News

  • New Medicare Report Adequate Coverage Affordability Beyond Reach Many Low Moderate Income People

    Sources: "Congress Kills Social Security Claiming Loopholes," Alicia Munnell, Market Watch, November 11, 2015. .Among the bills that make up the GOP plan is one that would establish congressional review boards to examine the long-term solvency of the three trust funds, a topic that long has been politically fraught. .The study says the program would have saved 7 million that year if generics had been substituted for all the brand-name medicines requested by prescribers. Additionally, if Medicare patients had sought generics instead of brand-name drugs, Medicare Part D would have saved another 3 million. … Continued

  • Legislative Update For Week Ending August 1 2014

    TSCL is advocating for legislation that would provide a more fair and adequate COLA, by tying the annual adjustment to the Consumer Price Index for the Elderly (CPI- E). Projections show that by using the CPI-E, Social Security benefits would be about 9 percent higher over 25 years. An average benefit of ,300 in 2017 would be about 2 per month more at the end of the 2year period using the CPI-E. .The program is not meant to pay for all your energy costs, and in many places only provides assistance for your main heating source. For example, if you heat with oil, your local program may approve delivery of only a specific amount of heating oil and that may only fill a portion of your fuel tank. The amount of help you get depends on where you live, your income, your energy costs and needs, and your family size, in addition to other factors such as your age. In addition, in many areas of the country, the program runs out of funding quickly and operates on a first come, first serve basis. .Actuaries aren't in agreement over how many more years of solvency Social Security has left. The 2018 Social Security Trustees Report estimates that the Social Security Trust Fund will become insolvent in 2034, about 15 years from now. The more pessimistic Congressional Budget Office (CBO) estimates the depletion date would be two years sooner in 2032, only 13 years away. If Congress does nothing, and allows the Social Security Trust Fund to become insolvent, the program could still pay benefits, but benefits would be cut to coincide with the amount of revenue received — by about 25%. … Continued

Reducing prescription drug prices is a top issue for older voters. Seventy – two percent of survey participants support a proposal to tie Medicare Part D drugs prices to those paid in other industrialized nations, through the use of an "international drug pricing index" — an approach similar to prescription drug legislation passed by the House (H.R. 3). .This has led National Cancer Institute (NCI) Director Ned Sharpless to worry that the trend of patients and physicians postponing essential cancer care will swap the ongoing pandemic for another public health crisis in the form of increased cancer cases and deaths. An NCI analysis estimated, for instance, that pandemic-related delays in breast and colon cancer diagnoses and treatment could lead to 10,000 more deaths over the next decade. "We're very worried about the consequences of … delaying therapy on our patients," Sharpless said. .Dental insurance works differently than health insurance. Standard Medicare, for example, has an 80/20 structure. Traditional Medicare pays about 80% of the Medicare approved cost, while the patient, or the patient's supplemental insurance, pays most, or all of the balance. On the other hand, dental insurance can follow a 100-80-50 structure. If you use in-network dentists, dental plans may pay 100% of routine preventive services, such as x-rays, cleanings and exams. The plan may pay only 80% for basic procedures such as fillings, root canals, and extractions. And major procedures such as crowns, implants and gum disease treatments may only be reimbursed at 50%, which can set you back with significant out-of-pocket costs. .Lawmakers Advance Short-Term Funding Measure .We urge you to contact Members of Congress and ask them to co-sponsor "The Notch Fairness Act." Suggest that by cutting the rate of improper payments due to waste, fraud and abuse, your elected lawmakers can correct the most improper payment of all, the disparity in benefits caused by the Notch and erroneous government assumptions. .Rather than get into all the details of how this works, we will simplify it this way. The Democrats now have the majority in the Senate because Vice President Harris can break tie votes, giving a majority vote of 51 to the Democrats. .If adopted, H.R. 1553 would base annual Social Security cost-of-living adjustments (COLAs) on the Consumer Price Index for Elderly Consumers (CPI-E). .What do you think? Take TSCL's 2014 Senior Survey. .In 1977 Congress enacted changes to the Social Security benefit formula that affected seniors just two years from first entitlement to Social Security. A transitional formula supplied by Congress to phase in the changes, failed to prevent abrupt cuts and big disparities – as much as 1.80 per month in the well – publicized case of two sisters who worked for the same company.