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  • Congressional Corner To Stay Healthy And Enjoy Retirement Means Protecting Earned Benefits And Cutting Drug Prices

    According to the report, CMS has not expanded the recovery audit program to Medicare Advantage by the end of 2010 as was required by the Patient Protection Act. Recovery audits have been used for years in other Medicare programs to recover improper payments. TSCL believes Congress must provide stronger oversight to ensure that scarce Medicare dollars are spent appropriately and to prevent private insurers from boosting profits by gauging both taxpayers and older Americans. .The group said in a statement that the rule, which had been proposed and then left to languish by the administration last year after the Congressional Budget Office said it would cost taxpayers 7 billion, circumvents the regular rule-making process. .TREA Senior Citizens League Backs New Approach to Correcting the Notch … Continued

  • 2015 Legislative Update August 2015

    Policy experts question how patients will make up postponed care (some services can't be made up) and the degree to which delays in getting care will have adverse health consequences. Both of these concerns suggest that another type of surge for hospitals—the aftermath of postponed care — may be coming next. Cutting hospital reimbursements now could potentially limit access to care when Medicare beneficiaries need it the most. .This week, the Social Security Administration announced the 2019 cost-of-living adjustment, and President Donald Trump signed into law legislation that will result in lower out-of-pocket prescription drug costs at pharmacies. In addition, The Senior Citizens League saw in Congress. .Two Bills Gain New Cosponsors … Continued

The Pharmaceutical Care Management Association, which represents pharmacy benefit managers that run the Medicare prescription drug plans targeted by the rebate rule, said at the time that it was exploring litigation. .In addition, should your husband improve and regain the ability to work, he would be allowed to earn ,580/month in 2021 before his benefits would be temporarily reduced due to Social Security's earnings restriction rules. Under disability rules, your husband could not earn more than ,310/month without losing eligibility for disability benefits altogether. Should your husband continue to improve, he could earn more by the year he attains full retirement age. .If the Social Security Administration announces a 1.3% COLA next month, an emergency COLA of 2.5% instead would make a big difference to your income over the next ten years and would also prevent Medicare Part B premiums from spiking any higher than they are already likely to go. .From my standpoint, the Federal Government has no business obtaining your personal medical data. There is no space in the examining room for the government. In response, I introduced H.R. 3218 on October 13, 2011 with Rep. Tim Huelskamp of Kansas. Rep. Huelskamp wrote an op-ed that first brought light to this issue and I am happy to have worked with him in crafting this legislation. H.R. 3218 would "amend section 1343 of the Patient Protection and Affordable Care Act to ensure the privacy of individually identifiable health information in connection with risk adjustment." The Federal Government should not be inserting itself in your health care decision-making process. .Sources: 0.3% COLA Announced, The Social Security Administration, October 19, 201"Long Term Impact of Low COLA Growth," Mary Johnson, TSCL, August 31, 2016. ."Anything that puts you in contact with more people is going to increase your risk," said Cindy Prins, a clinical associate professor of epidemiology at the University of Florida College of Public Health and Health Professions. "If you compare it to just staying at home and quick trips to the grocery store, you'd have to put it above" that level of risk. .Sources: "Income of the Population 55 or Older," 2008, Social Security Administration. "Health Care On A Budget," Kaiser Family Foundation, June 2011. .Noting the vast and unprecedented danger that the coronavirus presents to the elderly and people with disabilities, patient advocates described the lack of inspections as a shocking oversight. .Based on your age, you potentially may be able to use a claiming strategy at your full retirement age (66) that could provide you with a divorced spousal benefit, while you wait for your own benefit to grow. Once you have reached full retirement age you can choose to receive only the divorced spouse's benefit and delay receiving retirement benefits based on your own work record until a later date or when you turn age 70.