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  • Best Ways To Save To Save August 2020

    Nine prominent physician groups recently released lists of 45 common tests and treatments they say are often unnecessary. The problem is costing you dearly — as much as one third of every healthcare dollar, researchers say. As someone supposed to be giving you tips on how to save money, I'm embarrassed to admit that earlier this year I was a victim of overzealous medical testing. I'm not on Medicare yet, but what happened to me is happening to millions of those of you who are. .If signed into law, the Medicare Advantage Participant Bill of Rights Act would prevent Medicare Advantage plans from dropping physicians from their networks during the middle of the year, and it would require them to finalize their networks sixty days prior to the start of the open enrollment period. .Sources: "Humana Inc. Overcharged Medicare Nearly 0 Million, Federal Audit Finds," Fred Schulte, NPR, April 20, 202"Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle to Stop It," Fred Schulte and Lauren Weber, Kaiser Health News, July 16, 201"Reducing Medicare Advantage Overpayments," Committee for a Responsible Federal Budget, February, 23, 2021. … Continued

  • Legislative Update Week Ending January 18 2019

    Most of the overpayments – nearly 40 percent – went to those who began working or had a positive change in income. Another 24 percent of the overpayments went to those who had a medical improvement and no longer qualified. Around 7.5 percent of the overpayments went to those who became imprisoned, and 7.2 percent went to deceased beneficiaries. According to the report, the agency was able to recover approximately .1 billion in overpayments. .What are the Notch Reform bills that are in the current Congress? .Some Seniors to Pay More for Drugs Under New Rule … Continued

The plan would reform the tax code by consolidating the six existing brackets into three, and by setting the corporate tax rate at an even 28 percent. It would also make some major modifications to Medicare, including a repeal of the Sustainable Growth Rate for physician payments, and a strengthening of the controversial Independent Payment Advisory Board. The proposal also includes a plan to restore Social Security to 75-year solvency by raising the retirement age, increasing the taxable maximum wage cap, and adopting a Chained Consumer Price Index, among other things. .Should lawmakers fail to reach an agreement before midnight on Friday, April 28th, a federal government shutdown will occur. TSCL hopes that Congress will avert a shutdown since Social Security and Medicare beneficiaries would see negative impacts if one were to occur. We will be monitoring the negotiations closely in the coming hours and days and will post progress updates on Twitter. .This week, the CBO released its report on the long term budget outlook, which found that the federal debt is projected to increase from today's rate of 74 percent of GDP to 106 percent of GDP in twenty-five years if no major changes are made. The nonpartisan agency said the trend cannot be sustained indefinitely, and already, the total amount of debt held by the public is "higher than at any point in U.S. history except a brief period around World War II." .Although President Trump promised during his campaign not to touch Social Security, "it's unclear how he would view slowing the growth in Social Security benefits by this type of technical change," Johnson observes. "Make no mistake, no matter what sort of ‘improvement' lawmakers may try to call it, getting less money from Social Security is a cut," she states. .Under 1977 Projections Under Actual Conditions .Congressman Elijah Cummings (MD-7) – Chairman of the House Oversight and Reform Committee – announced his committee's investigation into twelve of the largest pharmaceutical companies in January. He said, "The goals of this investigation are to determine why drug companies are increasing prices so dramatically, how drug companies are using the proceeds, and what steps can be taken to reduce prescription drug prices." The first hearing that his committee held in the 116th Congress examined the causes of rising drug prices. .In a statement issued early this week, America's Health Insurance Plans, an advocacy organization for insurers, wrote: "Reports from leading industry analysts show broad consensus that the CMS proposal, if finalized, would result in Medicare Advantage payment cuts of at least 4 percent in 2015 and likely much higher once other changes are factored in." But in a statement of their own, representatives from CMS countered: "The proposed changes for 2015 for Medicare Advantage are smaller than those implemented in 2014 – a year in which CMS expects to exceed its 5 percent enrollment growth projection." They went on to claim that the 2015 MA cut will actually result in lower premiums and better care for seniors. .Tucked away into the President's health care law is a little-known tax increase that's scheduled to hit seniors in 201If allowed to go forward, they will find themselves facing hundreds of dollars in higher taxes – at a time when many can least afford it. .At Wednesday's hearing, several lawmakers asked Congressman Price about his plans to implement a new executive order from President Trump – signed following his inauguration on January 20th – that will dismantle parts of the Affordable Care Act (ACA). To these and other questions about the ACA's repeal, Congressman Price responded ambiguously by assuring lawmakers that he would "make certain that we have the highest-quality health care and that every single American has access to affordable coverage."