News

  • Legislative Update Week Ending March 20 2015

    August Congressional Recess Continues .Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home. .Without changes, SSDI will only take in enough revenues to pay 80% of scheduled benefits by 201TSCL believes that suspected fraud is compounding the crisis in the disability program, and that Congress should cut fraud — not benefits of those who are truly in need. TSCL supports measures that would provide stiffer penalties for disability fraud, make eligibility criteria more objective and measurable, and step up reviews to determine whether people currently on the rolls remain entitled to benefits. … Continued

  • Issues Medicare Means Testing Articles Feed

    Again, according to Bloomberg News, "Manufacturers have to offer Medicaid plans their lowest possible price under federal regulations in order to participate in other federal drug programs, which is likely why the Medicaid prices are so low." .Drug Discount Cards .According to Mr. Brune, SSA is making several organizational and technology-driven improvements that will lead to an increase in fraud detection. The administration is currently expanding its successful Cooperative Disability Investigations (CDI) program, which prevents benefit payments from being made in cases where fraud is detected. The CDI program is operating in thirty-three states this year, and it is expected to expand to the remaining seventeen states by 202Mr. Brune said, "Chairman Johnson and this Subcommittee have long championed this CDI program, and we thank you for that support." … Continued

Vet services are estimated to cost at least 0 per year for dogs, and about 8 per year for cats, while many of us pay much more, even with so-called senior discounts. Diagnostic procedures can cost over ,000, while some surgeries can run in the thousands of dollars. .Social Security beneficiaries received a 2% cost-of-living adjustment (COLA) this year, but most have seen their benefit increases completely offset by higher Medicare Part B premiums. Do you support legislation that would give older Americans a more fair and adequate Social Security COLA? .This week, one new cosponsor, Rep. Michael Fitzpatrick (PA-8) signed on to the Public Servant Retirement Protection Act (H.R. 2797), bringing the cosponsor total up to eight. If signed into law, H.R. 2797 would repeal the windfall elimination provision (WEP) from the Social Security Act and establish a new formula for equalizing benefits for those with non-covered earnings. TSCL is very supportive of the Public Servant Retirement Protection Act since it would go a long way in granting dedicated public servants the retirement security they deserve. We were pleased to see one new cosponsor sign on this week, and we hope that support continues to grow in the coming months. .This week, five new cosponsors signed on to the Notch Fairness Act (H.R. 1001). They are: Reps. Jesse Jackson, Jr. (IL-2), Collin Peterson (MN-7), Maurice Hinchey (NY-22), Elton Gallegly (CA-24), and Christopher Smith (NJ-4). These cosponsor additions bring the total up to 35. .TSCL enthusiastically supports H.R. 1902 and H.R. 242, and we were pleased to see support grow for both of them this week. For more information, visit the Bill Tracking section of our website. .Deciding when to file is the biggest decision you face. Social Security benefits are calculated using a formula called the primary insurance amount, or PIA. Seniors who wait to start receiving Social Security until their full retirement age (currently 66) receive 100 percent of PIA; taking benefits at 62, the first year of eligibility, gets them 75 percent of PIA. By waiting until age 70, they'll receive 132 percent of the PIA – nearly double the monthly income for the rest of their lives. Those benefits are enhanced by an annual cost-of-living adjustment, which is added back in for any years of delayed filing. .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. .It is not clear what implications, if any, the findings might have for the two other major vaccines being used in the U.S., Pfizer's and Moderna's. .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.