News

  • Medicare Advantage Plans Overbill Medicare

    Under current law, Social Security benefits are adjusted annually based on changes in the consumer price index for Urban Wage Earners and Clerical Workers (CPI-W). According to the Social Security Administration, the intent of the annual cost of living adjustment (COLA) is to help protect the buying power of benefits from increases in inflation. All beneficiaries receive the same percentage of increase, but the dollar amount varies based on the amount of benefits that one receives. In years in which inflation has gone down, there can be no COLA at all. ."Tough choices." When referring to reducing the Social Security deficit, those tough choices boil down to just two choices — raising taxes or cutting benefits. The Social Security Notch is one of our nation's most ignominious examples of how tough Social Security choices went awry. .Supplements and vitamins: Have you ever been surprised by a recommendation to put your dog on pet glucosamine or another joint supplement? Prices for these supplements at the vet can be up to 30% more than ordering these supplements online. Compare these prices at pet supply websites. … Continued

  • Legislative Update Week Ending July 3 2015

    Should seniors with Medigap supplements that provide "first dollar coverage" be required to pay more up-front? Should Medicare continue to pay for services based on medical necessity, or should the government change to a system "based on evidence of the value of services?" Congress may be debating these questions this month when the Medicare Payment Advisory Commission (MedPAC) issues its June report to Congress. The idea is to make Medicare beneficiaries "think twice" before scheduling doctor, outpatient services, or hospital stays in order to reduce government spending on Medicare. .Under the Affordable Care Act, or Obamacare, private and public sector large employers are responsible for providing health insurance for employees and contributing toward the cost of insurance. Generally, the federal health insurance exchange is only available for people who can't otherwise afford to purchase the insurance offered by their employer (according to thresholds set by law). But the fight to pass the 2010 Affordable Care Act was so contentious and controversial that some Members of Congress insisted that their colleagues set an example and be required to have the same coverage as all other Americans. .By U.S. Representative Allyson Schwartz (PA-13) … Continued

In May, I introduced bipartisan legislation with Rep. Joe Heck (NV-R). Our plan, the Medicare Physician Payment Innovation Act (H.R.5707), ends the broken physician reimbursement system and replaces it with a new, long-term plan that will treat physicians fairly, improve patient outcomes, and reduce costs in Medicare. It also sets us on a long-term path toward greater quality, value, and fiscal responsibility in Medicare and will save billions for taxpayers over the long run. This bill has been endorsed by the Fleet Reserve Association, American Academy of Family Physicians, American College of Physicians, the American Geriatrics Society, and other leading organizations. .Education and Communication (college tuition, postage, telephone services, computer software and accessories); .The announcement comes as the Super-Committee members consider how much savings should come from tax cuts versus spending cuts. If the committee cannot come to an agreement by the November 23rd deadline, across-the-board budget cuts will occur. .Last - don't let all the political spin about Social Security scare you. The program is not going broke. Social Security does face a long-term financial challenge. Even when the Social Security Trust Fund becomes exhausted there would still be sufficient assets from payroll taxes to pay about 75 percent of promised benefits. Although that isn't a fair or acceptable outcome — a far more likely one — Congress will take action to correct the imbalance. .This week, the Senate returned from break and President Barack Obama delivered the State of the Union address. New co-sponsors were also added to a pair of Social Security bills, and negotiations continue on how to fund the "doc fix." .Finally, the Equal Treatment of Public Servants Act (H.R. 711) also gained one new cosponsor this week. Rep. Jared Nadler (NY-10) signed on to it, bringing the cosponsor total up to 10That bill, if signed into law, would repeal the Windfall Elimination Provision (WEP) while establishing a new formula for the non-covered earnings of future retirees. It would also create a separate formula for retirees who are currently affected by the WEP. TSCL believes H.R. 711 is a sensible step forward, and we hope it continues to gain strong support in the months ahead. .The CPI-W gives less weight to medical care and housing costs — two categories that have climbed by more than 7 percent and almost 5 percent, respectively, over the past 12 months — and more weight to gasoline, which has deeply plunged over the past year. Older Americans tend to use more medical services and spend more of their budgets on housing than younger workers. Because the CPI-W excludes the spending patterns of people over the age of 62, it does not include things like rising Medicare premiums, which are one of the fastest growing costs in retirement. .HHS Announces 2014 Medicare Premiums, COLA .Ensuring that governmental bodies live up to any commitment made to senior citizens.