News
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2015 Mega Prescription Costs Pushing More People Into Medicares Doughnut Hole
Healthcare would be more efficient and convenient for patients. Value-based payment systems provide incentives for health providers to make it easy for patients to get all the services related to managing their condition in one "medical home." Payments to providers are "bundled," covering the patients' full care cycle, or for chronic conditions covering longer periods of time like a year or more. .The massive cost of both House and Senate tax bills, estimated to add .5 trillion to the deficit, will trigger automatic spending cuts in 2018 due to language in the Statutory Pay-as-You Go Act of 20The Act, commonly known as "pay-go", prevents legislation from adding too much money to the deficit. Because the .5 trillion cost of the bill is not adequately offset, the Medicare program will see billion in cuts in 2018, and other critical programs like Meals on Wheels would see their budgets slashed. Lawmakers have said they will pass legislation early next year to avert these cuts, but that remains uncertain. .With about 1 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors groups. Located just outside Washington, D.C., its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of The Retired Enlisted Association. … Continued
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Notch Bulletin Not Even A Lump Sum Death Benefit Feed
Healthcare researchers are questioning the surge in medical testing, particularly the aggressive use of advanced radiology tests like CTs, MRIs and ultrasounds. Their use has become routine, but doctors are not necessarily diagnosing more diseases and the tests can expose patients to high levels of radiation that can cause cancer. Some critics blame "defensive medicine" to avoid malpractice suits, but that's only part of the problem. Some critics say that the tests are becoming a crutch as doctors have less and less time to spend with patients. And all say that the profit motives give doctors incentives to over prescribe the tests. .The government negotiates prescription drug prices for veterans and Medicaid beneficiaries, but it is barred from negotiating lower prices for Medicare beneficiaries. As a result, seniors enrolled in Part D often pay much higher prices than others for their prescription drugs. What are you doing to correct this unfair policy? .This week, lawmakers released the text of legislation that will comprehensively reform the tax code if adopted, and The Senior Citizens League (TSCL) delivered letters to Capitol Hill outlining three tax-related changes that would strengthen the Social Security program. In addition, TSCL endorsed two new bills that would reduce prescription drug costs, and several key bills gained support. … Continued
Nevertheless, Congress is considering ways to "redesign" Medicare. The Congressional Budget Office (CBO) estimates that changing the cost-sharing rules for Medicare and restricting Medigap coverage would save the federal government 4 billion over the next ten years.[1] Medicare supplements, better known as Medigap, cover Medicare's deductibles and other out-of-pocket costs. The plans are popular with seniors because they provide financial certainty by reducing unexpected out-of-pocket expenses. .Two Provisions That Can Reduce Or Eliminate Social Security Benefits .On Thursday, TSCL held its first ever town hall meeting with great success in North Carolina's 11th Congressional District. TSCL would like to thank Congressional Candidate Mark Meadows for taking time out of his busy schedule to address concerned members and supporters. .A deductible is the amount of money you must pay before your coverage starts. Many Medicare supplements (Medigap policies), Medicare Advantage plans, and drug plans cover Medicare's deductible as part of the coverage you purchase. Medigap polices "B" through "J" pay the Part A dedictible, and Plans "C", "F" and "J" also cover the Part B deductible. Medicare Advantage Plans and prescription drug plans may or may not have a yearly deductible depending on the type of plan you choose. There are also federal and state government programs for low-income seniors that provide assistance for this cost. .The proposal to switch to the chained CPI has come up numerous times during past budget negotiations over lifting the federal debt limit. Most recently the proposal appeared last December in a 2016 House bill that would reform Social Security, and in an alternate fiscal year 2017 budget proposed by the Republican Study Committee. The proposal remains a key provision of debt reduction plans, because so many federal benefit programs and the tax code are adjusted using the CPI. The CPI-U has recently been proposed to index Medicaid payments in the Senate health bill. Economists have estimated that adopting the chained CPI would cut Social Security by 0 billion over ten years. .Uncovered healthcare costs — In planning your budget, include costs that Medicare doesn't cover — dental care, eye exams and eyeglasses, for example. When shopping health plans, some MA plans may offer extra benefits like these. .The Senate amended and passed the bill 90-2 on March 25, with two Republican Senators voting against it. .There is widespread support among older Americans for a benefit boost. TSCL surveys have found that 83% of survey participants think Congress should increase Social Security benefits by about 2% of the average benefit, roughly per month (0) in 202Sixty-two percent of survey participants also favor a more generous annual cost of living adjustment (COLA) by tying the annual inflation adjustment to the Consumer-Price Index for the Elderly (CPI-E), and 50% favor enacting a guarantee that COLAs would never be lower than 3%. ."Chaining" the CPI would be a deficit reduction double-hitter. The CPI is used to calculate COLAs, a host of other federal retirement benefits (like military) and federal income tax exemptions, deductions and tax brackets. Thus, switching to a more slowly growing measure would dramatically cut government spending on the annual boosts for Social Security and a host of other federal benefit programs, in addition to quietly raising everyone's taxes.
