Basing a decision on amenities and features. Just because the facility markets itself like a five - star hotel or is located near a great golf course does not equate to five - star standards of care. Look around and get a feel for the number of staff to residents. Try to meet a few residents. Are they happy? Does the staff look like they get satisfaction from their work? The office of your local Long Term Care Ombudsman can tell you about documented issues and problems that facilities have had in the past. .Government officials, like the head of the Department of Veterans Affairs, can opt out of buying American drugs if the product is not produced "in sufficient and reasonably available commercial quantities" in the United States or buying the product in America would raise procurement costs by 25 percent. .Medicare pays the plans a pre-determined monthly amount for each enrollee. Higher rates are paid for sicker patients, and lower amounts for people in good health. The "risk adjustment" policy is intended to avoid the problem of plans cutting corners on healthcare to boost profits. But the audits found pervasive problems with many plans overstating the severity of enrollees' medical conditions, with little documentation of the medical conditions being claimed. .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. .In a recent high profile Medicare fraud takedown, actor and entrepreneur Roberto F. Marrero, who played bits parts on Miami Vice, America's Most Wanted, and Unsolved Mysteries, was arrested for massive Medicare fraud. Marrero, who became a Medicare-licensed healthcare provider in 2007, is accused of submitting million in bogus bills for supplying purported home healthcare services for diabetic patients. .The Senior Citizens League enthusiastically supports the Audiology Patient Choice Act and the Social Security Fairness Act, and we were pleased to see support grow for them this week. For more information about these and other TSCL-backed bills, visit the Bill Tracking section of our website. .When you start retirement benefits before your full retirement age– which for you is 66 — you may work, but Social Security will withhold one dollar in benefits for every in earnings above the limit. The question for many people who go this route is when the withholding starts. .The Social Security 2100 Act (H.R. 1391), introduced by Representative John Larson (CT-1). Like the FAIR Social Security Act, this bill would base COLAs on the CPI-E. It would also provide a 2 percent benefit bump for the average beneficiary and create a new minimum benefit set at 25 percent above the poverty line. In addition, more than 11 million seniors would see a significant tax cut, since the bill would double the income threshold for the taxation of benefits from ,000 per individual to ,000, and from ,000 per couple to 0,000. .Because you are over 65, you are subject to Medicare's Special Enrollment Period rules that apply to the loss of health insurance coverage through you or your spouse's former employer. You need to enroll in Medicare Part B during the 8-month period that begins the month after your husband's employment ends or the employer health coverage ends, whichever happens first. Coverage under COBRA, however, would NOT be more than a temporary option for you because you would NOT be eligible for a Special Enrollment Period when that coverage ends, so don't wait to enroll in Medicare. You have 8 months to sign up for Part B and Part D without penalty, starting after the loss of your husband's job.