Legislative Update For Week Ending November 2 2012
Fraud, waste and abuse are costing taxpayers and seniors an estimated billion a year, but Medicare fails to recover overpayments about 80 percent of the time. The Inspector General recently said that of the 6,287,546 in overpayments identified through the 30-month period ending March 31, 2009, the Centers for Medicare and Medicaid Services (CMS) reported collecting only ,168,50But it gets even worse. The OIG said that it could not verify that the ,168,502 had been collected as reported because CMS did not have an adequate system for documenting overpayment collections. .Is Low Cost Dental Insurance A Good Reason to Switch Health Plans? .Sertoma. This civic organization helps connect you with hearing assistance. To conduct a search, visit Sertoma. … Continued
Benefit Bulletin March April 2020
In many years when inflation is at more typical levels, only a small number of beneficiaries, those with the lowest benefits, are affected by the hold harmless provision. The reduced Part B premiums that they receive has minimal impact on Part B financing. But in years when there is an exceptionally low COLA, the hold harmless provision is triggered more widely, and this leads to much more challenging financial impacts for both beneficiaries and for Medicare Part B funding. .It sounds as though your daughter's father-in-law didn't sign up for Medicare Part B by his enrollment deadline and is now subject to a late enrollment penalty. For each 12-month period he delayed enrollment in Medicare Part B, he will have to pay a 10% Part B penalty. A penalty of as much as an extra 0 per month in addition to the current premium of 8.50 for 2021, suggests that he is being penalized for a 16-year period he did not have Medicare coverage. That suggests that he didn't enroll at age 6That would mean his base Medicare Part B premium could be 8.50 per month when he enrolls. .The study says the program would have saved 7 million that year if generics had been substituted for all the brand-name medicines requested by prescribers. Additionally, if Medicare patients had sought generics instead of brand-name drugs, Medicare Part D would have saved another 3 million. … Continued
TSCL Urges Action on Debt Ceiling .Sources: "The Out-of-Pocket Cost Burden For Specialty Drugs in Medicare Part D in 2019," Juliette Cubanski, Wyatt Koma, Tricia Neuman, Kaiser Family Foundation, January 201https://www.kff.org/medicare/issue-brief/the-out-of-pocket-cost-burden-for-specialty-drugs-in-medicare-part-d-in-2019/ "How Trump's Latest Plan to Cut Drug Prices Will Affect You," Katie Thomas and Reed Abelson, The New York Times, February 5, 2019/ .Seventy-eight percent of older voters participating in TSCL's survey say they support raising payroll taxes, eliminating the taxable maximum wage cap so that everyone pays Social Security taxes on all earnings over 8,500. Unlike low - and middle - income wage earners, the highest earners today only pay taxes on the first 8,500 in earnings and enjoy a huge Social Security tax break on all on wages over that amount. A clear majority — 62% of survey participants — also favors very gradually increasing the payroll tax rate by 1% each for workers and employers. Taken together, both changes would provide enough financing to keep the program solvent for more than 50 years. .Meanwhile, TSCL continues to work for passage of Notch Fairness Act, legislation that would provide ,000 payable in four annual installments, or an improved monthly benefit. The bill has been re-introduced in both the House and the Senate and has 22 co-sponsors. TSCL remains committed to Notch Reform and we continue to meet with Members of Congress to build support for this needed remedy. .Johnson cautions, "The current inflationary trend may only be temporary, because prices today are compared with a big sudden drop in prices a year ago when the impact of COVID-19 first began to hit our economy." "The jump we see now is centered primarily on energy prices, but a number of other spending categories have stayed relatively flat," she says. .Beyond funding the government and raising the debt ceiling, TSCL was pleased that the Bipartisan Budget Act included the following three improvements to the Medicare program: .Take all your prescriptions, vitamins, and supplements with you on your next visit to the doctor. Find out whether you still need to take them all and if there is a less-expensive brand name or generic you can try before settling on new medications. .Is Low Cost Dental Insurance A Good Reason to Switch Health Plans? .Because your former son in-law was employed prior to applying for benefits, he was likely approved for SSDI. The program provides benefits to more than 10.9 million disabled beneficiaries, including some spouses and dependent children. To qualify for SSDI, the Social Security Administration determines whether applicants are unable to do any work because of a medical condition that is expected to last more than one year, or to result in death. Beneficiaries receive monthly payments for as long as they remain in the program. If disabled people live to their full retirement age, they transfer to the Social Security retirement program but their benefits do not change. They also qualify for Medicare benefits after a 2-year waiting period.