Medicaid is the major source of coverage for an estimated 6 million seniors who need long-term care. Last year, long-term care services required one-third of the federal Medicaid budget, more than 0 billion. States, which share the program's cost, spent tens of billions to match that amount. .To get information about Medicare supplement premiums, first select the plan offering the coverage you are interested in, "A" through "N". You can find a listing of these plans on page 82 of the 2017 Medicare & You handbook but not all states will have all plans. Once you have chosen the plan then you can simply compare premiums between insurers. The coverage for each type of plan is just the same, but premiums between various insurers can vary tremendously. .The subcommittee's bill would repeal the formula and replace it with an enhanced fee-for-service system, while also allowing doctors to opt-out and participate in alternative payment models that emphasize quality. The bill was overwhelmingly approved by a voice vote on Tuesday, but much work remains to be done. Lawmakers have not yet determined how they will offset the full cost of the bill, although it does currently include funding for some provisions by authorizing transfers from the Medicare Part B Trust Fund. .On Monday, an executive order from President Obama went into effect requiring all federal agencies – including the Social Security Administration (SSA) – to add an additional security measure to all online accounts that contain sensitive personal information. Under the new policy, Social Security beneficiaries must provide a text-enabled cellphone number when logging in to their online accounts. The two-step authorization process requires them to enter a temporary security code sent to them via text message before they can access their online information. .To participate in TSCL's monthly polls, visit our home page. .Because the House of Representatives has 435 members its rules are much less complicated than the Senate's, which has 100 members. If the House had the same rules as the Senate, nothing would ever be accomplished. .How To Grow Your Initial Retirement Benefit By 8% Per Year Until Age 70. If you have the choice, learn how delaying your retirement benefit can result in a higher benefit and pay a return today's CDs and most bonds can't touch. .The alternative to this approach is control by a board of unelected bureaucrats known as the Independent Payment Advisory Board (IPAB). This board will consist of 15 unelected, unaccountable bureaucrats empowered to make decisions about what kind of care people on Medicare can receive. I am greatly concerned that this board is being given way too much authority to determine what benefits are covered and how much physicians are paid. This commission's sole intention will be to determine whether Medicare is spending more than is budgeted and, if so, to offer "fixes" to cut back on Medicare spending that would then be fast-tracked with very little opportunity for Congressional input. President Obama's former Budget Director Peter Orszag called IPAB "the single biggest yielding of power to an independent entity since the creation of the federal reserve." I believe the best way to control costs in Medicare is to increase choice and competition, not cede control of health care decisions to a board of 15 unelected, unaccountable bureaucrats. .The opinions expressed in "Congressional Corner" reflect the views of the writer and are not necessarily those of TSCL.