Monday, June 22, 2009

Good Step? Or not enough?

WASHINGTON -- President Obama announced Monday that drug companies have agreed to close the "donut hole" in Medicare coverage by providing $80 billion in cheaper drugs over the next decade.
Obama said closing the gap in Medicare drug coverage will help make health reform more possible.
The "donut hole" refers to the gap in prescription drug coverage after the first $2,700 in yearly prescription costs is covered by Medicare. Then patients have to pay their own costs for drugs until costs exceed $6,100.
"This gap in coverage has been placing a crushing burden on many older Americans who live on fixed incomes and can't afford thousands of dollars in out-of-pocket expenses," Obama said.
"I'm pleased to report that over the weekend we reached an understanding that will help close the notorious donut hole in Medicare Part D. This is a significant breakthrough on the road to health care reform, one that will make the difference in the lives of many older Americans," he said.
The president invited Barry Rand, head of the senior citizens' advocacy group AARP, to appear with him. The deal was struck with Democratic Sen. Max Baucus, the chairman of the Senate Finance Committee, as well as the White House.
AARP spokesman Ken Johnson said there are other parts to the agreement that have still not been completed, but he declined to provide details.
The president used the opportunity to make his sternest call yet for action, saying the drug agreement is one piece of "health care reform I expect Congress to enact this year."
Obama said the move on Medicare will help correct an anomaly in the program that provides a prescription drug benefit through the government health care program for the elderly and disabled. Under the deal, drug companies will pay part of the cost of brand name drugs for lower and middle-income older people in the so-called "doughnut hole."
The drug companies' investment would reduce the cost of drugs for seniors and pay for a portion of Obama's proposed revamping of health care.
Under the agreement, part of the $80 billion would be used to halve the cost of brand name drugs for Medicare recipients when they are in a coverage gap of the program. AARP, which represents 40 million older Americans, has long lobbied to eliminate that coverage gap completely.
The deal would affect about 26 million low- and middle-income recipients of the program's enrollees, AARP said. It would apply to brand name and biologic drugs, but not generics, the group said, and likely take effect in July 2010, assuming drug overhaul legislation becomes law.

2 comments:

RC said...

This appears not to raise taxes, but gets the drug company to lower costs to some senior cotozems. Is that correct KJ? If so this appears to be a very wise move.

RC said...

That should read senior citizens...stroked the wrong keys as I got a phone call in at the same time.

By the way, the donut gap also occurs with hospitalization in medicare. My mom was ok on that because she had supplimental insurance that was very good. But I witnessed many other Seniors sent home before treatment and rehab was finished because they reached the "donut whole", and did not have supplimental insurance. It was a real sad thing to witness these older people sent home unable to walk, and no one to care for them.