Medicaid Funding Cuts May Affect Notch Babies
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. .Under the rule he's considering formally proposing, Trump would order reimbursement for certain Part B drugs to be tied to what's known as the International Price Index. That would mean a price cut for many medicines, since the prices drug makers charge outside the U.S. are often set by government-run health-care systems and are generally lower. Medicare doesn't use its position as a big buyer of drugs to bargain for lower prices. .Budget Committee Debates Future of DI Program … Continued
Legislative Update August 2020
This week, talks to repeal and replace the sustainable growth rate (SGR) formula continued, but lawmakers revealed that a temporary "doc fix" might be necessary. In addition, The Senior Citizens League (TSCL) announced its support for a new piece of legislation, and one key bill gained support. .House Committee Discusses Retirement Security .On Tuesday, Senators on the influential Finance Committee held a hearing titled "Examining the Proposed Medicare Part B Drug Demonstration." Dr. Patrick Conway testified before the full committee on the status of the controversial demonstration program, which was proposed by CMS earlier this year and has not yet been implemented. The program will test new payment strategies for hospitals and physicians who administer prescription drugs to Medicare beneficiaries receiving outpatient care. It is a new attempt by the Obama Administration to move away from a medical system that rewards volume of care and towards one that values high-quality care. … Continued
By Mike Watson, TSCL Legislative Assistant .Is his condition "severe"? Your husband's medical condition must significantly limit his ability to do basic work— for at least 12 months. .What would locality pay adjustments mean for your Social Security benefits? It's unclear, and likely difficult to estimate. Studies would have to be performed to compare locality - based pay adjustments to what future annual COLAs might be. Locality pay adjustments would be higher in areas where private sector pay scales are higher than those of federal workers, and lower in areas where pay scales are lower. The percentage of the annual locality pay increase would vary depending on where you live. Some retirees would receive a lower percentage of increase, or even no increase, while others a higher percentage. .Insurance Industry Predicts Premium Increase .In new versions of this scam, scammers are impersonating the Social Security Administration using the Social Security Administration's own phone number as the incoming number on your caller ID. This is called "spoofing." Should you receive a call from someone alleging to be from the Social Security Administration you may report that information to the Social Security Office of Inspector General at 1-800-269-0271, or online at https://oig.ssa.gov/report. .It's hard to say until you crunch the numbers. You may qualify for Social Security benefits with as little as ten years of work through your self-employment. But even if you do, you will be subject to the Windfall Elimination Provision (WEP) which reduces Social Security benefits when you receive a pension based on non-covered government employment. .Try going back to work or getting a second job. — Reducing costs is often the harder choice, because costs tend to grow with age. You may want to consider getting a job that could provide extra income and perhaps help with health benefits. Even if you must stay at home as a caregiver, you may want to consider providing adult day care to another individual if your home is set up for that, or to find a job that allows you to work online from home. .Help! I'm turning 65 soon. My daughter says I should sign up for Medicare, but I don't know what to do or where to begin. I work for a small company with 17 employees, where I get my health insurance now. About a week is currently taken out of my paycheck for premiums. My current health coverage isn't that good. It has a ,500 deductible and, because I'm still in good health, I've never been able to benefit. .But one thing is clear: Congress and the President, whoever his is, will have massive issues to deal with, not the least of which will be the future solvency of Social Security and Medicare. Our political leaders have to stop avoiding dealing with these tough issues. They can't continue to "kick the can down the road."