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  • Fight Over Surprise Billing Regulations In Washington

    In January as my specialist told me goodbye, he gave me a 10-day prescription for a simple .16 antibiotic. Did I get better? Yes, at least for now. While the antibiotic treatment was inexpensive and seems effective at curing the cough, the CT scan and bronchoscopy he ordered last year cost about ,000 before insurance. Would I have done just as well getting that prescription from my primary care doctor and skipping all the rest? Maybe, but how does the patient make that judgment? .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. .Switching Drug Plans Can Save Big Money — Here's Proof … Continued

  • Legislative Update Week Ending April 3 2015

    These bills would enable retired school teachers, university employees and thousands of civil servants to receive all of the Social Security pensions for which they are entitled. A Government Pension Offset (GPO) and Windfall Elimination Provision (WEP) have long limited the full aid that these beneficiaries merit. .Since 2009, COLAs have been at record lows, averaging just 1.4% — less than half the more typical 3% that COLAs averaged in the prior decade. According to the TSCL analysis, over the last seven years, average Social Security benefits will be about 3 a month lower in 2016 than if inflation had been the more normal levels of about 3%. For example, had a married couple — retired since 2009 and receiving about ,330 per month received a more typical 3% COLA — their total Social Security income would be about ,700 more than it has actually been since 20009. .What happens when Congress waits too long to address a Social Security funding crisis? Deeper benefit cuts, sudden tax increases, and glitches in the implementation of reforms that can lead to significant benefit inequities between people close to each other in age. Consider the case of the Social. Benefit Bulletin: June 2013 What Caused The Social Security Notch? … Continued

"Our example just looked at the salaries and performance pay of just 20 CEOs," notes Johnson. "According to the Social Security Administration, there will be 12 million people who earn above the taxable maximum in 2018," she adds. .Spending Bill Dominates "Lame Duck" Session .This week, Members of Congress returned to Capitol Hill from the month-long summer recess to begin working on legislation that would avert a government shutdown on October 1st – the start of the 2014 fiscal year. Lawmakers have agreed that they would like to pass a stopgap bill to extend funding for federal programs through December 15th. They feel that a temporary measure will grant them the time needed to work out a more substantial fiscal package before the end of this year. .This week, lawmakers returned to Capitol Hill and resumed work on a stopgap funding measure for fiscal year 2015, which begins on October 1st. In addition, The Senior Citizens League (TSCL) saw support grow for three key bills. .Third, the bipartisan CHANGE Act (H.R. 4957) gained one new cosponsor in Representative Ted Lieu (CA-33), bringing the total up to twenty-two. If adopted, the CHANGE Act would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .In 1983 government economists changed the way housing costs were measured in the CPI. Housing represents almost 50% of the expenditures of people age 65 and older, and thus changes to that expenditure category tend to have a big impact. Rather than basing housing costs on some measure of home prices, after 1983 the Bureau of Labor Statistics estimated costs "based on what homeowners theoretically would pay to themselves in order to rent their own homes from themselves. The BLS then estimates how much homeowners raise the rent on themselves each month," according to Williams. .This higher starting benefit will mean higher cost-of-living adjustments (COLAs) in terms of dollars, and higher benefits for spouses and survivors that are based on your benefit. Over the course of a 25 year retirement, the extra money adds up to more income from Social Security, often in the tens of thousands of dollars depending on the age you retire. .TSCL Supports Bill To Kill The Medicare Cutting Board .If you've received a medical bill for services that you thought were covered by your health insurance you already know what surprise medical billing is. But as a reminder, "Surprise medical billing" is a term commonly used to describe charges received by someone who has health insurance but they received care from a health care provider who is not included in their insurance coverage. This situation could arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. Surprise medical bills might also happen when a patient receives planned care from an in-network provider (often, a hospital or ambulatory care facility), but other treating providers brought in to participate in the patient's care are not in the same network. This can end up costing patients thousands of dollars they thought their insurance would pay.