News

  • Legislative Update Week Ending October 24 2014

    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. .Immigration Reform – Close a loophole that pays Social Security benefits based on illegal work, preventing a drain on the Social Security Trust Fund. .Use the lowest price among other economically advanced countries – the so-called "favored nations rule" - to set what Medicare pays for certain drugs administered in a doctor's office, including many cancer medications. This would apply to the most expensive medications covered by Medicare's 'Part B,' which pays for outpatient care. … Continued

  • Using Chained Cpi Calculate Colas Affect Benefits

    America's immigration policy may make a dramatic shift in the coming months. According to press reports, the new Congressional leadership may push for an immigration plan that grants amnesty to illegal immigrants residing in the U.S., and America's senior citizens are paying close attention. .Medicare open enrollment: It pays to get it right .Americans 65 and Older See Largest Increase in Poverty … Continued

On Wednesday, Members of the House voted to approve a temporary Continuing Resolution (CR) to fund the federal government past September 30th – the end of the fiscal year. Those in the Senate took it up quickly thereafter and voted for its passage on Thursday afternoon, despite reservations from some key Senators. .Consequently, Medicare spent billion in 2013 but paid out billion by 2017 for these treatments. In addition, neurology medicines, mostly those used to combat multiple sclerosis, accounted for more than 50% of total Medicare payments, despite representing just 4% of all claims filed. .Members of the committee questioned several witnesses at Thursday's hearing, including Dr. Janet Woodcock (Director at the Center for Drug Evaluation and Research at the Food and Drug Administration), Nancy Retzlaff (Chief Commercial Officer of Turing Pharmaceuticals), and Martin Shkreli (founder and former Chief Executive Officer of Turing Pharmaceuticals). .We recently moved my mom from another part of the state to live with us. She's starting to have memory problems and it's too risky for her to live on her own. Recently when we went for a visit to her new doctor, I discovered that her Medicare health plan isn't accepted in our area. Can she enroll in a new plan now that Open Enrollment is over? .In addition, one new cosponsor signed on to the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 2575), bringing the total up to eighteen. The new cosponsor is Representative Seth Moulton (MA-6). If signed into law, the BENES Act would simplify the Medicare enrollment process and better inform those approaching Medicare eligibility about their future benefits and the application process. .Lawmakers at Wednesday's hearing seemed encouraged by Mr. Brune's testimony, but agreed with Mr. Bagdoyan that more work remains. Subcommittee Chairman Sam Johnson (TX-3) said, "We need to make sure fraudsters don't continue to benefit at the expense of hardworking taxpayers … I'm committed to working with Social Security and all of my colleagues to make sure the agency has all the tools to stop fraud." Ranking Member of the Subcommittee John Larson (CT-1) agreed with Chairman Johnson and emphasized the need for adequate staffing and funding for SSA in the years ahead. Administrative budget cuts and hiring freezes are currently impeding progress. .Access to work authorization is a key issue for Social Security. With work authorization, non-citizen workers can become eligible for Social Security and Medicare benefits. Under current law workers become fully eligible for Social Security benefits after ten years of work. A new survey by the Pew Hispanic Center indicates that an estimated 6.4 million illegals have been living in this country for at least 10 years and thus potentially would be in line for Social Security and Medicare should they receive work authorization. .The poll, which was conducted in September and October of this year, during the debt limit budget standoff, found that respondents voted higher and more fair COLAs as an even greater priority than "Preventing 20% Social Security Disability Insurance benefit cut" or "increases in Medicare premiums and cost-sharing"— two provisions which were passed in the recent debt deal. .I read that the Medicare Part D doughnut hole is closing. What does that mean? I recently started on Lantus insulin, which my drug plan covers, but with the other drugs I take, I expect to hit the doughnut hole with my April refill.