Savings on prescription drugs are on the way

The federal government’s new out-of-pocket spending cap for prescription drugs in Medicare Part D promises to be a big money-saver for well over 1 million beneficiaries when it takes effect next year.

The $2,000 cap, part of the Inflation Reduction Act of 2022, will lead to thousands of dollars in savings for Medicare patients who take high-cost drugs for cancer, rheumatoid arthritis, and other serious conditions. It follows the elimination this year of a longstanding requirement that Part D enrollees pay 5 percent of their drug costs out-of-pocket after their drug expenditures reach a certain threshold. 

If the cap been in place in 2021, for example, 1.5 million Medicare beneficiaries would have benefitted because their out-of-pocket costs for prescription drugs exceeded $2,000, according to Kaiser Family Foundation (KFF) after its review of Part D drug claims. About 200,000 beneficiaries spent $5,000 or more for their prescriptions that year, while another 300,000 spent between $3,000 and $5,000. The rest spent between $2,000 and $3,000. 

In six states — New York, Pennsylvania, Ohio, Illinois, North Carolina, and New Jersey — between 50,000 and 82,000 beneficiaries spent more than $2,000 out-of-pocket for prescription drugs in 2021. The numbers were higher in California, Florida, and Texas, where more than 100,000 Part D enrollees exceeded the threshold that year. In Washington, the number was 30,000.

In 2025, Medicare beneficiaries will pay no more than $2,000 out of pocket for drugs covered under Part D, Medicare’s outpatient drug benefit. This is due to a provision in the Inflation Reduction Act  (IRA), which included several changes to the Part D program designed to lower patient out-of-pocket costs and reduce what Medicare spends on prescription drugs. Surveys have shown a large majority of Americans support the Inflation Reduction Act. But he pharmaceutical industry isn’t as enamored with it. In February, representatives of big drug companies—Bristol Myers Squibb, Johnson and Johnson, and Merck–testified at a committee hearing of Congress on the subject of their companies’ opposition to the Medicare controls of drug prices, which currently are as much as four times higher in the U.S. than in other countries. Lawsuits challenging the policy have been part of the industry’s claims that price controls would harm its market-based system and potentially reduce its research and development of new drugs.

One in five U.S. adults report that they sometimes don’t buy a prescription because of the cost, while one in 10 say they’ve cut or skipped doses of medicine in the past year, according to a KFF poll. Higher drug costs also disproportionately impact low-income families, rural Americans, and people with disabilities.

Despite making billions of dollars in profits “on the backs of consumers,” the pharmaceutical companies want “to rip away savings from seniors by banning Medicare from negotiating for lower prices,” said Leslie Dach, chief executive officer of Protect Our Care.

Sources: KFF (Kaiser Family Foundation), a non-profit research organization, and Protect Our Care, a non-profit advocate of lower-cost healthcare.

Puyallup trying to attract affordable housing

The City of Puyallup has expanded its use of tax exemptions for developers in the hope of stimulating more construction of affordable housing.

The City Council recently authorized the effort to create new opportunities for developers in the city that’s currently home to about 42,000 people.

The Multifamily Tax Exemption (MFTE) program was originally only available for new construction in some of the city’s downtown. Now the program includes other downtown areas and the city’s portion of South Hill. Additionally, the River Road corridor was added to further stimulate housing and economic growth, according to Katie Baker, the city planning manager.

The expansion “will incentivize developers to look at Puyallup in a new light,” said Baker. “We know that the costs of building new housing are rising, so we need to create attractive programs that entice developers to create more housing inventory.”

 State officicals have estimated “we need to accommodate over 7,482 units of housing by 2044 to meet population growth targets,” she added.

The state Department of Commerce created the MFTE program as a way to simulate affordable housing through tax incentives for residential developers. The program allows cities to designate areas where developers can apply for and receive property tax exemptions on new housing developments for a specified time period.

Puyallup has an eight-year and a 12-year option for developers. Under the exemptions, a property owner or developer doesn’t have to pay property taxes on the residential improvements for those number of years in Puyallup. The property owner still pays taxes on commercial improvements to the land.

Under the eight-year option, there are no affordability requirements, and developers can pursue market-rate housing. For the 12-year option, at least 20 percent of the units must be offered at lower prices that are more affordable or moderate, officials said.

Take it from the Federal Trade Commission: Stay alert for scammers impersonating government personnel. They’re after your money.

According to FTC officials, many such schemes start with a phone call about an alleged problem, such as suspicious activity in an account. The story includes a claim that someone is using your information to commit crimes and that all your money is at risk. The caller tries to convince you that a court will seize the money in your bank account or retirement savings. The phony caller — who claims to be a helpful agent from the FTC, the FBI, the Border Patrol, or another government agency or organization — insists the only way to protect your money is to quickly transfer it to a more secure account. Or to cash out your savings or buy cryptocurrency or gold bars.

The truth is, instead of protecting your money, you’re about to lose it. The scammer controls the new bank or cryptocurrency accounts or sends someone to pick up the gold bars or cash “for safekeeping.”

It’s a scam if the caller says you need to buy gift cards, go to a cryptocurrency ATM, or go to the bank in person while they stay on the phone with you. And if the caller tells you to lie to anyone who asks why you’re transferring or withdrawing so much money, that’s also a clear sign of a scam.

Here is what else the FTC wants you to know and do about this scam:

• The FTC will never tell you to move your money to “protect” it.

• Ignore all unexpected requests for money in an unexpected call or message.

• Verify the story. If you think there’s a real problem with one of your accounts, use a phone number, website, or app you know is real to contact the company. Don’t use contact information in any message you received.

Source: Pierce County Aging and Disability Resources

Going green for funerals, burials

SAVVY SENIOR

By Jim Miller

Dear Savvy Senior,

What can you tell me about green funeral options? At age 80, I would like to pre-plan my funeral and make it as natural as possible. 

Old Environmentalist

Dear Environmentalist,

Great question! Green funeral options are becoming increasingly popular in the United States as more and more Americans look for environmentally friendly alternatives to traditional funerals. Here’s what you should know about “green burial” and “green cremation” options, along with some tips to help you locate services in your area.

Green burial

A green/natural burial will minimize the environmental impact by forgoing the embalming chemicals (which is not required by law), traditional casket, and concrete vault. Instead, you’ll be buried in either a biodegradable container or shroud with no vault and you won’t be embalmed. This allows the body to decompose naturally and become part of the earth.

If you want to temporarily preserve the body for viewing or a memorial service, you can request dry ice or Techni ice, a refrigeration unit, or a non-toxic embalming agent.

You’ll also be happy to know that green burials are much cheaper than traditional funerals, which average around $8,000 in 2023. By scrapping the coffin, vault and embalming, which are expensive, you’ll save yourself several thousand dollars on your funeral costs.

To find green burial services in your area, see if there’s a certified green funeral home in your area and contact them. The Green Burial Council offers an online directory of providers and other resources at GreenBurialCouncil.org. If there isn’t one nearby, contact several traditional funeral homes to see if they offer green funeral service options.

You’ll also need to find a green cemetery. There are nearly 100 throughout the U.S., along with more than 300 traditional (hybrid) cemeteries that offer green burials, too. Or, if you own rural property, you may be able to have a home burial there, if your state and county allow it.

If, however, there are no green cemeteries nearby you can still make your burial more environmentally friendly. If a vault is required, ask to have holes drilled in the bottom, or use a concrete grave box with an open bottom so the body can return to the earth.

Green cremation

If you would rather be cremated, you have some green choices. While cremation has always been touted as being more eco-friendly than a typical burial, a traditional cremation, which uses high heat to incinerate the body, does emit greenhouse gases into the air.

A green cremation, however, uses water and potassium hydroxide to reduce a deceased body to its basic element of bone ash within a few hours. This technique, which is known as alkaline hydrolysis, is a little more expensive than traditional cremation but, unfortunately, it’s not legal in every state. Contact some local funeral providers to find out if this is available in your area, or Google “alkaline hydrolysis cremation” followed by your city and state.

Another consideration is deciding what to do with the remains. Instead of scattering, which can be harmful to the environment, there are a wide variety of biodegradable urns that dissolve into the earth or water over time, and memorial urns that will grow a plant or tree in combination with your ashes.

Jim Miller is a contributor to NBC TV’s “Today.” Send senior questions for him to Savvy Senior, P.O. Box 5443, Norman, OK 73070, or at savvysenior.org.