NEW: CMS Reports $27M in Medicare Savings for RI Under ACA

Monday, October 28, 2013

 

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The Centers for Medicare & Medicaid Services (CMS) announced today that health care reform efforts are resulting in "significant out-of-pocket savings for Medicare beneficiaries," pointing to zero growth in 2014 Medicare Part B premiums and deductibles, and more than $8 billion in cumulative savings in the prescription drug coverage gap known as the “donut hole.”

The report released today shows that the average discount for Rhode Island Medicare beneficiaries in 2013 to be $658 -- and that the total amount of savings for Rhode Island to date has been $27,031,190.

See savings chart here.  

“We continue to work hard to keep Medicare beneficiaries’ costs low by rewarding providers for producing better value for their patients and fighting fraud and abuse. As a result, the Medicare Part B premium will not increase for 2014, which is good news for Medicare beneficiaries and for American taxpayers,” said CMS Administrator Marilyn Tavenner.

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ACA Savings According to CMS

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According to CMS, since the Affordable Care Act provision to close the prescription drug donut hole took effect, more than 7.1 million seniors and people with disabilities who reached the donut hole have saved $8.3 billion on their prescription drugs. In the first nine months of 2013 nearly 2.8 million people nationwide who reached the donut hole this year have saved $2.3 billion, an average of $834 per beneficiary. These figures are higher than at this point last year (2.3 million beneficiaries had saved $1.5 billion for an average of $657 per beneficiary).

The health care law gave those who reached the donut hole in 2010 a one-time $250 check, then began phasing in discounts and coverage for brand-name and generic prescription drugs beginning in 2011. The Affordable Care Act will provide additional savings each year until the coverage gap is closed in 2020.

CMS said the standard Medicare Part B monthly premium will be $104.90 in 2014, the same as it was in 2013. The premium has either been less than projected or remained the same, for the past three years. The Medicare Part B deductible will also remain unchanged at $147. The last five years have been among the slowest periods of average Part B premium growth in the program’s history.

People with Medicare don’t need to sign up for the new Health Insurance Marketplace, as they are already covered by Medicare. According to CMS, the Marketplace won’t affect Medicare choices, and no matter how an individual gets Medicare, whether through Original Medicare or a Medicare Advantage Plan, they still have the same benefits and security they have now. 

 

Related Slideshow: Check Out The Grades: Rhode Island Hospitals Report Card

A recent survey released by The Leapfrog Group assigns a Hospital Safety Score, using the report card system of A to F to each of the hospitals in Rhode Island. These grades are based on expert analysis of injuries, infections and errors that cause harm or death during a hospital stay.

Let's see how each of Rhode Island's hospitals were graded from highest to lowest:

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South County Hospital

Wakefield, RI

 

Fall 2013 Grade: A

Spring 2013 Grade: A

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Kent County Memorial Hospital

Warwick, RI

 

Fall 2013 Grade: B

Spring 2013 Grade: C

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Memorial Hospital of RI

Pawtucket, RI

 

Fall 2013 Grade: B

Spring 2013 Grade: Not Graded*

 

*Not graded due to lack of publicly available data

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Miriam Hospital

Providence, RI

 

Fall 2013 Grade: B

Spring 2013 Grade: B

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Newport Hospital

Newport, RI

 

Fall 2013 Grade: C

Spring 2013 Grade: B

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Rhode Island Hospital

Providence, RI

 

Fall 2013 Grade: C

Spring 2013 Grade: C

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Roger Williams Medical Center

Providence, RI

 

Fall 2013 Grade: C

Spring 2013 Grade: C

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St. Joseph Health Services of Rhode Island

Providence, RI

 

Fall 2013 Grade: C

Spring 2013 Grade: B

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Landmark Medical Center

Woonsocket, RI

 

Fall 2013 Grade: Not Graded*

Spring 2013 Grade: Not Graded*

 

*Not graded due to lack of publicly available data

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Women & Infants Hospital of RI

Providence, RI

 

Fall 2013 Grade: Not Graded*

Spring 2013 Grade: Not Graded*

 

*Not graded due to lack of publicly available data

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Westerly Hospital

Westerly, RI

 

Fall 2013 Grade: Not Graded*

Spring 2013 Grade: Not Graded*

 

*Not graded due to lack of publicly available data

 
 

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