News
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Colas Medicare Remain On Deficit Reduction Cutting Table
Major findings: .Medicare Advantage plans require very careful scrutiny of potential costs. Some plans have lured seniors with low premiums and deductibles, only for enrollees to discover high undisclosed costs later. ."We are saying you need to be doing more inspections," Verma told reporters, explaining her message to states. "We called on states in early March to go into every single nursing home and to do a focused inspection around infection control." … Continued
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Legislative Update Week Ending September 19 2014
Fifth, one new cosponsor – Representative Steve Cohen (TN-9) – signed on to the Nursing Home CARE Act (H.R. 4704), bringing the total up to twenty-five. If adopted, H.R. 4704 would protect Medicare and Medicaid beneficiaries by more quickly codifying emergency preparedness rules for nursing home facilities that receive funding from the federal government. .Having a plan that covers Part D deductible generally is the better choice if you must take a lot of monthly prescriptions or if you have high drug costs. If you only require a few prescriptions or low cost generics, you might find that by going ahead and paying the deductible you recover that cost in much lower premiums. The only way to tell is by using Medicare's Drug Plan Finder to compare plan costs based on the prescriptions you take. . What does it mean when a Member of Congress says he favors changing Medicare from a "fee-for-service" model to one where the patients would pay based on health outcomes? Is he suggesting that Medicare should stop covering treatments if the patient can't or doesn't improve? … Continued
According to the National Council on Aging, 34% of older households hold credit card balances, and another 29% still owe money on a mortgage, home equity line of credit, or both. Digging out requires work and making changes. Reducing debt requires increasing income, restructuring your budget, and other changes. Here are some things to consider: .The battle between spending cuts versus revenue increases continues to be the largest point of contention between the two sides. Democrats are pushing a one-to-one ratio, contending that Congress has already outlined enough spending cuts in the debt limit increase law. If the Super Committee cannot come to a compromise by the deadline, mandated across-the-board budget cuts will occur. .Based on the growth rate of the Consumer Price Index for Workers (CPI-W) over past 12 months, I'm projecting a COLA in the vicinity of 3.6% for 201But Congress may take action that would slow the growth of the COLA. Deficit reduction plans are likely to call for switching to the "chained" CPI, a move that TSCL feels would further undermine the purchasing power of benefits. The difference between the CPI-W and chained COLA has averaged about 0.3 percentage point since 2000, but that's not the case this year. In fact, if the switch were to affect the COLA payable in 2012, seniors would get a COLA of about 2.8% — a cut of more than 20%. .This week, TSCL announced its support for the Delay until Fully Functional Act (S. 1592 and H.R. 3359), which was introduced by Sen. Marco Rubio (FL) in the Senate and by Rep. Trey Radel (FL-19) in the House. The bill, if signed into law, would delay the Affordable Care Act's individual mandate for six months once the Government Accountability Office certifies that the exchange website is fully functional. .Generally, retirement planners say that to maintain their current standard of living, retirees need to replace 70 percent of their pre-retirement earnings. However, with recent hits to personal savings and 401(k) balances, households are struggling with an erosion in the value of their retirement savings. Also, while workers may plan to retire at a certain age, their retirement decisions are often subject to circumstances outside of their control. A study conducted by McKinsey & Company found that roughly half of all workers who retired earlier than they planned cited health reasons or needing to care for a family member; the other half cited job loss. ."The ability to withstand major downturns in the economy is particularly important in retirement, yet extraordinarily difficult for today's retirees and those nearing retirement," says Johnson. "There are a number of factors that are reducing available retirement income from traditional sources," Johnson says. .Sources: Hearing on Combating Waste, Fraud, and Abuse, Office of the Inspector General, Social Security Administration, January 24, 201"Levin, Conrad Introduce CUT Tax Loopholes Act," Senator Carl Levin, February 7, 2012. .The Social Security COLA is calculated using the consumer price index. There are several of them, and the government uses the Consumer Price Index for Urban Wage Earners and Workers (CPI-W) to calculate the annual boost. That index, though, doesn't measure how people 62 and older spend their money. It measures how younger working adults do. Seniors, however, have different spending patterns, and have to spend a growing share of their budget on healthcare, which in most years outpaces overall inflation. .Clobetasol propionate is one of four medications that accounted for the most significant generic price increases in 2014 according to information on the website of pharmacy benefit manager Express Scripts. The steep climb in generic drugs prompted a Senate hearing last year. The prices of more than 1,200 generic medications increased an average of 448 percent between July 2013 and July 2014, according to Senator Bernie Sanders (I-VT), ranking member of the Senate Subcommittee on Primary Health and Aging.
