News
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Again Colas May Face Another Round Of Cuts In Debt Limit Battle
A new Medicare cost-saving rule that was launched late in 2020 will cut payments to hospitals for some surgical procedures and could potentially raise costs for Medicare recipients. According to an article by Susan Jaffe, of Kaiser Health News, the Centers for Medicare and Medicaid Services (CMS) has for years classified 1,740 surgeries and other services as "so risky" for older adults that Medicare would pay for them only when people were admitted to the hospital as inpatients. But under the new rule, CMS is beginning to phase out that requirement. By the end of 2023, these "inpatient only services" which includes complicated procedures such as heart and brain operations, is scheduled to be gone. .Because of the strong push on the part of the President and members of Congress to find a way to lower drug prices, and getting drugs from other countries where the cost is lower has become popular as a solution, the Food and Drug Administration (FDA) recently released a proposal to let states submit drug importation plans for federal approval. .Rural Americans who face unique challenges would also experience unique struggles under a one-size-fits-all healthcare plan. For years, the farmers, ranchers, and everyone living in our nation's breadbasket have endured inequitable access to quality care and medical services compared to their urban and suburban counterparts. … Continued
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Category Issues Totalization Articles Page 7
I've been hearing a lot recently that Social Security is a Ponzi scheme. Just how much in Social Security benefits can I expect? I just turned 62, but I'm still working and haven't started benefits yet. .Would the money spent on life insurance premiums be better invested in an annuity or other investment? Some types of life insurance can be cost prohibitive. Your best investment is to get unbiased advice from a fee-only certified financial professional who does not get a commission from selling life insurance policies, before dumping your life insurance, or taking out any new policies. .When no, or a very low, COLA occurs, a provision of law known as "hold harmless" is triggered. Under the provision, when an individual's Social Security COLA is insufficient to cover the increase in the Medicare Part B premium, the Part B premium is adjusted so that one's Social Security benefit isn't reduced from one year to the next. About 70% of Medicare beneficiaries are protected by hold harmless from rising premiums. … Continued
Few employers outside the federal government and the military have taken up the option. Costco Wholesale Corp., United Parcel Service Inc. and FedEx Corp. are among employers that have said they aren't participating. .If signed into law, H.R. 973 would repeal the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO) – two federal provisions that unfairly reduce or eliminate the earned Social Security benefits of millions of teachers, firefighters, peace officers, and other state or local government employees each year. .TSCL's legislative agenda for the next two years includes the following issues, among others: .Fraud, waste and abuse are costing taxpayers and seniors an estimated billion a year, but Medicare fails to recover overpayments about 80 percent of the time. The Inspector General recently said that of the 6,287,546 in overpayments identified through the 30-month period ending March 31, 2009, the Centers for Medicare and Medicaid Services (CMS) reported collecting only ,168,50But it gets even worse. The OIG said that it could not verify that the ,168,502 had been collected as reported because CMS did not have an adequate system for documenting overpayment collections. .Seniors are reporting that in recent years they have frequently put off visits to the doctor and other healthcare providers due to economic reasons, according to recent TSCL surveys. You may have been told that the new healthcare reform law provides "free" new preventive benefits. While that made a good sound bite for the TV news and those Andy of Mayberry ads, the reality is most Medicare beneficiaries will probably still have some out-of-pocket costs. In order to qualify for the "free" preventive services you need the following: .I retired seven years ago at age 65 when I started Social Security and Medicare. I have difficulty budgeting my healthcare costs. I never seem to learn what they will be until I start getting the bills. Can you help? .The message here isn't "work till you drop." Working even a few additional years can boost retirement security substantially when you finally do retire. There's a "triple whammy" effect -- delayed Social Security filings means higher monthly benefits; you have more years of contributions to retirement accounts; and you have fewer net years of drawing down those accounts. Working with financial planning experts, we estimated that these factors can boost income in retirement by one-third or more. .If your mom has permanently moved out of the area served by her former private Medicare health, she will qualify for a Special Enrollment Period to switch to another private health plan. These plans are also known as Medicare Advantage plans. The rules covering the period you have to shop for and switch to a new plan depend on your circumstances, particularly, whether you notified her private health plan in advance, or after the move. In addition, how your health plan learns of her move, whether from you, the Centers for Medicare and Medicaid Services (CMS), or the postal service — also affects the period you have to switch to a new plan. .Sources: Hearing on Combating Waste, Fraud, and Abuse, Office of the Inspector General, Social Security Administration, January 24, 201"Levin, Conrad Introduce CUT Tax Loopholes Act," Senator Carl Levin, February 7, 2012.
