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NEW: CMS Reports $132M in Medicare Savings for MA Under ACA

Monday, October 28, 2013

 

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 Massachusetts Medicare beneficiaries in 2013 to be $751 -- and that the total amount of savings for Massachusetts to date has been $132,789,573.

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.

ACA Savings According to CMS

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: Central MA Non-Profit Hospital CEO Pay, From Least To Most

Here are the total annual compensation amounts for the CEOs of the four non-profit hospital groups in Central Massachusetts. The source is each hospital group’s latest available 990 Return of Organization Exempt from Income Tax, which is filed with the IRS and available at Guidestar.org. The CEOs are shown here, from lowest to highest total compensation.

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#4 Winfield Brown

Salary: $192,828

President and CEO, Heywood Healthcare, with campuses in Athol and Gardner

Note: Henry Heywood Memorial Hospital and Athol Memorial Hospital merged in January 2013 to form Heywood Health Care. Brown, who had been president and CEO of Athol Memorial, became head of Heywood Health Care in August 2011. Daniel Moen, who had been president and CEO of Henry Heywood Memorial, was terminated in January 2011. His total compensation for fiscal 2011 was $993,456.

Latest available 1099 filing: Athol Memorial

Latest available 1099 filing: Henry Heywood Memorial

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#3 Edward Moore

Salary: $461,607

President and CEO, Harrington Memorial Hospital, Southbridge

Latest available 1099 filing

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#2 Francis Saba

Salary: $603,232

CEO, Milford Regional Medical Center, Milford

Latest available 1099 filing

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#1 John O'Brien

Salary: $2,358,455

Former President and CEO, UMass Memorial Health Care, with campuses in Worcester, Clinton, Leominster, Marlboro and Palmer

Note: John O’Brien retired as president and CEO in January 2013. Dr. Eric Dickson, MD, became the new president and CEO the following month. The UMass Memorial news release announcing Dickson’s appointment did not include his compensation package. According to UMass Memorial’s latest available 1099 form, Dickson received a total of $650,589 in compensation during the fiscal year that ended September 30, 2012.

Latest available 1099 filing

 
 

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