News

  • Ask The Advisor January 2011 Advisor

    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. .The Department of Homeland Security (DHS) recently began a review of all pending immigration deportation cases with the goal of dismissing those of illegal immigrants with no criminal records. TSCL is concerned that the policy, which would scale back deportations of hundreds of thousands of illegal immigrants, could potentially add hundreds of billions in new costs to the growing deficit problems of Social Security, SSI, Medicare and Medicaid. .The decision on when to start benefits is not a simple one. If you have some retirement savings, or equity in a home, it may be to your advantage to delay starting benefits and to use other resources for a few months while you look for other work. Your local senior center, or colleges or public libraries may also have programs provided by retirement and financial professionals that can help provide you with guidance. To learn more, download this publication from the Social Security Administration: How Work Affects Your Benefits. … Continued

  • Legislative Update Week Ending May 19 2017

    Officials in Canada said at that time that this would not be an effective approach to reducing drug prices in the U.S. since the Canadian market is small, representing only 2% of global pharmaceutical sales, compared to 44% south of the border. .In addition, one new cosponsor – Rep. David Valadao (CA-21) – signed on to the Social Security Fairness Act (H.R. 1795) this week, bringing the total up to ninety-five. If signed into law, the bill would repeal the Government Pension Offset and the Windfall Elimination Provision – two provisions that unfairly reduce the earned Social Security benefits of millions of state and local government employees each year. .Sources: "How Much ‘Skin In The Game' Is Enough?", Kaiser Family Foundations, June 201"Measuring Price Change For Medical Care In The CPI," Bureau of Labor Statistics, accessed March 3, 2012. … Continued

Do you know what the poverty line is? It's ,880. Who could live on that? ."Using the chained CPI to calculate COLAs would make the problem even worse," Hyland contends. "The chained CPI is calculated much differently than the Consumer Price Index for Workers (CPI-W), the current CPI, and would have a significant effect on reducing the total amount of lifetime Social Security benefits that people receive," Hyland says. "The data certainly suggests this is the case," he adds. .No change to 401(k)s or IRAs: Prior to enactment, concerns were high that tax reform would restrict the amount of pretax contributions working people could make to workplace retirement accounts. Congress did not do this, and the tax rules affecting these accounts, for the most part, remain the same. .The other two actions are related to eviction protections and student loan relief. .'It´s not clear why the administration hasn't made a bigger push to line up votes to get a bill through the Senate and a deal with Congress, given strong public support to lower drug costs,' said Tricia Neuman, a Medicare expert with the nonpartisan Kaiser Family Foundation. .Medicare and many state Medicaid programs are in the process of transitioning to value-based medicine that would change the way government healthcare programs pay for care. Doctors and healthcare providers are given incentives to improve health and to reduce the incidence of chronic disease — in order to lower spending on healthcare and provide better care at a lower cost. There's emphasis on giving providers single payments for a "bundle of services" instead of paying for each service, checkup or X-ray. This reimbursement system differs from traditional fee-for-service Medicare, as well as Medicare Advantage plans' "capitated" payments, in which providers are paid more for sick patients, regardless of health outcomes. .The annual Medicare Advantage Open Enrollment period starts January 1 –March 3During this time, you will be allowed to switch to another MA plan or return to Medicare and a stand alone plan. However, if you give up your MA plan in favor of returning to original Medicare, that does not necessarily mean you would be able to buy a Medigap supplement. Medicare supplement insurers are not required by law to cover pre-existing conditions, other than during certain periods (when you first sign up for Part B or if you qualify for a Special Enrollment Period.) .While hold harmless provides valuable protection from reductions in benefits due to rising Part B costs, low inflation and high Medicare costs restrict the growth of net Social Security benefits. This occurs when Part B increases take the entire COLA. This leaves less Social Security income to cover all other rising costs such as out-of-pocket medical expenses, food and housing, requiring people to spend more of their retirement savings or to go into debt. .TSCL urges Congress to take common-sense steps like the following five to reduce prescription drug prices: allowing the federal government to negotiate lower Part D prices, capping out-of-pocket expenses for Part D beneficiaries, permitting prescription drug re-importation, prohibiting anti-competitive pay-for-delay deals, and increasing price transparency.