News

  • Strange Medicare Cases

    On Tuesday, President Donald Trump addressed the nation in his first State of the Union. In his speech, the President reflected on the strong economic growth of the country and he shared his hopes for the year ahead. The President said he plans to push .5 trillion in infrastructure investments, to secure the southern border with Mexico, and to offer a pathway to citizenship for 1.8 million immigrants known as "Dreamers." .Example: Let's say Sally had a Social Security benefit of ,000 in 201The Part B premium that year was 4.90. In 2016 there was no COLA, and Sally continued to receive ,000. But the Medicare Part B premium in 2016 increased to 1.80 per month. Sally's Part B premium was adjusted downward and she continued to pay the same 4.90 Medicare Part B premium that she paid the previous year, to prevent a reduction in her Social Security benefits in 2016. .If adopted, the bill would strengthen and reform the Social Security program responsibly, without enacting any benefit cuts for older or disabled Americans. Among other things, it would: boost Social Security benefits by 2 percent, protect against inflation by basing cost-of-living adjustments (COLAs) on the CPI-E, create a new minimum benefit set at 125 percent of the poverty line, and cut taxes for over 12 million Social Security beneficiaries. … Continued

  • In The News

    Fraud, waste and abuse are costing taxpayers and seniors an estimated billion a year, but Medicare fails to recover overpayments about 80 percent of the time. The Inspector General recently said that of the 6,287,546 in overpayments identified through the 30-month period ending March 31, 2009, the Centers for Medicare and Medicaid Services (CMS) reported collecting only ,168,50But it gets even worse. The OIG said that it could not verify that the ,168,502 had been collected as reported because CMS did not have an adequate system for documenting overpayment collections. .Ensure that rebates drug makers now pay to benefit managers and insurers get passed directly to patients when they buy a medication. The White House last year withdrew an earlier version of the proposal, after the Congressional Budget Office estimated it would cost taxpayers 7 billion over 10 years. .One of TSCL's top priorities again this year is for legislation to reduce the costs of prescription drugs. It is outrageous that we in the United States pay some of the highest prices in the developed world for the prescription drugs that we urgently need to preserve our health. … Continued

TSCL has serious concerns about several of the provisions in the AHCA, including the tax cut that would endanger the Medicare program. As discussions continue to advance the bill, The Senior Citizens League (TSCL) will continue to monitor them, and we will advocate on Capitol Hill for policies that would protect the Medicare Trust Fund while reducing out-of-pocket costs for older Americans. For progress updates, follow TSCL on Facebook or Twitter. .The extra time was needed because although both houses of Congress were finally able to pass the needed legislation, the bill was nearly 5,600 pages in length. It is probable that no member of Congress actually read the entire bill and likely very few Congressional staff members read it either. .Second, two new cosponsors – Representative Josh Harder (CA-10) and Representative Abby Finkenauer (IA-1) – signed on to the Social Security 2100 Act (H.R. 860), bringing the total up to 20This bill, if adopted, would comprehensively strengthen and reform the Social Security program. .While very little of the President's budget blueprint for fiscal 2015 will be considered by those in the House and Senate, it does serve as an important benchmark for lawmakers. Members of the House Budget Committee are expected to unveil a proposal of their own in the coming weeks. In a statement made early this week, Speaker John Boehner (OH-8) said that it will "promote opportunity, reform our tax code, and save our critical safety net programs." TSCL will continue to monitor the budget negotiations as they evolve, and we will provide updates here in the Legislative News section of our website. .TSCL agrees that lawmakers must take action soon to stabilize the individual health insurance market and to bring down skyrocketing prescription drug prices. In the coming months, our legislative team will continue to monitor and support legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would reduce costs and improve care for older Americans. For updates on this bill and others like it, visit the Bill Tracking section of our website or follow TSCL on Twitter. .The total cost for a single year of treatment with the nation's most expensive specialty drugs can cost more than the entire retirement savings for many retirees. The annual cost of the cancer drug Idhifa, for example, is 0,85According to a new study by the non-partisan Kaiser Family Foundation, the median out-of-pocket cost that Medicare Part D beneficiaries will pay out-of-pocket for specialty drugs in 2019 would be ,55Patients suffering from multiple sclerosis could pay an estimated out-of-pocket of ,409 in 2019 for Glatiramer acetate. Even on the "low side," the annual out-of-pocket for Hepatitis C drug, Zepatier runs ,622. .We at TSCL believe that if the drug companies do not offer vaccines or treatments either free of charge, at-cost, or with only a small profit, Congress must take action to reduce the cost. It is simply unacceptable for the American taxpayers to have to pay a large amount of money for something that is so desperately needed by everyone and that has disrupted, and most likely permanently changed, our lives. .Instead, I am a strong supporter of the Consumer Price Index for Elderly Consumers Act of 201This legislation would change the way the Social Security Administration calculates the Cost of Living Adjustments (COLA) by switching from a CPI based on urban wage earners to a formula that would better reflect the spending of seniors. Unlike younger Americans, seniors spend a disproportionate amount of their income on medical expenses and it is crucial that we raise the Cost of Living Adjustment to keep up with the rising cost of medical expenses. .Congress last year expanded this program in the healthcare reform act, or the Patient Protection and Affordable Care Act (PPACA), which was signed into law in March 20The PPACA expanded "means testing" to Medicare Part D, and froze the income thresholds at which beneficiaries become subject to the "means test" at the 2010 levels through 201This year, depending on income, individuals who make more than ,000 and couples who make more than 0,000 will have to pay from .10 - 3.70 extra per month for their Part B premiums, and from .10 to .10 extra per month for their Part D premiums in 2011.