News

  • Senate Committee Tries Kill Free Medicare Counseling

    These overpayments occur because payments to plans are adjusted to pay more for older and sicker enrollees, and less for enrollees who are young and healthy. As well documented by the Medicare Payment Advisory Commission, Medicare Advantage plans use a variety of strategies to "document" enrollee medical conditions, including repeated, calls to homes in attempts to "update" health histories, and to schedule home visits from nurses to conduct health risk assessments even when patients have emphatically declined the visit. .In 2018, the Part B premium remained 4 per month. To cover that premium, Barbara, whose Part B premium was 8.00, needed a COLA of at least .00. That was more than the 2% COLA boosted her Social Security benefits. Once again her Part B premium was adjusted and in 2018 she pays a Part B premium of 7.00 per month. In 2019 her COLA will be high enough to catch up to the Part B premium of 5.50 and still leave a small boost for her net Social Security benefits. .On Tuesday, Senators on the influential Finance Committee held a hearing titled "Examining the Proposed Medicare Part B Drug Demonstration." Dr. Patrick Conway testified before the full committee on the status of the controversial demonstration program, which was proposed by CMS earlier this year and has not yet been implemented. The program will test new payment strategies for hospitals and physicians who administer prescription drugs to Medicare beneficiaries receiving outpatient care. It is a new attempt by the Obama Administration to move away from a medical system that rewards volume of care and towards one that values high-quality care. … Continued

  • Legislative Update Week Ending March 20 2015

    My pulmonologist ordered a CT scan, but the person scheduling appointments said they first had to check my insurance. Is this correct? I'm covered by Medicare and a Medicare Advantage plan. I thought I would be covered for any medically necessary CT scan. .Apply for Extra Help. Extra Help is the Medicare program for low-income seniors that can help with most or all of the cost of your drug plan premium, deductibles and co-pays. You also get valuable coverage in the Part D coverage gap. If you qualify, you would pay between $ for each drug. Apply even if you aren't sure, because the income requirements are not as stringent as those for State Pharmacy assistance programs. .The CBO recently evaluated a number of different policy options for changing Social Security, noting three broad approaches that have received considerable attention, including: … Continued

As we have written recently, Grassley's main problem in getting his bill passed in the Senate is opposition from his fellow Republicans. Grassley said he needs at least 25 Republican co-sponsors to get his bill (S. 2543) to the floor of the Senate for a vote. Ten Republicans other than Grassley have so far made public shows of support for the legislation. .And one more supporter said: "At present I am spending out of pocket each month and I fear that will only get worse as I age." .TSCL believes that the current WEP unfairly reduces the benefits of public servants, and we are pleased that support on Capitol Hill has continued to grow for the Public Servant Retirement Protection Act. .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. .This week, the Senate returned from break and President Barack Obama delivered the State of the Union address. New co-sponsors were also added to a pair of Social Security bills, and negotiations continue on how to fund the "doc fix." .Is Life Insurance After Starting Social Security Worth the Money? .In addition, eleven new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305) this week, bringing the total up to seventeen in the Senate and nineteen in the House. If signed into law, the bill would take a number of steps to prevent fraud, waste, and abuse within the two programs. It would enact stronger penalties, curb mistaken payments, phase out the "pay and chase" method, reduce physician identity theft, and improve data-sharing, among other things. The new cosponsors are Sens. Joe Manchin (WV) and Mike Johanns (NE), and Reps. Tim Griffin (AR-2), Diane Black (TN-6), Tammy Duckworth (IL-8), Ed Whitfield (KY-1), Reid Ribble (WI-8), Steve Womack (AR-3), Julia Brownley (CA-26), Tom Latham (IA-3), and Markwayne Mullin (OK-2). .But financial problems are more likely to compound for Notch Babies and their families because Notch Babies received Social Security benefits lower than those of other retirees having similar work and earnings histories, and they are at the age when many have exhausted their retirement savings and other resources. According to U.S. Census data, 9 percent of men and 14 percent of senior women over 85 have incomes lower than the U.S. poverty level — ,170 for single seniors in 201A core set of benefits is available to low-income seniors including: .TSCL offers its supporters an unconditional refund of their most recent donation if they are dissatisfied with our position or performance.