News

  • Legislative Update For Week Ending March 2 2012

    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. .First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. .Protecting Medicare for current beneficiaries and saving it for future generations is one of my most important responsibilities as a Member of Congress. It is no secret that demographic and economic factors will not allow us to continue the program unaltered. There are 10,000 baby boomers retiring every day, and when these programs were first enacted there were more than 40 workers for every 1 retiree. Today, that number is below 3 workers per retiree and headed towards 2 to Health care costs continue to rise much faster than inflation. In order to ensure the solvency of a program that senior citizens have come to rely on, changes must be made. The days of doing nothing, burying our heads in the sand, and pretending the status quo is sustainable are over. … Continued

  • Congressional Corner Defeating Alzheimers Requires United Effort

    TSCL encourages its members and supporters to attend these events and to ask questions of their elected officials about important Social Security and Medicare issues, like the following four… .Social Security and Medicare benefits are paid for through payroll tax deductions from workers and their employers. Even after starting to receive benefits, close to 56 percent of retirees continue to pay into the programs through income taxes on a portion of their Social Security benefits. Medicare beneficiaries also pay premiums for Part B doctors and hospital outpatient insurance. Both programs are relied upon by tens of millions of older Americans for income and healthcare benefits. "According to the most recent surveys by The Senior Citizens League the public wants their lawmakers to protect these programs, but not by cutting benefits." Johnson notes. .Direct federally funded community health centers to pass discounts they now get for insulin and EpiPens directly to low-income patients. … Continued

We have been reporting recently that unless Congress passes new legislation soon there will be significant cuts in Medicare payments to health care providers, such as doctors and hospitals. If that happens it is quite possible those patients covered by Medicare would likely face negative consequences with regard to their health care. .Will the Government Shut Down in 10 Days? .This week, lawmakers on the House Budget Committee approved a fiscal 2017 budget resolution after weeks of negotiations, and The Senior Citizens League's (TSCL's) Board of Trustees met with several Members of Congress on Capitol Hill to discuss critical Social Security issues. .It's unknown whether or not Congress will tackle the SGR before the end of the year, but most Subcommittee Members at Wednesday's hearing did seem set on providing extensions for the other payment provisions that are nearing expiration. .In a statement, Congressman Doggett said: "Despite groundbreaking medical discoveries, we see no breakthrough in affordability for consumers. Drug pricing in America is a tangled mess, a knot that will take more than one cut to pull apart … Sick patients are tired of seeing Congress do nothing about a problem that affects so many." .A major reason that the COLA is so low is the consumer price index that the government uses to calculate the increase. Under current law, the COLA is tied to the increase in the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). That index surveys the spending patterns of younger working adults and does not include the market basket of goods and services that is more typical of people age 62 and over. The CPI-W gives greater weight to goods and services that younger workers spend more on, like gasoline prices and electronics, which have dramatically dropped in price over the past two years. It gives less weight to housing and medical expenses even though those two categories have experienced bigger price jumps over the past two years, and are the two biggest spending categories for older consumers. .Congressional leaders have already given up on the idea of fully funding the government for the entire 2022 fiscal year and instead the current plan is to pass a "continuing resolution" (CR) that will fund the government at current levels until December The idea is to give them more time to craft the legislation needed to fully fund the new fiscal year. .But when hold harmless is triggered more widely than usual, as we expect to be the case in 2021, there is no provision of law with which to finance the unpaid portion of Medicare Part B premium increases of the roughly 43 million who are protected by the provision. In the past, Congress has chosen to allow this cost burden to shift to the 30 percent of beneficiaries who are not held harmless. Because the cost is spread over far fewer people, instead of all beneficiaries, those who are not protected by hold harmless pay a far larger share of the costs, thus the huge Part B premium jumps. .The Senior Citizens League believes that expanding "means testing" to Part D and freezing the income levels through 2019 is a backdoor benefit cut that will eventually affect even middle-income seniors. The chief reason is that as the economy grows over the next decade, the frozen income thresholds will not increase in-kind, subjecting many more seniors to the "means test." The Senior Citizens League estimates that given different inflation scenarios, individual seniors who made between ,000 and ,000 in 2010 could be subjected to the "means test" in 2019, because of the frozen income thresholds. In addition, if the income thresholds for the "means test" had been allowed to increase, (the case before the PPACA was signed into law), we estimate that they would have increased to an amount between 0,500 to 1,800 in 2019.