News

  • Feds Bust 243 People In Biggest Medicare Fraud Yet

    The House of Representatives has outlined specific reforms that maintain the current Medicare program for those aged 55 and older with no disruption and saves Medicare for future seniors by offering those beneficiaries a premium support program. Specifically for younger workers, when they reach eligibility, Medicare will provide a payment and a list of guaranteed coverage options – including a traditional fee-for-service option from which recipients can choose a plan that best suits their needs. These future Medicare beneficiaries will be able to choose a plan the same way members of Congress do. Medicare will also provide additional assistance for lower-income beneficiaries and those with greater health care needs. Our plan also stops the raid on Medicare trust fund that was going to pay for the Patient Protection and Affordable Care Act, allowing any current Medicare savings to go directly to saving Medicare and not creating open-ended health entitlements. .Trump Expected to Issue Executive Orders about Prescription Drugs .On Tuesday, with a vote of 31-8, the House Ways and Means Committee voted to advance the Protecting Seniors' Access to Medicare Act (H.R. 1190) – a bill that TSCL supports enthusiastically. H.R. 1190, if signed into law, would repeal the controversial Medicare cost-cutting board that was created by the ACA back in 2010. … Continued

  • Another Record Low Social Security Cost Of Living Adjustment Is Forecast

    The Earnings Suspense File represents a huge growing potential liability to the Social Security program. Currently the file holds more than 295.5 million wage reports worth more than 5 billion. Wages are used to determine entitlement to Social Security benefits. Under current law when a worker is found eligible for Social Security, all earnings that can be proven are used to determine entitlement, even for jobs worked without legal authorization. .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .Social Security Can Be Fixed Without Benefit Cuts … Continued

According to Rep. Roskam, the bill would enhance data sharing between states and agencies so that they can more easily catch scammers, and it would modernize outdated fraud prevention systems. Upon introducing the bill, Rep. Carney said, "In this Congress, it's not easy to find areas where Democrats and Republicans agree, but fighting waste, fraud, and abuse while saving billions of taxpayer dollars just makes sense." .TSCL is supportive of both of Rep. DeFazio's bills, and we were pleased to see support grow for them this week. .This week, lawmakers passed legislation to avert a government shutdown and those in the majority party continued working on legislation to reform the tax code. In addition, The Senior Citizens League (TSCL) saw several key bills gain support in the House and Senate. .Now that March has arrived, winter is starting to appear in the rearview mirror, large sections of the country will experience unseasonably warm temperatures this week, Covid-19 vaccinations are picking up, and we are all getting tired of living the way we have for the past year. .If you have symptoms of COVID-19, follow the Centers for Disease Control and Prevention's guidelines, and speak to your medical provider. Your health care provider will advise you about whether you should get tested and the process for being tested in your area. .People frequently say they are "not ready" to move into a senior living facility, but the thoughtful solo adults who cherish their independence might be convinced that, by making decisions ahead of time when they are still healthy, is how one preserves that autonomy. Waiting until a health crisis could mean winding up where someone else decides she or he needs to be. .If signed into law, H.R. 973 would repeal the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO) – two federal provisions that unfairly reduce or eliminate the earned Social Security benefits of millions of teachers, firefighters, peace officers, and other state or local government employees each year. .This week, members of The Senior Citizens League's (TSCL) legislative staff were in attendance at two committee hearings – one held by the Ways and Means Subcommittee on Health, and one held by the Joint Select Committee on Deficit Reduction. In addition, TSCL saw support grow for a key piece of legislation. .Congressional inaction on the debt ceiling is a growing concern of TSCL's for several reasons. If a default on the federal debt occurs, Social Security benefits would likely be delayed, and millions of seniors living on fixed incomes would suffer financially. In addition, doctors who treat Medicare patients would likely see postponements in their reimbursements from the federal government, and access to quality medical care would be jeopardized for beneficiaries.