News

  • The Senior Citizens League Weekly Update For Week Ending March 20 2020

    The drugs that would be affected by any Trump action are among the costliest taken by Americans. They include innovative therapies for cancer, immune disease and other disorders. The industry says that Part B pharmaceutical spending makes up just 3% of overall Medicare costs. .Last year Americans were told that one of the ways to prevent being infected with Covid-19 is to wash hands frequently and for at least 20 seconds, and if that was not possible, use hand sanitizer. That resulted in a run on hand sanitizers and for awhile they were difficult to find. .Proponents of the measure, which include some Democrats, say that addressing the projected shortfalls now would prevent draconian cuts or tax hikes later. The legislation would create congressional panels mandated to draft bipartisan legislation that restores solvency of the trust funds, and the bills would receive fast-track consideration in each chamber. … Continued

  • Category Tscl In The News Page 5

    Without passage of the waiver legislation the Office of Management and Budget will impose the Medicare payment cuts at the end of the current congressional session. While Social Security, low-income programs such as Medicaid, and veterans' benefits are exempt from sequestration, Medicare payments can be reduced up to 4%. .More than 61 million people, including adults age 65 and older, and younger disabled adults who receive Social Security disability benefits, get their healthcare coverage though Medicare.[3] The Social Security hold harmless provision protects about 70 percent of beneficiaries (almost 43 million beneficiaries) from increases in the Medicare Part B premium that exceed the dollar amount of their COLA. When an individual's Part B premium increases more than the dollar amount of his or her COLA, the Part B premium is reduced to prevent a reduction in net Social Security benefits from one year to the next. .The Notch Fairness Act, legislation that would pay Notch Babies born from 1917 through 1926 a choice of ,000 in four annual installments of ,250 or an improved monthly benefit, was recently reintroduced in both the House and the Senate. Members of Congress have not forgotten about you and Notch reform may be closer than anybody thinks. … Continued

Susan has rheumatoid arthritis and was taking Humira, a drug that would cost more than ,000 out-of-pocket if she had to purchase it through a Part D plan. Prior to starting Medicare, she paid a .00 per month co-pay for Humira through her husband's insurance. Before starting on Medicare though, Susan decided to try a less expensive older generic, Methotrexate, which costs just .00 per month through her Part D plan. .Key Social Security Bills Gain Support .With more than 17 million Medicare Advantage enrollees, the Centers for Medicare and Medicaid Services hasn't been able to ensure that their risk scores are accurate. When CMS has checked, nearly one - third of the scores were too high. "Given the size of Medicare Advantage, even a small error can add up to billions in overpayments," says TSCL Executive Director Shannon Benton. "TSCL believes that home visits should be focused on providing better care to the patient, not boosting health plan profits." .If adopted, this key bill would improve Social Security COLAs by basing them on the CPI-E, and it would cover the cost by phasing out the payroll tax cap over the course of seven years. Together, these changes would improve the adequacy of Social Security benefits and strengthen the solvency of the Trust Funds past 2035. .In addition, one new cosponsor signed on to the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 2575), bringing the total up to eighteen. The new cosponsor is Representative Seth Moulton (MA-6). If signed into law, the BENES Act would simplify the Medicare enrollment process and better inform those approaching Medicare eligibility about their future benefits and the application process. .What Did My Member of Congress Mean By That? .Nearly 50 years ago, we made a promise to ensure quality, affordable healthcare for all American seniors. In order to protect that promise, we must promote excellence and efficiency in Medicare, while being more fiscally responsible. One of the most important ways we can achieve those critical goals is to fix the broken Medicare physician payment system, which has created uncertainty and instability for seniors, healthcare providers, and the federal budget for decades. Because of the failed physician payment system, there is a looming crisis facing seniors and the doctors who care for them: on January 1, 2013 doctors could be hit with a scheduled reduction in Medicare payments of more than 30 percent. .While Congress continues to discuss similar changes to the Social Security benefit formula today, Notch Reform remains a legislative priority for TSCL. TSCL estimates that 2.7 million Notch babies and their spouses or widows would benefit from passage of The Notch Fairness Act. The legislation would provide Notch Babies, born 1917 through 1926, ,000 payable in four annual installments, or an improved monthly benefit. Representative Mike McIntyre (NC-7) introduced the legislation in the House where it has 17 cosponsors, and Senator David Vitter (LA) has introduced a corresponding bill in the Senate. TSCL continues to work for passage. .This week, lawmakers remained in their home states and districts for the two-week spring recess.