Morning Briefing
Summaries of health policy coverage from major news organizations
Medicare Trust Fund Gains A Little Breathing Room
A stronger-than-expected economic recovery from the pandemic has pushed back the go-broke dates for Social Security and Medicare, but officials warn that the current economic turbulence is putting additional pressures on the bedrock retirement programs. The annual Social Security and Medicare trustees report released Thursday says Social Security鈥檚 trust fund will be unable to pay full benefits beginning in 2035, instead of last year鈥檚 estimate of 2034. The year before that it estimated an exhaustion date of 2035. (Hussein and Murphy, 6/2)
The financial outlook for Medicare improved in the past year, and the program鈥檚 funding to pay all the costs for hospital services of older and disabled beneficiaries won鈥檛 run out until 2028, two years later than last year鈥檚 estimated date. Once the program鈥檚 reserves are depleted, it would only be able to cover 90 percent of the expected costs, according to the annual report from Social Security and Medicare trustees released Thursday. (Weixel, 6/2)
The forecast for Medicare鈥檚 hospital trust fund improved. It is now expected to encounter a shortfall in 2028, two years later than forecast in last year鈥檚 report. That change is due mostly to the improved economic forecast, since the program is funded through payroll taxes. The actuaries do not expect the pandemic to have any substantial long-term impact on the trajectory of Medicare spending, according to the report. Spending on many elective services declined during the pandemic, while spending on vaccines and treatment for Covid-19 increased. The actuaries said they expected medical spending to return to its normal trend in a few years. But they noted that there was 鈥渁 large degree of uncertainty鈥 about the future of spending related to the virus. (Bernard and Sanger-Katz, 6/2)
In other Medicare news 鈥
Progressives are criticizing the Biden administration鈥檚 recent announcement that the 2022 Medicare premium will not be cut despite lower-than-expected costs for a new Alzheimer鈥檚 medicine. The cost of a premium jumped by $21.60 to a minimum of $170.10 and a maximum of $578.30 in 2022, the largest increase in the program鈥檚 history. Premiums are based in part on income and tax-filing status. (Choi, 6/3)
An Irving-based molecular science firm has agreed to pay $2.8 million to聽settle a claim聽that it delayed molecular tests for breast cancer patients in order to receive a higher payout from Medicare. Caris Life Sciences Inc. allegedly violated the False Claims Act by improperly billing Medicare for laboratory tests known as 鈥淐aris Molecular Intelligence鈥 and the 鈥淎DAPT Biotargeting System.鈥 Two whistleblowers tipped off the Justice Department, according to the U.S. Attorney鈥檚 office in Brooklyn. Caris did not admit wrongdoing in the settlement. (Skores, 6/2)
CareMax, a publicly traded value-based care provider, announced acquisition plans that will more than quintuple its current number of covered seniors and open the door to hundreds of thousands more. The company announced Wednesday morning plans to acquire Steward Health Care System鈥檚 Medicare value-based care business for a combination of cash and stock valued at roughly $135 million. (Muoio, 6/1)