News

  • Patients Sent Home Quicker Sicker Hospitals Medicare Penalties Blame

    SSA Implements New Security Policy .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. .Under current law, the Social Security COLA is determined by the percentage change in the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). This index surveys the spending patterns of younger working adults under the age of 62 and doesn't include the households of people who are retired. But older and disabled Social Security recipients allocate their budgets differently than younger working adults, spending a larger share of their income on medical and housing costs which, in many years, tend to rise faster than overall all inflation. … Continued

  • Ask The Advisor Part D Fails Enrollees Who Take Expensive Drugs

    Despite progress on the bill's movement in the House this week, the AHCA appears to have a tough road ahead. TSCL will be keeping a close eye on it in the days and weeks ahead since its passage would negatively impact the health and financial stability of older Americans. For updates, follow TSCL on Twitter, or visit the Legislative News section of our website. In addition, we encourage our members and supporters to call their representatives in Congress to request their opposition to the AHCA. Contact information can be found HERE. .Congress should prohibit "surprise medical bills. Congress should require healthcare providers and insurers to accept fees no greater than 20 percent more than the Medicare approved fees as settlement. — 82 percent support, 15 percent not sure, and only 4 percent opposed. (Legislation passed in December would provide relief from surprise medical bills but stopped short of tying payments to prices paid by Medicare and Medicaid which are often lower than other rates negotiated by other insurers.) .We enthusiastically support H.R. 1811 and H.R. 1716, and we were pleased to see support grow for both bills this week. … Continued

Your chance to make some changes is coming up, November 15 through December 3Since Medicare's open enrollment period is in the middle of Thanksgiving and Christmas holiday season, your best bet is to do your homework by starting now. Here are some things you should know: .Sources: "Congress Kills Social Security Claiming Loopholes," Alicia Munnell, Market Watch, November 11, 2015. .On Thursday, TSCL delivered letters to several congressional offices – including the offices of lawmakers on the House Ways and Means Committee and the Senate Finance Committee – requesting support for three tax-related changes that would strengthen the Social Security program: .4 in 10 beneficiaries rely on Social Security for the majority of their income. .Congressional inaction on the debt ceiling is a growing concern of TSCL's for several reasons. If a default on the federal debt occurs, Social Security benefits would likely be delayed, and millions of seniors living on fixed incomes would suffer financially. In addition, doctors who treat Medicare patients would likely see postponements in their reimbursements from the federal government, and access to quality medical care would be jeopardized for beneficiaries. .The Senior Citizens League enthusiastically supports the two bills mentioned above, and we were pleased to see support grow for them this week. For more information about these and other bills that have been backed by The Senior Citizens League, visit the Bill Tracking section of our website. .This week, Rep. Paul Ryan (WI-1), Chairman of the House Ways and Means Committee, revealed that Congress will not consider legislation that would permanently repeal and replace the SGR – the flawed formula that sets payment rates for doctors who treat Medicare patients – before the March 31st deadline. Instead, they will likely pass another short-term "doc fix" in order to avert a 21 percent pay cut for physicians that is set to hit on April 1st. .According to a Social Security Administration Issue Paper, when Congress first enacted the tax on Social Security in 1983, it was estimated to affect only 10 percent of Social Security recipients. But the income thresholds have never been adjusted for inflation in more than three decades. "Today, the taxation of benefits hits almost everyone with any income in addition to Social Security benefits —even people with the most modest of bottom lines," Johnson says. "An older couple with ,000 is living at just 155% of the federal poverty level," Johnson points out. Had the income thresholds been adjusted for inflation since 1983, the ,000 threshold would be ,940 and the ,000 threshold would be ,284 according the Bureau of Labor Statistics. .How do you envision your perfect day in retirement? Are you the type that needs to be busy with work and projects to feel fulfilled, or do you look forward to spending time puttering around on your own, traveling or just enjoying leisure? Note how you like to spend your time.