This week, four new cosponsors signed on to Rep. Schwartz's (PA-13) Medicare Physician Payment Innovation Act (H.R. 5707), bringing the total up to eighteen. The new cosponsors are: Reps. Ed Perlmutter (CO-7), Gerald Connolly (VA-11), Mazie Hirono (HI-2), and Paul Tonko (NY-21). .Sources: "Preliminary Estimate of the Budgetary Effects of Using the Chained CPI Starting in 2014," Congressional Budget Office, March 1, 2013. .Before recommending the zero premiums, I helped Paula estimate potential costs. New managed care Medicare Advantage plans differ from traditional Medicare supplements by charging co-payments that can be substantial for each hospitalization, visit to the doctor, or other service received. Supplements tend to charge high premiums, but cover most, or all, of the co-insurance costs, leaving beneficiaries to pay little or nothing when they receive a service. If Paula had to be hospitalized or developed a serious illness, the co-payments charged by the Medicare Advantage plan could quickly add up to be just as much, possibly more, than what she would pay in premiums for her state retiree Medicare supplement. .Transportation (new vehicles, airline fares, gasoline, motor vehicle insurance) .According to Mr. Brune, SSA is making several organizational and technology-driven improvements that will lead to an increase in fraud detection. The administration is currently expanding its successful Cooperative Disability Investigations (CDI) program, which prevents benefit payments from being made in cases where fraud is detected. The CDI program is operating in thirty-three states this year, and it is expected to expand to the remaining seventeen states by 202Mr. Brune said, "Chairman Johnson and this Subcommittee have long championed this CDI program, and we thank you for that support." .Why ban the use of earnings from unauthorized work to determine Social Security benefits? Under current law Social Security uses all earnings to calculate Social Security benefits. That means earnings of unauthorized immigrants from jobs worked under invalid and fraudulent Social Security numbers (SSN) can be used both to qualify for benefits and for the calculation of the initial retirement benefit. There is no official published data on the amount of wages on file attributable to aliens working without authorization, but the Social Security Administration maintains an earnings suspense file that represents an estimated 3.5 billion in wages from 2000 through 2010[2], most of it believed to be attributable to illegal workers. Under immigration reform, that could mean a huge new liability for Social Security in the future, triggering more rounds of cuts and higher taxes. .The transition has set off dozens of new Medicare scams. To protect yourself from scam here's what to remember. There is nothing you need to do to get your card, and it does not cost anything. It will be shipped to you automatically. Scammers try to call beneficiaries on the phone and falsely claim that to get the new card you must provide Social Security, credit card, or bank account information, or Medicare benefits will be canceled. All of these claims are false. If you get a call like this or if anyone calls unsolicited, and claiming to be from Medicare, HANG UP. This is a scam. Once you get your new Medicare number, don't toss your old Medicare card in the trash — shred or cut it up into small pieces. .A seventeen-member conference committee comprised of Democrats and Republicans from the House and Senate is currently working towards a long-term bipartisan deal to keep the federal government operating. Should they fail to reach a compromise before the looming deadline, it will shut down once again. .With So Much At Stake It's Time to Challenge Elected Lawmakers!