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Impact Of Medicare Part D On Medical Spending Addressed By NEJM Study
After enrolling in Medicare Part D, seniors who previously had limited or no drug coverage spent more on prescriptions and less on other medical care services such as hospitalizations and visits to the doctor"s office, according to a University of Pittsburgh Graduate School of Public Health study. Published in the July 2 issue of the New England Journal of Medicine, the study also found that seniors who had relatively good drug benefits prior to enrolling in Medicare Part D spent somewhat more on prescriptions and, at the same time, increased their spending on other medical care services.
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Divisions Over Future Medicare Spending Surface In House
"A week-old agreement among House Democrats to smooth out disparities in the way Medicare reimburses rural and urban health providers is in danger of crumbling, as disputes erupted Friday over what actually was agreed to," The Wall Street Journal reports. "Some lawmakers from states with high health-care costs are also pressing House Democratic leaders for changes to the deal to ensure that their doctors and hospitals don"t see too big of a bite. ò€¦ Lawmakers from populous areas are questioning whether the deal on geographic disparities should be altered to allow more time for Medicare changes to take effect, since there is no longer the urgency of putting those changes into effect before the public option is rolled out. Another issue is for how long a period of time after changes go into effect urban hospitals should be "held harmless," meaning they won"t see their Medicare reimbursements cut" (Vaughan, 8/2).
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National Advocacy Organization Representing Home Oxygen Patients Praises Introduction Of Medicare Home Oxygen Therapy Act
Providing a voice to home oxygen patients nationwide, including patients with chronic obstructive pulmonary disease (COPD) and other lung diseases, the National Emphysema/COPD Association (NECA) today called the Medicare Home Oxygen Therapy Act of 2009 (H.R. 3220) a patient-focused piece of legislation that protects the best interests of the nation"s 1.5 million beneficiaries and promotes quality home oxygen care.
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Mental Health America Commends Inclusion Of Mental Health, Substance Use Coverage In Health Reform Legislation

Mental Health America today commended Senate and House health reform legislation for including mental health and substance use coverage in a benefit package. Both the health reform package introduced on Tuesday by House leaders and a bill approved yesterday by the Senate Education Labor and Pensions (HELP) Committee would ensure that mental health and substance use services are considered essential benefits and would be available to all individuals covered through the new federal program for the uninsured. "Recent studies have confirmed that a large proportion of low-income, uninsured individuals have poor mental health," said David L. Shern, Ph.D., president and CEO of Mental Health America. "We are pleased that both health reform proposals take the important step of including mental health and substance use coverage as essential benefits." Dr. Shern testified before a House subcommittee last month on the need to include mental health as part of health reform. (The prepared testimony can be found here.) Mental Health America also expressed appreciation that both the Senate and House bills include mental health and addiction treatment parity provisions in the programs that would be established to cover the uninsured, including individuals applying for coverage independently. Mental health and addiction treatment have historically been subject to blatantly discriminatory limits on coverage through private insurance plans that block access to effective and critically needed therapies. "We want to ensure that all health care plans offered through this new federal program comply with the principle of nondiscrimination and parity for behavioral health services," Dr. Shern said. Legislation enacted last year, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act, prohibits unequal treatment limits and financial requirements for mental health and substance use treatment in group health plans for more than 50 workers. But that bill does not cover all health insurance plans. Mental Health America also commended the legislation for establishing key market reforms including prohibiting preexisting condition exclusions. Dr. Shern said both bills would help improve chronic care management and lower health costs by promoting development of medical homes and other care coordination models. "It is critical that behavioral health specialists are included in the treatment teams established through these care models and also that mental health or addiction treatment facilities be allowed to serve as medical homes, said Dr. Shern. "Mental health disorders are the leading cause of disability in the United States based on burden of disease and these conditions often accompany and greatly increase the cost of treating other chronic illnesses, including diabetes, asthma, cancer and heart disease." Mental Health America has placed a high priority on improving access to preventive services and mental health promotion as a key component of health care reform and is pleased that both the HELP and House bills include a number of provisions to improve coverage of health risk assessments and screening services as well as support for community-based prevention programs. Mental Health America


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