(Washington, DC) – Social Security cost-of-living adjustments (COLA) would need to double their rate of growth and Medicare Part B premium increases would need to slow by half their historic rate to provide greater Social Security benefit adequacy, says a new report from The Senior Citizens League. Using the federal government's economic projections for the Social Security COLA and Medicare Part B premium estimates over the next decade, the study examined how well Social Security benefits would cover Part B premiums increases in coming years. .TSCL believes that while the proposal may be a sensible first step, it doesn't go far enough. Before individuals can enroll in Medicare Advantage or Part D plans, they must be enrolled in Medicare Part B and have a Medicare number. How illegal immigrants obtain that number, and whether they are properly enrolled in Medicare Part B, are two key questions. "To prevent ineligible people from receiving benefits, the responsibility lies with the 'gatekeeper' and that's the federal government," says TSCL's Executive Director, Shannon Benton. "The Social Security Administration and Medicare need to do more to prevent illegal immigrants from getting Medicare numbers to begin with," Benton says. "In addition, both Medicare and private health and drug plans need up-to-date and accurate verification systems in place to determine whether beneficiaries are legally present when they receive services," she adds. .Almost 53% of retirees say they don't have dental insurance, and more than 55% of that group say they have postponed dental procedures due to costs, according to TSCL's recent Senior Cost Survey. Despite limits on what dental insurance covers, it may provide some help, especially for routine preventive care, but finding the right coverage takes some shopping around, and you may need to wait for more than a year before coverage starts for more extensive services like crowns and bridge work. .Trump's administration "has decided to pursue a radical and dangerous policy to set prices based on rates paid in countries that he has labeled as socialist, which will harm patients today and into the future," Stephen Ubl, the head of PhRMA, said in a statement. .In many years when inflation is at more typical levels, only a small number of beneficiaries, those with the lowest benefits, are affected by the hold harmless provision. The reduced Part B premiums that they receive has minimal impact on Part B financing.[6] But in years when there is an exceptionally low COLA, the hold harmless provision is triggered more widely, and this leads to much more challenging financial impacts for both beneficiaries and for Medicare Part B funding. .Since the start of CPI-E in 1983, the average difference between it and the CPI-W is roughly .25 percentage point per year. Sounds tiny but, like interest, it compounds over time. Had the CPI-E been used to determine COLAs since 2015, your benefit would be about 2% higher today. An average benefit of ,215 per month in 2015 will increase to ,298 per month in 2020. But had the CPI-E been used to calculate the COLAs, that benefit would have been per month more or ,324 in 2020. .The alternative to this approach is control by a board of unelected bureaucrats known as the Independent Payment Advisory Board (IPAB). This board will consist of 15 unelected, unaccountable bureaucrats empowered to make decisions about what kind of care people on Medicare can receive. I am greatly concerned that this board is being given way too much authority to determine what benefits are covered and how much physicians are paid. This commission's sole intention will be to determine whether Medicare is spending more than is budgeted and, if so, to offer "fixes" to cut back on Medicare spending that would then be fast-tracked with very little opportunity for Congressional input. President Obama's former Budget Director Peter Orszag called IPAB "the single biggest yielding of power to an independent entity since the creation of the federal reserve." I believe the best way to control costs in Medicare is to increase choice and competition, not cede control of health care decisions to a board of 15 unelected, unaccountable bureaucrats. .This is a much longer legislative update than usual but there is a lot of information about the pricing of prescription drugs that we believe is important for you to know and that you might be interested in. .For more information, visit the website of the National Academy of Social Insurance at www.NASI.org and download a copy of "When Should I Take Social Security Benefits? ". Or watch a video "It Pays To Wait".