News
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Category Issues Medicare Fraud Waste And Abuse Bills Feed
Policy experts question how patients will make up postponed care (some services can't be made up) and the degree to which delays in getting care will have adverse health consequences. Both of these concerns suggest that another type of surge for hospitals—the aftermath of postponed care — may be coming next. Cutting hospital reimbursements now could potentially limit access to care when Medicare beneficiaries need it the most. .The second session of the 113th Congress is nearing its end, and The Senior Citizens League (TSCL) is pleased to report that 2014 has been a year to remember. Over the past few months, TSCL has hand-delivered hundreds of thousands of petitions to Members of Congress, urging them to support critical legislation like the CPI-E Act, the Notch Fairness Act, and the Strengthening Social Security Act. In the weeks leading up to the November elections, we sent out thousands of emails to members and supporters in an effort to help them get to know TSCL's long-time friends in Congress. .But not all beneficiaries will come out ahead. Some treatments have little or no competition, and patients needing those drugs might not see any extra savings. And for people who don't take pricey drugs, monthly Part D costs are likely to rise because premiums are expected to go up when insurers won't be able to keep rebates to improve bottom lines. … Continued
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2016 Tscl Submits Statement For The Record On Drug Price Increases To House Oversight And Government Reform Committee
That does raise a fair question about conflict of interest: If something was not in the best interest of seniors but would raise millions of dollars for AARP through insurance sales, would AARP put principle ahead of profit? .The legislation now calls for a "one-time, one-year increase in the Medicare physician fee schedule of 3.75 percent" in 2021 "to provide relief during the COVID-19 public health emergency." .May Signal Zero COLA for 2016 … Continued
If signed into law, the PRIME Act would increase fraud prevention efforts within Medicare and Medicaid. Among other things, it would enact stronger fraud penalties, curb mistaken payments, phase out the practice of "pay and chase," reduce the theft of physician identities, and improve the sharing of fraud data among agencies and programs. .While inflation varies significantly depending on the area of the country in which people live, locality - based payment rates are not calculated on living costs or specific price levels like the COLA. According to a story appearing on the Federal News Network's website, this is a common misconception about locality pay. In fact, consumer inflation is not even a factor when setting locality pay. .Also last week, House Democrats unveiled a range of health care measures to be included in their coming .5 trillion package, including provisions to lower prescription drug prices and expand Medicaid in the 12 GOP-led states that have refused to do so. The measure unveiled by the House Energy and Commerce Committee includes legislation to allow the Secretary of Health and Human Services to negotiate lower drug prices, known as H.R. 3. .Members of Congress adjourned for the holiday recess this week, with the Senate returning on Thursday to resume Fiscal Cliff negotiations. .House members are increasingly feeling the effects of a five percent budget cut passed last year. Already tight budgets have forced drastic reductions in the number of salaried positions and could reduce the amount of services provided. .Many expected the Obama administration to seek an emergency review of the decision by the Supreme Court, but on Wednesday, the Justice Department announced that it would not. Instead, the administration said it will focus on another 5th Circuit hearing that's scheduled for the week of July 6th. .Although no other generation has yet been affected by a similar Notch, that could change in the future. Congressional inaction on Social Security's long-term financing problems could give birth to a whole new generation of Notch Babies. During recent hearings on the need for making Social Security more sustainable as Baby Boomers near retirement, David Walker, the Comptroller General of the United States, confirmed this saying "Doing nothing means that we are going to head to a precipitous decline in benefits. Remember the Notch Baby problem?" he asked. "This would be a Notch Baby problem magnified multiple times and it should not be allowed to happen." (10) .Senate Committee Discusses Social Security Benefit Maximization .Medicare first started covering rehabilitation services in 197Just seven years later in 1979, Congress enacted a cap of 0 on outpatient therapy due to concerns that rehabilitation outpatient services would take over the Medicare budget. The cap – which was indexed to medical inflation – remained in place until the passage of the "Balanced Budget Act of 1997," when a ,500 cap was passed into law and set to take effect in 199However, President Clinton halted the implementation of the ,500 cap, leaving services open to reimbursements by Medicare. Since 1999, several bills introduced in Congress sought to either repeal or keep the spending cap on rehabilitation services, with the cap drawing bipartisan criticism as being unfair to Medicare beneficiaries.
