News

  • Ask The Advisor January 2011 Advisor Feed

    This week, the Senate Finance Committee met to discuss the proposed Medicare Part B drug demonstration program with Dr. Patrick Conway, the Acting Principle Deputy Administrator and Chief Medical Officer of the Centers for Medicare and Medicaid Services (CMS). .Under current law, the Medicare program is prohibited from negotiating prices with pharmaceutical companies despite the fact that other federal health programs are required to do so. As a result, older Americans enrolled in Part D often pay much higher prices than other American consumers for their prescription drugs. If adopted, this bill would lead to billions of dollars in savings for the Medicare program, and it would immediately reduce prescription drug prices for Medicare Part D beneficiaries. .Here are some tips to identify false or misleading claims. … Continued

  • Benefit Bulletin Septemberoctober 2016

    A monthly supply of diabetes drug Lantus Solostar, for example, ranges from a high of 2.00 from the mail - order pharmacy of First Health Part D Value Plus plan to a low of .75 from the network retail pharmacies for SilverScript Choice, a difference of 4.25 per month. .In July of 2011, the Department of Health and Human Services proposed a rule under the Patient Protection and Affordable Care Act regarding risk adjustment. Under this rule, the Federal Government is requiring health insurers to provide confidential and detailed medical information about a person. Aside from the fact that this is an invasion of privacy, we must also remember the Federal Government's lack of accountability with health records when over 5 million TRICARE records were stolen from the car of a government contractor this past fall. .The CPI-E tends to grow more quickly than the CPI-W in most years, because it more accurately accounts for the percentage of income that retirees spend on healthcare and housing costs. Those two categories tend to increase several times faster than inflation, and tend to take a bigger share of retiree income. The CPI-E tends to give less weight to items like gasoline and consumer electronics which have fallen significantly in recent months and helped drag down the COLA for 2020. … Continued

Despite claims that the proposal would have no cost for the Social Security program, research shows that it would put a financial strain on the Social Security program. According to a report released this week by the American Action Forum, this family leave proposal would have a net cost of around 6 billion, and it would advance the insolvency of the Social Security Trust Funds by around six months. .For more information or to view a list of cosponsors, click here. .Paying heating or cooling bills, .If your mom has permanently moved out of the area served by her former private Medicare health, she will qualify for a Special Enrollment Period to switch to another private health plan. These plans are also known as Medicare Advantage plans. The rules covering the period you have to shop for and switch to a new plan depend on your circumstances, particularly, whether you notified her private health plan in advance, or after the move. In addition, how your health plan learns of her move, whether from you, the Centers for Medicare and Medicaid Services (CMS), or the postal service — also affects the period you have to switch to a new plan. ."CBO's updated estimate, based on the latest economic data, continues to show that the Average Wage Index will likely drop due to the COVID-19 pandemic, and millions of Americans will receive lower Social Security benefits unless Congress acts. A medium earner in the affected cohort could lose 0 a year for the rest of their lives. While this is a smaller cut than initially estimated, Congress must still fix this flaw in the benefit formula. These are earned benefits, and already many seniors are just scraping by with the current modest benefits. That is why I will be reintroducing the Social Security COVID-19 Correction and Equity Act to fix the benefit formula and ensure it does not happen again," said Larson. .Ask your doctor if you have alternate insulin options to control your blood glucose levels. Novolin may be one of them, and it may be less expensive, but it acts differently than Lantus. Ask your doctor if there are any dietitians working with the clinic who can help you reduce your reliance on Lantus and thus the quantity you need to use. Perhaps you can take a combination of Novolin and Lantus. .TSCL also announced its support this week for the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), which was introduced by Senator Amy Klobuchar (MN) in the Senate and by Representative Peter Welch (VT) in the House. Their bill, if signed into law, would require the Secretary of the Department of Health and Human Services (HHS) to negotiate prescription drug prices on behalf of nearly 40 million Medicare Part D beneficiaries. If HHS were able to negotiate similar prices as those paid by Medicaid and the Veterans Health Administration, the Medicare program would save billions of dollars annually, and beneficiaries would have better access to more affordable prescription drugs. .I hate that we're placing seniors in no-win situations, and that's why I've re-introduced My Seniors' Security Act. It ensures that COLA increases aren't just eaten up by rising health care costs and it recalculates COLAs completely. Specifically, my act would create a ‘circuit breaker' of sorts, so seniors never lose more than 30% of their COLA to Medicare premiums. .The Scott bill passed the Education and Labor Committee on Tuesday of this week. It has a different approach for dealing with surprise bills that limits the arbitration process and sets forth a benchmark payment rate. Scott's bill would force doctors to accept a benchmark rate for bills under 0 and go through arbitration in disputes over bills higher than 0.