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s starting in 2029 20 more will be chosen a year that said other provisions in the legislation have already led to savings for seniors said tricia neuman a senior vice president at kff certain recommended adult vaccines covered under medicare part d such as shingles are covered at no cost the act established a cap on part d spending that begins phasing in this year this year part d enrollees will pay no more than 3 300 on brand name drugs in 2025 the cap for all covered part d drugs drops to 2 000 the inflation reduction act included the 35 a month insulin cap improvements in coverage for low income beneficiaries and the inflation rebate when we pressed the white house to provide examples of savings that have already occurred a spokesperson pointed to the insulin cap meanwhile antos said that although the part d rebate has kicked in the savings come from a small subset of part d drugs taken by older americans and that the government reaps the savings not older americans there is no reason to expect that seniors will see significant savings since there s no obligation for the feds to distribute savings to part d enrollees antos said our ruling biden said we cut the federal deficit by 160 billion because medicare will no longer have to pay those exorbitant prices to big pharma biden s statement omits the time frame the savings have not been realized the cbo projected 10 year cumulative savings of 161 7 billion from two provisions of the legislation and as for saving older americans money on their prescriptions that hasn t happened yet the federal government is negotiating the first 10 drugs with the new prices set to take effect in 2026 we rate this statement half true kff health news is a national newsroom that produces in depth journalism about health issues and is one of the core operating programs at kff an independent source of health policy research polling and journalism learn more about kff post_title string 90 biden said medicare drug price negotiations cut the deficit by 160b that s years away post_excerpt string 154 president joe biden said that legislation he signed gave medicare the power to negotiate lower prescription drug prices but those impacts are years away post_status string 7 publish comment_status string 6 closed ping_status string 6 closed post_password string 0 post_name string 84 biden said medicare drug price negotiations cut the deficit by 160b thats years away to_ping string 0 pinged string 0 post_modified string 19 2024 03 25 15 00 24 post_modified_gmt string 19 2024 03 25 19 00 24 post_content_filtered string 0 post_parent int 0 guid string 46 https www cancertherapyadvisor com p 171862 menu_order int 0 post_type string 4 post post_mime_type string 0 comment_count string 1 0 filter string 3 raw 2 object wp_post 7469 24 id int 171207 post_author string 5 45456 post_date string 19 2024 03 13 11 00 00 post_date_gmt string 19 2024 03 13 15 00 00 post_content string 15533 margaret parsons one of three dermatologists at a 20 person practice in sacramento california is in a bind since a feb 21 cyberattack on a previously obscure medical payment processing company change healthcare parsons said she and her colleagues haven t been able to electronically bill for their services she heard noridian healthcare solutions california s medicare payment processor was not accepting paper claims as of earlier this week she said and paper claims can take 3 6 months to result in payment anyway she estimated we will be in trouble in very short order and are very stressed she said in an interview with kff health news a california medical association spokesperson said march 7 that the centers for medicare medicaid services had agreed in a meeting to encourage payment processors like noridian to accept paper claims a noridian spokesperson referred questions to cms the american hospital association calls the suspected ransomware attack on change healthcare a unit of insurance giant unitedhealth group s optum division the most significant and consequential incident of its kind against the u s health care system in history while doctors practices hospital systems and pharmacies struggle to find workarounds the attack is exposing the health system s broad vulnerability to hackers as well as shortcomings in the biden administration s response to date government has relied on more voluntary standards to protect the health care system s networks beau woods a co founder of the cyber advocacy group i am the cavalry said but the purely optional do this out of the goodness of your heart model clearly is not working he said the federal government needs to devote greater funding and more focus to the problem he said the crisis will take time to resolve comparing the change healthcare attack to others against parts of the health care system we have seen it generally takes a minimum of 30 days to restore core systems said john riggi the hospital association s national adviser on cybersecurity in a march 7 statement unitedhealth group said two services related to electronic payments and medical claims would be restored later in the month while we work to restore these systems we strongly recommend our provider and payer clients use the applicable workarounds we have established the company said we re determined to make this right as fast as possible said company ceo andrew witty providers and patients are meanwhile paying the price reports of people paying out of pocket to fill vital prescriptions have been common independent physician practices are particularly vulnerable how can you pay staff supplies malpractice insurance all this without revenue said stephen sisselman an independent primary care physician on long island in new york it s impossible jackson health system in miami dade county florida may miss out on as much as 30 million in payments if the outage lasts a month said myriam torres its chief revenue officer some insurers have offered to mail paper checks relief programs announced by both unitedhealth and the federal government have been criticized by health providers especially hospitals sisselman said optum offered his practice which he said has revenue of hundreds of thousands of dollars a month a loan of 540 a week other providers and hospitals interviewed by kff health news said their offers from the insurer were similarly paltry in its march 7 statement the company said it would offer new financing options to providers providers pressure government to act on march 5 almost two weeks after change healthcare first reported what it initially called a cybersecurity issue the health and human services department announced several assistance programs for health providers one recommendation is for insurers to advance payments for medicare claims similar to a program that aided health systems early in the pandemic but physicians and others are worried that would help only hospitals not independent practices or providers anders gilberg a lobbyist with the medical group management association which represents physician practices posted on x formerly known as twitter that the government must require its contractors to extend the availability of accelerated payments to physician practices in a similar manner to which they are being offered to hospitals hhs spokesperson jeff nesbit said the administration recognizes the impact of the attack and is actively looking at their authority to help support these critical providers at this time and working with states to do the same he said medicare is pressing unitedhealth group to offer better options for interim payments to providers another idea from the federal government is to encourage providers to switch vendors away from change healthcare sisselman said he hoped to start submitting claims through a new vendor within 24 to 48 hours but it s not a practicable solution for everyone torres said suggestions from unitedhealth and regulators that providers change clearinghouses file paper claims or expedite payments are not helping it s highly unrealistic she said of the advice if you ve got their claims processing tool there s nothing you can do mary mayhew president of the florida hospital association said her members have built up sophisticated systems reliant on change healthcare switching processes could take 90 days during which they ll be without cash flow she said it s not like flipping a switch nesbit acknowledged switching clearinghouses is difficult but the first priority should be resuming full claims flow he said medicare has directed its contractors and advised insurers to ease such changes he added health care leaders including state medicaid directors have called on the biden administration to treat the change healthcare attack similarly to the pandemic a threat to the health system so severe that it demands extraordinary flexibility on the part of government insurance programs and regulators beyond the money matters critical as they are providers and others say they lack basic information about the attack unitedhealth group and the american hospital association have held calls and published releases about the incident nevertheless many still feel they re in the dark riggi of the aha wants more information from unitedhealth group he said it s reasonable for the conglomerate to keep some information closely held for example if it s not verified or to assist law enforcement but hospitals would like to know how the breach was perpetrated so they can reinforce their own defenses the sector is clamoring for more information ultimately to protect their own organizations he said rumors have proliferated it gets a little rough any given day you re going to have to pick and choose who to believe saad chaudhry an executive at maryland hospital system luminis health told kff health news do you believe these thieves do you believe the organization itself that has everything riding on their public image who have incentives to minimize this kind of thing what happens next wired magazine reported that someone paid the ransomware gang believed to be behind the attack 22 million in bitcoin if that was indeed a ransom intended to resolve some aspect of the breach it s a bonanza for hackers cybersecurity experts say some hospitals that have suffered attacks have faced ransom demands for as little as 10 000 and as much as 10 million a large payment to the change healthcare hackers could incentivize more attacks when there s gold in the hills there s a gold rush said josh corman another co founder of i am the cavalry and a former federal cybersecurity official longer term the attack intensifies questions about how the private companies that comprise the u s health system and the government that regulates them are defending against cyberthreats attacks have been common thieves and hackers often believed to be sponsored or harbored by countries like russia and north korea have knocked down systems in the united kingdom s national health service pharma giants like merck and numerous hospitals the fbi reported 249 ransomware attacks against health care and public health organizations in 2023 but corman believes the number is higher but federal efforts to protect the health system are a patchwork according to cybersecurity experts while it s not yet clear how change healthcare was hacked experts have warned a breach can occur through a phishing link in an email or more exotic pathways that means regulators need to consider hardening all kinds of products one example of the slow at best efforts to mend these defenses concerns medical devices devices with outdated software could provide a pathway for hackers to get into a hospital network or simply degrade its functioning the fda recently gained more authority to assess medical devices digital defenses and issue safety communications about them but that doesn t mean vulnerable machines will be removed from hospitals products often linger because they re expensive to take out of service or replace senator mark warner d va has previously proposed a cash for clunkers type program to pay hospitals to update the cybersecurity of their old medical devices but it was never seriously pursued warner spokesperson rachel cohen said riggi said such a program might make sense depending on how it s implemented weaknesses in the system are widespread and often don t occur to policymakers immediately even something as prosaic as a heating and air conditioning system can if connected to a hospital s internet network be hacked and allow the institution to be breached but erecting more defenses requires more people and resources which often aren t available in 2017 woods and corman assisted on an hhs report surveying the digital readiness of the health care sector as part of their research they found a slice of wealthier hospitals had the information technology staff and resources to defend their systems but the vast majority had no dedicated security staff corman calls them target rich but cyber poor the desire is there they understand the importance riggi said the issue is the resources hhs has proposed requiring minimum cyberdefenses for hospitals to participate in medicare a vital source of revenue for the entire industry but riggi says the aha won t support it we oppose unfunded mandates and oppose the use of such a harsh penalty he said kff health news is a national newsroom that produces in depth journalism about health issues and is one of the core operating programs at kff an independent source of health policy research polling and journalism learn more about kff post_title string 88 biden team unitedhealth struggle to restore paralyzed billing systems after cyberattack post_excerpt string 187 a february 21 cyberattack on change healthcare which is owned by unitedhealth is exposing vulnerabilities in the health system and shortcomings in the biden administration s response post_status string 7 publish comment_status string 6 closed ping_status string 6 closed post_password string 0 post_name string 87 biden team unitedhealth struggle to restore paralyzed billing systems after cyberattack to_ping string 0 pinged string 0 post_modified string 19 2024 03 13 11 04 23 post_modified_gmt string 19 2024 03 13 15 04 23 post_content_filtered string 0 post_parent int 0 guid string 46 https www cancertherapyadvisor com p 171207 menu_order int 0 post_type string 4 post post_mime_type string 0 comment_count string 1 0 filter string 3 raw 3 object wp_post 7457 24 id int 170704 post_author string 5 45456 post_date string 19 2024 03 08 11 00 00 post_date_gmt string 19 2024 03 08 16 00 00 post_content string 14495 equitable access to care as well as improvements in cancer diagnosis and primary prevention strategies could prevent more than 2 million cancer deaths in women each year according to a report published in the lancet 1 researchers studied premature cancer death in 2020 among women from 185 countries who had 36 cancer types 1 2 of the 2 3 million women w...
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