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  • Ask Advisor August 2017

    The Part D initial coverage limit is ,960 this year. "That includes what both the beneficiary and the drug plan must pay, " explains TSCL's Chairman Ed Cates. Once in the doughnut hole, beneficiaries are on the hook for 65% of the cost of generic drugs, or 45% of the cost of brand name drugs. Medicare beneficiaries must spend a total of ,700 out of pocket in drug costs for the year, before catastrophic coverage kicks in. "Even then there's still some additional smaller co-insurance payments," Cates adds. .The Covid-19 pandemic has both heightened the urgency of reining in pharmaceutical costs yet also made it harder for lawmakers to act. Drug makers say limiting their profits could hamper efforts to create a vaccine against the virus, but medicines to treat it come with significant price tags. Gilead Sciences, Inc., set the price for its widely used Remdesivir at ,340 for a five-day treatment. .Indeed, during the 2005 debate over Social Security reform, one of the leading proposals would make changes to the benefit formula similar to those made in 197The proposal would tie the calculation of the initial retirement benefit to changes in price inflation. According to an analysis of a leading proposal by the Congressional Budget Office, when benefits are charted on a graph as shown here, they illustrate a "precipitous decline" in benefits and an all too familiar "V" shaped Notch. … Continued

  • H R 3961 Consumer Price Index For Elderly Consumers Act

    The first new rule affects Medicare Part B drug costs, which are typically infused or injected drugs used mainly in the treatment of cancer. The intent is to cap the cost of those drugs at the lowest price that drug manufacturers receive in other countries and to pay doctors a flat fee for each dose of a drug, instead of a percentage of each drug's cost. .Both bills are now awaiting the signature of President Donald Trump. He is expected to sign them into law in the very near future. The Senior Citizens League is pleased that lawmakers successfully advanced legislation that will protect the American public from "gag clauses" that result in higher out-of-pocket costs at pharmacies. .Sen. Tom Harkin (IA) introduced S. 567 on March 14, 201It has since been referred to the Committee on Finance. … Continued

Republicans dominated Tuesday's mid-term elections, gaining control of the Senate and picking up twelve additional seats in the House, making it their largest majority in decades. Both chambers of Congress will be controlled by the party for the first time in eight years, and the dynamic on Capitol Hill will certainly be different come January. .(Photo: iStockphoto) ."If Congress adopts the more slowly-growing ?chained? CPI to calculate COLAs, that would cut the growth in average benefits, about ,100 per month today, by about ,742 over a 25-year retirement," states Larry Hyland, Chairman of TSCL. The benefit reductions compound over time, hitting the oldest the hardest. "By the time age 62 retirees with average benefits today reach age 84, their monthly benefits would be about 8 lower than they would receive using the current COLA methodology," Hyland says. .Ask about insurer discounts. When shopping, learn what the prospective insurer gives discounts for. Smoke detectors, burglar alarms and dead bolt locks can be worth a 5% premium discount. .This week, TSCL enthusiastically announced its support for the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305). In the Senate, the bill was introduced by Sens. Tom Carper (DE) and Tom Coburn (OK), and in the House, it was introduced by Reps. Peter Roskam (IL-6) and John Carney (DE). It currently has bipartisan support, with fifteen cosponsors in the Senate and ten in the House. .TSCL also announced its support this week for the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), which was introduced by Senator Amy Klobuchar (MN) in the Senate and by Representative Peter Welch (VT) in the House. Their bill, if signed into law, would require the Secretary of the Department of Health and Human Services (HHS) to negotiate prescription drug prices on behalf of nearly 40 million Medicare Part D beneficiaries. If HHS were able to negotiate similar prices as those paid by Medicaid and the Veterans Health Administration, the Medicare program would save billions of dollars annually, and beneficiaries would have better access to more affordable prescription drugs. .First, one new cosponsor – Representative Greg Walden (OR-2) – signed on to the Social Security Fairness Act (H.R. 1205), bringing the total up to 19If adopted, the Social Security Fairness Act would repeal the Government Pension Offset (GPO) and the Windfall Elimination Provision (WEP) – two provisions that unfairly reduce the earned Social Security benefits of millions of teachers, police officers, and other state and local government employees each year. .Four Key Bills Gain Support in Congress .Employment and average earnings information from the Bureau of Labor Statistics (BLS) indicate that average wages were down about 4.4% in 2020. But BLS wage data can vary from the final wage data that employers report to the Social Security Administration. Adjusting for the difference, the AWI for 2020 may drop only slightly, by roughly 0.65 percentage point. We are closely watching for the new AWI for 2020 from the Social Security Administration, but that final number won't be known until the end of the year.