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New Plan Of Action Aims To Reduce Prescription Drug Costs By More Than 50
Percent
Posted By: News-Medical in Miscellaneous News
Published: Monday, 26-Jul-2004

The United States Department of Health and Human Services has announced a
new plan of action and regulatory mechanisms to deliver greater benefits. These
benefits aim to reduce prescription drug costs by more than 50 percent for the
average senior without coverage.

The new prescription drug benefit will allow all Medicare beneficiaries to enroll in
drug coverage through a prescription drug plan or Medicare health plan with
Medicare paying for 75 percent of the premium. Additional benefits for Medicare
beneficiaries who have limited means will cover, on average, 95 percent of their
drug costs. The new benefits also will provide new protections for retirees who
currently receive drug coverage through their employers or unions. All the new
Medicare benefits are voluntary as seniors can choose to keep their existing
traditional coverage.

The Medicare prescription drug benefit is a key element of the Medicare
Modernization Act signed into law on Dec. 8, 2003. The Centers for Medicare &
Medicaid Services (CMS) today also proposed rules to implement another key
element of the law: strengthening and improving the Medicare Advantage program,
including making regional preferred provider organizations (PPOs) available to all
Medicare beneficiaries. These provisions will give beneficiaries broad and more
secure access to coordinatedcare health plans that provide additional benefits and
significantly lower out-of-pocket costs. Though over 60 million Americans in all 50
states including rural areas get their health insurance coverage through PPOs
today, they have generally not been available to Medicare beneficiaries. The
proposed rules would also implement new, less costly options for Medigap
coverage.

Medicare beneficiaries will also have access to supplemental coverage from states,
employers, unions and charitable organizations, and they can use these and other
sources of their existing coverage to add to the Medicare coverage for more
comprehensive assistance.

The rule will go on display today be published in the Federal Register on Aug. 3,
2004. The comment period on the proposed regulations lasts 60 days, closing on
Oct. 4, 2004. Final rules are expected to be issued early in 2005. Enrollment for the
new Prescription drug plans will begin in the fall of 2005 for benefits starting in on
Jan. 1, 2006.

Just over 4 million seniors already are saving on their prescription medicines
through Medicare-approved prescription drug discount card. This transitional
benefit, which includes $1,200 in subsidies over the next 18 months for low-income
seniors, is the first step toward the permanent drug benefit that the new rules are
proposing to implement.

This follows John Kerry's announcement on Monday to commit to using innovation
to strengthen and ensure health care is affordable and accessible for all Americans.

“We need to modernize our health care system and push the boundaries of medical
exploration,” Kerry said. “We can use technology and the promise of discovery to
strengthen our health care system and help millions of Americans.”

While ensuring ethical oversight, Kerry and Edwards plan to lift the ban on stem cell
research and unleash its promise for the millions of children and adults who suffer
from incurable diseases like diabetes, Parkinson’s, Alzheimer’s, heart disease,
cancer and spinal cord injuries.

Kerry also plans to use science and technology to cut health care costs and
improve technology, including encouraging the use of modern technology to
eliminate waste and costly paperwork from the health care system.

SOURCE: News-Medical in Medical Research News
http://www.news-medical.net/?id=3577

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