

News
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Legislative Update Week Ending July 3 2015
Throughout the hearing, the "big dog" in the room – as one witness referred to it – was the Sustainable Growth Rate (SGR). Each of the witnesses urged the Subcommittee Members to replace the current Medicare physician payment formula with a new model, saying that there's simply too much uncertainty surrounding the SGR. Though most seemed to agree, the price tag of repealing the SGR is daunting and the process of re-writing a billing system with 8,000 different codes will certainly take time. .Can Home Health Agencies Provide Rebates? .It's no longer a matter of 'if' Congress will cut Social Security and Medicare, but "when" most policy observers now believe. Much will depend on Congressional budget negotiations in coming weeks as lawmakers address the extent to which borrowing can continue for payment of Social Security and Medicare benefits. … Continued
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Legislative Update Week Ending May 15 2015
In 2015, the Senate Finance Committee came up with a simpler explanation for high drug prices. After reviewing 20,000 pages of company documents, it found that Gilead Sciences had what the committee's ranking Democratic member, Ron Wyden of Oregon, called "a calculated scheme for pricing and marketing its hepatitis C drug based on one primary goal, maximizing revenue." .This week, the Social Security and Medicare Boards of Trustees released their highly anticipated annual reports on the financial status of the two programs. One congressional subcommittee held a hearing to discuss the findings, and The Senior Citizens League (TSCL) saw . .Sources: "Phone Scammers and ‘Tele-doctors' Charged With Preying On Seniors in Fraud Case," Victoria Knight, NPR Health News, October 7, 201"U.S. Thwarts Medicare Genetic Testing Scam," Associated Press, September 29, 2019. … Continued
The FDA has also seen unauthorized fraudulent test kits for COVID-19 being sold online. Currently, the only way to be tested for COVID-19 is to talk to your health care provider. ."A COLA that reflects real cost changes is essential, and of far greater value for protecting income in retirement than a measure that reflects how people are forced to reduce their standard of living when costs rise," Johnson says. "One gives a modest boost, the other would tend cap the growth in Social Security benefits over time." .However, current benefits, as we will learn today, are inadequate, unfair, and in many cases discriminatory, because of systemic economic inequities. .On Tuesday, the House Energy and Commerce Health Subcommittee approved legislation that would repeal and replace the sustainable growth rate (SGR), which is the flawed formula that is currently used to determine reimbursements for physicians who treat Medicare patients. The SGR regularly calls for steep pay cuts for doctors and other providers, threatening beneficiaries' access to medical care. .On Thursday, TSCL delivered letters to several congressional offices – including the offices of lawmakers on the House Ways and Means Committee and the Senate Finance Committee – requesting support for three tax-related changes that would strengthen the Social Security program: .A balanced budget amendment recently under consideration in Congress would have a disproportionate impact on Social Security and Medicare. These programs are responsible for about 40 percent federal spending in 201House Speaker Paul Ryan recently said he hopes to overhaul entitlement spending before he leaves Congress at the end of his term. .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. .The WEP affects people who worked for a state or local government employer that did not withhold Social Security taxes from salary. When you claim the pension for your work as a police officer, the WEP can reduce your Social Security benefit by as much as half of the amount of your pension. .First, two new cosponsors – Representative Paul Gosar (AZ-4) and Representative John Larson (CT-1) – signed on to the Audiology Patient Choice Act (H.R. 2276), bringing the total up to thirty-two. If adopted, H.R. 2276 would improve Medicare coverage for hearing services that are performed by licensed audiologists. Under current law, audiologists are not recognized as providers of health-related hearing services, and the Medicare program will only reimburse them for their services when patients are referred by physicians or nurse practitioners.