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  • Tighten Your Belts Prices Hurtling Skyward Feed

    This week, the Medicare Drug Price Negotiation Act (S. 2011) from Senator Bernie Sanders (VT) gained one new cosponsor: Senator Richard Blumenthal (CT). If adopted, the bill would require the federal government to negotiate lower drug prices for Medicare Part D beneficiaries. Its cosponsor total is now up to seven in the Senate. . Check to see if Eliquis is covered by your drug plan and the cost sharing for the tier in which it is listed. Many drug plans have five tiers covering preferred generics, generics, preferred brands, non-preferred brands and specialty drugs. Check to see where Eliquis fits in on these tiers (probably preferred or non-preferred brand). It's not uncommon for insurers to move a drug from preferred brand to non-preferred brand status, causing you to pay more out-of-pocket. For example, your plan in 2019 may have charged a co-pay of for preferred brands, but if Eliquis was moved into a non-preferred tier in 2020 you might have to pay 50% co-insurance or about 5.00. .Medicare alone does not cover all the costs you will have. Most people also get either a Medicare supplement to cover out-of-pocket costs and Part D plan for prescription drugs, or enroll in a Medicare Advantage plan with Part D coverage. … Continued

  • Social Security Medicare Questions August 2013

    "'We find no indication that these reductions in demand affect only ‘low-value' drugs; on the contrary, those at the highest risk of heart attack and stroke, who would benefit the most from statins and antihypertensives, cut back more on these drugs than lower-risk patients.'" .Can You Live On Social Security Alone? .Minimal Workplace Enforcement—A Contributing Factor … Continued

The so-called "Buy American" order could represent a seismic shakeup of the drug industry: No one knows exactly how much of the American drug supply chain is produced abroad, but some experts say that up to 90% of critical generic drugs are made at least partially abroad. .Trump Issues Executive Order on Prescription Drugs .Many Members of Congress will hold town hall meetings throughout the recess, giving voters an excellent opportunity to voice their views and concerns. In the upcoming week, the following Members of Congress, among others, will hold town halls in their states and districts. .Most of the overpayments – nearly 40 percent – went to those who began working or had a positive change in income. Another 24 percent of the overpayments went to those who had a medical improvement and no longer qualified. Around 7.5 percent of the overpayments went to those who became imprisoned, and 7.2 percent went to deceased beneficiaries. According to the report, the agency was able to recover approximately .1 billion in overpayments. .Source: "Audits Of Some Medicare Advantage Plans Reveal Pervasive Overcharging," Fred Schulte, Center For Public Integrity," NPR, August 29, 201"Medicare Advantage: Fundamental Improvements Needed in CMS's Effort to Recover Substantial Amounts of Improper Payments, Government Accountability Office, April 2016. .TSCL originally made this proposal with the massive support of our members. It is designed to provide fair compensation for the lower benefits Notch Victims receive. It has now been introduced as Bills in Congress. If passed, it will provide a Settlement payment of ,000 to each living Notch Victim or their beneficiary spouse. .Spending Deal Reached by Congress .Contributing: Nathan Bomey and Robert Powell .Hunger and food insecurity is a huge problem in America. Nearly 41 million Americans struggle to put food on the table each day, including five million seniors. Because of their lack of income, many of our seniors are often faced with the frightening decision of whether to purchase food or medicine.