News
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Legislative Update Week Ending September 22 2017
Medicare first began offering beneficiaries the chance to enroll in private Medicare HMOs' in the mid 1980's. That program was absorbed and expanded under the 1997 Balanced Budget Act, creating Medicare+Choice. To cut federal spending on Medicare, the Balanced Budget Act set payments to the private plans at 5% below the fee-for-service rates of traditional Medicare. But by 1999, Medicare+Choice plans were not renewing their contracts with Medicare and there was a widespread exodus, leaving more than 2 million seniors scrambling to find other coverage. .Getting the maximum you've earned on your personal work record requires some homework and planning. You can't count on getting all of your retirement advice from the Social Security Administration. According to TSCL's Senior Survey, 77% of participants said they received no counseling from Social Security staff about the best age to start benefits, undoubtedly because people are directed to sign up for benefits online. .My husband recently lost his job in a company re-organization. I was getting my healthcare benefits through his employer. He is 64 and I'm 6I'm still working, but coverage through my employer is much higher than we paid previously. Can you explain our options at this point? Neither one of us has started Social Security. … Continued
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65th Birthday Nears Phone Rings Medicare Robocalls
TSCL continues to support re-importation of drugs more than general importation of drugs made in other countries. And, while we also support imported medicines made in other countries, we strongly insist that the drugs be certified to be sure they are pure and contain only the ingredients they are supposed to have. .This is a new issue that has popped up on our radar and TSCL will be studying it in greater depth as we learn what might be done to insure lower prices and greater security for the prescription drugs that are so important for so many of us, especially the nations senior citizen population. .Here are two actual cases from the Social Security Administration's Office of Inspector General, and estimates of what the cost would be over a 20-year period by Advisor editor, Mary Johnson. … Continued
As TSCL supporters well know, Congress has not been able to accomplish significant legislative reform to the convoluted drug pricing system even though anger about high drug prices has been rising for a long time. .If these cuts ever went into effect, it could mean tens of millions of seniors no longer have access to their doctors and essential healthcare services. This is unacceptable. For too long, Congress has failed to seriously tackle the issue of physician payment reform, and instead has kicked the can down the road with short-term fixes that have now created a long-term fiscal nightmare. This has been the absolute wrong approach for American seniors and our federal budget. And that is why I have been working hard to protect seniors' access to their doctors by putting forth a plan to fix this broken system once and for all. ."Chaining" the CPI would be a deficit reduction double-hitter. The CPI is used to calculate COLAs, a host of other federal retirement benefits (like military) and federal income tax exemptions, deductions and tax brackets. Thus, switching to a more slowly growing measure would dramatically cut government spending on the annual boosts for Social Security and a host of other federal benefit programs, in addition to quietly raising everyone's taxes. .The study examined the increase in costs of 40 key items between 2000 and January 2020. The items were chosen because they are typical of the costs of most Social Security recipients, and include expenditures, like the Medicare Part B premium, that are not measured by the index currently used to calculate the COLA. Of the 40 items analyzed, 26 exceeded the COLA over the same period while 14 were lower than the COLA. .Just years before they were set to retire, these individuals learned that they would have significantly lower benefits than originally anticipated. The issue was created by the amendments to the Social Security Act that were signed into law in 1977, and it has compounded over time. .The audit is part of long-delayed plans to recover money that the Centers for Medicare and Medicaid Services (CMS) says it overpaid to plans that exaggerated the severity of illnesses of patients treated. The problem is one that the federal government has struggled with, unsuccessfully, for more than a decade. According to one estimate that appeared in Health Affairs, CMS will overpay Medicare Advantage plans by 0 billion over the next decade if the current "coding intensity adjustment" system remains in place. .Here are some examples of scams being tried. .Your daughter can get free one-on-one counseling for her father-in-law through your State Health Insurance Program (SHIP). For more information about the Medicare Part B delayed enrollment penalty visit the Medicare interactive website of the Medicare Rights Center. .In his ruling the California judge admonished the federal government for skipping a key step in the rulemaking process and called the government's reasons for doing so "contrived."
