News
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Proposal Would Shift Escalating Medicare Costs To Beneficiaries
Second, six new cosponsors signed on to the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), bringing the total up to twenty-six cosponsors. The new cosponsors are: Representative Adam Schiff (CA-28), Representative Joe Kennedy (MA-4), Representative Greg Walden (OR-2), Representative Kevin Kramer (ND-1), Representative Dan Webster (FL-11), and Representative Don Bacon (NE-2). If adopted, H.R. 4841 would allow for and standardize electronic prior authorization for Medicare Part D beneficiaries. .Medicare is structured to pay more to providers based on how sick people are — not on making them well. Yet about one-half of all adults have at least one chronic condition, which is not only the most costly type of health problem to treat over time, but also the most preventable. .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." … Continued
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Proposal Would Shift Escalating Medicare Costs To Beneficiaries
A number of Social Security recipients told their stories to the members of the subcommittee and explained the problems they face, as well as their desires for improvements to the program. .We reported earlier this year that President Trump issued executive orders to lower prescription drug prices under Medicare by linking them to rates paid in other countries and allowing Americans to buy medication imported from Canada. .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. … Continued
TSCL is very supportive of the PRIME Act, since we believe that the failure to manage fraud results in higher taxes for all and higher premiums for Medicare beneficiaries. In addition, at a time when many deficit hawks are considering cuts to programs like Medicare and Medicaid, we believe it is critically important to ensure that scarce program dollars are being spent properly. TSCL looks forward to working with the sponsors of the PRIME Act to help build support for it, and we are hopeful that Congress will pass it into law by the end of the 113th Congress. .Single taxpayers with more than one job. .Gathering with unvaccinated people from more than one other household .With China taking drastic measures to try and contain the spread of the disease, including quarantines and shutting down some industries, production to supply America's pharmacies and medicine cabinets is at risk of interruption. .By Mike Watson, TSCL Legislative Assistant .On Wednesday, the Board of Trustees – along with Shannon Benton (Executive Director), former Congressman Van Hilleary (Legislative Consultant), and TSCL's staff – spent the day meeting with four Congressional offices. Support was expressed for a number of bills that would strengthen Social Security benefits for older Americans, including the CPI-E Act (H.R. 3961), the CPI for Seniors Act (H.R. 3074), and the Honesty in CPI Reporting Act (H.R. 3500). .There will likely be court challenges to the President's actions, making it unclear how quickly any money would reach the unemployed. On top of that, it is unclear how many states will want to participate in this enhanced unemployment program or how many companies will want to suspend payroll taxes for employees only to have to pay them in 2021. .The database that compares health plans and Medigap policies does not give specific costs, but supplies a range of likely costs. I find some of the estimates confusing and misleading because they are based on certain government assumptions about the services an "average" Medicare recipient uses. Because nobody is "average," this may over or under state costs in your specific case depending on your health. .In addition, the proposal calls for more than 0 billion in Medicare cuts to hospitals, skilled nursing facilities, and pharmaceutical companies. These cuts could lead to staff reductions, and seniors could see changes in their access to quality care.