News
-
Legislative Update For Week Ending November 6 2015
Initial Coverage Period: During this stage of coverage you pay a co-pay or co-insurance of 25% of the cost of covered drugs, and the plan pays 75%, up to a total of ,005 (beneficiary) and ,015 (plan). This includes any applicable deductible. Your plan's full retail drug cost, not your co-pay, is what counts toward entering the coverage gap. Your co-pays or True Out-of-Pocket costs (TrOOP) count toward exiting the coverage gap and qualifying for catastrophic coverage. .Medicare and many state Medicaid programs are in the process of transitioning to value-based medicine that would change the way government healthcare programs pay for care. Doctors and healthcare providers are given incentives to improve health and to reduce the incidence of chronic disease — in order to lower spending on healthcare and provide better care at a lower cost. There's emphasis on giving providers single payments for a "bundle of services" instead of paying for each service, checkup or X-ray. This reimbursement system differs from traditional fee-for-service Medicare, as well as Medicare Advantage plans' "capitated" payments, in which providers are paid more for sick patients, regardless of health outcomes. .The Social Security COLA is provided to help protect the buying power of benefits when costs rise due to inflation. Yet even under the current method of adjusting benefits, Social Security benefits have lost 30 percent of buying power since 2000, according to a recent report released by TSCL. "Switching to the chained CPI would mean the erosion in the buying power of Social Security benefits would occur at faster rates than is already occurring today," says Johnson. "That puts retirees at higher risk of depleting retirement savings more quickly than expected, going into debt, and going without." According to Johnson's analysis, if the proposal were to take effect this year, average benefits would be about per month lower by 2026, and about per month lower in 20 years. … Continued
-
October 2013 Reuters
The article continued, "The NBER study zeros in on how increases in prescription drug costs among Medicare recipients affect patient choices and comes to a stark finding: ‘Patient cost-sharing introduces large and deadly distortions into the cost-benefit calculus,' the report said." .Your daughter is giving you good advice. It is time to sign up for Medicare. If you are still working, and you aren't yet getting Social Security, then you won't get Medicare automatically, and you need to apply by your Initial Enrollment deadline. It's important to pay attention to Medicare's enrollment deadlines in order to avoid permanent late enrollment penalties or a lapse in your health insurance coverage, but there is excellent free unbiased help available to steer you through this, as near as your local agency on aging or senior center. .Increase the retirement age: Raise both the eligibility age both for full benefits, currently at 66 and set to rise to 67 and, for the first time, raise the earliest eligibility age which is currently 62. … Continued
(Washington, DC) – Medicare doesn't have the authority to negotiate drug prices, leaving millions of older Americans at risk of price gouging for their prescription drugs, according to a new comparison of drug plans by The Senior Citizens League (TSCL). "Because Medicare isn't negotiating on our behalf, there's no consistency in drug pricing among drug plans," states TSCL's Medicare policy analyst, Mary Johnson, who performed the comparisons using the Medicare website's Drug Plan Finder. Costs vary enormously between plans. "The disparity in pricing for the same drug can be in the hundreds of dollars," says Johnson. .Based on the growth rate of the Consumer Price Index for Workers (CPI-W) over past 12 months, I'm projecting a COLA in the vicinity of 3.6% for 201But Congress may take action that would slow the growth of the COLA. Deficit reduction plans are likely to call for switching to the "chained" CPI, a move that TSCL feels would further undermine the purchasing power of benefits. The difference between the CPI-W and chained COLA has averaged about 0.3 percentage point since 2000, but that's not the case this year. In fact, if the switch were to affect the COLA payable in 2012, seniors would get a COLA of about 2.8% — a cut of more than 20%. .TSCL enthusiastically supports H.R. 807, H.R. 1902, S. 1909, and H.R. 1205, and we were pleased to see support grow for them this week. For progress updates on these and other TSCL-backed bills, visit the Bill Tracking section of our website. .Congress did not receive any automatic pay adjustment this year. With so many Americans (including seniors) suffering from long-term financial set backs, and so many workers out of jobs, lawmakers wisely opted to forego a raise. They last received a pay raise in January 200At the time their salary was increased 2.8% to 4,000 from 9,300. While the recession was taking a bite out of Americans' income, the pay of Members of Congress grew by ,800 from the time the recession began at the end of December 2007 through 2009, according to the Congressional Research Service. Over the decade 2000 through 2009, Congress gave themselves a total of 9 pay hikes, raising their salaries a total of ,300 from 6,700 in 1999 to the 4,000 that they receive in 201Legislation passed in 1989 established the current formula used to automatically adjust the Congressional pay increase that they refer to as a "cost-of-living adjustment" (COLA). .Congressional support for a bi-partisan deficit reduction solution before the November 21st deadline is dwindling as each day passes. Republican co-chairman of the joint committee, Rep. Jen Hensarling (TX-5), expressed discontent with Democratic colleagues this week for rejecting the latest GOP offer. "I will give my Democratic colleagues credit for at least putting some reforms on the table, but frankly they do not solve the problem," Hensarling said. .Insurers make major changes in their plans every year, like increasing premiums, co-pays, dropping coverage and even closing plans altogether. But according to a survey conducted by TSCL earlier this year, less than 18 percent of respondents said they switched their Part D or Medicare Advantage health plan for 201Medicare's annual Open Enrollment period starts earlier this year -- on October 15th -- and ends December 7th. Medicare beneficiaries should start the process now to find out what their choices are and how much they could save with a new Part D or Medicare Advantage plan. .Cutting the payroll tax permanently, which President Trump said he would seek to do if he is re-elected, would bring insolvency even closer and make the whole situation so much worse. .TSCL opposes legislative efforts that would make today's seniors and those nearing Medicare-age pay higher costs for their Medicare coverage. .TSCL's members and supporters are sending in thousands of petition signatures to fight the cuts that threaten senior benefits. Senior voter outcry, especially in an election year, is a highly effective means to make lawmakers wary of making major changes.
