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  • Three Family Members On Medicare Each With High Drug Costs

    Republicans dominated Tuesday's mid-term elections, gaining control of the Senate and picking up twelve additional seats in the House, making it their largest majority in decades. Both chambers of Congress will be controlled by the party for the first time in eight years, and the dynamic on Capitol Hill will certainly be different come January. .Recently one of our readers asked "Is there a percentage as to how much less NOTCH BABIES receive monthly?" .Seventy-eight percent of the prescriptions ordered by one Florida physician were for Schedule II drugs. For one beneficiary, this physician prescribed a 605-day supply of morphine, a 52day supply of oxycodone, a 460 - day supply of fentanyl, and a 34day supply of hydromophone. … Continued

  • Q A September 2019

    If signed into law, the Social Security Protection and Truth in Budgeting Act would amend the Social Security Act to ensure that receipts and disbursements of the Social Security Trust Funds are not included in a unified federal budget. It would also mandate that Trust Fund monies cannot be diverted to create private accounts. .Due to record-low growth in health care costs, the board hasn't been triggered to begin making recommendations to Congress yet, and it currently has no appointed members. Nonetheless, many lawmakers feel that such critical policy-making decisions should be left solely in the hands of elected representatives, and they hope to repeal it long before it is needed. .This is good news. While we have disagreements with some doctors over things like surprise medical billings, this year has taught us how critical and valuable to us all are our medical personnel. This certainly was no time to try to balance the budget on the backs of those who have borne the weight of so many of us this year. … Continued

However, the statisticians behind it at the University of Washington have since changed their methods, and they now estimate that doing away with social distancing measures could entail vast numbers of deaths, and that widespread mask-wearing in public could save tens of thousands of lives. .The Medicare Physician Payment Innovation Act (H.R. 574) also gained a cosponsor – Rep. Pete Gallego (TX-23) – this week, bringing the total up to thirty-five. If signed into law, H.R. 574 would repeal and replace the SGR, bringing increased stability to the Medicare program for both physicians and beneficiaries. .Should I Continue to Pay Into Social Security for Other Work I am Doing Now? .How can I get involved/help out? .TSCL believes the drug problem could explode this year. Citing massive "sequester" budget and staff cuts, federal officials are set to scale back or drop investigations into Medicare and Medicaid fraud and abuse cases. The Department of Health and Human Services may lose a total of 400 staffers and the existing staff is stretched so thin that it was unable to investigate about 1,200 cases of Medicare and Medicaid fraud and abuse last year. .The President's final memo waives all interest on student loans held by the federal government through the end of 2020 and allows people to delay payments until Dec. 3This will help those who are repaying student loans. .Earnings reports with incorrect or incomplete information have been a long–standing problem. They can be caused by something as simple as a transposed Social Security number, or a name change when a woman gets married or divorced. Accurate earnings are critical in order to calculate benefits for workers and their dependents. The most recent data indicates there has been a significant jump in both the number of these mismatched reports and the value of wages. SSA Inspector General Patrick P. O'Carroll stated in testimony before Congress that "we believe the chief cause of wage items being posted to the [earnings suspense file] instead of an individual's earnings record is unauthorized work by noncitizens."(8) .Sources: "Draft MedPAC Language Calls For Medicare Benefit Redesign," John Reichard, CQ HealthBeat, March 8, 201Medigap Reform: Setting The Context, Kaiser Family Foundation, September 2011. .Part D — If you choose a Medigap plan, or a Medicare Advantage plan that does not offer drug coverage, you will need a Part D plan. If you take any prescription drugs, be sure to input your medications to get an accurate estimate of costs and to check the coverage of the drugs you take. Coverage of prescription drugs varies from plan to plan and from one year to the next. The average monthly premium for Part D plans weighted for enrollment is Plans often charge a deductible and in 2011 you would need to spend a total of ,550 out-of-pocket (not including premiums) before reaching catastrophic coverage.