News

  • The Advisor Asks

    Too many doctors are prescribing large quantities of narcotics and addictive drugs that may be finding their way onto the streets, or putting patients at risk of addiction. The doctors, in turn, are accepting kickbacks and other "incentives" while billing Medicare for the cost. The following are just three of the examples from a new report from the Department of Health and Human Services Office of Inspector General: .Super Committee Running out of Time .However, with two weeks to go before the October deadline, negotiations have stalled. Leaders in the House have decided to tie the temporary funding extension to a measure that would defund the Affordable Care Act. Currently, a number of political strategies are being considered, but members of both political parties are unsatisfied with the options that leaders have put forth so far. … Continued

  • Social Security Trust Fund Missing Top Paid Ceos

    Now we are looking for viral deliverance when drug development is one of the world's most lucrative businesses, ownership of drug patents is disputed in endless court battles, and monopoly power often lets manufacturers set any price, no matter how extraordinary. A new cancer treatment can cost a half-million dollars, and old staples like insulin have risen manifold in price to thousands of dollars annually. .Medicare alone does not cover all the costs you will have. Most people also get either a Medicare supplement to cover out-of-pocket costs and Part D plan for prescription drugs, or enroll in a Medicare Advantage plan with Part D coverage. .Mary Katherine was 90 when a stroke left her paralyzed on one side of her body and unable to speak. It was 1996 and at the time Medicare had a cap on physical and speech therapy services, which only allowed for a limited number of therapy sessions to help Mary Katherine regain the ability to walk, feed herself, and speak. The paltry coverage of therapy sessions from Medicare did not provide Mary Katherine with enough time or therapy to make much of an improvement in her physical health. Mary Katherine, who received a Social Security benefit of less than 0, couldn't afford more therapy and never recovered her speech. She remained paralyzed for the rest of her life, which she spent as a Medicaid patient in a nursing home. … Continued

Doing this can be worth hundreds, if not thousands, of dollars in savings in a single year, and it's surprisingly simple. Free one-on-one counseling is available from local Medicare benefits counselors like me in every area of the country, through State Health Insurance Programs (SHIP). Many of these programs operate through local area agencies on aging, senior centers, and community health centers. .Only two weeks remain before the March 31st deadline, and at this point, it appears as though a temporary "doc fix" will be necessary. Sen. Hatch mentioned on Tuesday that lawmakers are currently considering a nine-month pay patch, which would mean that lawmakers wouldn't have to revisit the issue until after the November elections. Should lawmakers fail to reach an agreement on either a temporary or a permanent solution, doctors who treat Medicare patients will see a 24 percent pay cut, which would negatively impact seniors' access to quality medical care. .TSCL supports allowing any veteran to get the Covid vaccine at the VA and we will keep an eye on the progress of this effort. .TSCL feels that individuals should not be penalized financially if they are unable to enroll on time due to technical issues with the website, and we enthusiastically support the Delay until Fully Functional Act. We look forward to working with Sen. Rubio and Rep. Radel in the coming months to help build support for their bill. .It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .We will be putting out more information about this in the next few days and we are working on what we believe is a realistic solution to the COLA problem. Please be looking for that information. .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. .Retirees' budgets take a beating when prescription drug prices rise faster than the annual cost – of – living adjustments (COLAs). But new legislation moving in the Senate would address that problem. The drug bill would require drug manufacturers to pay rebates when prices rise faster than inflation. Lobbying groups for drug manufacturers don't like the idea. .One further reason for the growth is undoubtedly the growth in the primary beneficiary rolls, upon which the benefits of ANP dependents and survivors are based. According to the Inspector General, older non-citizens workers are now at the age and have worked in this country long enough to be potentially eligible to file claims for retirement or disability. The Inspector General has also said that those who worked using invalid, or non-work Social Security numbers issued prior to January 1, 2004, did not need valid work authorization in order to file a claim. Under current law the Social Security Administration uses all earnings, including those for illegal work, to determine entitlement to benefits.