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Morning Briefing

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Monday, Nov 15 2021

Full Issue

Medicare Premiums Jump Because Of Alzheimer's Drug

Aduhelm, the Alzheimer's drug made by Biogen, which costs $56,000 a year, is driving up the overall price that all older Americans pay for Medicare outpatient care. The 14.5% increase is the third-largest percentage increase since 2007.

The standard monthly premium for Medicare outpatient, or 鈥淧art B,鈥 coverage, will be $170.10 in 2022, up from $148.50 in 2021, senior Biden administration officials said Friday. The $21.60 increase is the largest annual dollar-amount rate hike ever for Part B coverage, while the 14.5% increase is the third-largest percentage increase since 2007. (Pugh, 11/12)

Seniors on Medicare will have to pay more than $20 more per month extra in premiums next year, a large increase that officials in part attributed to possible coverage of a pricey and controversial new Alzheimer's drug.聽The Biden administration announced Friday that the monthly premium for Medicare Part B, which covers services like doctors office visits, will increase by $21.60, from $148.50 in 2021 to $170.10 in 2022. Officials said that is one of the largest increases in recent years.聽(Sullivan, 11/12)

Medicare members' monthly premiums for physician and outpatient services will increase nearly 15% in 2022, the Centers for Medicare and Medicaid Services said in a news release Friday. The agency attributed the increases to rising healthcare prices driven by COVID-19-related care, lawmakers' moves to lower 2021 premiums during the pandemic and the potential for pricey drugs like Biogen's Aduhelm to receive coverage. (Tepper and Goldman, 11/12)

In other Medicare news 鈥

The Centers for Medicare and Medicaid Services finalized its decision Friday to repeal a rule that would have created an expedited Medicare coverage pathway for medical devices considered "breakthrough technology." The rule, originally finalized in the last days of the Trump administration, would have allowed Medicare to cover devices deemed "breakthrough" by the Food and Drug Administration for four years once they received market authorization. Medicare beneficiaries can currently get breakthrough devices covered through other methods, like a national coverage determination, but this would have sped the process. (Goldman, 11/12)

Also 鈥

KHN: Journalists Offer Primers On Medicare Open Enrollment And Death Benefits Amid Covid

KHN contributing writer and former columnist Michelle Andrews discussed on Newsy on Tuesday how unvaccinated workers risk losing the death benefits they would have otherwise received if they die of covid-19. KHN chief Washington correspondent Julie Rovner discussed Medicare open enrollment on WBUR-NPR鈥檚 鈥淗ere & Now鈥 on Monday. She also discussed covid vaccines for children on WAMU-NPR鈥檚 鈥1A鈥 on Nov. 5. (11/13)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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