• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer
  • Donate Now
  • Sign up for CMA’s weekly newsletter!

Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

  • Eligibility/Enrollment
  • Coverage/Appeals
    • Medicare Costs
    • Self Help Materials – Toolkits & More
  • Topics
    • Basic Introduction to Medicare
    • Medicare Costs
    • Home Health Care
    • Improvement Standard and Jimmo News
    • Nursing Home / Skilled Nursing Facility Care
    • Outpatient Observation Status
    • Part B
    • Part D / Prescription Drug Benefits
    • Medicare for People Under 65
    • Medicare “Reform”
    • All Other Topics
    • Resources
      • Infographics
  • Publications
    • CMA Alerts
    • Fact Sheets & Issue Briefs
    • Infographics
    • The Medicare Handbook
    • SNF Enforcement Newsletter
    • Elder Justice Newsletter
    • Medicare Facts & Fiction
    • Articles by Topic
  • Litigation
    • Litigation News
    • Cases
    • Litigation Archive
    • Amicus Curiae Activities
  • Newsroom
    • Press Releases
    • Editorials & Letters to the Editor
    • CMA Comments, Responses, and Letters
    • CMA in the News
  • About Us
    • National Voices of Medicare Summit
    • Mission Statement
    • CMA FAQs
    • CMA Annual Impact Report
    • Personnel & Boards
    • The Center for Medicare Advocacy Founder’s Circle
    • Connecticut Dually Eligible Appeals Project
    • Community Outreach and Education Project (COEP)
    • National Medicare Advocates Alliance
    • CMA Webinars
    • Products & Services
    • Testimonials
    • Career, Fellowship & Internship Opportunities
    • Contact Us
  • Support Our Work
    • Donate Now
    • Build a Legacy with CMA
    • Join the Center for Medicare Advocacy Founder’s Circle
    • Take Action
    • Share Your Health Care Story
    • Tell Congress to Protect Our Care
    • Listen to Medicare & Health Care Stories
    • Sign up for CMA’s weekly newsletter!

State of the Union: Want More Affordable Prescription Drugs? Start with Medicare.

February 7, 2019

Print Friendly, PDF & Email

While the President’s State of the Union Address was short on substance concerning health care, he did mention a desire to work with Congress to “lower the cost of health care and prescription drugs.” While the President focused on “global freeloading” there is one common sense solution that would make drugs more affordable for individuals, and save taxpayers and Medicare billions of dollars: Allow Medicare to negotiate the price of Prescription Drugs.

Other plans, such as the President’s plan to “inject more competition into the market” and switch coverage of some expensive drugs from Medicare Part B Medicare to Part D could actually significantly increase out-of-pocket costs for some of the sickest people in Medicare.

To truly lower drug costs for Medicare beneficiaries, the Medicare program, and taxpayers, the administration should negotiate prices overall, not one plan at a time. As every big box company knows, that’s how to drive down costs. Health economists and Medicare beneficiary advocates have called for overall negotiations since Part D was passed in 2003. The President even claimed he would do so during his campaign. At best, other approaches whittle away at the edges of the cost problem. It’s high time to negotiate drug prices on behalf of all 60 million Medicare beneficiaries.

It’s as simple as removing one word – “not” – from the Medicare Prescription Drug, Improvement, and Modernization Act.  Then, rather than wastefully forbidding negotiations, the Act would encourage the government to use its massive purchasing power to negotiate prices overall, ensuring that Medicare and those who rely on it are really getting the best possible deals.

Filed Under: Article Tagged With: Medicare Part D / Prescription Drugs, Weekly Alert

Primary Sidebar

Easy Access to Understanding Medicare

The Center for Medicare Advocacy produces a range of informative materials on Medicare-related topics.
Sign Up for CMA's Free Newsletter
Register for CMA's Free Webinars

  • Medicare Basics
  • Medicare Reform
  • CMA Alerts
  • Fact Sheets & Issue Briefs
  • CMA Webinars
  • Connecticut Info & Projects
  • Health Care Stories
  • Se habla Español

Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

Learn more.

Center for Medicare Advocacy Follow 10,543 5,330

A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

CMAorg
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
13 Feb 2022350854955864486

Medicare’s 3-day hospital rule is supposed to control costs. It actually increases them.

Longer hospital stays. Higher spending. More risk for patients.

Why are we still doing this?

To read more & sign-up for our free, weekly newsletter:⬇️

Image for twitter card

3-Day Inpatient Hospital Requirement Increases Total Medicare Costs - Center for Medicare Advocacy

Study finds that the 3-day inpatient requirement increases Medicare costs and does not improve patients’ health outcomes.

medicareadvocacy.org

Reply on Twitter 2022350854955864486 Retweet on Twitter 2022350854955864486 0 Like on Twitter 2022350854955864486 1 X 2022350854955864486
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
12 Feb 2021999425598763065

AI in Medicare: Innovation — or a new barrier?

Medicare’s pilot uses AI to review claims in traditional Medicare to reduce wasteful spending. But could it also delay or deny care? What do you think?👇

For our free newsletter:

https://www.ctinsider.com/news/article/medicare-is-experimenting-with-having-ai-review-21333053.php

Image for twitter card

Medicare is experimenting with having AI review claims – a cost-saving measure that could risk...

(The Conversation is an independent and nonprofit source of news, analysis and commentary from academic experts.)

medicareadvocacy.org

Reply on Twitter 2021999425598763065 Retweet on Twitter 2021999425598763065 0 Like on Twitter 2021999425598763065 0 X 2021999425598763065
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
10 Feb 2021236007962603840

Home health care doesn’t end just because a condition is chronic or stable.

In 2013, CMA won Jimmo v. Sebelius, making it clear:
Coverage depends on the need for skilled care — not on improvement.

Know Jimmo. Know your rights 👇
🔗

Image for twitter card

Know Jimmo | Home Health Care is Available for Medicare Beneficiaries with Long Term, Chronic, and...

The key to coverage is whether the individual requires skilled nursing or therapy and whether care would be safe ...

medicareadvocacy.org

Reply on Twitter 2021236007962603840 Retweet on Twitter 2021236007962603840 2 Like on Twitter 2021236007962603840 1 X 2021236007962603840
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
9 Feb 2020978920435151256

Short staffing. Burnout. Residents left waiting.

What caregivers describe in Connecticut is a microcosm of a national nursing home crisis — and the human cost is real. Full story 👇

Our weekly alert:

https://www.newstimes.com/connecticut/article/trump-repeal-nursing-home-staffing-ct-21337753.php

Image for twitter card

Connecticut lawmakers, caregivers decry Trump-era repeal of nursing home staffing rules

Around 90% of nursing home beds are currently occupied in Connecticut. Advocates say by 2035 there could be a 3,000-bed shortage. 

medicareadvocacy.org

Reply on Twitter 2020978920435151256 Retweet on Twitter 2020978920435151256 1 Like on Twitter 2020978920435151256 0 X 2020978920435151256
Load More

Footer

Stay Connected:

  • Contact Us
  • Sitemap
  • Products & Services
  • Copyright/Privacy

© 2026 · Center for Medicare Advocacy