News

  • Ask Advisor December 2018

    Reducing Medicare costs remains a top piece of unfinished business for TSCL. While Congress was successful in restraining a double-digit Medicare Part B increase in 2021, capping the increase at .90 per month rather than .60 more per month — I was particularly troubled to learn that .00 of the .90 Part B increase is a "repayment" charge. While TSCL congratulates Congress for passing legislation to hold the monthly Part B increase down, at least temporarily, the Part B increase wasn't "forgiven". The balance that won't be paid in 2021 will be recovered through a .00 per month repayment which will be tacked onto future Part B increases. That could take years. .Super-Committee Republicans offer a 300 billion dollar tax-revenue concession. After an initial pledge not to raise taxes over the next decade, Republicans are willing to allow tax increases to help meet the 1.2 trillion dollar debt-reduction mandate by November 23rd. .Lawmakers at Wednesday's hearing seemed encouraged by Mr. Brune's testimony, but agreed with Mr. Bagdoyan that more work remains. Subcommittee Chairman Sam Johnson (TX-3) said, "We need to make sure fraudsters don't continue to benefit at the expense of hardworking taxpayers … I'm committed to working with Social Security and all of my colleagues to make sure the agency has all the tools to stop fraud." Ranking Member of the Subcommittee John Larson (CT-1) agreed with Chairman Johnson and emphasized the need for adequate staffing and funding for SSA in the years ahead. Administrative budget cuts and hiring freezes are currently impeding progress. … Continued

  • Fight To End Surprise Billing Is Losing Key Ally

    Supporters also stressed the fact that the IPAB has strict limitations. The Board cannot restrict Medicare benefits, raise taxes, increase beneficiaries' cost-sharing, modify eligibility criteria, cut payments to hospitals before 2020, or ration care. Instead, the IPAB will report on healthcare costs, access, quality, and utilization each year, and will make innovative cost-saving recommendations as it sees fit. .The President's proposal is likely to increase the already-escalating tension between the drug industry and his administration. The new order comes on the heels of the four executive orders he issued regarding drug prices two weeks ago. .Because the House of Representatives has 435 members its rules are much less complicated than the Senate's, which has 100 members. If the House had the same rules as the Senate, nothing would ever be accomplished. … Continued

Consequently, Social Security recipients with the lowest benefits may not see much of an increase at all after Medicare Part B premiums are deducted. Those with benefits of about 0 or less are at risk of seeing the Part B premiums consume their entire COLA, leaving nothing extra left over to deal with other rising costs. .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .On Tuesday, the Senate Finance Committee held a hearing to delve into the topic of rising healthcare costs. Echoing the hopes of his colleagues on the Senate Health, Education, Labor and Pensions (HELP) Committee, Finance Committee Chairman Orrin Hatch (UT) said in his opening statement, "I want to find a bipartisan path forward." .Why Does My Doctor's Office Need to Call My Insurer Before Scheduling a CT Scan? .As opposed to previous years, the Senate leaders want any legislation they have to pass out of the way by the end of May. That means any bill has to pass the Senate, then the Senate and House would have to negotiate and reach agreement on one bill before it could be sent to the President for his signature. .We may not all agree on ways to reform the system, but at the very least it is time for our colleagues on the other side of the aisle to wake up and admit that we can't continue to defend the status quo. These new reports from the Medicare trustees make that much perfectly clear. .While there is no estimate of how large the cuts would be under the legislation that just passed, the Congressional Budget Office estimated that a previous version of the Covid relief bill would have triggered about billion in cuts to Medicare in fiscal 2022 and between and billion from other mandatory programs. .[1] Social Security Policy Options, Congressional Budget Office, July 2010, page 18. .To see if your Members of Congress will be holding town hall meetings during the spring recess, click HERE or call their local offices. You can find contact information HERE.