News

  • Legislative Update Week Ending May 5 2017

    Married living with spouse — annual income is less than ,360 (,030) and resources less than ,600 per year. .TSCL is contacting Members of Congress to make them aware of the likelihood that the COLA in 2021 could be one of the lowest ever paid, and to propose an emergency COLA of 2.5%. We drew the 2.5% from the current estimated Social Security baseline budget produced by the Congressional Budget Office (CBO). In January, the CBO estimated that the 2021 COLA would be 2.5%, thus providing an emergency COLA of that amount is already factored into Social Security Trust Fund calculations. .The Centers For Medicare and Medicaid Services (CMS) recently announced a bold new model to save money and improve healthcare quality by changing the way the government pays doctors. The Administration is taking steps to ensure that, by 2018, up to half of all payments to doctors won't be for visits and procedures, but rather for providing "high quality" care. The plan is to pay doctors on how they perform. … Continued

  • Q A Medigap Feed

    Last year President Trump proposed lowering the prices of certain Medicare drug prices by tying those prices to lower prices paid in other developed countries. Under that proposal, prices would have been lower than they are now, but would still be a certain percentage higher than they are in other countries. The President was not satisfied with that idea, according to Health and Human Services Secretary Alex Azar. On Wednesday Azar said the President wants the proposal changed so that prices in the United States are even lower than they are in other countries. .Drug companies deserve a reasonable profit for taking on this urgent task of creating a COVID-19 vaccine. But we deserve a return, too. .As of yet the White House has not put out President Biden's plans for drug pricing legislation, or how strongly they will push for it. … Continued

This week, one member of TSCL's Board of Trustees – Legislative Liaison Joe Kluck – visited Capitol Hill to advocate for legislation that would strengthen and improve the Social Security and Medicare programs. The following key issues were discussed in several meetings with Members of Congress and congressional staff this week: .Summer Congressional Recess Continues .Last year, I co-founded the bipartisan House Retirement Security Caucus in order to raise awareness about the importance of properly planning for retirement (and the pitfalls of not doing so). As co-chairman of the caucus, I am committed to making sure the federal government does not make retirement planning more complicated than it should be. Just recently, in response to the Department of Labor's proposed "fiduciary rule" that could restrict Americans' access to financial advice, I voted for the SAVERS Act (H.R. 4294), which would protect such access while also helping to ensure that financial advisors act in the best interest of the retirees and families they serve. .Medicare Therapy Caps: A Long Battle for Patient Access .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. .Impose new Medicare deductibles and impose new coverage restrictions on Medigap plans: Impose a new 0 deductible for both Medicare Part A and Part B that Medigap plans would be restricted from covering. Would also limit the co-insurance or co-pays that Medigap plans could cover to 50 percent of the next ,000 in Medicare cost-sharing. Currently plans pay most, or all, of the Medicare cost sharing. .You should still watch out for symptoms of COVID-19, especially if you've been around someone who is sick. If you have symptoms of COVID-19, you should get tested and stay home and away from others. .And the American government has no effective way to fight back. .TSCL recently sent a letter to every office in Congress calling for enactment of legislation that would provide an emergency COLA, would prevent an anticipated Medicare Part B premium and deductible spike of more than 22%, as well as legislation that would result in a more fair and accurate COLA using the CPI-E in the future.