News

  • Legislative Update Week Ending December 30 2016

    Nationwide, the picture is equally bleak, with more than 60 million Americans at risk of losing access to the rural hospitals that serve their families. What's worse – in order to prevent rural hospitals from closing under a Medicare-for-all regime, Medicare would have to increase hospital payments up to 60% higher than current Medicare rates. .Some MA plans, including UnitedHealth – the largest provider of MA coverage – have already begun modifying their offerings in order to accommodate the increasing financial pressure. Last year, UnitedHealth dropped thousands of physicians from its networks, which left many enrollees doctor-less. Without much notice, they had to either find new physicians, or pay more out-of-pocket to see their former, trusted and out-of-network doctors. Because the open enrollment period had already ended, seniors were unable to change plans in order to keep their physicians and their low costs. .Consequently, Medicare spent billion in 2013 but paid out billion by 2017 for these treatments. In addition, neurology medicines, mostly those used to combat multiple sclerosis, accounted for more than 50% of total Medicare payments, despite representing just 4% of all claims filed. … Continued

  • Legislative Update For Week Ending February 8 2013

    Drug Discount Cards .As Congress returns to work, it begins another debate over the Social Security payroll tax – and with it, a debate over funding for Social Security. Many Americans are asking how an extension of the payroll tax cut would affect the finances of the Social Security Trust Fund. That's an important question. Keeping Social Security financially strong is essential for protecting current beneficiaries – and for ensuring that Social Security's guarantee will be there for our children and grandchildren as well. .Prescription Drug Re-Importation – Making safe, secure re-importation a reality. … Continued

The costs of custodial care pose a big challenge for Alzheimer's patients and their families. According to a survey of long term care costs by Genworth Financial, Inc., a semi-private room in a nursing home can cost ,148 a month, or ,750 per month in an assisted living facility. Even a home health care aide costs per hour. Many families work to put together a caregiving network with family, friends, churches and community services in the early stages of Alzheimer's treatment. .Survey the assisted living and long term care options available in your area. You can start your search by phone or online using the Eldercare Locator 1-800-677-111The Eldercare Locator is a service of the U.S. Administration on Aging and connects people with services in your community. .Not thoroughly reviewing the contracts. Make sure you understand what your fees cover and understand built - in price "escalators." For example, cost-of-living adjustments have only increased Social Security benefits by an average of 1.1% over the past 8 years, but rental units may come with automatic price escalators of 5% per year. Facilities often have charges for room and board and separate fees for care. In addition to care fees, there may be medical supplies, medication delivery, laundry and other fees. It's a good idea to have an attorney review the contracts with you. .Commissioner Colvin backed the plan to address the DI program's looming insolvency that was released by President Obama in his recent fiscal 2016 budget blueprint. That proposal would adjust the distribution of payroll tax revenues for a period of five years, so that the DI program would receive 0.9 percent more than it currently is receiving, adding around seventeen years to the trust fund's solvency. .More than 30% of all Medicare beneficiaries were enrolled in Medicare Advantage plans last year. The federal government pays plans a monthly fee to deliver all their healthcare needs — a fee that's based for the most part on risk scores. In 2015 plans like Humana received on average about ,900 per person for the year. According to government estimates, Medicare made nearly billion in improper payments to Medicare Advantage plans from 2008 through 2013, mostly due to inflated risk scores. ."To lower the expected cost of these new benefits, House Democrats have proposed introducing the new dental benefits starting in 2028, ramping up the coverage over five years." .This week, TSCL announced its support for two bills that would prevent a spike in next year's Medicare premiums and deductibles for approximately 30 percent of enrollees. Senate Finance Committee Chairman Ron Wyden (OR) introduced the Protecting Medicare Beneficiaries Act (S. 2148) on Wednesday with the support of nine original cosponsors. Rep. Dina Titus (NV-1) introduced similar legislation in the House called the Medicare Premium Fairness Act (H.R. 3696). .For many aged 65 and older, times are already tough. Since 2005, health care costs have risen faster than inflation every year except 200We need to be working to make retirement more secure for the 130,000 seniors living in Southern Arizona who I represent and the millions of others across the country. I'll continue to fight to make that happen. .TSCL's Board of Trustees Meets with Members of Congress