"The question becomes how we can strengthen the retirement security of today's retirees, while strengthening funding for both Medicare and Social Security at the same time," Johnson says. .The jury is still out on value-based health systems, and whether they can save any significant amount of money remains to be seen. The Congressional Budget Office issued a recent report outlining a number of issues and unintended consequences such as providing an incentive for providers to improve their "quality rankings" by avoiding sicker patients. Critics say that the system places a new burden on primary care doctors that would potentially punish providers financially for patients' bad health habits and behaviors. .Although home health workers are one of the fastest-growing segments of the labor market, they typically earn about ,000 per year, often without benefits. .TSCL is very disappointed to hear President Trump continue to demand a payroll tax cut before he will agree to any new legislation dealing with the effects of the pandemic emergency. .Sources: "Salaries of Members of Congress," Ida A. Brudnick, Congressional Research Service, February 1, 2012. .We will be watching all of the candidates closely as we approach the November elections. Seniors are not being over-paid by Social Security and are not under-paying for Medicare. Getting Congress to pass a fair COLA that reflects the true cost of living for Seniors' remain one of our top priorities and we will keep you informed about what the candidates say about the Social Security and Medicare issue and details on their platforms are released. .TSCL's Board of Trustees on Capitol Hill .House Majority Leader Steny Hoyer (D-Md.) said he still expects the House to consider regular fiscal year 2021 spending bills beginning in June. But Senate Leader McConnell has not discussed any timetable for the bills coming out of the Senate Appropriations Committee, which must happen before the full Senate can consider the legislation. The Appropriations Committee got off to a late start, and it is not clear the committee will keep its summer working schedule. As a result, there is growing expectation that – once again - a continuing resolution will be needed to prevent a government shutdown on the eve of the election and that lawmakers will complete their work on the spending measures in a lame-duck session. .These overpayments occur because payments to plans are adjusted to pay more for older and sicker enrollees, and less for enrollees who are young and healthy. As well documented by the Medicare Payment Advisory Commission, Medicare Advantage plans use a variety of strategies to "document" enrollee medical conditions, including repeated, calls to homes in attempts to "update" health histories, and to schedule home visits from nurses to conduct health risk assessments even when patients have emphatically declined the visit.