News

  • Legislative Update For The Week Ending September 9 2011 Feed

    It accelerated the closing of the "doughnut hole." Under prior law, the Medicare Part D coverage gap or "doughnut hole" was set to close in 2020. The Bipartisan Budget Act accelerated the closing of the gap so that it will occur one year earlier, in 201Instead of paying a coinsurance rate of 30% in the "doughnut hole," beneficiaries will pay 25%. And instead of brand-name drug manufacturers providing 50% discounts in the doughnut hole, they will begin providing 70% discounts. This means that more than one million Medicare Part D beneficiaries will pay less for their prescription drugs next year when they reach the gap in coverage. .Watch your mail for information from your current Medicare supplemental or Medicare Advantage, and drug plan insurers. Your insurers will send you notification of changes in coverage, such as premiums, deductible, and co-insurance or co-payment costs for 200Carefully review these documents and compare them with your costs in 200File these documents where you can easily refer to them because you will need to use them for comparison when comparing other insurance options. . Mary: How does "anchoring" impact our decision-making? … Continued

  • White House Action Immigration Expected

    It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .On Tuesday – three months later – a panel of three judges rejected the Obama administration's request in a 2-1 decision. They ruled that the state of Texas does have the legal standing to challenge President Obama's executive orders since implementing them will be costly to the state. .MA enrollees could be impacted by the ACA's cuts in other ways, as well. They could begin to see higher premiums, deductibles, or co-pays in the coming years. They could also see reduced supplemental benefits like vision or dental coverage. According to another expert witness at the House Ways and Means Health Subcommittee hearing – Robert Book of the Health Systems Innovation Network – by 2015, MA beneficiaries will see an average reduction of ,530 in benefits due to the reduced funding from the federal government, and in 2017 that number will grow to an astounding ,700. … Continued

TSCL is very supportive of the PRIME Act, since we believe that the failure to manage fraud results in higher taxes for all and higher premiums for Medicare beneficiaries. In addition, at a time when many deficit hawks are considering cuts to programs like Medicare and Medicaid, we believe it is critically important to ensure that scarce program dollars are being spent properly. TSCL looks forward to working with the sponsors of the PRIME Act to help build support for it, and we are hopeful that Congress will pass it into law by the end of the 113th Congress. .The following Members of Congress, among many others, will be holding town hall meetings in the final days of this week's recess: Sen. Charles Grassley (IA), Rep. Lynn Jenkins (KS-2), Rep. Tom MacArthur (NJ-3), Rep. Mark Pocan (WI-2), Rep. Bruce Westerman (AR-4), Rep. Will Hurd (TX-23), Rep. Suzanne Bonamici (OR-1), Rep. Jim Langevin (RI-2), and Rep. Jim Sensenbrenner (WI-5). .The Senate was not in session and is scheduled to return on January 25th. .On Tuesday, President Obama released his .901 trillion budget blueprint for fiscal 201The proposal calls for more than 0 billion in new revenues by closing certain tax loopholes, and it would replace the "sequester" beginning in 2016 with .2 trillion in new spending cuts. It adheres to the caps for discretionary spending that were set back in December, but it also proposes billion in extra investments through the so-called "Opportunity, Growth and Security Initiative." .In recent years the Earnings Suspense File has been growing at an unprecedented pace. A spokesman for the Department of Homeland Security, Russ Knocke, was recently quoted as saying that, last year, as many as 10% of the wage reports received by the Social Security Administration (SSA) belonged to employees whose name and Social Security number did not match those of SSA. .Analysts say that deeper Medicare cuts may be back on the table by the end of the year. One of the most controversial proposals would convert Medicare into a system called "premium support." Under the proposal, the government would allocate a fixed amount of money for Medicare beneficiaries' premiums; and people would then purchase coverage from private health plans that would provide all their care. .It sounds as though either your mother, or her acquaintance, received some incorrect information. "The Notch Fairness Act," legislation that would provide Notch Babies born 1917 through 1926 with a settlement of ,000, or a higher monthly benefit, has not yet passed. No doubt that's why the Social Security Administration did not respond to your mother's request. It is correct that widows or widowers receiving benefits on the account of a Notch Baby would be entitled to the ,000, or the higher monthly benefit if the legislation is enacted. .The first new rule affects Medicare Part B drug costs, which are typically infused or injected drugs used mainly in the treatment of cancer. The intent is to cap the cost of those drugs at the lowest price that drug manufacturers receive in other countries and to pay doctors a flat fee for each dose of a drug, instead of a percentage of each drug's cost. .Now there are ads in various parts of the country being run by the Democratic Congressional Campaign Committee, accusing House Republicans of doing the bidding of drug industry donors by opposing the bill. Unremarked upon are the House Democrats who've also received money from the industry — and whose opposition is seen as potentially fatal to the legislation.