News

  • Legislative Update For Week Ending June 14 2019

    Medicare pays the plans a pre-determined monthly amount for each enrollee. Higher rates are paid for sicker patients, and lower amounts for people in good health. The "risk adjustment" policy is intended to avoid the problem of plans cutting corners on healthcare to boost profits. But the audits found pervasive problems with many plans overstating the severity of enrollees' medical conditions, with little documentation of the medical conditions being claimed. .TSCL is strongly opposed to any cut in the payroll tax and we have lobbied aggressively against one. The 2020 reports from the Social Security and Medicare Trustees projected that the Social Security trust funds will become insolvent in only 15 years. At that time, all Social Security beneficiaries would face a 21% benefit cut in benefits that would eventually go to 27%. .While the provision is valuable protection, it doesn't apply to all Medicare Part B enrollees. Roughly 30% of all Part B beneficiaries will not be protected in 201Those people are facing a Part B premium increase of about 22.3%, from 1.80 per month to 9.00, the highest increase in 27 years. People who are not protected by the hold harmless provision include: … Continued

  • Healthcare Costs Taking More Than One Third Of Social Security Benefits For Many Seniors

    Congressional Republicans have also indicated opposition to the administration's proposal, saying it breaks from GOP philosophy by linking U.S. prices to those in other countries where there are price controls. While they like it in part, some Democrats have said it does not go far enough in lowering prices. The change would only lower prices for physician-administered drugs for people on Medicare, meaning people with private insurance and people getting drugs at the pharmacy counter would not benefit from lower prices. .Within two years of enactment, the Government Accountability Office would report to Congress and the task force on the financial exploitation of older Americans, including the associated economic costs, contributing factors, unreported cases, and policy responses. .This week, the Centers for Medicare and Medicaid Services (CMS) announced its preliminary 2015 payment rate changes for the Medicare Advantage (MA) program. In addition, The Senior Citizens League (TSCL) saw two key bills gain support. … Continued

Under current law, the Medicare program is prohibited from negotiating prices with pharmaceutical companies despite the fact that other federal health programs are required to do so. As a result, older Americans enrolled in Part D often pay much higher prices than other American consumers for their prescription drugs. If adopted, this bill would lead to billions of dollars in savings for the Medicare program, and it would immediately reduce prescription drug prices for Medicare Part D beneficiaries. .When asked whether you prefer to get your Social Security benefits directly deposited electronically to bank accounts or received by mail, 9 percent of seniors still prefer receiving checks. .At Thursday's hearing, Mr. Mathur updated the subcommittee members on the progress the administration is making to modernize the program's information technology. The administration is in the process of implementing a five-year plan that will result in improved service, stronger cyber security, and lower operating costs. Mr. Mathur reported that SSA's IT modernization efforts are currently on schedule and on budget, and that the outdated system should be fully replaced by 2022. .Because of the coronavirus, however, the BLS has been unable to gather much of the information from those two categories. Therefore, although they do not use the word, they are going to guess at those costs. It may be an educated guess, but it is still a guess, nonetheless. .Baicker, the public policy school dean, thinks public scrutiny will prevent outrageous pricing. The industry has made various pledges, trying to balance corporate citizenship against making eager investors happy: Astra Zeneca has promised 1 billion doses for low- and middle-income countries. Johnson & Johnson says it would make the COVID-19 vaccine available on a "not for profit basis" at for "emergency pandemic use." .This week TSCL has been focused on two issues we are very concerned about. The first is the payroll tax cut that we told you about last week. As a reminder, President Trump has said he wants a payroll tax cut in the next financial relief legislation Congress develops in response to the coronavirus. TSCL opposes that because it would further damage the financial well-being of the Social Security and Medicare programs. Both programs already need fixing because the lack of financial resources in the coming years may result cutting benefits to seniors. In fact, Senate Majority Leader Mitch McConnell (R-Ky.) is among Congressional leaders who have already called for that, although they don't call it cutting benefits, they say there is a need to "reign in the costs" of the programs. .It remains to be seen whether or not Congress will adopt the recommendations made by MedPAC in its most recent report. The Commission is an independent Congressional agency, but its policy recommendations are non-binding and Congress rarely takes immediate action on them. Nonetheless, TSCL will keep a close eye on the recommendations that were made this week, since they could positively affect millions of Medicare beneficiaries if enacted. .The online survey, taken by 401 participants, was conducted in June and early July 2020. Here are some key findings: .What are the potential complications and risks?