News

  • Medicare Part D Will Cost Me More 2 Feed

    However, the pharmaceutical industry has spent billions of dollars over the years fighting this kind of legislation and passing it will not be easy. .With more than 17 million Medicare Advantage enrollees, the Centers for Medicare and Medicaid Services hasn't been able to ensure that their risk scores are accurate. When CMS has checked, nearly one - third of the scores were too high. "Given the size of Medicare Advantage, even a small error can add up to billions in overpayments," says TSCL Executive Director Shannon Benton. "TSCL believes that home visits should be focused on providing better care to the patient, not boosting health plan profits." .Reports are coming in across the country of a new Social Security scam. Scammers use a threatening tone saying that due to illegal activity (such as an "account breach") your Social Security account has been "compromised" and will be closed unless you call a phone number to address the issue. … Continued

  • Legislative Update June 2017

    President Trump recently released a proposal that could change the way drugs are sold in the U.S. Patients have been forced to pay out-of-pocket costs based on the rising list price of drugs. The proposal would require that often-secretive discounts or rebates, received by pharmacy benefit managers from drug companies, would have to be credited at the pharmacy when a patient fills a prescription. For patients who need expensive drugs, out-of-pocket costs are likely to go down. .May Signal Zero COLA for 2016 ."UnitedHealth Culls Doctors from Medicare Advantage Plans," Melinda Beck, Wall Street Journal, November 16, 2013. … Continued

Congress and President Obama are battling over the federal budget, but supporters in Congress aren& 8217;t about to forget Notch Babies. The Notch Fairness Act bills (H.R. 155) and (S.90) were introduced by Representative Mike McIntrye (NC-7) and Senator David Vitter (LA). They were among the first bills to be re-introduced in. TSCL Continues Working For Notch Reform TSCL has not given up our goal of Notch reform. In recent months we have been working with long-term Notch reform allies in Congress to ensure that Notch Babies& 8217;, needs are protected from deficit reduction plans that would affect people who are currently retired. .Sources: "Preliminary Estimate of the Budgetary Effects of Using the Chained CPI Starting in 2014," Congressional Budget Office, March 1, 2013. .Tax Plan Moves to Conference Committee .How You Can Get Help With Heating Costs .Several new bills have recently been introduced in Congress that would reduce prescription drug costs. A number of them have bipartisan support. To read more details about these bills see —"Stories About High Drug Costs Lead To Congressional Investigation of Pharmaceutical Pricing." .TSCL disagrees, and we fear that if triggered, the IPAB's recommendations could result in increased costs for beneficiaries or decreased access to quality medical care. In the weeks ahead, we will continue to advocate for legislation to repeal the cost-cutting board in the House and Senate, and we will post updates here in the Legislative News section of our website. .TSCL Announces Support for H.R. 4104 .The second bill is H.R. 1215, which would establish an office within the Federal Trade Commission and an outside advisory group to prevent fraud targeting seniors and to direct the Commission to include additional information in an annual report to Congress on fraud targeting seniors. .We encourage all Medicare beneficiaries, who wish to have the legal right to import less costly FDA-approved prescription drugs, to contact your Members of Congress. Ask them to pass the Pharmaceutical Market Access legislation, H.R. 328 (House) and S. 334 (Senate).