News

  • Health Care Legislation For Seniors Unveiled In The Senate

    House Majority Leader Steny Hoyer (D-Md.) said he still expects the House to consider regular fiscal year 2021 spending bills beginning in June. But Senate Leader McConnell has not discussed any timetable for the bills coming out of the Senate Appropriations Committee, which must happen before the full Senate can consider the legislation. The Appropriations Committee got off to a late start, and it is not clear the committee will keep its summer working schedule. As a result, there is growing expectation that – once again - a continuing resolution will be needed to prevent a government shutdown on the eve of the election and that lawmakers will complete their work on the spending measures in a lame-duck session. .The House passed the bill yesterday and the Senate is expected to take it up next week. ."That combination elevates the risk of disruptions to care, and unexpected, uncovered costs — two problems that could plague seniors shifted to new managed-care plans," Hyland says. Most states are expected to "passively enroll" beneficiaries into the plans requiring beneficiaries to take the initiative to opt out. "It is too early to know what type of choices those wishing to opt out will have," Hyland notes. "Without a strong notification and education process, many of the affected dual eligibles may not be aware, or understand, that they have new health coverage, " he says. "A new health plan can mean a change of doctor if their former providers don't participate," Hyland explains. … Continued

  • Illegal Work Under Fake Social Security Number Government Still Pays Benefits

    Medicare Advantage plans contract with Medicare to provide all basic Medicare services, and plans receive monthly lump sum payments that cover expected costs for an average Medicare beneficiary. But officials have known for years that some Medicare Advantage plans overbill the government by exaggerating how sick their patients are, or by charging Medicare for treating serious medical conditions that they cannot prove that patients have. Audits of 37 health plans revealed that, on average, auditors could confirm only 60% of the more than 20,000 medical conditions that CMS paid plans to treat. .This week, TSCL was pleased to see four key bills gain new cosponsors in the House and Senate. .It makes no sense for the Social Security Administration to allow Social Security numbers older than 112 to remain active indefinitely, without investigating the status of the beneficiary. The oldest verified lifespan of any individual to have ever lived is 124. … Continued

"Our example just looked at the salaries and performance pay of just 20 CEOs," notes Johnson. "According to the Social Security Administration, there will be 12 million people who earn above the taxable maximum in 2018," she adds. .You can find contact information HERE. In addition, you can find ten sample town hall questions HERE, in this month's issue of the Social Security and Medicare Advisor. .Three Ways Congress Can Pay For Notch Reform .Despite all the tragedy and difficulty coming out of the pandemic emergency there is a little good news, in our opinion. The spread of the coronavirus has reignited the push in Congress to expand domestic manufacturing of drugs, and renewed concerns the U.S. relies too much on foreign medicine makers. As we have been seeing, the need for medications can be urgent during a pandemic and lawmakers on both sides of the aisle have raised alarms about possible shortages. .In order to learn more about what services you are eligible for under Medicare, call 1-800-MEDICARE ( 7), a State Health Insurance Assistance Program counselor at your Area Agency on Aging, or your Member of Congress. .If adopted, this key bill would improve Social Security COLAs by basing them on the CPI-E, and it would cover the cost by phasing out the payroll tax cap over the course of seven years. Together, these changes would improve the adequacy of Social Security benefits and strengthen the solvency of the Trust Funds past 2035. .For progress updates or for more information about these and other bills that would strengthen Social Security and Medicare programs, visit our website at .The president might also hurt himself on the campaign trail. Linking prices paid by Medicare to an international index that includes countries with nationalized or government-run health-care systems would undercut one of Trump's favorite criticisms of Democratic proposals: they represent "socialism." .Four Things To Avoid When Shopping For Retirement Housing