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  • Tscl Files Third Foia Lawsuit Feed

    It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .The Medicare Trustees estimated in their April 2020 annual report that the base 2021 Part B premium would rise by .70 (6 percent), from 4.60 to 3.30.[1] The annual report was written prior to the coronavirus national emergency and does not incorporate the effects of the coronavirus caused recession, the interaction with an extremely low COLA. ."Addressing our fiscal challenges will require many tough choices and policy changes—but switching to the chained CPI represents neither. Such a change offers policy makers the rare opportunity to achieve significant savings spread across the entire budget by making a technical improvement to existing policies. As such, across-the-board adoption of the chained CPI should be at the top of the list for any deficit reduction plan or down payment." … Continued

  • U S Ranks Lower Slovenia Generosity Social Security Benefits

    "This is a major reason why Social Security checks don't keep up with rising Medicare costs," explains Johnson. "In fact, Social Security benefits have lost 34 percent of buying power since 2000," Johnson adds. .If the bill is going to reach the President's desk for his signature the House will have to agree to the changes the Senate made and pass it one more time. It may take a couple of weeks if that is to happen, however, because the House will not be back in session until the week of April 12. .To identify people in the country illegally, Medicare relies on information from the Social Security Administration in order to deny claims. The Social Security Administration receives data from the Department of Homeland Security and other agencies but CMS doesn't always receive information relating to unlawful presence in a timely manner, according to the Inspector General. … Continued

Food and Drug Administration Issues Vaccine Fraud Alert .The bill, known as the Grassley-Wyden bill, would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .If signed into law, the Improving Access to Medicare Coverage Act would amend the Social Security Act to allow individuals receiving "outpatient observation services" in hospitals to be considered "inpatients" so they may satisfy the three-day requirement for Medicare coverage of post-hospitalization care in skilled nursing facilities. Currently, Medicare does not cover skilled nursing care for those who spent time in the hospital under outpatient observation, and they are billed unfairly for necessary medical care. .Finally, one new cosponsor – Senator Richard Blumenthal (CT) – signed on to the Medicare Drug Price Negotiation Act (S. 99), bringing the cosponsor total up to eight. If adopted, this bill would require the Secretary of Health and Human Services to negotiate lower prescription drug prices on behalf of Medicare Part D beneficiaries. .Super-Committee Republicans offer a 300 billion dollar tax-revenue concession. After an initial pledge not to raise taxes over the next decade, Republicans are willing to allow tax increases to help meet the 1.2 trillion dollar debt-reduction mandate by November 23rd. .The government has made it much easier to drop out of an older supplemental Medigap plan and join a new Medicare Advantage plan than the other way around. In fact, if you drop your older supplement, you may not be able to get it back again should you discover your new plan is not what you thought it would be. Failure to read the fine print can expose you to thousands of dollars in unexpected out-of-pocket costs should you require even just a few days of hospitalization or have a health condition that requires multiple visits to the doctor and lab services. .Over the years, there have been many bills, some with large numbers of co-sponsors, to fix the Notch. Most of the proposed legislative "fixes" provided improved monthly benefits. "Notch Reform" bills encountered strenuous opposition. Objections centered on the lifetime cost of providing those benefits. In 1992, one widely-supported piece of legislation was estimated to cost 0 billion (including interest lost to the Social Security Trust Fund) through the year 2020. In addition, it was argued that the cost would cause the Social Security Trust Fund to become insolvent even sooner than projected. .Rep. McIntyre has consistently cosponsored the Consumer Price Index for Elderly Consumers (CPI-E) Act, a bill that would provide seniors with a more fair and accurate Social Security cost-of-living adjustment. He has also cosponsored legislation that would close a Social Security loophole that allows non-citizens to become entitled to Social Security benefits for work done illegally. Finally, Rep. McIntyre introduced the Notch Fairness Act in 2011, a bill that would provide those born between the years 1917 and 1926 with modest compensation for the lower Social Security benefits that they tend to receive. .But he cautions that the amount of benefit from flu vaccination could be different in a different group of people. "There is a protective effect," he says. "How much is something that needs to be quantified with a more intensive study."