News

  • Legislative Update Week Ending May 19 2017

    Implementing Medicaid cuts is proving even harder than getting the cuts enacted into law. In Connecticut for example, the state General Assembly recently voted overwhelmingly to reverse healthcare program cuts that they had passed just a few months before. Connecticut's 2017 budget agreement lowered the Medicaid program's income eligibility limits last year. The cuts, originally planned to go into effect January 1, would have kicked an estimated 86,000 older and disabled people off Medicare Savings Programs which pays Part B premiums and out -of - pocket costs, and moved another 27,000 to a second level of the program that provides less financial assistance. But, by January 8, 2018, the cuts were reversed by an overwhelming 130-3 vote, despite lingering concerns over financing. .Second, one new cosponsor – Congressman Ro Khanna (CA-17) – signed on to the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1251), bringing the total up to fifty-two. If adopted, the CPI-E Act would base Social Security cost-of-living adjustments (COLAs) on the more fair and adequate CPI-E. Currently, COLAs are based on the Consumer Price Index for Urban Wage Earners (CPI-W), and they fail to keep pace with the inflation experienced by older Americans. .Since he was first elected to Congress in 2010, Congressman Mulvaney – a founding member of the House Freedom Caucus – has been vocal about his support for reforming the Social Security and Medicare programs. In a 2011 interview, he told reporters: "We have to end Medicare as we know it. We have to fix it." He has endorsed several proposals that would privatize the Medicare program by adopting a "premium support" model, and on Tuesday, he endorsed plans to increase means-testing within the program. Both of those proposals are opposed by TSCL since they would result in higher out-of-pocket costs for beneficiaries. … Continued

  • Best Ways To Save April 2016

    "If the Secretary of the Department of Health and Human Services and Congress take no action to lower the Part B premium, most of those who were protected by "hold harmless" will need a hefty COLA in order to raise their benefit just to cover the cost of Medicare Part B premiums in 2018," Johnson says. .Medicare Advantage, and its predecessor Medicare+Choice —both known as Medicare Part "C" — however, has no clear track record of saving the government money. In fact, for a number of years, Medicare Advantage cost more than traditional Medicare. .The legislation would provide a ,000 settlement payable in four annual installments of ,250 or an improved monthly benefit for Notch Babies born 1917 through 1926 or survivors who receive benefits on their account. … Continued

Early this week, the Office of the Inspector General (OIG) for the Social Security Administration released a 10-year study that found nearly billion in overpayments to around 4 million enrollees in the Disability Insurance program. Approximately 45 percent of all disabled beneficiaries have been overpaid in the past decade, the report's authors concluded. .The bill, which TSCL supports enthusiastically, was amended this week to include a pay-for that would cover the projected cost of its passage. Since the IPAB currently has no appointed members and it has not yet been triggered to begin making recommendations to Congress, the Congressional Budget Office (CBO) estimated that its repeal will have no budgetary impact over the next six years. However, it could increase spending by around .1 billion between 2022 and 2025 since it may be triggered during that timeframe. .What Is Tracked In Determining The COLA? .This week, the Medicare Drug Price Negotiation Act (S. 2011) from Senator Bernie Sanders (VT) gained one new cosponsor: Senator Richard Blumenthal (CT). If adopted, the bill would require the federal government to negotiate lower drug prices for Medicare Part D beneficiaries. Its cosponsor total is now up to seven in the Senate. .Senate Appropriations Committee Chairman Richard Shelby (AL) told reporters this week that a government shutdown later this month is a real possibility. He said: "This could make us all come together or it could drive us further apart. We don't know yet … I've been here on Christmas Eve." .In the past five years the annual adjustment has averaged just 1.4 percent — less than half the 3 percent average of the prior two decades starting in 1990. Retirees and disabled Social Security recipients are reporting that the COLA is doing a poor job of what it's intended to do — protecting the buying power of their Social Security benefits. According to an annual survey performed by TSCL, Social Security benefits have lost 31 percent of their buying power since 2000. .What you don't know about Medicare supplements (Medigap) or Medicare Advantage plans could cost you dearly. The system is rigged in favor of Medicare insurers, and consumers often have little idea what they will need or be able to afford. Here are a few tips: .TSCL also announced its support this week for the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), which was introduced by Senator Amy Klobuchar (MN) in the Senate and by Representative Peter Welch (VT) in the House. Their bill, if signed into law, would require the Secretary of the Department of Health and Human Services (HHS) to negotiate prescription drug prices on behalf of nearly 40 million Medicare Part D beneficiaries. If HHS were able to negotiate similar prices as those paid by Medicaid and the Veterans Health Administration, the Medicare program would save billions of dollars annually, and beneficiaries would have better access to more affordable prescription drugs. .The total revenues in the sample could pay the Social Security benefits of 897 retirees, with an average monthly benefit of ,400, for an entire year. Or, that revenue could be used to provide a modest boost to the COLA of 448,560 retirees in the first year, by tying the annual inflation adjustment to the Consumer Price Index for the Elderly (CPI-E).