This advocacy agenda offers options for improving health and health care at the state level during the 2019 session. It includes state policy options to consider in 2019 regarding private insurance coverage, Medicaid, oral health coverage, health equity, prescription drugs, surprise medical bills, and health care value.
Late last year, the Trump administration released a proposed rule as part of its efforts to lower prescription drug prices that, if finalized, could have a significant impact on Medicare beneficiaries’ ability to access certain drugs under Medicare Part D. Medicare Part D, which covers prescriptions drugs beneficiaries pick up at pharmacies, is administered by private Part D plans. Much like commercial health insurance plans, these Part D plans use formularies to establish which drugs are covered and at what level of beneficiary-cost sharing.
Families USA, Community Catalyst, and over 45 national organizations representing health care stakeholders sent this letter to Congressional leadership, urging them to heed the strong message sent by the midterm elections and pursue an agenda that ensures the best health and health care are equally accessible and affordable to all. On November 6, voters from across the country and from all walks of life voted for high quality and affordable health care.
Millions of seniors and people with disabilities rely on Medicare for their health care, but it does not cover their oral health care. Even if someone needs dental care in order to have a medical procedure—like a kidney transplant patient who needs an oral infection treated to begin surgery -- Medicare won’t cover the oral health care.
Nobody wants a root canal, but millions of Americans with mouth pain know it might be their best shot at protecting a tooth and stopping an infection from spreading—if they can afford it. Oral health affects all health and too many people in this country cannot access care. That’s why the Senate is considering the Action for Dental Health Act. But this measure should be the first appointment on our nation’s oral health checkup.
Six million Californians rely on the Medicare program. Nationally, about two-thirds of Medicare beneficiaries do not have any coverage for oral health care. Medicare currently covers almost no oral health care. This fact sheet describes how seniors are affected by this lack coverage.
In July, Families USA joined the American Dental Association, Oral Health America, Center for Medicare Advocacy, Justice in Aging, DentaQuest Foundation, Santa Fe Group and other industry leaders, in releasing An Oral Health Benefit in Medicare Part B: It’s Time to Include Oral Health in Health Care, a white paper on the need for Medicare to include dental coverage.
We would like to share just one story about how a Medicare oral health benefit could change someone’s life. Cheryl in Olympia, Washington, has gone nearly 10 years without comprehensive oral health care.
Medicare doesn’t cover one part of the body that causes many health problems—the mouth. Two-thirds of the seniors and people with disabilities on Medicare do not have any oral health coverage and their health is worse for it. Millions of people could live healthier, happier lives if oral health coverage is added to Medicare.
Families USA and Kentucky Voices for Health held a telebriefing for media discussing in detail the recent series of Medicaid eligibility restrictions approved by the Centers for Medicare and Medicaid Services (CMS) under executive branch waiver authority.