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  • Again Colas May Face Another Round Of Cuts In Debt Limit Battle

    Sources: "Measuring Up: The Case for the Chained CPI," Rosenberg, Goldwein, Moment of Truth Project, May 11, 201"Changes in Calculating the Consumer Price Indexes," Congressional Budget Office, September 1997. .Social Security policy analyst and Advisor editor Mary Johnson finds the average monthly rate of increase for the past 12 months. This rate of inflation is added to the current month, and each subsequent month through to September, in order to project inflation in those months. The SSA's COLA formula takes the third quarter data (July/August/September) and finds the average for the quarter. That is then compared that with the third quarter average from one year ago, and the percentage of difference is determined. That percentage of difference is the amount that the COLA would increase. .Most people who spend the night in the hospital would say they have been an inpatient. But over the past six years, rapidly growing numbers of Medicare beneficiaries have learned that they were never admitted as an inpatient — even though they have stayed in a hospital bed, received treatment, diagnostic tests, and drugs. … Continued

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    Because Medicare doesn't negotiate drug prices, there are huge variations in cost for the same drug between drug plans, and even between pharmacies in the same plan. The difference in drug prices between the lowest and highest costing plans and pharmacies can be in the hundreds, or even thousands, of dollars. The high cost of drugs are the single biggest reason that people don't fill a prescription! But the most frequent reason that a drug costs so much more in the highest costing plan is lack of coverage by the drug plan —the drug is not listed on the plan's formulary. Sometimes, the pharmacy is not in the plan's preferred "network", and even preferred pharmacies can have significantly higher costs. For example, the lowest cost plan for Sovaldi, a drug used to treat Hepatitis C, charges ,600 in co-insurance (for a one-year treatment). The highest cost drug plan charges 0,800, the full cost of the drug, because Sovaldi is not on the plan formulary. The lowest cost plan for Advair Diskus, which is used to control and prevent symptoms of pulmonary disease, charges a co-pay of .33 per month from a mail order pharmacy, or the highest cost plan charges 6.62 per month because the drug is not on the plan's formulary. .The "defined benefit" pension plan has become rare, only available to about 16 percent of private sector workers, according to the Bureau of Labor Statistics. Most companies have transitioned from traditional pension plans that offer a fixed benefit to 401(k) plans, that are invested in the stock and bond markets, and vary on the amount of income that can be expected, depending on investment performance and the economy. .Mary: What is the "anchor effect" and could you give an example? … Continued

Compare your drug and health plan options NOW during the Medicare Open Enrollment period before it ends on December 7th. Does your current drug plan even cover your expensive new prescription? If not, you need to check your other options. Chances are another plan will. Use the Drug and Health Plan Finder at www.Medicare.gov. Make sure you carefully enter every prescription drug you take in order to get a custom comparison of your best drug plan choices. Costs can vary by hundreds, even thousands, of dollars, and you may be very surprised by the savings from switching to a better plan. .About 30 percent of the "other than legal " immigrants who were living in the U.S., and age 62 in 2000, would be eligible to receive retiree benefits. .TSCL is encouraged by the President's comments on drug prices, and we urge the administration to do everything in its power to bring down costs for consumers in the months ahead. In the meantime, our legislative team will continue to advocate for legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would take comprehensive steps to lower costs for Medicare Part D beneficiaries. .All of that raises questions about whether Democrats have enough votes to advance H.R. 3 out of the House, but in any case, it's highly unlikely that the bill could get the 60 votes necessary to defeat a filibuster in the Senate. .In fact, your best bet, and one that could help you save hundreds of dollars on your health insurance costs, is to get the unbiased advice of a trained Medicare benefits counselor through your state Health Insurance Assistance Program. The program provides free one-on-one local health insurance counseling through many local Area Agencies on Aging. To find the agency nearest you, consult your phone book or The Eldercare Locator. You may find the information resources at www.eldercare.gov/Eldercare/Public/Home.asp or you may speak to an Eldercare Locator information specialist by calling toll-free at 1-800-677-1116 weekdays, 9:00 a.m. to 8:00 p.m. (ET). ."There is no substitute for boots on the ground — for going into a facility to assess whether a facility is abiding by long-standing infection control practices," Verma told reporters this month. .If all this sounds complicated — it is. But comparing these costs is well worth the effort. Depending on what you have now, Medicare may wind up saving you a considerable sum, and provide lower deductibles than what you get through your employer. This decision is important to get right, especially if you are married and your spouse is also getting health insurance through your employer's plan. If so, caution is advised because your decision affects your spouse's coverage. .Social Security survival strategies with COLA only at 0.2% .An extremely low COLA (including the 1.3% that we are forecasting for 2021) could trigger a special provision of law that can cause Part B premiums to spike. That's especially true when combined with the higher than forecast Medicare outlays due to COVID-19, and the need to replenish program reserves.