News
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Administration Announces Plan To Remove Illegals From Medicare Rolls
By Jessie Gibbons, Legislative Director .Healthcare would be more efficient and convenient for patients. Value-based payment systems provide incentives for health providers to make it easy for patients to get all the services related to managing their condition in one "medical home." Payments to providers are "bundled," covering the patients' full care cycle, or for chronic conditions covering longer periods of time like a year or more. .Medicaid is the major source of coverage for an estimated 6 million seniors who need long-term care. Last year, long-term care services required one-third of the federal Medicaid budget, more than 0 billion. States, which share the program's cost, spent tens of billions to match that amount. … Continued
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Legislative Update September 2015
Some Members of Congress question whether the federal government would replace borrowing for Defense with borrowing for Medicare. Democratic Rep. Allyson Schwartz (PA-13) said the savings from the Iraq and Afghanistan wars would "offer a unique and limited opportunity to resolve this problem that grows every month." Other legislators warn, however, that it is misleading to think that these savings could be used as a "doc fix" offset. .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. .For progress updates or for more information about these and other bills that would strengthen the Social Security and Medicare programs, visit the Bill Tracking section of our website or follow TSCL on Twitter. … Continued
Patients would spend less to achieve better health. Value-based care systems focus on helping patients to recover from illness and on managing or avoiding chronic disease. The aim is to decrease the need for doctor visits, medical tests and procedures, and to reduce the amount of money spent on prescriptions while improving health. Value-based care encourages health providers to spend time on prevention-based services in order to focus more efforts on managing chronic disease with the goal of reducing costs like emergency room visits and hospitalizations. .Most of the overpayments – nearly 40 percent – went to those who began working or had a positive change in income. Another 24 percent of the overpayments went to those who had a medical improvement and no longer qualified. Around 7.5 percent of the overpayments went to those who became imprisoned, and 7.2 percent went to deceased beneficiaries. According to the report, the agency was able to recover approximately .1 billion in overpayments. .TSCL's legislative team will be monitoring the tax reform discussions closely in the coming days and weeks, and we will post updates here in the Legislative News section of our website, as well as on Facebook and Twitter. In the meantime, we encourage our supporters to contact their Members of Congress to request their opposition to tax reform measures that will jeopardize the health and financial security of older Americans. For contact information, click HERE. .The legislation is called a "CR" - a continuing resolution, which means the government will be funded for a short period of time and for the most part it will be at the same funding levels as in fiscal year 201The CR will last until Nov. 21 at which time one of three things must have happened. Either they will have finally passed all the funding bills needed for the rest of the fiscal year; or they will have passed another CR; or we will have another government shut-down. .The income thresholds that subject benefits to taxation are based on your Modified Adjusted Gross Income, which includes half of your Social Security benefits and some tax - exempt income. The following chart illustrates the thresholds and the amount of tax on Social Security income. .In the Senate, Finance Committee Chairman Chuck Grassley (IA) has also prioritized this critical issue. His first hearing as chairman was titled "Drug Pricing in AmericA Prescription for Change" and, in his opening statement, he vowed to get to the bottom of the growing problem. Following that hearing in January, Chairman Grassley called upon seven of the most profitable pharmaceutical companies to testify before the committee, saying: "Patients and taxpayers deserve to hear from leaders in the industry about what's behind this unsustainable trend." .The abrupt and severe contraction in the U.S. economy caused by the coronavirus has far-reaching consequences for Social Security. Twenty million workers filed claims for unemployment between March 15, 2020 and April 17, 2020, a level that has not been seen since the Great Depression. Both the wide-scale shutdowns and layoffs, as well as provisions of the coronavirus CARES Act stimulus legislation significantly reduce the anticipated amount of payroll taxes flowing into Social Security this year. .Last week we told you that unless Congress passed new legislation soon, there would be significant cuts in Medicare payments to health care providers, such as doctors and hospitals. And if that happened it is quite possible those patients covered by Medicare would likely face negative consequences with regard to their health care. .This week, the Ways and Means Committee advanced a bill that would repeal the Affordable Care Act's (ACA's) Independent Payment Advisory Board (IPAB), and The Senior Citizens League (TSCL) saw one key bills gain support.
