News

  • Legislative Update Week Ending September 14 2018

    The Congressional Budget Office recently estimated in their September budget outlook that Medicare outlays for 2020 would rise about 12 percent — roughly double the rate forecast by the Medicare Trustees in their April 2020 report. This suggests that the Medicare Part B premium increase for 2021 could be about .40 per month higher in 2021, rising from 4.60 to 2.00. But even this estimate does not include the impact of cost shifting due to protecting people with low Social Security benefits from reductions due to the high Medicare Part B increase. .Congress has until the end of this Friday to pass legislation to fund the federal government for the remainder of fiscal year 202Very few people think they'll get it done. .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. … Continued

  • Fastest Growing Retiree Cost 2015 Hint Not Prescriptions

    "The response we received from our supporters voicing their concerns through our petitions was extraordinary," said TSCL Executive Director Shannon Benton. "That message was loud and clear: Congress couldn't help but feel the fighting spirit and resolve of our supporters across the country." .The "house calls" can be money-makers for health plans when they document medical problems like complications from diabetes or heart trouble. Health plans profit because Medicare pays higher rates for sicker patients using a billing formula based on the patient's "risk score." Plans can receive thousands of dollars in higher payments from Medicare even though the insurer incurs no additional costs for covering Medicare services for your brother. .Where Can I Get Help With What Medicare Doesn't Cover? … Continued

Budget Chair Revives Fiscal Commission Plan .Seniors Support Medicare Coverage Expansion .On Wednesday, President Donald Trump signed two bills – the Know the Lowest Price Act (S. 2553) and the Patient Right to Know Drug Prices Act (S. 2554) – into law that will protect Medicare beneficiaries and privately insured individuals from "gag clauses" at pharmacies. "Gag clauses" prevent pharmacists from telling consumers when it would be cheaper to purchase their prescriptions out-of-pocket than through their Medicare Part D or health insurance plans. .My prescription for Lantus and blood pressure medicine has skyrocketed recently. When I called Humana, they said they are dealing with Covid-19, and costs have increased. The new price is at a level that makes it impossible for me to afford the medicine I need. I don't know what to do now. Any help is appreciated. — Robert N. FL .The SNAP Simplification for the Elderly Act (H.R. 4521) gained one new cosponsor in Representative Tulsi Gabbard (HI-02), bringing the new cosponsor total up to 20. If enacted, H.R. 4521 would streamline the application process for senior citizens to receive help from the Supplemental Nutrition Assistance Program (SNAP). The bill would also encourage collaboration between local Social Security offices and the SNAP programs to help seniors at risk of hunger enroll in both benefits simultaneously. ."'We trace this mortality effect to cutbacks in life-saving medicines like statins and antihypertensives, for which clinical trials show large mortality benefits,' the researchers wrote. .Increasing the payroll tax cap. Under current law, the 12.4 percent payroll tax is applied only to the first 7,200 in earned annual income. Individuals earning more than that pay nothing in Social Security taxes on the rest of their earnings. Several proposals now before Congress would modify this policy so that higher income workers contribute more fairly to the program. .Last week House Appropriations Military Construction-VA Chair Debbie Wasserman Schultz (D-Fla.) pushed a Department of Veterans Affairs official at a hearing to work on a plan to offer coronavirus vaccines to veterans even if they are not eligible for VA health care. .Also putting pressure on the program, TSCL anticipates that more people will file claims for benefits. While employment was at record levels just a few months ago, many older adults postponed filing for benefits to allow their Social Security payouts and retirement accounts to grow. Now, faced with paid sick leave and unemployment benefits ending, older workers are unlikely to be able to afford to wait to file for benefits if they have lost their jobs. In addition, workers lucky enough to have 401(k)s and IRAs have experienced significant losses in the value of those retirement accounts and will be depending on Social Security all the more. Big changes in equity prices reduce the distributions from those accounts.