News
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Legislative Update For Week Ending July 26 2019
Medicaid is the largest payer of long-term support services such as home care for the elderly, but states are not required to participate in the home and community-based program. .The Medicare Part D "doughnut hole" – the gap in coverage that occurs when beneficiaries reach their initial annual payment limit – is costing many older Americans thousands of dollars per year. Not all beneficiaries hit the limit each year, but in a recent survey of TSCL's members and supporters, we learned that 28%, more than one-in-four respondents, fell into the doughnut hole in 2015. .Shop around regularly. You can save hundreds of dollars a year in premiums by shopping around. Some state insurance department websites publish rate comparisons for standardized coverage that can help you find the best deals. Another way to compare is to shop from an independent insurance agent who sells from multiple carriers. You can also try online sites like Insure.com, NetQuote.com and SelectQuote.com. When considering a less expensive insurer, consider getting auto coverage from the same company for savings of up to 30 percent. … Continued
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S 1123 Preventing And Reducing Improper Medicare And Medicaid Expenditures Prime Act
According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. .'It´s not clear why the administration hasn't made a bigger push to line up votes to get a bill through the Senate and a deal with Congress, given strong public support to lower drug costs,' said Tricia Neuman, a Medicare expert with the nonpartisan Kaiser Family Foundation. .Rep. Allyson Schwartz's (PA-13) Medicare Physician Payment Innovation Act (H.R. 574) also gained support this week. One new cosponsor – Rep. Bruce Braley (IA-1) – signed on, bringing the total up to thirty-four. If signed into law, Rep. Schwartz's bill would repeal and replace the SGR, bringing increased stability to the Medicare program for both physicians and beneficiaries. … Continued
Paula chose to take the employer-provided Medicare supplement, dental and vision coverage at 6 per month, but "opted out" of the expensive Part D. Instead we found more reasonably priced drug coverage at .90 per month, and covering the prescriptions she currently took with no deductible, using the Medicare Drug Plan Finder at www.medicare.gov. .These higher Medicare Part B premiums in turn contributed to flat growth in Social Security benefits in subsequent years — even when a 2 percent COLA became payable two years later in 201The Medicare Part B premium took the entire 2 percent COLA for about half of all beneficiaries according to a survey by The Senior Citizens League. .According to TSCL estimates, benefits are now 13% lower this year than if inflation had remained the more typical 3% for retirees who have been receiving Social Security since 2009 when the low COLAs started. A Social Security benefit of ,000 in 2009 is about 2 per month lower today than if COLA had been the more typical 3%, with a total loss of about ,697 in Social Security benefit growth over the past seven years. Over the same period, however, actual senior costs have continued to climb. Some 72% of retirees who participated in TSCL's 2016 Senior Survey reported that their monthly expenses had gone up by more than in 2015, despite the lack of growth in inflation. .Nearly 50 years ago, we made a promise to ensure quality, affordable healthcare for all American seniors. In order to protect that promise, we must promote excellence and efficiency in Medicare, while being more fiscally responsible. One of the most important ways we can achieve those critical goals is to fix the broken Medicare physician payment system, which has created uncertainty and instability for seniors, healthcare providers, and the federal budget for decades. Because of the failed physician payment system, there is a looming crisis facing seniors and the doctors who care for them: on January 1, 2013 doctors could be hit with a scheduled reduction in Medicare payments of more than 30 percent. .However, we believe Congress can and must do more to reduce prescription drug prices. In the months ahead, we will continue to advocate for legislation like the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), the Affordable and Safe Prescription Drug Importation Act (S. 469, H.R. 1245), and the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776). .TSCL enthusiastically supports H.R. 1029, H.R. 3118, and H.R. 1795, and we were pleased to see support grow for each of them this week. .He said the out-of-pocket costs that patients are paying need to be fixed and that pharmaceutical company executives would be willing to help cover the cost of such reform. However, he said they want to ensure their contributions would go directly toward lowering patient costs and not into the federal budget to be used for other things. .After a much-anticipated election and an action-packed lame-duck session, the 113th Congress has officially begun and The Senior Citizens League (TSCL) is gearing up for a busy year. Although the November election did not drastically alter the makeup on Capitol Hill, TSCL is expecting many new successes and challenges to arise. With the election finally behind them, lawmakers are able to focus on some of the complex policy issues that sit high on their agendas, like deficit reduction, immigration reform, and comprehensive tax reform. .Passing a short-term funding bill to keep the government operating past September 30th is the last major hurdle lawmakers must tackle before the November elections. It remains to be seen whether or not they will successfully negotiate a CR before the quickly approaching deadline. In the days ahead, The Senior Citizens League (TSCL) will keep a close eye on the talks since failing to pass a CR would likely impact Social Security beneficiaries and Medicare doctors negatively. For updates, visit the Legislative News section of our website.
