News

  • H R 3074 Cpi For Seniors Act

    Medicare investigations returned for every dollar invested in recent years. Let's tell Congress to stop being so "penny wise and pound foolish." Sequester cuts are like writing a blank check for crooks, and have no place in Medicare fraud control programs. Ask your Member of Congress to cosponsor The PRIME Act (H.R. 2305) and (S.1123.) .However, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you do not have symptoms. .Since you don't receive health insurance coverage where you work, you will need to enroll in Medicare Part B, which covers doctors and hospital outpatient services when you first become eligible for Part B. That period starts three months before you turn 65, includes the month you turn 65 and ends 3 months after the month you turn 65. … Continued

  • 2021 Senior Survey

    During the recent government shutdown, a group of feisty World War II vets managed to do what Congress failed miserably to do for another 15 days – reopen a part of our shuttered government. The National Mall and parks in Washington D.C. were closed to visitors. But on day one of the shutdown, CNN reported that "busloads of World War II vets, many in wheel chairs, broke past the barricades to visit the World War II Memorial as onlookers applauded." As the cameras rolled and several Members of Congress were busy trading blame, a line of vets rolled past security officers "who willingly stepped aside," CNN reported. .Only a little more than half of the nation's nursing homes had received inspections, according to data released earlier this month, which prompted Medicare and Medicaid chief Seema Verma to direct that states complete the checks by July 31 or risk losing federal recovery funds. .Support for the IPAB at both hearings was scarce. Some Members, including the Ranking Member of the House Budget Committee, Chris Van Hollen (MD), called the IPAB a necessary "failsafe" measure that will stabilize healthcare costs. He stressed the fact that the experts on the IPAB will make recommendations, but Congress will ultimately have the final say in whether or not they become law. … Continued

According to the Social Security Handbook, when Social Security decides an overpayment has been made, a written notice will be sent to the overpaid individual or the legal representative (such as guardians or estates), if any. People other than the beneficiary can be liable for overpayments if they are entitled to benefits on the same earnings record, like widows, divorced widows, spouses, divorced spouses, and children. .According to the group, the plan would reduce the deficit by trillion and it would save enrollees approximately ,500 per year, but it's controversial for two major reasons. First, it would completely eliminate traditional Medicare, whereas many other reform proposals would keep it as an option. Second, those already enrolled in Medicare would be affected by the transition, which would have a 2014 start date. Other reform proposals would delay implementation to protect seniors from any drastic or sudden changes. .Do you have a low benefit and think you may be affected by hold harmless? TSCL would like to hear from you! Contact us at . .Is his condition found on the Social Security Administration's list of disabling conditions? This is a list of medical conditions that the Social Security Administration considers so severe that it prevents a person from completing substantial gainful activity. .Back in 2010, before Obamacare became law, the President made the following promise to the public: "If you like your doctor, you will be able to keep your doctor. Period." Fast-forward four years, and many seniors enrolled in Medicare Advantage – the privately-run alternative to traditional Medicare – are finding themselves doctor-less. As it turns out, yet another Obamacare promise has been broken. .Often, the most consequential decisions are those we make only once or twice in a lifetime. But decision – making itself is a skill that takes practice. That means we can get better at it. Even with practice though, it's almost impossible to forecast whether our decisions will work out. Often there are hidden factors at play, influencing our decisions, of which we may not even be aware. Learning about how our minds could be sabotaged, and how we could be nudged in wrong direction, can help us improve our decisions. One of these nudges is called the "anchor effect." .How much are you spending on prescription drugs? Please tell us by taking our 2019 Senior Survey. .The report analyzed the prescribing patterns of the nation's one million doctors and found that 736 of them had questionable patterns. The drugs prescribed included highly addictive prescriptions for morphine, oxycodone, anabolic steroids, hydrocodone with codeine, and barbiturates. Doctors, and crooks who use stolen provider identification numbers are writing multiple prescriptions for the same patients that are filled by dozens of pharmacies. .According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care.