Medicare Overpaid $251 Million in 18 Months for Drugs

Medicare Overpaid $251 Million in 18 Months for Drugs

iStockphoto
By Ciro Scotti

By reimbursing certain drug providers based on outdated pricing, Medicare has squandered millions of dollars that could have been saved if the recommendations of a government watchdog had been followed.

As reported by The Washington Examiner, the Office of the Inspector General for the Health and Human Services Dept. found that Medicare has continued to pay providers of infusion drugs, which are delivered through IV pumps, at higher prices than necessary. HHS is paying providers based on 2003 prices when the drugs were more expensive--this despite warnings from the IG, most recently in February, 2013.

“Medicare payment amounts for infusion drugs…substantially exceeded the estimated acquisition costs,” according to findings reported on the IG’s website.

The IG said that had its recommendations been implemented, $251 million would have been saved over an 18-month period.

The Centers for Medicare & Medicaid Services (CMS) apparently ignored the IG when it proposed that the agency push legislation that would have brought the method of reimbursement for infusion drugs in line with the process for other pharmaceuticals. As an alternative, the IG recommended that the CMS employ competitive bidding to supply infusion drugs.

 “CMS partially concurred with the first recommendation, but has not taken steps toward seeking legislation,” The IG’s report said. “CMS concurred with the second recommendation but said subsequently that…infusion drugs will not be included in competitive bidding until at least 2017.”

So presumably the overpaying won’t stop anytime soon.

4 Ways to Fix Social Security

iStockphoto/The Fiscal Times
By Beth Braverman

Social Security celebrates its 80th birthday today, and the popular program that provides paychecks for 44 million elderly Americans is in need of a safety net of its own.

As the amount claimed by recipients continues to outpace the amount of money contributed by workers, the system will need to dip into its reserves to keep up with its obligations by 2020. Within 15 years after that (if nothing changes), those reserves will be gone and the system will only be able to pay 77 cents on every dollar owed, an amount that will continue to decrease with time.

The problem is even more acute given that future retirees won’t have the same access to pensions that many current retirees use to fund their retirement, and younger workers haven’t saved nearly enough to cover the costs they’ll face when they stop working.

To close the projected gap, the country needs to raise revenue, reduce benefits or some combination of the two. Here are four of the most commonly proposed solutions:

1. Raise the retirement age. For most Americans, the full retirement age (at which you can get full benefits) ranges from 65 through 67. Advocates of this solution would reduce the amount the government pays in Social Security by gradually pushing back the age at which you’re eligible for full benefits.

The drawback: Many Americans are already forced into retirement before they reach age 65. If they claim early and receive reduced benefits they may not have enough money to meet their basic needs. Also, workers in physically demanding jobs many not be able to work those extra years.

2. Raise the payroll cap. Social Security is funded via payroll taxes, which currently are only levied on the first $118,500 of income. That means that high earners effectively pay a much lower rate toward Social Security than others. Hiking or eliminating that cap, advocates say, would create a fairer system and increase revenue.

The drawback: Critics of this solution claim that increasing taxes on middle- and upper-income earners would reduce their income and stifle the country’s economic growth.

Related: 6 Popular Social Security Myths Busted

3. Institute a means test. While the vast majority of recipients (80 percent, per AARP) rely on Social Security as an integral part of funding their retirement, extremely high net worth individuals don’t need the additional income. This solution would create a net worth or retirement income threshold over which eligibility for social security phases out.

The drawbacks: It could be politically difficult to settle on a threshold, which might vary depending on the geography of a recipient. Plus, this would require people to pay into a system from which they get no benefits.

4. Freeze the cost of living adjustment. Social Security payments have historically been adjusted based on inflation as measured by the Consumer Price Index. This has been minimal in recent years, but the long-term, compounding effect of inflation makes this provision incredibly expensive.The drawbacks: For many people, Social Security is the only inflation-linked retirement income stream that they have. Limiting it could push some retirees over the financial edge as prices rise. 

The Surprising Reason for the Boom in Snack Sales

Potato Chips
Wikimedia Commons/Evan-Armos
By Beth Braverman

Americans are increasingly dining alone, and they’re opting for snacks rather than full meals, according to a new report from NPD group.

A key driver of the trend is the growing number of single-person households, since solo eaters are more likely to opt for snack foods for dinner. Nearly a quarter of all snack foods consumed last year were consumed at mealtime.

“Smaller household sizes and eating alone are among the growing factors with snacking,” NPD food and beverage industry analyst Darren Seifer said in a statement. “Food manufacturers should think about the unique needs of the solo consumer when developing products and packaging, and marketing messages should be crafted to be relevant to them and their snacking behaviors.”

Related: The 12 Hottest Food Trends for 2015

A separate report released by Nielsen last year found that more than half of global diners had selected snacks in the past 30 days to replace a lunch, 48 percent had snacked for breakfast and 41 percent had snacked for dinner.

When making their selection, single diners prefer single-serve packages and are increasingly turning to “better-for-you” snacks, like fresh fruit, breakfast bars, and yogurt, NPD found.

Food manufacturers are starting to adapt to the demand for healthier options. In June, General Mills said it would stop using artificial colors and flavors by 2016, and Kellogg Co. has vowed to do so by 2018.

Even as demand grows for healthier snacks, the most popular snacks in North Americans might make a nutritionist cringe. Nielsen found that the most popular snacks were chips, followed by chocolate and cheese.

Top Reads from the Fiscal Times:

Obamacare Drives Uninsured Rate to Record Low

REUTERS/Kevin Lamarque
By Millie Dent

With the number of Americans lacking health insurance in decline, the rate of uninsured Americans has hit a record low, reaching levels not seen since the National Center for Disease Statistics began keeping records in 1972.

In the first quarter of 2015, 9.2 percent of all Americans were uninsured, according to new data from the Center for Disease Control and Prevention, down from 11.5 percent in 2014. The total number of uninsured Americans fell by 7 million over the past year, from 36 million in 2014 to 29 million in the first three months of 2015.

The largest declines were seen among adults who were poor or near-poor, suggesting that the Affordable Care Act was responsible for the most significant gains in coverage. Both groups dropped from uninsured rates near 50 percent in 2010 to 28 percent among poor adults and 23.8 percent among near-poor adults in 2015.

While Democrats are citing data as evidence that the Affordable Care Act is working, Republicans will likely argue that the reduction is being driven by an improving economy and a steadily declining unemployment rate. 

Arkansas and Kentucky continue to record the most noticeable reductions in uninsured rates since Obamacare took effect at the beginning of 2013, according to a new report by Gallup. Texas is the only state to still have an uninsured rate higher than 20 percent. 

We Built a $335 Million Power Plant in Afghanistan that Can Barely Turn on Lightbulb

Ohm! What a Good Idea!
REUTERS/Regis Duvignau
By Millie Dent

USAID is denying that a $335 million “vital component” of their mission to aid the massive energy deficit in Kabul, Afghanistan is an utter failure, but a new report contradicts that claim.

A power plant built by U.S. Agency for International Development (USAID) is extremely underused and in danger of being wasted, according to the Special Inspector General for Afghanistan Reconstruction (SIGAR). USAID attempted to defend itself by saying the plant was only built to provide occasional backup and insurance for Kabul’s electrical grid, not for electrical power on a continuous basis. SIGAR’s report provides evidence that the plant was built for regular usage.

Related: U.S. Military Builds a $15 Million Warehouse That Nobody Wants 

First, the basis of design was for a base load plant, built to operate 24 hours per day, 7 days a week. Also, the plant hasn’t made any impact on reducing Kabul’s massive energy deficit that USAID says is one of the plant’s main priorities. Not only is it not being used regularly, but it’s not even contributing additional electricity to increase the overall power supply in Kabul. 

The Tarakhil Power Plant was built in July 2007 on the outskirts of Kabul, with the intention of supplying 18 diesel engines worth of operating power. Since Da Afghanistan Breshna Sherkat (DABS) – Afghanistan’s national power utility – assumed responsibility for the operation and maintenance of the facility in 2010, the plant has only performed at a shred of its total capability. Between July 2010 and December 2013, the USAID IG found that the plant performed at a mere 2.2 percent of its potential. 

Since the Tarakhil Power Plant was used incorrectly and only on an intermittent basis, the plant has suffered premature wear and tear on its engine and electrical components. The damage is expected to raise already steep operation and maintenance costs. 

Top Reads from the Fiscal Times:

We Built a $335 Million Power Plant in Afghanistan that Can Barely Turn on Lightbulb

Ohm! What a Good Idea!
REUTERS/Regis Duvignau
By Millie Dent

USAID is denying that a $335 million “vital component” of their mission to aid the massive energy deficit in Kabul, Afghanistan is an utter failure, but a new report contradicts that claim.

A power plant built by U.S. Agency for International Development (USAID) is extremely underused and in danger of being wasted, according to the Special Inspector General for Afghanistan Reconstruction (SIGAR). USAID attempted to defend itself by saying the plant was only built to provide occasional backup and insurance for Kabul’s electrical grid, not for electrical power on a continuous basis. SIGAR’s report provides evidence that the plant was built for regular usage.

Related: U.S. Military Builds a $15 Million Warehouse That Nobody Wants 

First, the basis of design was for a base load plant, built to operate 24 hours per day, 7 days a week. Also, the plant hasn’t made any impact on reducing Kabul’s massive energy deficit that USAID says is one of the plant’s main priorities. Not only is it not being used regularly, but it’s not even contributing additional electricity to increase the overall power supply in Kabul. 

The Tarakhil Power Plant was built in July 2007 on the outskirts of Kabul, with the intention of supplying 18 diesel engines worth of operating power. Since Da Afghanistan Breshna Sherkat (DABS) – Afghanistan’s national power utility – assumed responsibility for the operation and maintenance of the facility in 2010, the plant has only performed at a shred of its total capability. Between July 2010 and December 2013, the USAID IG found that the plant performed at a mere 2.2 percent of its potential. 

Since the Tarakhil Power Plant was used incorrectly and only on an intermittent basis, the plant has suffered premature wear and tear on its engine and electrical components. The damage is expected to raise already steep operation and maintenance costs.