The agency expects Part B premiums to be lower in 2023 because Adulhelm spending won't meet projections this year. CMS concluded that delaying the adjustment until next year is the only practical method, the agency wrote in a notice. And Biogen, the drug's manufacturer, halved the original $56,000 yearly price. CMS has limited Aduhelm coverage to beneficiaries enrolled in clinical trials. Projections for how much Aduhelm, also known as aducanumab, would cost the government in 2022 were the primary reason for a 14.5% Medicare Part B premium hike that brought the monthly cost to $170.10 this year, CMS disclosed in November. (Cohrs, 5/27)ĬMS To Adjust Medicare Premiums In 2023 Due To Lower Aduhelm Costs The overpayments will instead be factored into next year’s premiums. But the administration decided against a change due to “legal and operational hurdles,” the department said Friday afternoon. Health and Human Services Secretary Xavier Becerra in January publicly announced he was ordering Medicare to consider dropping older adults’ premiums in the middle of this year, which would have been an unprecedented move. (5/27)īiden Administration Won’t Lower Seniors’ Medicare Premiums This Year He did not say how much the premium would be adjusted. Becerra’s statement said the 2022 premium should be adjusted downward but legal and operational hurdles prevented officials from doing that in the middle of the year. Medicare recipients will get a premium reduction - but not until next year - reflecting what Health and Human Services Secretary Xavier Becerra said Friday was an overestimate in costs of covering an expensive and controversial new Alzheimer’s drug. Medicare Recipients To See Premium Cut - But Not Until 2023
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HHS Secretary Xavier Becerra announced though that they would go down next year. But even with severely limited coverage, the Centers for Medicare and Medicaid Services determined that a mid-year premium adjustment is not operationally feasible. Medicare's highest-ever price increase in 2022 was driven by estimated costs for the controversial Alzheimer's drug Aduhelm. Sign up to get the morning briefing in your inbox Kaiser Health News provides a fresh take on health policy developments with "Political Cartoon: 'A Public Health Issue'" by Clay Bennett. The lawmakers blamed the ebbs and flows of the coronavirus, the public’s short attention span, and opposition from public safety unions. (Judith Graham,Įven in deep-blue California, Democratic lawmakers pulled their proposed covid vaccine requirements before they had a vote. (Michelle Andrews,Īlthough identifying long covid in older adults can be tricky, experts say there are good strategies for getting medical advice and fighting the impact of the virus. But some hospitals haven’t gotten the memo.
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GOP Focuses On Mental Health, But Few Shooters Have Diagnosed Illness Murphy And Cornyn Seek Framework For Modest Gun Bill HHS: Higher Medicare Premiums Stay In Place This Year, Will Drop In 2023 Political Cartoon: 'A Public Health Issue' Politics and Pandemic Fatigue Doom California’s Covid Vaccine Mandates Got Long Covid? Medical Expertise Is Vital, and Seniors Should Prepare to Go Slow Bill of the Month: Her First Colonoscopy Cost Her $0.