Medicare Part D: A Case Study

Medicare Part D is the portion of Medicare that covers prescription drugs and is separate from

Medicare Part D is prescription drug coverage. It’s the newest part in Medicare. It adds prescription drug coverage to original Medicare, some Medicare cost plans, some Medicare PPS plans, and Medicare Medical Savings plans. Beneficiaries choose the drug plan and pay a monthly premium.

Medicare part D is the prescription drug plan. Each plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers on their formularies. Drugs in each tier have a different cost. For example, a drug in a lower tier will generally cost less than a drug in a higher tier. In some cases, if the drug is on a higher tier and the patient 's prescriber (the patient 's doctor or other health care provider who is legally allowed to write prescriptions) thinks the patient needs that drug instead of a comparable drug on a lower tier, the prescriber can ask the patients plan for an allowance to get a lower copayment. In the case of Mrs. Zwick Part D will cover the prescription drugs that she needs that are not covered by Medicare Part A and Part B unless those medications are on the unapproved list. What the patient will be responsible for paying

Medicare Part D Drug Plan was created by Congress in 2003 to aid the elderly, disabled, and sick persons in affording their medication. Coverage for the drug plan went into affect January 1, 2006. This plan was called the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) (Cassel, 2005). The final bill that passed, was influenced by drug-company and health insurance lobbyists and focused mainly on the needs of those industries instead of the seniors it was meant to serve (Slaughter, 2006). These plans are operated by insurance companies and some private companies that have been approved by Medicare. Part D is optional only if a person carries health insurance that includes prescription coverage. If at retirement

Medicare is the federal health insurance program for people with certain disabilities, end stage renal disease, and for those who are over the age of 65. There are four different parts to Medicare, part A, part B, part C, and part D. Medicare Part A, also known as hospital insurance, covers inpatient hospital stays, care in nursing facilities, hospice care, and some in home health care. Part B is often referred to as medical insurance; it covers certain doctors’ services, outpatient care, medical supplies, and preventative care services. Medicare Part C, otherwise known as Medicare advantage plan is offered by a private

As the population ages, people want the security of knowing that they have health care coverage. At age 65, people have the opportunity to be covered by Medicare. Medicare has four parts to it; part A which is the hospital insurance, part B which is the medical insurance, part C is Medicare Advantage plan which offers extra coverage such as vision, hearing, dental and/or wellness programs, and part D is prescription drug coverage. The Patient Protection and Affordable Care Act survived a vote of the Supreme Court justices and changes will be implemented within the next few years. As people age and the number of people entering the golden

It was a defining moment just over a decade ago that Medicare Part D, or the Medicare prescription drug benefit, became effective. A group of officials and assistants crafted this legislation to aide those seniors that had troubles getting their prescriptions every month. The program also made millions upon millions for pharmaceutical companies. The various stakeholder groups influenced the final outcome of this legislation to the point that if they were not involved, the country may not have ever been introduced to Medicare Part D.

Ron is very happy as an enrolled participant of Medicare and specifically Medicare Part D. His eligibility for Medicare and the affordability of health insurance at the spry age of 74 was a blessing for Ron and his wife. Like Ron and his wife, many of the elderly depend on payments from government sources for their health care, and there is concern that this part of the system is also in decay. Medicare is a federal health insurance

Medicare Part D was created under the Medicare Prescription Drug, Improvement and Modernization Act of 2003. (Medicare Part D, 2011). It is also known as the prescription Drug Plan. This plan was created to help cover cost of prescription drugs, and people who have the original Medicare or Medicare Advantage are eligible to enroll (Medicare Part D, 2011). Prescription drug coverage is only offered through HMOs, PPOs, and PFFSs and by some private companies who contract with Medicare through individual plans (Medicare Part D, 2011). Private companies are allowed to create their own customized benefit plan as long as the plan is as good as the plan outlined in the 2003 Medicare Act (Medicare Part D, 2011).

One person who worked with the interest groups that were involved with the interest included John McManus, a former government worker turned lobbyist. During the time of the initial drafting of this legislation, he was put in place as one who succeeded with others in reference to the policy development and negotiations that were associated with the bill (Pierce, 2009). It is these instances where aides and government workers boast their talents after the bill has passed. The significance of the Medicare Part D passing brought about a great flight of the same workers intending on moving to health care firms or establishing their own lobbying practices as McManus did after his departure.

Raising the Medicare qualification age is a smart thought, given the monetary allowance issues we confront and the way that Americans are living longer. In any case, it must be done painstakingly, to verify that more seasoned laborers still have wellbeing protection. Both Medicare and Social Security were proposed for resigned Americans. So it would bode well to set the ordinary qualification age of every project at the age where we have chosen as a country that retirement ordinarily starts. What's more, since working Americans create the cash to pay advantages, it's likewise essential for the qualification age to be set where the quantity of years Americans work is sufficient to pay retirement advantages. With Americans living longer, we have

Let me start by staying how affordable is affordable? The Affordable Care Act (ACA) otherwise known as the Obama Care is a health care coverage that is invented for those people who cannot afford to pay for high insurance cost. According to the market place (2014), most people who bought the insurance coverage stated that the “coverage is affordable”. This is factual for those people who have low income and are “paying under 125 dollars per month” Marketplace (2014).

Medicare Part C is “Medicare Plus (+) Choice plans offer a number of health care options in addition to those available under Medicare Part A and Part B.” Fordney, M. T. (2017). The plans on Medicare Part C include, “health maintenance organizations (HMOs), fee-for-service plans, provider-sponsored organizations, religious fraternal benefit societies (RFBS), and Medicare medical savings accounts.” Fordney, M. T.

One of the problems of Medicare itself is that it doesn't cover the costs of prescription drugs for its members; this has led to one of the major reasons that the program is in danger. A great deal of personal healthcare relies on the use of drugs, and since the program doesn't cover these costs, the individual must bear them. According to the AARP, in 1999 out-of-pocket costs for prescription drugs were estimated to be $450 per person each year (AARP). Obviously, members have joined the program to defray their medical costs, but these figures indicate that they still have large costs to pay. The other problem faced by the Medicare program is that it is also suffering from a lack of funds. According to Governor George W. Bush, the financial health of Medicare is in serious jeopardy and might face deficit as soon as 2010 (Bush). As a result of these major problems, one might wonder why the plan isn't scrapped for another program; well according to polls done by the Public Agenda, an Internet public policy site, American citizens are strongly in favor of Medicare, and would rather see the problems ironed out (Public Agenda). Therefore it is necessary to come up with a solution, so that the Medicare program remains intact.

The major purpose of this work is to completely discuss about the Medicare Part D which will set an influence on the different interest groups and all the entities of government which have been set under the policy changing process. There has been a complete set environment which involved and shape the policy to make efforts as to how all the groups of the stakeholders are influences with the Medical Part D. All the legislation and the specific strategies are made in correspondence to the politics. (Powell et al., 2015). The Medicare Part D is also said to be Medicare prescription drug benefit which directs to setting the United States Federal government programs to work on the subsidizing costs of all the drugs of prescription which insure premiums for the Medicare in US. There is a great enactment which has been based on Medicare Modernization Act of 2003. In December 2003, there are major Medicare Prescriptions which have become into the Improvement and Modernisation Act to become a proper law. There has been a great benefit from the drugs which provides an entire coverage to all the disables and the elderly people who could not have the ability to manage it.