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  • Ask The Advisor 2

    The judge's order stops the implementation of the rule until the completion of the notice and comment process. .On Tuesday, the Senate Finance Committee held a hearing to delve into the topic of rising healthcare costs. Echoing the hopes of his colleagues on the Senate Health, Education, Labor and Pensions (HELP) Committee, Finance Committee Chairman Orrin Hatch (UT) said in his opening statement, "I want to find a bipartisan path forward." .Surprise! A new Part D plan drug pricing program may lower costs for those who seek out the savings. Recent Congressional scrutiny on drug pricing may be spurring some drug plans to drop prices on certain drugs. A new drug plan pricing program offered by Cigna, for example, lowers the cost of insulin. In 2018, the lowest cost Part D plan charged an copay for a 100/ML of Lantus Solostar. In 2019, the lowest cost plan in my area charges copays as low as .00 - .00 for Lantus Solostar in the Cigna-HealthSpring Rx Secure — Extra Part D plan. The highest cost plan, which does not cover Lantus, charges the full price, 3.18 per 100/ML. Which would you rather have? … Continued

  • 2017 Cola Prediction

    Throughout the hearing, the "big dog" in the room – as one witness referred to it – was the Sustainable Growth Rate (SGR). Each of the witnesses urged the Subcommittee Members to replace the current Medicare physician payment formula with a new model, saying that there's simply too much uncertainty surrounding the SGR. Though most seemed to agree, the price tag of repealing the SGR is daunting and the process of re-writing a billing system with 8,000 different codes will certainly take time. .Other members, including Senator Bernie Sanders (VT), backed proposals that would lift the cap on income subject to the payroll tax. The cap currently sits at 8,500, which means that no earnings above that amount are subject to the 6.2 percent payroll tax. Senator Sanders said on Wednesday, "That is patently unfair. If we apply the Social Security payroll tax to income above 0,000, we could immediately bring in enough revenue to the Social Security trust fund to extend it for decades and also be able to increase benefits." .For many aged 65 and older, times are already tough. Since 2005, health care costs have risen faster than inflation every year except 200We need to be working to make retirement more secure for the 130,000 seniors living in Southern Arizona who I represent and the millions of others across the country. I'll continue to fight to make that happen. … Continued

As a representative of thousands of senior citizens in Western Pennsylvania, and as a senior myself, I strongly believe that all Americans should be able to enjoy their golden years without financial or medical hardship. Retirement should be a time of great reward and good health, not unnecessary anxiety. As a member of the House Ways and Means Subcommittee on Social Security, it has been a priority of mine to work on policies that protect Social Security and ensure its long-term viability for all Americans who have paid into the system. Over the past several years, I have proudly worked with fellow legislators on both sides of the aisle to craft specific policy solutions that will benefit seniors everywhere. .Yet since 2010, when the Social Security Trust Fund first started running a cash deficit, budget negotiators have repeatedly attempted to enact Social Security reforms that would decrease benefits. One of the most widely - discussed proposals would switch to a more slowly - growing inflation measure — the chained consumer price index (CPI) — to calculate the annual cost – of – living adjustment as a means of slowing the growth of Social Security benefits and other inflation - adjusted federal programs. Although the proposal was not adopted in the past, primarily due to fear of public backlash, "It remains a key feature in many plans for reducing the deficit," Johnson says. .In a statement that was released shortly thereafter, White House spokesperson Brandi Hoffine said, "Today, two judges of the 5th Circuit chose to misinterpret the facts and the law in denying the government's request for a stay. As the powerful dissent from Judge Higginson recognizes, President Obama's immigration executive actions are fully consistent with the law." .For information about town hall meetings near you in the days ahead, call the local offices of your elected officials. You can find contact information for your Members of Congress right here. .Sources: "Do You Like Your Doctor? Obamacare Drives UnitedHealth to Downsize its Medicare Physician Networks," Avik Roy, Forbes, November 18, 2013. .What happens when Congress waits too long to address a Social Security funding crisis? Deeper benefit cuts, sudden tax increases, and glitches in the implementation of reforms that can lead to significant benefit inequities between people close to each other in age. Consider the case of the Social Security Notch that led to the most significant benefit inequities in the history of the program. The Notch affects seniors born from 1917 through 1926 and other seniors having similar work histories and earnings. .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." .Recently a group of Medicare patients and their families sued the Obama Administration, saying they were deprived of coverage because the policy allows hospitals to avoid admitting seniors with chronic ailments as inpatients. The plaintiffs charged that the observation services policy, which is intended to apply to short stays of no more than 24 to 48 hours, is instead being used to keep Medicare patients on outpatient status for longer stays, including some lasting up to a week. As a result, the seniors incurred medical charges as high as ,000 for skilled nursing care, drugs and other costs that Medicare Part B does not cover. Inpatient stays are covered under Medicare Part A, and all of ,156 deductible and most, if not all, of the co-insurance is covered by Medigap supplements. .The bill, known as the Grassley-Wyden bill, would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program.