Washington Watch
ACA: Public
Option Resurfaces. President Obama last week called on Congress to
revisit the idea of providing a government-run insurance plan as part
of the offerings under the ACA. The so-called "public
option" was jettisoned from the health law by a handful of
conservative Democrats in the Senate in 2009. Every Democrat's vote
was needed to pass the bill in the face of unanimous Republican opposition.
In a "special communication" article published on the
website of the Journal of the American Medical Association, the
president said a lack of insurance plan competition in some areas may
warrant a new look. (Kaiser Health News, 7/11)
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Health Care Marketplace
Drug Prices Continue to Soar. Pharmaceutical companies' power to
raise prices is firmly intact despite pushback from health insurers,
scrutiny by U.S. lawmakers and anxiety about rising prescription drug
spending, according to the Wall Street Journal. The Journal reports
that more than two-thirds of the 20 largest pharmaceutical companies
said price increases boosted sales of some or most of their biggest
products in the first quarter. Rising prices and increased use of
expensive new medicines are behind a surge in U.S. drug spending.
Per-capita spending on Medicare's prescription drug program, known as
Part D, rose 11.6% last year, more than it had "historically
because of price increases for brand-name drugs" and other factors,
according to a June report by the board of trustees overseeing
Medicare benefits. Total benefit spending on the program rose 15.1%
to $89.5 billion last year. The report projected that per-beneficiary
Part D spending will grow by 75% from 2015 to 2025, compared with a
37% rise in hospital spending and 57% increase in doctors' costs.
(Wall Street Journal, 7/15)
Increases in National Health Spending. An HHS report released last
Wednesday predicts a 5.7% annual increase in national health spending
from 2017 to 2019 and 6% annual growth from 2020 to 2025, while
per-person health spending is projected to be $10,345 this year,
totaling $3.35 trillion for the nation. Medicare is expected to spend
an average of almost $18,000 per beneficiary by 2025 when the program
will cover 20% of Americans, and Medicaid is projected to spend about
$12,500 per beneficiary by 2025, up from $8,000 last year. (New York
Times, 7/13)
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