News

  • Legislative Update Week Ending February 3 2017

    The order would broaden existing federal requirements for government agencies to prioritize buying supplies for medicines deemed "essential" from U.S. manufacturers, rather than companies in China or elsewhere around the world. .Other countries, such as Britain, take a more head-on approach: a national body does a cost-benefit analysis regarding the price at which a new drug is worth being made available to its citizens. Health authorities then use that information to negotiate with a drug maker on price and to develop a national reimbursement plan. .Last week, in a last ditch attempt to try and come up with new legislation, Secretary of the Treasury Mnuchin and White House Chief of Staff Meadows met with the leaders of the House and Senate see if they could reach a compromise. They could not. One of the big reasons was the overall cost of the legislation and in the amount of money that would be given to those who are unemployed because of the pandemic. … Continued

  • Legislative Update For Week Ending January 18 2013

    The report goes on to say that "… the bill is fiercely opposed by Republicans and the powerful pharmaceutical industry, with executives warning it would harm innovation that leads to new drug development. The 50-50 split in the Senate is also raising questions about whether it could get through that chamber without losing any moderate Democrats." .I'm 63 and still working. I originally planned to wait until age 66 to start benefits, but I need extra income. Could you give me some ideas about when I should start? .Take all your prescriptions, vitamins, and supplements with you on your next visit to the doctor. Find out whether you still need to take them all and if there is a less-expensive brand name or generic you can try before settling on new medications. … Continued

Some deficit cutters contend that the out-of-pocket costs that Medicare beneficiaries pay will have to go up and seniors should pay more for their Medicare benefits. "This survey is powerful testimony to those who hold such beliefs," says TSCL Chairman Larry Hyland. "This survey indicates that they don't understand how much seniors already spend for their healthcare, and how many have already cut back," Hyland adds. "With the majority of seniors depending on Social Security for at least half of their income, and healthcare costs increasing several times faster than benefits, few beneficiaries can afford to pay any more than they already do for their healthcare," he notes. .The federal government negotiates prescription drug prices for Medicaid and for veterans, but it is not allowed to negotiate lower prices for Medicare beneficiaries. Do you support that policy? .TSCL believes that beneficiaries need to maintain the freedom to choose their plan, their providers, and how they get their care. "We urge CMS and states to ensure a thorough beneficiary education process and have provisions that allow care with existing providers, especially during the transition," Hyland says. .The Senior Citizens League is predicting another record-low Social Security cost-of-living adjustment (COLA) in 2020 despite skyrocketing prescription drug prices and home heating costs. Will you cosponsor the Fair COLA for Seniors Act (H.R. 1553), which would make the COLA more adequate for Social Security beneficiaries? .The week ended with a live speech from President Trump heralding the new legislation passed recently that makes mandatory the transparency of the cost of hospital treatments, supplies and prescriptions. Of most interest to TSCL is the high cost of prescription drugs. During our meetings with Congressional offices this week we left information with all of them concerning a large number of issues we are working on including prescription drug prices. .Recently I got a notice that my bank account was overdrawn. When I checked with the bank, my Social Security direct deposit was never received. I called the local Social Security office and learned that a request in my name was made to switch from my direct deposit account to a prepaid debit card. I never authorized this. How safe are the direct deposits and what can I do to get my money back? .The Senate bill also would change Medicare Part D by adding an out-of-pocket maximum for beneficiaries of ,100 starting in 202No such out-of-pocket cost cap currently exists. According to our 2019 Senior Survey, about one-in-five survey participants report out-of-pocket spending this high for prescription drugs. Advisor editor Mary Johnson estimates that this legislation would protect almost 14 million Medicare beneficiaries from out-of-pocket drug costs exceeding ,100 in the first year of enactment if signed into law. .The TSCL report which contains Social Security Administration (SSA) data from 1937 through 2013, includes the following findings: .Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care.