News

  • Legislative Update Week Ending February 17 2017

    Third, two new cosponsors – Representative Julia Brownley (CA-26) and Representative John Delaney (MD-6) – signed on to the Social Security 2100 Act (H.R. 1902), bringing the total up to 17If adopted, H.R. 1902 would responsibly reform the Social Security program while strengthening benefits for seniors. It would also ensure the program's solvency through the year 2100. .Action on Capitol Hill was slow this week as Members of Congress remained in their home states and districts to prepare for the November 6th election. They are not expected to return to Capitol Hill until after the Veterans Day holiday, on Tuesday, November 13th. TSCL would like to remind you that many Members of Congress will attend local events or hold town hall meetings in the upcoming weeks, giving voters an excellent opportunity to voice their concerns. We encourage you to approach your Senators and Representatives to request their support for fair cost-of-living adjustments and other key issues. .To identify people in the country illegally, Medicare relies on information from the Social Security Administration in order to deny claims. The Social Security Administration receives data from the Department of Homeland Security and other agencies but CMS doesn't always receive information relating to unlawful presence in a timely manner, according to the Inspector General. … Continued

  • How Much Will Medicare Beneficiaries Spend On Healthcare Costs This Year

    Based on the growth rate of the Consumer Price Index for Workers (CPI-W) over past 12 months, I'm projecting a COLA in the vicinity of 3.6% for 201But Congress may take action that would slow the growth of the COLA. Deficit reduction plans are likely to call for switching to the "chained" CPI, a move that TSCL feels would further undermine the purchasing power of benefits. The difference between the CPI-W and chained COLA has averaged about 0.3 percentage point since 2000, but that's not the case this year. In fact, if the switch were to affect the COLA payable in 2012, seniors would get a COLA of about 2.8% — a cut of more than 20%. .Healthcare researchers are questioning the surge in medical testing, particularly the aggressive use of advanced radiology tests like CTs, MRIs and ultrasounds. Their use has become routine, but doctors are not necessarily diagnosing more diseases and the tests can expose patients to high levels of radiation that can cause cancer. Some critics blame "defensive medicine" to avoid malpractice suits, but that's only part of the problem. Some critics say that the tests are becoming a crutch as doctors have less and less time to spend with patients. And all say that the profit motives give doctors incentives to over prescribe the tests. .One of the programs President Biden supported during his campaign for … Continued

For more information see the Medicare publication, "Are You a Hospital Inpatient or Outpatient?" CMS Product No. 1143Get a copy online at www.Medicare.gov or call 1-800-MEDICARE ( 7). .Medicare Advantage plans have somewhat different costs. If the stay is considered observation care, however, that is covered under Medicare Part B, which means you will have a copayment for each individual outpatient hospital service. In addition, Part B doesn't cover most prescription drugs that are received in an outpatient setting. Perhaps even more importantly, the lack of inpatient status also disqualifies you from receiving Medicare-covered care in a skilled nursing facility or nursing home. .Understand the type of Medicare options available to you. You can receive coverage for the costs that Medicare does not pay in two main ways: through a Medicare supplemental (sometimes called Medigap) or through a newer Medicare Advantage managed care plan, like an HMO or PPO. Both types of plans cover medically necessary hospitalization as well as doctors' and outpatient services. Many, but not all, Medicare Advantage plans also offer Part D prescription drug coverage. There are significant differences between these two types of plans that affect what you pay out-of-pocket. And those differences are often buried in all the tedious-to-read fine print. .First, four new cosponsors – Representative Darren Soto (FL-9), Representative Grace Napolitano (CA-32), Representative Lucille Roybal-Allard (CA-40), and Representative Grace Meng (NY-6) – signed on to the Nursing Home CARE Act (H.R. 4704), bringing the total up to nineteen. If adopted, the bill would protect Medicare and Medicaid beneficiaries by more quickly codifying emergency preparedness rules for nursing home facilities that receive funding from the federal government. .That was the second ruling in a week to delay the policy. A federal judge in Maryland had ordered on Dec. 23 that the rule, which was slated to take effect Jan. 1, be paused for two weeks. .Senate Majority Leader Mitch McConnell (R-Ky.) has indicated he will not bring the bill up for a vote until he knows there are enough Republicans who support it so that it can pass. .TSCL strongly supports quick passage of the urgently needed legislation to stop the cuts. .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. .I've heard a lot of confusing advice on when to start Social Security. I'm divorced, single, and I turn 63 this year. I know that by waiting, my benefit will grow, but I'm not sure how much longer I will have my job. I need to augment my income now, especially to afford my health insurance costs. I don't have much in retirement savings. What are my best options?