News

  • Press Release Health Care Costs

    Medicare and many state Medicaid programs are in the process of transitioning to value-based medicine that would change the way government healthcare programs pay for care. Doctors and healthcare providers are given incentives to improve health and to reduce the incidence of chronic disease — in order to lower spending on healthcare and provide better care at a lower cost. There's emphasis on giving providers single payments for a "bundle of services" instead of paying for each service, checkup or X-ray. This reimbursement system differs from traditional fee-for-service Medicare, as well as Medicare Advantage plans' "capitated" payments, in which providers are paid more for sick patients, regardless of health outcomes. .You can gather indoors with fully vaccinated people without wearing a mask. .Medicare supplements tend to have higher premiums than Medicare Advantage plans, but will cover most, or even all of your out-of-pocket costs, depending on which policy "A" –"N" that you choose. Medicare Advantage plans have lower premiums, but you instead pay co-pays for every service. If you get sick or you are hospitalized, your out-of-pocket costs could be thousands of dollars. But unlike Medicare alone, Medicare Advantage plans have annual out-of-pocket maximums to cap what you pay. Those maximums average ,332 in 2017 but can be as high as ,700. … Continued

  • Congressional Corner November 2013

    Candidates campaign for office saying they don't support cutting Social Security benefits of current retirees, or those close to retirement. Yet the two recently - enacted changes went into effect almost immediately after passage. People who are under the age of 66 by the end of April 2016 may no longer use file and suspend, and those who were under the age of 62 by the end of 2015 will no longer be able to use restricted applications for spousal benefits. .The following does not necessarily reflect the views of The Senior Citizens League. .Pelosi is reported to be aiming for a House vote on the plan by the end of October or early November but Senate Majority Leader McConnell has already said the bill will go nowhere in the Senate. … Continued

Please participate in the 2019 Senior Survey! .A husband's death can mean enormous financial hardship for women. Under current law it generally means a big drop in Social Security income, going from two Social Security payments each month to just one. When the husband passes away, the widow gets a benefit that's 100% the amount the deceased spouse was entitled to, if higher than her own retirement benefit. For example, if the couple received a combined benefit of ,400 per month, and the husband's benefit is ,600, then the widow would just get the ,600 and lose her own 0 per month in benefits. .Why does that happen? .Even though I'm not on Medicare yet, these new quality initiatives will, one way or another will affect most patients, even those like me who are still under the age of 65 as doctors reorganize. I felt dumped. .In a letter to the bill's sponsors, Ed Cates – Chairman of TSCL's Board of Trustees – wrote, "When family caregivers don't receive the support they need, they often must leave their jobs, take on significant debt, or move their loved ones out of their homes and into costly assisted living facilities. TSCL and its members believe the growing problem must be addressed as soon as possible." We look forward to working with the bill's sponsors in the months ahead to continue building support for the important bill. .Because Medicare doesn't negotiate drug prices, there are huge variations in cost for the same drug between drug plans, and even between pharmacies in the same plan. The difference in drug prices between the lowest and highest costing plans and pharmacies can be in the hundreds, or even thousands, of dollars. The high cost of drugs are the single biggest reason that people don't fill a prescription! But the most frequent reason that a drug costs so much more in the highest costing plan is lack of coverage by the drug plan —the drug is not listed on the plan's formulary. Sometimes, the pharmacy is not in the plan's preferred "network", and even preferred pharmacies can have significantly higher costs. For example, the lowest cost plan for Sovaldi, a drug used to treat Hepatitis C, charges ,600 in co-insurance (for a one-year treatment). The highest cost drug plan charges 0,800, the full cost of the drug, because Sovaldi is not on the plan formulary. The lowest cost plan for Advair Diskus, which is used to control and prevent symptoms of pulmonary disease, charges a co-pay of .33 per month from a mail order pharmacy, or the highest cost plan charges 6.62 per month because the drug is not on the plan's formulary. .A majority of seniors 65 and older who receive Social Security depend on it for at least 50 percent of their total income, and one in three beneficiaries rely on it for 90 percent or more of their total income. TSCL is fighting proposals to cut COLAs. TSCL believes that seniors could receive a more fair COLA if the government were to use a consumer price index that more closely tracked the spending patterns of seniors. .There are new federal rules that require hospitals to post their pricing information online in order to give patients the information they need to make decisions about their health care. But it turns out that some large hospital systems have been using codes that prevent that information from appearing in online search results. .This week, the Obama administration released its much-anticipated 2013 budget proposal, and the House-Senate conference committee compromised on a deal to prevent payment cuts to Medicare physicians and extend the payroll tax holiday. In addition, four new cosponsors signed on to the Social Security Fairness Act.