Again, next year, a number of physicians and medical specialists were facing sharp Medicare pay cuts. This was to come, of course, in the face of the worst pandemic in our lifetimes and one which has worn so many physicians and nurses to the point of exhaustion. .(Washington, DC) – Although there won't be any Social Security cost – of - living adjustment (COLA) next year, many of the nation's biggest drug and health plans are sharply increasing costs, warns The Senior Citizens League (TSCL). "Outrage is growing among older voters who question how COLAs can be zero, when their healthcare costs are taking the biggest jump in seven years," says TSCL Chairman, Ed Cates. .As we reported then, the study by the National Board of Economic Research, (NBER) explored how "cost-sharing", in other words co-pays and premiums, can affect patient choices and patient health. The researchers examined Medicare data and found that a relatively modest increase in drug costs ( per prescription) lead to a 33% increase in mortality. .Last week the Congressional Budget Office (CBO) released a report that revealed Medicare outpatient plans are three times more expensive for the same drugs as those covered by Medicaid. .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. .The Neal bill was passed by the Ways and Means Committee on Wednesday of this week. It would ban surprise billing using an arbitration process favored by hospitals and specialty physician groups but opposed by insurers, employers and labor unions. Neal's legislation would send all the disputes that can't be settled between the parties to arbitration but require mediators to consider median contracted rates used by health plans, with the mediators prohibited from considering "usual and customary charges," also known as "billed charges." .This week, President Obama delivered his State of the Union Address, and talks to repeal and replace the sustainable growth rate (SGR) formula for doctors who treat Medicare patients seemed to have stalled. .The annual Medicare Advantage Open Enrollment period starts January 1 –March 3During this time, you will be allowed to switch to another MA plan or return to Medicare and a stand alone plan. However, if you give up your MA plan in favor of returning to original Medicare, that does not necessarily mean you would be able to buy a Medigap supplement. Medicare supplement insurers are not required by law to cover pre-existing conditions, other than during certain periods (when you first sign up for Part B or if you qualify for a Special Enrollment Period.) .The Social Security Administration is required to withhold in benefits for each you earned above the limit until the year in which you reach full retirement age. The year in which you reach full retirement age, you are allowed to earn more. The amount you may earn is adjusted annually. In 2007 when you retired, it was ,960 (,080 per month) for retirees like you who were under full retirement age.