and Old Find Common Ground in Oregon Housing Community explains about Bridge Meadows where elders and foster children reside in the same housing complex, where the units are provided for free to the foster parents. "Bridge Meadows, a 36-unit apartment complex in [Portland] ... mixes incomes, generations and skill sets in a way that enlivens and enriches the lives of young and old alike." Twenty-seven of the units are for lower-income elders with the rest for those who will be foster parents (or even legal guardians) for at least 3 children within 5 years. Not only do the elders get a break on the housing costs they get to be involved!
[E]lders volunteer their time to work with the kids in the complex. For at least 100 hours per quarter, they tutor, cook, babysit, participate in outdoor activities and so forth. The complex also offers a computer room, library, public courtyard and community garden to help foster connections.
As far as the kids, the program has had a pretty significant impact. Of the "29 children ... 24 were formerly in foster care. Of those 24, just over half are either adopted or in legal guardianship and the rest are on their way to adoption or legal guardianship. In other words, they're all now part of functional families, in permanency or on their way."
The head of Bridge Meadows is pretty enthused about this model's ability to be duplicated, noting that it serves as a solution for 2 serious problems our society is facing, (1) "how to civically attend to our rapidly aging population and" (2) "how to place all the troubled kids peppering children and family services systems in the country."
The author has some concerns about effective replication but still considers this program jan important addition to the spectrum of strategies. It is a nifty idea! More information about the project, as well as photos, are available on their website.
Wednesday, August 27, 2014
A couple who met as teenagers 10 years before the start of World War Two have celebrated 80 years of marriage. Maurice and Helen Kaye, from Bournemouth, met in 1929 when they were 17 and 16 respectively. They courted for four years because Mrs Kaye's mother wanted her older sister to be married first. The couple, who are now 102 and 101, said the secret to a happy marriage was being tolerant of each other and being willing to "forgive and forget". The pair, one of Britain's longest-married couples, plan to celebrate their oak wedding anniversary with children, grandchildren and great-grandchildren.
Tuesday, August 19, 2014
The Centers for Disease Control says more than 1 million people in the U.S. are living with HIV, and almost 1 in 6 don't know they are infected. This could affect Suncoast seniors who may be unaware of the dangers. There are certain things we are hesitant to discuss with children, and frequently those same topics are avoided with seniors. But whether we address it or not, older people are not only sexually active; according to the American Academy of HIV Medicine, by 2015, half the U.S. HIV population will be age fifty or older. “But they think they're not at risk. In their day, condoms were only for birth control. And so today, they don't have to worry about birth control and they don't know about HIV and all the other STD's that they could have to worry about.” Seniors with HIV that don't realize it are in a very dangerous position. “HIV accelerates and predisposes you to a number of diseases which causes death.
Thursday, August 14, 2014
The journal Health Affairs is seeking articles on older adults, and specifically regarding the care and management of multiple chronic conditions among this population. We are interested in work that spans the full range of care settings, including primary care and specialty practices, hospitals, nursing homes and other long-term care settings. We are grateful to The John A. Hartford Foundation for providing support for our ongoing coverage of these topics. There is no deadline for submissions; papers on these topics will be considered on an ongoing basis and considered for publication through 2015. For more information, contact Health Affairs executive editor, Don Metz: email@example.com.
Monday, August 11, 2014
A New York teenager whose grandfather suffers from Alzheimer's disease won a $50,000 science prize for developing wearable sensors that send mobile alerts when a dementia patient begins to wander away from bed, officials said on Wednesday. Kenneth Shinozuka, 15, who took home the Scientific American Science in Action Award, said his invention was inspired by his grandfather's symptoms, which frequently caused him to wander from bed in the middle of the night and hurt himself. "I will never forget how deeply moved my entire family was when they first witnessed my sensor detecting Grandfather's wandering," Shinozuka said in a statement. "At that moment, I was struck by the power of technology to change lives." His invention uses coin-sized wireless sensors that are worn on the feet of a potential wanderer. The sensors detect pressure caused when the person stands up, triggering an audible alert on a caregiver's smartphone using an app.
The award honors a project that aims to make a practical difference by addressing an environmental, health or resources challenge, said Scientific American Editor in Chief Mariette DiChristina.
Read more at Reuters.
Sunday, August 10, 2014
By 2050, a quarter of China’s population is expected to be age 65 or older. Although the government has recently loosened its restrictive population policy to allow most couples to have two children, so far it doesn’t look likely that any forthcoming baby boom will save China from its rapidly aging population. China’s current elderly, especially those living in rural areas, frequently endure chronic medical conditions without treatment, according to a new study in the journal International Health. Dai Baozhen of Jiangsu University’s Department of Health Policy & Management analyzed the results of China’s semi-regular “health and nutrition survey” for 2009, looking in particular at the responses from rural households in nine provinces.
Among his findings: China’s elderly are likely to be less educated than younger cohorts and often poorer. Nearly 70 percent of the rural elderly in the survey had an annual income of less than 5,000 renminbi ($810). Many also said their children had left home to work in cities, and while they might send money back, they couldn’t provide steady emotional support or help in obtaining and monitoring health care. Fifty-eight percent of the elderly respondents were illiterate, another barrier in obtaining health services.
It was not uncommon for China’s rural elderly to suffer chronic conditions, according to the study, including hypertension (18 percent), asthma (6 percent), and diabetes (3 percent). And those figures represent diagnosed conditions—the worrying possibility exists that many elderly suffer in the absence of any diagnosis. Fully a quarter of elderly were diagnosed with hypertension, and a third of those diagnosed with diabetes received no treatment.
Isolation and depression are also significant risks for rural elderly. China’s overall suicide rate has dropped sharply over the past two decades, especially among rural women under age 35. But among China’s elderly, it remains distressingly high. According to a recent study by researchers at the University of Hong Kong, cited by the Economist, the suicide rate for men in the Chinese countryside aged 70 to 74 is 41.7 per 100,000 (more than four times higher than the national average of 9.8 per 100,000).
Source/read more: Bloomberg
Thursday, July 24, 2014
The CarTalk Guys on National Public Radio have a crazy tradition of breaking their one hour radio program into "three halves" (okay, they have a lot of crazy traditions -- I'm focusing on just one). In that tradition, I'd been thinking about how the practice of "elder law" might also have three halves, but then I realized that perhaps it really has five halves. See what you think.
- In the United States, private practitioners who call themselves "Elder Law Attorneys" usually focus on helping individuals or families plan for legal issues that tend to occur between retirement and death. Many of the longer-serving attorneys with expertise in this area started to specialize after confronting the needs of their own parents or aging family members. They learned -- sometimes the hard way -- about the need for special knowledge of Medicare, Medicaid, health insurance and the significance of frailty or incapacity for aging adults. They trained the next generations of Elder Law Attorneys, thereby reducing the need to learn exclusively from mistakes.
- Closely aligned with the private bar are Elder Law Attorneys who work for legal service organizations or other nonprofit law firms. They have critical skills and knowledge of health-related benefits under federal and state programs. They also have sophisticaed information about the availability of income-related benefits under Social Security. They often serve the most needy of elders. Their commitment to obtain solutions not just for one client, but often for a whole class of older clients, gives them a vital role to play.
- At the state and federal levels, core decisions are made about how to interpret laws affecting older adults. Key decisions are made by attorneys who are hired by a government agency. Their decisions impact real people -- and they keep a close eye on the financial consequences of permitting access to benefits, even if is often elected officials making the decisions about funding priorities. I would also put prosecutors in this same public servant "Elder Law" category, especially prosecutors who have taken on the challenge of responding to elder abuse.
- A whole host of companies, both for-profit and nonprofit, are in the business of providing care to older adults, including hospitals, rehabilitation centers, nursing homes, assisted living facilities, group homes, home-care agencies and so on -- and they too have attorneys with deep expertise in the provider-side of "Elder Law," including knowledge of contracts, insurance and public benefit programs that pay for such services.
- Last, but definitely not least, attorneys are involved at policy levels, looking not only to the present statutes and regulations affecting older adults, but to the future of what should be the legal framework for protection of rights, or imposition of obligations, on older adults and their families. My understanding and appreciation of this sector has increased greatly over the last few years, particularly as I have come to know human rights experts who specialize in the rights of older persons.
Of course, lawyers are not the only persons who work in "Elder Law" fields and it truly takes a village -- including paralegals, social workers, case workers, health care professionals, and law clerks -- to find ways to use the law effectively and wisely. Ironically, at times it can seem as if the different halves of "elder law" specialists are working in opposition to each other, rather than together.
My reason for trying to identify these "Five Halves" of Elder Law is that, as with most of us who teach courses on elder law or aging, I have come to realize I have former students working in all of these divisions, who began their appreciation for the legal needs of older adults while still in law school. Organizing these "halves" may also help in organizing course materials.
I strongly suspect I'm could be missing one or more sectors of those with special expertise in Elder Law. What am I forgetting?
Thursday, July 17, 2014
Evolution of Human Rights for Older Persons: Preparation for UN Open-Ended Working Group on Ageing, July 30-Aug.1
On July 30-August 1, the United Nation's Fifth Working Session of the Open-ended Working Group on Ageing will be held in New York City. Established by the U.N. General Assembly in 2010, the working group's task is to "consider the existing international framework of the human rights of older persons and identify possible gaps and how best to address them, including by considering, as appropriate, the feasibility of further instruments and measures."
One potential result of this process is to frame and seek approval for a Convention (Treaty) on the Rights of Older Persons, a process which was used successfully, for example, with the U.N.'s Convention on the Rights of Persons with Disabilities (CRPD).
The question of a Convention on rights of older persons was a hot topic during the 2014 International Elder Law and Policy Conference hosted by John Marshall Law School in Chicago. A number of participants and observers described key moments leading to the present status on international recognition of the rights of older people. Several commented on the prospects for eventual passage of a Convention. Listening to multiple perspective was an educational experience for those not yet steeped in the world of international law and ageing policy and I'll do my best here to provide a concise overview from my notes at the Conference.
Professor Israel ("Issy") Doron from the University of Haifa, a keynote speaker with long experience specifically focused on international human rights for older persons, described the journey that began in the mid-1970s. The first steps led to a first World Assembly on Ageing in 1982. Known as the Vienna Assembly, the body issued a report with 62 recommendations for action (VIPAA 1982), a report that was unanimously approved by the 124 (then) member states in the United Nations. Optimism was in the air. Twenty years later, and with several more intervening gatherings to discuss or focus on international ageing rights, there was a Second World Assembly on Ageing in Madrid and a corresponding report (MIPAA 2002).
Professor Doron rexcognized that this extended timeline can be frustrating for some human rights advocates. Nonetheless, he explained that these steps were important parts of the journey, moving from concern, to concept, to "soft soft law," to "soft law." A Convention or treaty would be "hard law," and thus perhaps also a hard sell, at least for some nations, including the United States. The U.S. has a history of resistence to becoming bound by international laws affecting what it views as "domestic" concerns, even if the U.S. often participates in international drafting.
There are lessons to be learned about the journeys taken by advocates for other human rights instruments. Professor Gerard Quinn from National University of Ireland Galway drew upon the experience of framing the Convention on disability rights, to demonstrate the need to build alliances and to establish a clear reason for an instrument applied to a specific group, such as older persons. National laws can provide models and their existence may help to build support; for example, U.S. law on disability rights paved the way for a key section of the CRPD that recognizes the rights of disabled persons to reasonable accommodations.
Professor Quinn noted a concern that "thematic" treaties may be seen, wrongly, as standing in isolation, rather than as a component of the human rights structure as a whole. Thus, it may be important to show how specific international law is necessary to tackle the problem of "invisibility" of affected individuals. Advocates for a Convention on ageing should also be realistic about the potential for a dichotomy in goals, as where some may emphasize promotion of "autonomy" of individuals while others focus on "protection," a tension that was present during framing of the CRPD.
One of the historical details for the CRPD, that I had failed to appreciate until hearing Professor Quinn, was what he described as "situational support" coming from potentially surprising sources. He described important support for the CRPD provided by Ireland's Mary Robinson and Mexico's Vicente Fox, with the latter making disability rights a major feature of his campaign for president of Mexico. Who will emerge as key supporters for rights of older persons?
Another important perspective on a Convention on Rights for Older People came from Ervin Nina, Counselor at the Permanent Mission of Albania to the UN, where one of his roles was as Vice Chair of the Open-ended Working Group on Ageing from 2011-2014. He explained the history of U.N. Resolution 67/139 ("Towards a Comprehensive and Integral International Legal Instrument to Promote and Protect the Rights and Dignity of Older Persons") adopted by the UN General Assembly in December 2012. Despite "passage" of this resolution that expressly mandates renewed consideration of an international legal instrument, 118 member states abstained from the vote. Thus the low number of states actually voting in favor of the resolution signaled low support for movement forward on a Convention on the Rights of Older Persons.
The final keynote speaker was Eilionoir Flynn, Deputy Director of the Centre for Disability Law and Policy and Senior Lecturer at the School of Law at National University of Ireland Galway. The very articulate Dr. Flynn addressed the challenge of moving forward, including using the upcoming 5th session of the Open-ended Working Group on Ageing as an opportunity to regain and drive momentum. She urged that civil society organizations, who have seats at the table in New York, need to work together to identify goals and reach consensus, and thus to build working alliances for drafting and passage.
During the Chicago conference, several speakers noted that one potential ally -- or stumbling block -- to adoption of a formal Convention on the Rights of Older Persons may exist in the person of the United Nation's newly appointed "Independent Expert on Older Persons' Rights," Rosa Kornfeld-Matte from Chile. On the one hand, Ms. Kornfeld-Matte, appointed by the U.N. Human Rights Council on May 8, and someone with deep experience in ageing issues, has the potential to be a catalyst for true change, including adoption of "hard" international law. However, there is also the potential for international momentum to wane while waiting for the "expert's" investigation and recommendations.
Where to go from here? One of the unique features of the Chicago conference was the decision of the host, John Marshall Law School, to open a deliberative process of its own. Beginning in the early spring of 2014, many of the participants in the conference met with faculty and staff at the law school via email, video conference and telephone, to create a working template of a "Chicago Declaration on the Rights of Older Persons." During the two- day meeting in July, drafting sessions were held in parallel to the speaker presentations, organized into five subject matter groups that examined each element of the working template. The advantage of this approach was to give not just a few U.S. professors a hands-on opportunity to participate, but to obtain input and review from a wide range of faculty, lawyers, social workers, public officials, advocates and interested organizations from more than 15 countries. At the close of the conference on July 11 we learned that the finalized "Chicago Declaration" (by then in its 10th iteration) will be presented on August 1 at the 5th Session of the Open-ended Working Group on Ageing in New York. Check the John Marshall Law School website for updates on the final version.
From my perspective as a comparative "newbie" to international human rights drafting, the Chicago Declaration was an impressive and comprehensive undertaking. It was also a lesson in building consensus and making strategic choices, such as whether to emphasize rights of autonomy or balance that focus with concern about protection for older persons. As one speaker commented, it was an excellent example of engagement, drawing upon academic research skills and international scholarship to tackle real issues in the real world.
Monday, July 14, 2014
It's been nearly 3 1/2 decades since China's government started limiting most urban families to one child. The family planning policy successfully slowed the nation's population growth, but it has had some unintended consequences. One is that some parents lose their only children to illness or accidents and end up with no one to care for them in their old age. Now, these parents have gotten together to demand their rights. A group of parents meets at a Beijing restaurant to talk and console each other. Many of them say they have a hard time relating to people who haven't experienced the heartbreak they have. They ask to be identified by their online names, because they don't want to get in trouble for criticizing government policy. One of the diners identifies herself as Xiaonan's mom. Xiaonan died of illness eight years ago, when he was 25 years old. She says his death made her feel like a failure and her life lost its meaning. More On China's One-Child Policy A man and child walk in Beijing's Tiananmen Square. China's government recently announced an easing of the country's one-child policy. While the move appears to be broadly supported, many urban Chinese parents say it would be hard to afford a second child. Feng Jianmei and her husband could not pay $6,000 in fines for violating China's one-child policy. In June, when she was seven months pregnant, local officials abducted her and forced her to have an abortion, her family says. The case has provoked widespread outrage. "I gave everything to him, so when he left, he took everything I had," she says. "Now I'm just surviving. After he left, I started drinking. If I didn't, I wouldn't be able to sleep at all." Population experts estimate that over 1 million Chinese families have lost their only children. They say that number could exceed 10 million by midcentury.
Read more at NPR News.
Wednesday, June 18, 2014
Friday, May 30, 2014
Tuesday, May 27, 2014
The U.S. Consumer Product Safety Commission (CPSC) and Bed Handles Inc., of Blue Springs, Mo., are announcing the voluntary recall of about 113,000 adult portable bed handles. When attached to an adult’s bed without the use of safety retention straps, the handle can shift out of place creating a dangerous gap between the bed handle and the side of the mattress. This poses a serious risk of entrapment, strangulation and death. Three women died after becoming entrapped between the mattress and the bed handles. They include an elderly woman, age unknown, who died in an Edina, Minn. assisted living facility; a 41-year-old disabled woman who died in a Renton, Wash. adult family home; and an 81-year-old woman who died in a Vancouver, Wash. managed care facility. The recall involves adult portable bed handles sold by Bed Handles Inc. from 1994 through 2007 that do not have safety retention straps to secure the bed handle to the bed frame to keep the bed handle from shifting out of place and creating a dangerous gap. Recalled models include the Original Bedside Assistant® (BA10W), the Travel Handles™ (BA11W) which is sold as a set of two bed handles, and the Adjustable Bedside Assistant® (AJ1). Consumers should immediately stop using all recalled bed handles that were sold without safety retention straps. Contact Bed Handles Inc. for free safety retention straps to secure the bed handle to the bed frame, new assembly and installation instructions for models BA10W, BA11W and AJ1 and a warning label to attach to the bed handles. The bed handles should be used only with the safety retention straps securely in place attaching the bed handle to the bed frame in order to prevent a gap.
Source/more: CPSC/Bed Handles, Inc.
Sunday, May 25, 2014
Via the BBC:
Distant relatives of King Richard III have lost their High Court battle over where his remains should be reburied. His remains were found in a Leicester car park in 2012 and the city's cathedral was lined up for his tomb, but some wanted him reburied in York. But a group claiming descent from the king's wider family were granted a judicial review, arguing more views should have been taken into account. Judges at the High Court said there was "no duty to consult". In the ruling, they added: "There was no public law grounds for the court to interfere. Killed at the Battle of Bosworth in 1485, Richard III was buried in a Leicester church but the building was lost to later development. Authorities in Leicester said they were delighted at the decision and they looked forward to reinterring the body with "dignity and honour".
Friday, May 23, 2014
A new report prepared for the Prepared for the National Foundation to End Senior Hunger outlines the state of senior hunger in the US.
In this report we provide an overview of the extent and distribution of food insecurity in 2012 among seniors, along with trends over the past decade using national and state-level data from the December Supplements to the Current Population Survey (CPS). Based on the full set of 18 questions in the Core Food Security Module (CFSM), the module used by the USDA to establish the official food insecurity rates of households in the United States, our emphasis here is on quantifying the senior population facing the threat of hunger (i.e. marginally food insecure). A supplement to this report also presents evidence on seniors at risk of hunger (i.e. food insecure) and on seniors facing hunger (i.e. very low food secure).
This report demonstrates that seniors in 2012 continued to face increasing challenges meeting food need. Specifically, we find that
• 15.3% of seniors face the threat of hunger. This translates into 9.3 million seniors.
• Those living in states in the South and Southwest, those who are racial or ethnic minorities, those with lower incomes, and those who are younger (ages 60-69) are most likely to be threatened by hunger.
• Out of those seniors who face the threat of hunger, the majority have incomes above the poverty line and are white.
• From 2001 to 2012, the fraction of seniors experiencing the threat of hunger increased by 44%. The number of seniors rose by 98% which also reflects the growing population of seniors.
• Since the onset of the recession in 2007 until 2012, the number of seniors experiencing the threat of hunger has increased by 49%.
Read the full report, The State of Senior Hunger in America 2012: An Annual Report
Friday, May 9, 2014
Via the Korean Herald (op-ed piece):
After many twists and turns, the National Assembly has finally passed the controversial “basic pension” bill, enabling President Park Geun-hye to make good on one of her key election pledges.
The Assembly’s action on the bill was much belated but welcome. The legislation, which is expected to go into effect in July or August, will benefit the poorest 70 percent of Koreans aged 65 or older.
Specifically, about 4.5 million of the nation’s 6.4 million senior citizens will receive a monthly allowance of between 100,000 won and 200,000 won[about $100-200], depending on their income. Of the beneficiaries, about 90 percent will receive the maximum 200,000 won.
This scheme is not exactly the same as what Park promised on the campaign trail. During the election campaign, she promised to pay a uniform monthly allowance of 200,000 won to all citizens aged 65 or older, regardless of their income. But it was increasingly clear that Park’s universal pension plan was beyond the government’s financing capacity. So last September, the government decided to scale it back.
The basic pension scheme, even in its original form, is hardly sufficient to eliminate widespread poverty among senior citizens. Korea’s relative poverty rate among elderly people stands at 49.3 percent, the highest among OECD nations.
Monday, April 7, 2014
Mickey Rooney, who died Sunday at age 93, will be remembered by many as among the last of a long gone Hollywood era. An actor from the time he was a baby, he was a movie star in his teens, a frequent television performer in the early days of network drama and a character actor who in recent years was still performing . He was, very late in life, an outspoken advocate on an issue that’s increasingly commonplace yet still so little addressed. Rest in peace, Mickey Rooney, champion against elder abuse. Three years ago, at age 90, Rooney spoke before a Senate Special Committee on Aging on the abuse he said he suffered at the hands of his adult stepson Christopher Aber, and about the special vulnerability of older Americans to physical intimidation, financial exploitation and emotional mistreatment. Rooney claimed Aber withheld his mail, medication and food, and made him a “prisoner in his own home,” saying, “My money was stolen from me, by someone close. My money was taken and misused."
Read more at Salon
Thursday, April 3, 2014
Materials to Promote Older Americans Month 2014 Available
May is Older Americans Month. This year’s theme focuses on injury prevention: Safe Today. Healthy Tomorrow.
To help participating organizations promote their events, ACL has posted new materials for 2014 here: Older Americans Month.
The toolkit includes facts about preventing falls and injuries, an activity guide, poster templates, logos, and tips for consumers.
Monday, March 31, 2014
A fast-moving phone scam called the largest of its kind is targeting taxpayers across the country. Victims have reported threats of license suspension, arrest and deportation. What makes this timely scam so tricky? The scammers impersonate Internal Revenue Service (IRS) agents and demand payment for taxes owed, and often:
- know the last four digits of the victim’s Social Security number;
- make caller ID appear as if the IRS is calling;
- send follow-up bogus IRS emails to support their scam; and
- call a second time claiming to be the police or Department of Motor Vehicles, and caller ID again supports their claim.
The IRS usually contacts people by mail not by phone about unpaid taxes.
The IRS won’t ask for payment using a pre-paid debit card or wire transfer, nor will they involve law enforcement or immigration agencies.
WHAT TO DO:
If you or a family member receives one of these calls, your best bet is to hang up. But if you do get into a conversation, do not give anyone money or credit card information over the phone and don’t trust callers who use threats or insults to bully you.
Report the incident to the Treasury Inspector General for Tax Administration at 1-800-366-4484.
File a complaint with the Federal Trade Commission at www.ftc.gov. Add "IRS Telephone Scam" to the comments in your complaint.
If you owe or think you owe federal taxes, call the IRS directly at 1-800-829-1040 to verify information.
For more information, visit www.irs.gov.
Please help spread the word about this tax season scam by sharing this email with your friends and family.
If you or someone you know has been a victim of identity theft or fraud, contact the AARP Foundation Fraud Fighter Center at 1-800-646-2283.
Tuesday, March 25, 2014
On March 4, 2014, the Office of Management and Budget released President Obama’s budget for fiscal year (FY) 2015, which includes provisions related to federal spending and revenues, including Medicare savings. The President’s budget would use federal savings and revenues to reduce the deficit and replace sequestration of Medicare and other federal programs for 2015 through 2024. This brief summarizes the Medicare provisions included in the President’s budget proposal for FY2015.
The President’s FY2015 budget would reduce Medicare spending by more than $400 billion between 2015 and 2024, accounting for about 25 percent of all reductions in federal spending included in the budget. Most of the Medicare provisions in the FY2015 budget are similar to provisions that were included in the Administration’s FY2014 budget proposal. The proposed Medicare spending reductions are projected to extend the solvency of the Medicare Hospital Insurance Trust Fund by approximately five years.
- More than one-third (34%) of the proposed Medicare savings are due to reductions in payments for prescription drugs under Medicare Part B and Part D. The single largest source of Medicare savings would require drug manufacturers to provide Medicaid rebates on prescriptions for Part D Low Income Subsidy enrollees, a proposal which was also included in the President’s FY2014 proposed budget.
- One-third (33%) of the proposed Medicare savings are due to reductions in Medicare payments to providers, most of which are reduced payments to post-acute care providers (Figure 1). The baseline of the proposed budget assumes no reduction in Medicare payments for physician services, relative to current levels, from 2015 through 2024, in contrast to the sustainable growth rate formula (SGR) under current law, which calls for significantly lower physician payments during this 10-year period. The projected cost for adjusting the baseline for this period is $110 billion, plus additional amounts associated with eliminating cuts in 2014.
- About 16 percent of the proposed Medicare savings are due to increases in beneficiary premiums, deductibles and cost-sharing.
Saturday, March 22, 2014