News

  • Congressional Corner Obligation Keep Promise

    TSCL's annual survey of senior costs indicates that Social Security benefits have lost more than 34% of their buying power since 2000 because the current inflation measure, the Consumer Price Index for Workers (CPI-W) doesn't accurately account for the larger share of income that seniors spend on healthcare. .In its June 2018 Long Term Budget Outlook, the Congressional Budget Office (CBO) projected that earnings will grow faster for higher-income people than for others over the next 30 years. The CBO expects that trend to lead to a decrease in the amount of payroll tax receipts that otherwise would flow into Social Security, as a greater share of earnings will be above the maximum amount subject to Social Security payroll taxes. .According to the Inspector General's report, of the 6.5 million active numbers, the Social Security Administration had issued payments to 266 of the number holders, but a review found that only 13 people were likely to be still alive and collecting benefits. In addition to the problem of payments to the dead, the balance of the 6.5 million active numbers pose a risk because they could be stolen to claim fraudulent tax refunds and to work illegally. The IRS has estimated that it paid out .8 billion in fraudulent tax refunds in 2013 because of identity theft. … Continued

  • The Advisor Volume 16 June 2011 Part 1

    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. .On Wednesday, the Board of Trustees – along with Shannon Benton (Executive Director), former Congressman Van Hilleary (Legislative Consultant), and TSCL's staff – spent the day meeting with four Congressional offices. Support was expressed for a number of bills that would strengthen Social Security benefits for older Americans, including the CPI-E Act (H.R. 3961), the CPI for Seniors Act (H.R. 3074), and the Honesty in CPI Reporting Act (H.R. 3500). .Recently we heard from Barbara B. of Indiana who was affected in a similar way last year, but who will finally catch up in 201Barbara's net Social Security benefit, after deduction for Part B premium, has remained exactly the same for the past three years. She hasn't seen an increase in her benefits since 2015, despite a 2% cost-of-living adjustment (COLA) in 2018. … Continued

The Part B and Part D deductible period starts on January 1 of each year and ends on December 3If you were healthy during the year, but require doctor's services in November for the first time and the charge is 0, then you (or possibly your supplemental insurance plan) will have to pay that charge. If you don't see the doctor again until January, you start a whole new deductible period. If he charges you 0 again, then you or your insurer will pay the 0 again. ."UnitedHealth Culls Doctors from Medicare Advantage Plans," Melinda Beck, Wall Street Journal, November 16, 2013. .Democrats want to be able to pass President Biden's economic stimulus/COVID-19 relief bill, but it is highly unlikely they could get 10 Republicans to vote for the bill. .TSCL recently submitted comments on the draft FDA regulations, stating "classifying CAM products as drugs, the cost of access would increase, as consumers may have to visit and pay a doctor for a prescription, instead of being able to choose their own vitamins, minerals and dietary supplement intake." TSCL is further concerned about the impact such regulation would have upon Medicare beneficiaries. Currently, Medicare reimburses few CAM therapies and products and seniors must pay out of pocket. Most Part D drug plans, for example, don't cover vitamins and supplements. TSCL called on the FDA to withdraw the regulations. .The DOJ in late March arrested a man in Southern California who allegedly orchestrated an investment scheme involving a bogus injectable cure for Covid-1A week later, the DOJ filed charges against a man whose treatment allegedly involved a combination of Vitamin C, bee pollen, hydrogen peroxide, and prayer. .According to the Center for Public Integrity, one of the nation's oldest nonpartisan investigative news services, home visits have risen sharply at many Medicare Advantage health plans. While visiting nurses and doctors don't offer any treatment during these visits, they do report exam findings to the patient's primary care doctor. Insurers say the free annual physicals offer a new benefit to help certain health plan enrollees stay fit and in their homes as long as possible. But critics, including some Members of Congress, are concerned the visits may be padding Medicare's bill. .However, it remains unclear if lawmakers will be able to successfully negotiate an omnibus before the December 11th deadline. Many in Congress are hoping to attach language to the spending measure that would block funding for an immigration executive order that President Obama is set to announce in the coming weeks. Sen. Barbara Mikulski (MD), Chairwoman of the Appropriations Committee, called the request a "deal-breaker," and said that it would likely result in a veto from President Obama. .Recently the House Budget Committee and the House Energy and Commerce Committee both held hearings on the controversial Independent Payment Advisory Board (IPAB). The IPAB was created under the healthcare reform law to slow rising Medicare costs. If costs grow too fast, the IPAB would recommend cuts that would go into effect unless Congress comes up with the same amount of savings. Both Committees heard testimony from Health and Human Services (HHS) Secretary Kathleen Sebelius, among many others. .Let's consider what the I.O.U.s held by Social Security represent. The I.O.U.s are bookkeeping entries, a lot like entries in checking accounts, but are not represented by real cash sitting in a strong box anywhere. The U.S Treasury collects Social Security payroll taxes from employers. In turn, the U.S. Treasury issues I.O.U.s to the Social Security trust fund. In the meantime, those payroll taxes are immediately used for other federal budget operations. When more payroll taxes were collected than needed to pay benefits, that reduced the amount of borrowing from the public that was needed for the general revenues, and lowered taxes. Now, however, the situation has reversed, and the Treasury must increase borrowing from the public to redeem the I.O.U.s held by the trust fund in order to pay benefits. Increased borrowing, and the cost of interest on the debt, further drives up our federal spending. According to many economists, that can weaken our economy, and our nation's ability to respond to a crisis.