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  • Category Legislative News Page 28

    Last year President Trump proposed lowering the prices of certain Medicare drug prices by tying those prices to lower prices paid in other developed countries. Under that proposal, prices would have been lower than they are now, but would still be a certain percentage higher than they are in other countries. The President was not satisfied with that idea, according to Health and Human Services Secretary Alex Azar. On Wednesday Azar said the President wants the proposal changed so that prices in the United States are even lower than they are in other countries. .Just years before they were set to retire, these individuals learned that they would have significantly lower benefits than originally anticipated. The issue was created by the amendments to the Social Security Act that were signed into law in 1977, and it has compounded over time. .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. … Continued

  • Tscls Medicare Advocacy Feed

    First, one new cosponsor – Representative Mike Bishop (MI-8) – signed on to the Audiology Patient Choice Act (H.R. 2276), bringing the total up to thirty-three. If adopted, H.R. 2276 would improve Medicare coverage for hearing services that are performed by licensed audiologists. Under current law, audiologists are not recognized as providers of health-related hearing services, and the Medicare program will only reimburse them for their services when patients are referred by physicians or nurse practitioners. .The benefit reduction would be caused by a feature of the Social Security benefit formula that is sensitive to economic recessions and high unemployment. The first step in calculating benefits is to adjust the individual's earnings using the average wage index (AWI) in order to convert the value of past earnings into today's dollars. The AWI is also used to adjust the earnings levels that determine the portion of their average monthly earnings that people are allowed to keep as their benefit. .Economic recession isn't entirely to blame for low inflation. For more than three decades the federal government has made a substantial number of changes to the methodology it uses to calculate the consumer price index, which is used to determine the COLA. "Virtually all the changes have tended to reduce the measured rate of inflation," Cates says. "Not surprisingly, many COLA recipients sometimes tell us they suspect the government is manipulating the inflation measure to cut spending on their benefits," he adds. … Continued

Although Part D plans are given leeway to vary how they structure their plans here is a breakdown of the standard Medicare Part D plan cost sharing in 2020: .You may be surprised to learn that Members of Congress, and their congressional staff, receive their employer-sponsored insurance through Obamacare. Their health benefits would also be affected by an Obamacare repeal as well — but unlike your sister and millions of other Americans, Members of Congress already have high quality health insurance to replace their Obamacare plans. In fact, the premium costs of some Members of Congress could go down as they transition back to getting insurance through the Federal Employees Health Benefits Program (FEHB). .According to the report, CMS has not expanded the recovery audit program to Medicare Advantage by the end of 2010 as was required by the Patient Protection Act. Recovery audits have been used for years in other Medicare programs to recover improper payments. TSCL believes Congress must provide stronger oversight to ensure that scarce Medicare dollars are spent appropriately and to prevent private insurers from boosting profits by gauging both taxpayers and older Americans. .TSCL's members and supporters are sending in thousands of petition signatures to fight the cuts that threaten senior benefits. Senior voter outcry, especially in an election year, is a highly effective means to make lawmakers wary of making major changes. .The Senior Citizens League is predicting another record-low Social Security cost-of-living adjustment (COLA) in 2020 despite skyrocketing prescription drug prices and home heating costs. Will you cosponsor the Fair COLA for Seniors Act (H.R. 1553), which would make the COLA more adequate for Social Security beneficiaries? .Our legislative team was pleased to see the Protecting Seniors' Access to Medicare Act advance out of the Ways and Means Committee this week, and we will be sure to monitor its progress as it moves to the House floor. Leaders expect it to be taken up during the week of June 15th, and it is expected to pass there with bipartisan support as well. For updates on the status of H.R. 1190, visit the Legislative News section of our website. .Economic recession isn't entirely to blame for low inflation. For more than three decades the federal government has made a substantial number of changes to the methodology it uses to calculate the consumer price index, which is used to determine the COLA. "Virtually all the changes have tended to reduce the measured rate of inflation," Cates says. "Not surprisingly, many COLA recipients sometimes tell us they suspect the government is manipulating the inflation measure to cut spending on their benefits," he adds. .While the provision is valuable protection, it doesn't apply to all Medicare Part B enrollees. Roughly 30% of all Part B beneficiaries will not be protected in 201Those people are facing a Part B premium increase of about 22.3%, from 1.80 per month to 9.00, the highest increase in 27 years. People who are not protected by the hold harmless provision include: .President Gives First State of the Union