News

  • Legislative Update For Week Ending September 14 2012

    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 Bureau of Labor Statistics (BLS) the agency within the Department of Labor that gathers information about prices that consumers pay in order to determine the inflation rate, and therefore the COLA for next year, has let it be known that because of the virus they are going to have to estimate some of the costs of goods and services instead of finding out what they actually are. .With China taking drastic measures to try and contain the spread of the disease, including quarantines and shutting down some industries, production to supply America's pharmacies and medicine cabinets is at risk of interruption. … Continued

  • Medicare Part D Will Cost Me More 2 Feed

    But if your mom has lived with you some months already, you will need to determine if her former Medicare Advantage plan has already learned from CMS or the Postal Service of the move. If she moved over six months ago, then the plan should disenroll your mom 12 months after the move, but her Special Enrollment Period begins at the beginning of the sixth month and continues through the end of the eighth month after your move. .According to the Congressional Research Service (CRS), for a person who retired at age 65 with average wages, a maximum benefit disparity of 10% would have arisen between the highest benefit under the old rules and the lowest benefit under the new rules if the 1977 assumptions had materialized. Under the economic conditions that actually arose, the disparity was 25% (6). .If you've received a medical bill for services that you thought were covered by your health insurance you already know what surprise medical billing is. But as a reminder, "Surprise medical billing" is a term commonly used to describe charges received by someone who has health insurance but they received care from a health care provider who is not included in their insurance coverage. This situation could arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. Surprise medical bills might also happen when a patient receives planned care from an in-network provider (often, a hospital or ambulatory care facility), but other treating providers brought in to participate in the patient's care are not in the same network. This can end up costing patients thousands of dollars they thought their insurance would pay. … Continued

Medicare Has a Tele-Scam Problem Telephone scammers are bilking Medicare out of billions of dollars, and bombarding millions of older U.S. consumers with multiple daily automated phone calls for everything from "free" back braces to genetic tests. While Medicare scams have been with us for decades, what's new is the use of automated calling technology, and the massive international scale. Medicare Advantage Insurers Overcharged Medicare By Nearly Billion Medicare Advantage plans have overcharged Medicare by almost billion in recent years, but so far officials have only recovered a small fraction of that money. The federal government has announced it is stepping up efforts to recover those funds and TSCL is closely watching to see that it does. .A study conducted by TSCL has found that Social Security benefits have lost 30 percent of buying power since 2000 over the same period that Medicare Part B premiums grew by 195 percent. Social Security benefits on the other hand have grown by only 43 percent. The findings represent an especially big loss in buying power of 7 percent from January of 2016 to January of 2017. .In addition, eleven new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305) this week, bringing the total up to seventeen in the Senate and nineteen in the House. If signed into law, the bill would take a number of steps to prevent fraud, waste, and abuse within the two programs. It would enact stronger penalties, curb mistaken payments, phase out the "pay and chase" method, reduce physician identity theft, and improve data-sharing, among other things. The new cosponsors are Sens. Joe Manchin (WV) and Mike Johanns (NE), and Reps. Tim Griffin (AR-2), Diane Black (TN-6), Tammy Duckworth (IL-8), Ed Whitfield (KY-1), Reid Ribble (WI-8), Steve Womack (AR-3), Julia Brownley (CA-26), Tom Latham (IA-3), and Markwayne Mullin (OK-2). .More information available on our website: .According to the Congressional Research Service, patients would be unlikely to see a reduction in benefits or any other direct impacts of sequestration, but it would have a large impact on how much providers are paid by Medicare for their services, sending them back to pre-pandemic rates. .If a COVID-19 vaccine yields a price of, say, 0 a course, vaccinating the entire population would bring a company over 0 billion, almost all of it profit. .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. .The debts in question involved cases decades old, and debts many taxpayers never even knew about — for benefits that were paid to their parents or guardians when they were children. If an overpayment is made on behalf of a child (such as survivors benefits) the child could be held liable years later as an adult. .This week, lawmakers returned to Capitol Hill following a week-long holiday recess, and four Members of Congress signed on as cosponsors to key legislation that would make the Social Security program more equitable for public employees.