News

  • Patients Sent Home Quicker Sicker Hospitals Medicare Penalties Blame

    Medicare's therapy cap on rehabilitation services, such as physical, occupational and speech therapy, has a long and sordid history in Washington D.C. The therapy cap sought to keep the Medicare budget under control but often hurt patients who need care after traumatic medical events. In practice, this cap limits access to Medicare - covered rehabilitation services. Patients are faced with either footing the bill for additional expensive care out of their own pocket or purchasing additional supplementary coverage if they can afford it. .Marvin Moser, MD author of "The Patient As A Consumer" Yale University School of Medicine Heart Book, provides these eight questions to ask: .Despite tightening the law, Congress did not fix a policy loophole that would be inadvertently triggered with the passage of comprehensive immigration reform legislation. When determining entitlement for insured status, and when calculating the initial retirement benefit, the Social Security Administration (SSA) uses all reported earnings from covered employment in the United States, even if the earnings were from illegal or "unauthorized" work. (2) … Continued

  • Category Issues Cola Articles Page 10

    To help protect the buying power of benefits, TSCL supports legislation that would provide a modest boost in benefits, base COLAs on the Consumer Price Index for the Elderly (CPI-E) and guarantee a COLA no lower than 3 percent. To learn more, visit . .Despite all the tragedy and difficulty coming out of the pandemic emergency there is a little good news, in our opinion. The spread of the coronavirus has reignited the push in Congress to expand domestic manufacturing of drugs, and renewed concerns the U.S. relies too much on foreign medicine makers. As we have been seeing, the need for medications can be urgent during a pandemic and lawmakers on both sides of the aisle have raised alarms about possible shortages. .This week, the Social Security and Medicare Boards of Trustees released their highly anticipated annual reports on the financial status of the two programs. One congressional subcommittee held a hearing to discuss the findings, and The Senior Citizens League (TSCL) saw . … Continued

At that point Congress would either must cut benefits in a major way or raise taxes to pay for continued benefits, something that Congress has refused to do for years. ."The response we received from our supporters voicing their concerns through our petitions was extraordinary," said TSCL Executive Director Shannon Benton. "That message was loud and clear: Congress couldn't help but feel the fighting spirit and resolve of our supporters across the country." .TSCL has concerns about this approach, since it would mean that Social Security's Old Age and Survivor's Insurance (OASI) trust fund would receive 0.9 percent less in payroll tax revenues, worsening the retirement program's financing. In a recent poll conducted by TSCL, this approach received virtually no support from respondents – less than 1 percent said shifting revenues from one trust fund to another would be the best way to fix the program's solvency. .The Affordable Care Act made changes that slowly close the doughnut hole, but it's a lot like trying to fill a bathtub when the drain is still open. In 2017, those who fall into the coverage gap will have lower coinsurance, paying 40% of brand-name prices and 51% of generic prices. In 2018, those numbers will fall to 35% and 44%, respectively. And in 2020, they will be responsible for the standard 25% of the costs of both brand-name and generic drugs. However, beneficiaries will continue to be saddled with an ever-growing out-of-pocket maximum that must be paid before catastrophic coverage begins. Over the next eight years, that maximum will grow from this year's ,850 to ,300 in 2024. .Understand the type of Medicare options available to you. You can receive coverage for the costs that Medicare does not pay in two main ways: through a Medicare supplemental (sometimes called Medigap) or through a newer Medicare Advantage managed care plan, like an HMO or PPO. Both types of plans cover medically necessary hospitalization as well as doctors' and outpatient services. Many, but not all, Medicare Advantage plans also offer Part D prescription drug coverage. There are significant differences between these two types of plans that affect what you pay out-of-pocket. And those differences are often buried in all the tedious-to-read fine print. .The stockpile had 13 million medical-quality N-95 masks when the pandemic hit. The government aspires to have 1 billion, with 300 million anticipated by fall. It had 2 million gowns at the start of the pandemic and expects that to grow to as many as 7 million. .Following the Thanksgiving recess – on Wednesday, November 30th – Democrats in the House will elect their party leaders. Republicans in both chambers and Democrats in the Senate chose their leadership teams last week. In the 115th Congress, they will be led by Senate Majority Leader Mitch McConnell (KY), Senate Minority Leader Charles Schumer (NY), and Speaker of the House Paul Ryan (WI-1), among others. .In an interview this week, Rep. Charles Boustany (LA-3), who sits on the House Ways and Means Committee, revealed that the negotiators have hit a road block. They are struggling to come up with an offset for the bill, which could cost as much as 3.2 billion. Rep. Boustany said, "We're running out of time. We may end up with another one-year patch before it's all over. But, you know, we'll keep working, see if we can get to something." TSCL sincerely hopes that those on the three committees will successfully merge their bills to create a permanent, sustainable path forward. We will keep a close eye on the evolving negotiations in the coming weeks, and we will continue to urge lawmakers to repeal and replace the SGR. .Budget Chair Revives Fiscal Commission Plan