"Using the chained CPI to calculate COLAs would make the problem even worse," Hyland contends. "The chained CPI is calculated much differently than the Consumer Price Index for Workers (CPI-W), the current CPI, and would have a significant effect on reducing the total amount of lifetime Social Security benefits that people receive," Hyland says. "The data certainly suggests this is the case," he adds. .Surprise! A new Part D plan drug pricing program may lower costs for those who seek out the savings. Recent Congressional scrutiny on drug pricing may be spurring some drug plans to drop prices on certain drugs. A new drug plan pricing program offered by Cigna, for example, lowers the cost of insulin. In 2018, the lowest cost Part D plan charged an copay for a 100/ML of Lantus Solostar. In 2019, the lowest cost plan in my area charges copays as low as .00 - .00 for Lantus Solostar in the Cigna-HealthSpring Rx Secure — Extra Part D plan. The highest cost plan, which does not cover Lantus, charges the full price, 3.18 per 100/ML. Which would you rather have? .The number of observation patients has exploded 88 percent over the past six years, according to the Medicare Payment Advisory Commission. Medicare has tightened rules for hospital admissions, and usually won't pay for admitted patients who should have been designated as observation status. Consequently, hospitals have increased their share of observation patients. But the rule is not the same for people's private insurance like Medicare Advantage. Most Medicare Advantage plans don't require their enrollees to have a three-day hospital admission in order to receive nursing home coverage, according to an analysis by Avalere Health research firm. .Congress should allow Medicare to negotiate drug prices by tying U.S. prices to prices paid in other industrialized countries like Canada, Great Britain and Japan where prices are lower. — 85 percent support, 13 percent not sure, and only 2 percent opposed. .It remains unclear, however, how broadly the order will be implemented — the executive order does not specify what drugs it covers. Instead, the order directs the Food and Drug Administration to decide which medicines will be subject to the new requirements. Certain drugs can also be exempted from the executive order if they are too expensive to make in the U.S. or the U.S. is not already making them. .The costs of custodial care pose a big challenge for Alzheimer's patients and their families. According to a survey of long term care costs by Genworth Financial, Inc., a semi-private room in a nursing home can cost ,148 a month, or ,750 per month in an assisted living facility. Even a home health care aide costs per hour. Many families work to put together a caregiving network with family, friends, churches and community services in the early stages of Alzheimer's treatment. .To learn more about how the SSA calculates the COLA you can find that info here. .This is all good news. In addition to the cost of pharmaceuticals, the simple availability of them is crucial for seniors, especially during times like this. .For more information, or to see if your Members of Congress have scheduled town halls before the November elections, call their local offices.