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Category Legislative News Page 31
In March, the Trump administration paused routine nursing home inspections, which typically occur about once a year. Instead, the Centers for Medicare and Medicaid Services (CMS) asked that state agencies focus on inspecting facilities for their infection control practices, such as whether staff wash their hands or properly wear protective clothing before tending to multiple patients. .Will Our New Congress Pass a Benefit Boost? .This year, I am currently gathering support for the Medicare Advantage Quality Payment Relief Act, which would require the HHS Secretary to take Medicare Advantage Quality Incentive payments out of the calculation of the Medicare Advantage benchmark cap. This will allow high performing plans to receive the quality payments that they rightfully earned and to use those payments to improve beneficiary care. … Continued
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Medicare Part B Premium Increase Will Affect Benefits 2019
It's clear that Congress has failed mature workers and their families. We need to do more to create jobs and ensure mature workers have the skills needed for today's job market. .TSCL believes that beneficiaries need to maintain the freedom to choose their plan, their providers, and how they get their care. "We urge CMS and states to ensure a thorough beneficiary education process and have provisions that allow care with existing providers, especially during the transition," Hyland says. .Critics of mandatory arbitration say the agreements stack the deck against long term care residents and consumers. Unlike civil suits which go to court, arbitration is private, and there's no judge or jury. There are no rules of evidence that arbitrators have to follow under the law, and there's no oversight. Critics also contend that consumers are less likely to win their cases in private arbitration and, if they do win, they tend to get much less money than they would in court. … Continued
The absence of confirmed transmission is not necessarily evidence that fliers are safe. Instead, the lack of data reflects the fact that the U.S. has a higher infection rate relative to other countries, said Chen. Since the U.S. has so many confirmed cases, it's more difficult to determine exactly where somebody contracted the virus. .The term "Notch" refers to an unprecedented drop and disparity in Social Security benefits for persons born from 1917 through 1926 compared with those paid to other retirees with similar work and earnings records. Many of those born during the Notch period feel they have not been treated fairly and are not receiving the benefits that Congress intended. On the other hand, the Social Security Administration (SSA) and some government officials argue that those born during the Notch period are receiving the benefits that Congress intended. This brief lays out the background on the issue and the position of TREA Senior Citizens League. .In response to the OIG's findings, Representative Sam Johnson (TX-3) – Chair of the Ways and Means Social Security Subcommittee – said: "Overpayments are bad for everyone – they are bad for the beneficiary and they are bad for the taxpayer. With the disability program going broke next year, it is especially troubling that Social Security is failing to protect precious taxpayer dollars." .Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. .In the days and weeks ahead, The Senior Citizens League (TSCL) will closely monitor the movement of S. Con. Res. 3 since a repeal of the Affordable Care Act will impact older Americans in several ways. For instance, progress that has been made to close the Medicare Part D prescription drug "doughnut hole" will be reversed, and the Hospital Insurance Trust Fund that finances Medicare Part A will lose a critical stream of funding created by the law. Throughout the 115th Congress, TSCL's legislative team will continue to advocate on Capitol Hill for legislation that would reduce any negative impacts on the Medicare program. .The move is a long time coming. Legislation passed in 1996 made illegal immigrants ineligible to receive federal benefits. But according to an audit performed by the Inspector General of the Department of Health and Human Services, more than 29,185 illegal immigrants had improperly received Medicare benefits from 2009 through 201A review of 133,541 claims revealed that Medicare had paid more than .6 million in claims on behalf of 2,575 unlawfully present individuals. .Retired seniors have been far more accepting of vaccines than their working-age counterparts. Their full vaccination rate is about 82%, according to the U.S. Centers for Disease Control and Prevention. Because they're susceptible to severe illness, even relatively few unvaccinated seniors mean more deaths -- and more crowded hospitals -- than would occur in a larger pool of younger adults. .The first few months of this year were spent encouraging lawmakers to re-introduce critical legislation. So far, TSCL's most vital bills have been re-introduced, including the Consumer Price Index for Elderly Consumers (CPI-E) Act, the Notch Fairness Act, the Social Security Fairness Act, and the Medicare Physician Payment Innovation Act. More recently, TSCL's focus has shifted to building support for these and other bills, and already, many legislators have signed on to them as co-sponsors. .Some financial advisors say that there may be some tax advantages to taking money out now while valuations are lower. This information is not intended as investment advice. We strongly recommend that you contact the custodian of your 401(k) or your financial advisor and discuss a plan for your income needs and to explore potential sources of funds.
