The NRLN has produced Video/Podcast Series 2, Episode 3 for 2022 – Congress Must Take Action to Reduce the Price of Prescription Drugs. In this episode, Ed Beltram, NRLN VP-Communications, and I address the high cost of prescription drugs, how an Rx discount card provides savings, NRLN lobbying efforts to reduce drug prices, and House and Senate bills we support.
LISTEN TO THE PODCAST ABOVE!
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Appeals Court Ruling Favors Medicare Patients
A federal appeals court has ruled that Medicare patients are entitled to an appeal process at the Centers for Medicare and Medicaid Services (CMS) when their hospital stay classifications are changed from “inpatient” to “observation” status.
You may recall the NRLN has issued Action Alerts on this issue that has resulted in retirees not being aware they were misclassified as “under observation” by hospitals. After release, if they spent weeks in rehab centers, they received bills for tens of thousands of dollars. This ruling could result in significant financial savings for Medicare Part A patients. If a senior needed skilled nursing care following a stay in a hospital, Medicare would not cover the cost unless he/she was in the hospital as an “inpatient” for at least three days (not including the date of discharge). There was not a process to appeal to Medicare a hospital’s classification of “outpatient.”
Under the court’s decision, Medicare beneficiaries whose status was changed from “inpatient” to “observation” can now appeal the hospital’s classification to Medicare. The Court of Appeals for the Second Circuit upheld the trial court decision that had found that Medicare’s lack of appeals procedures on this issue violates the Due Process Clause of the constitution.
How much did your U.S. Representatives and Senators take as campaign contributions from the Pharmaceutical and Health Products Industry for their recent election campaigns and the current 2019-20 one? Could this be a reason why bills to reduce the price of prescription drugs are not being passed?
To see data that the NRLN has compiled from OpenSecrets.Org, Center for Responsive Politics, CLICK THE BUTTON BELOW.
All Senators and Representatives are now shown by state and amount for ease of reviewing your state’s delegation.
NRLN Provides New “Report Card” Feature on Members of Congress. Do your Senators or Representative support bills that help retirees?