News

  • Time To Pass An Emergency Cola

    TSCL enthusiastically supports the five bills listed above and we were pleased to see support grow for them on Capitol Hill this week. For more information, visit the Bill Tracking section of our website. To thank your representative for becoming a cosponsor or to request their support for legislation, visit our "Contact Congress" page. .Estimating that this new rule would save approximately million over five years, CMS proposes to require Medicare Advantage and prescription drug plans to "involuntarily dis-enroll" people who are in the country illegally, something that may prove difficult for private plans to substantiate. .Check plans offering gap coverage but don't be surprised if you wouldn't save much. If your new prescription will cost enough to put you into the doughnut hole coverage gap, check the cost of plans with additional gap coverage. But if your main expense is an expensive brand name prescription, gap coverage may not save enough to make up for the higher cost of premiums. Most only cover some generics. Get unbiased help comparing your coverage by calling your Area Agency on Aging and asking for the help of a State Health Insurance Assistance Program (SHIP) counselor, or visit online at: https://shipnpr.shiptalk.org/. … Continued

  • Will Social Security Last As Long As You Do

    "Social Security benefits have flat - lined since 2010," says Mary Johnson, a Social Security policy analyst and author of TSCL's buying power study. "That was the first time since the annual COLA became automatic that inflation was too low for a COLA to be payable," Johnson notes. Since then, COLAs have averaged just 1.2 percent per year, less than half the 3 percent that COLAs averaged during the decade prior to 2010. .New Analysis Says Social Security/Medicare in Worse Shape Now than Earlier This Year .How Does TSCL Project the Social Security COLA? … Continued

In addition, the proposal calls for more than 0 billion in Medicare cuts to hospitals, skilled nursing facilities, and pharmaceutical companies. These cuts could lead to staff reductions, and seniors could see changes in their access to quality care. .This week, four new cosponsors signed on to Congressman John Garamendi's (CA-3) bipartisan Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1251), which would base the Social Security cost-of-living adjustment (COLA) on a more fair and adequate inflation index if adopted. The new cosponsors are Congressmen Marc Veasey (TX-33), Gregorio Kilili Camacho Sablan (MP), Vincente Gonzalez (TX-15), and Andre Carson (IN-7). The cosponsor total for H.R. 1251 is now up to forty-three. .Heating and cooling assistance, the Low Income Home Energy Assistance Program (LIHEAP). .According to a report in Bloomberg Government News, "Centrist Democrats in the House are pushing to shrink their party's health-care wish list to focus more on low-income Americans, a move backed by industry groups including dentists who say a narrower focus is better policy. .Immigration Reform – Close a loophole that pays Social Security benefits based on illegal work, preventing a drain on the Social Security Trust Fund. .One of our purposes in visiting with those offices was to find out why they do not support the bill and to see if there is any hope that some compromise to the bill could be reached. The main reason they do not support the Grassley-Wyden bill is because it has a provision that they believe would, in essence, result in government price-setting of drug prices and would be a first step toward a one-payer (meaning government) health care system. Each office mentioned other bills that they might support but there is not one bill that the Republican majority is currently in favor of and that might have a chance to pass. It was also stated that because this is an election year there is a very short timeline for action to be taken. .Given that disabled beneficiaries would receive on average 0,000 prior to transferring to Social Security benefits, even the smallest error in determining eligibility can result in significant overpayments. TSCL believes that the government should make every effort to perform timely continuing disability reviews (CDRs) to ensure that benefits are only paid out to those who are eligible. The Social Security Administration estimates that every spent on medical CDRs yields about in SSA program savings over ten years. Currently the CDR backlog stands at 1.2 million. SSA's goal for FY2013 is 435,000 CDRs based on the current level of funding. .The Affordable Care Act made changes that slowly close the doughnut hole, but it's a lot like trying to fill a bathtub when the drain is still open. In 2017, those who fall into the coverage gap will have lower coinsurance, paying 40% of brand-name prices and 51% of generic prices. In 2018, those numbers will fall to 35% and 44%, respectively. And in 2020, they will be responsible for the standard 25% of the costs of both brand-name and generic drugs. However, beneficiaries will continue to be saddled with an ever-growing out-of-pocket maximum that must be paid before catastrophic coverage begins. Over the next eight years, that maximum will grow from this year's ,850 to ,300 in 2024. .Catastrophic Coverage Period: When your total out-of-pocket spending reaches ,350, you hit the catastrophic stage of coverage. Your co-insurance drops to 5% coinsurance or co-pays of .60 generic, .95 brand, whichever is higher. You remain in the Catastrophic coverage period until December 31, 2020.