News

  • Congressional Corner Lets Not Cripple Medicare

    Paula's total premium costs came to 2.90 per month for the rest of 2007 rather than 0 per month, a savings of .10 per month in premiums alone. In addition, because she found a more appropriate drug plan, she will save an estimated additional .25 per month in drug costs in 2007. .Not only does this put unwitting retirees' Medicare number in the hands of crooks who can then resell it to be used to file more false claims, but it can cause Medicare to deny future coverage for genetic testing when it's really needed, because the patient's record will show the test has already been performed. .Sources: "Preliminary Estimate of the Budgetary Effects of Using the Chained CPI Starting in 2014," Congressional Budget Office, March 1, 2013. … Continued

  • Best Ways To Save February 2020

    According to the new survey by The Senior Citizens League, the majority of Medicare beneficiaries (72 percent) report spending for prescription drugs that was less than the Part D initial coverage limit in 2020. But 28 percent of survey participants report a level of monthly drug spending (at least per month and more for co-pays and co-insurance) that puts them at risk of exceeding the Medicare Part D initial coverage limit and hitting the "coverage gap" or "doughnut hole" — the point at which drug costs can be higher than under initial coverage. In addition, one quarter of survey participants, 25 percent, said they postponed filling one or more prescriptions in 2020 due to high cost or shortages. Under current law there is no annual cap on out of pocket spending in Part D, except for the lowest income beneficiaries who qualify for Medicare Extra Help which covers most of their out of pocket costs. .Drug companies and some patient groups have long criticized proposals like this last rule, saying it would reduce innovation and access to certain medications. In addition, drug makers are particularly leery of the approach since Democrats want to use it more broadly to allow Medicare to directly negotiate prices. .This week, Rep. Paul Ryan (WI-1), Chairman of the House Ways and Means Committee, revealed that Congress will not consider legislation that would permanently repeal and replace the SGR – the flawed formula that sets payment rates for doctors who treat Medicare patients – before the March 31st deadline. Instead, they will likely pass another short-term "doc fix" in order to avert a 21 percent pay cut for physicians that is set to hit on April 1st. … Continued

"Hello seniors!" the voice bellows. "Medicare covers a remarkable new device that can give you freedom from lower back pain! Hold the phone to find out how to get your free, Medicare-covered back brace. " While free usually sounds good, this call is worse than a pain in the lower backside. It's. Feds Bust 243 People In Biggest Medicare Fraud Yet In what the U.S. Department of Justice is calling the largest nationwide crackdown on Medicare and Medicaid fraud ever, some 243 people were recently arrested and charged for bilking Medicare out of 2 million. Those charged include 46 doctors, nurses, and other licensed medical professionals. .Research that I've conducted over more than 20 years indicates that retirees would receive a higher COLA in most years using a "seniors" CPI, rather than by using the current method of indexing which is based on the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). One of the bigger problems with using the CPI-W is the fact that retirees spend their money very differently than younger working adults. Retirees must spend more on healthcare and housing, and less on gasoline and consumer electronics. .Give family recipe or ethnic specialty cooking lessons. As a child I learned how to make Pennsylvania German egg noodles from scratch from my grandmother. These were a highly treasured holiday gifts. My arms still ache remembering how long I had to roll the dough to get those noodles thin enough for my grandmother! Give out an invitation to special grandchildren or friends for lessons in making favorite traditional foods from scratch. .These bills would enable retired school teachers, university employees and thousands of civil servants to receive all of the Social Security pensions for which they are entitled. A Government Pension Offset (GPO) and Windfall Elimination Provision (WEP) have long limited the full aid that these beneficiaries merit. .Medicare pays for a wide range of services including many preventive benefits, but routine eye care is not one of them. Medicare-eligible adults with diabetes can, however, get a dilated eye exam to check for diabetic eye disease. The patient's primary care doctor is responsible for determining how often this exam is needed. Medicare also covers an annual eye exam to check for glaucoma if the patient is diabetic or there is a family history of glaucoma. .The Senate Finance Committee recently passed The Prescription Drug Pricing Reduction Act out of committee and now it heads to the floor for further action. The bill, which has support of both Democrats and Republicans would, among other things, cap drug prices based on the rate of inflation. .The week ended with a live speech from President Trump heralding the new legislation passed recently that makes mandatory the transparency of the cost of hospital treatments, supplies and prescriptions. Of most interest to TSCL is the high cost of prescription drugs. During our meetings with Congressional offices this week we left information with all of them concerning a large number of issues we are working on including prescription drug prices. .The order is expected to apply to government programs and agencies that directly purchase drugs and medical supplies, according to lobbyists and industry watchers. They may include the Department of Veterans Affairs, the Strategic National Stockpile, and the Federal Bureau of Prisons. .Source: James W. Kelley & Joseph R. Humphreys, "Congressional Intent Concerning The Notch Issue: Legislative Background of the 1977 Social Security Amendments," 1994.Source: Congressional Research Service May 24, 1999