News

  • Legislative Update Week Ending December 28 2018

    1977 Changes Fixed An Earlier Flaw In The Benefit Formula .Since he was first elected to Congress in 2010, Congressman Mulvaney – a founding member of the House Freedom Caucus – has been vocal about his support for reforming the Social Security and Medicare programs. In a 2011 interview, he told reporters: "We have to end Medicare as we know it. We have to fix it." He has endorsed several proposals that would privatize the Medicare program by adopting a "premium support" model, and on Tuesday, he endorsed plans to increase means-testing within the program. Both of those proposals are opposed by TSCL since they would result in higher out-of-pocket costs for beneficiaries. .In yet a third judicial ruling, The U.S. District Court of Appeals for the District of Columbia upheld a rule by the Trump Administration that hospitals will have to publicly disclose the prices they negotiate with insurance companies. … Continued

  • Benefit Bulletin July 2013

    I recently received an email with a link to a "Tax Loophole for Illegals" video claiming that the IRS had paid over billion in Child Tax refunds to illegal immigrants. Is this an Internet rumor? How can our government give away billions to illegals, when they don't pay any taxes? .TSCL urges Congress to take common-sense steps like the following five to reduce prescription drug prices: allowing the federal government to negotiate lower Part D prices, capping out-of-pocket expenses for Part D beneficiaries, permitting prescription drug re-importation, prohibiting anti-competitive pay-for-delay deals, and increasing price transparency. .Part D — If you choose a Medigap plan, or a Medicare Advantage plan that does not offer drug coverage, you will need a Part D plan. If you take any prescription drugs, be sure to input your medications to get an accurate estimate of costs and to check the coverage of the drugs you take. Coverage of prescription drugs varies from plan to plan and from one year to the next. The average monthly premium for Part D plans weighted for enrollment is Plans often charge a deductible and in 2011 you would need to spend a total of ,550 out-of-pocket (not including premiums) before reaching catastrophic coverage. … Continued

Now, it turns out, AbbVie is helping to fund ads attacking legislation that would lower prescription drug costs. .Republicans dominated Tuesday's mid-term elections, gaining control of the Senate and picking up twelve additional seats in the House, making it their largest majority in decades. Both chambers of Congress will be controlled by the party for the first time in eight years, and the dynamic on Capitol Hill will certainly be different come January. .Patients would spend less to achieve better health. Value-based care systems focus on helping patients to recover from illness and on managing or avoiding chronic disease. The aim is to decrease the need for doctor visits, medical tests and procedures, and to reduce the amount of money spent on prescriptions while improving health. Value-based care encourages health providers to spend time on prevention-based services in order to focus more efforts on managing chronic disease with the goal of reducing costs like emergency room visits and hospitalizations. ."Failing to raise the U.S. debt ceiling could be disastrous," warns The Committee for a Responsible Federal Budget, a group made up of leading U.S. economists, retired economic policy experts, and former Members of Congress concerned about reducing federal debt. If Congress fails to lift or suspend the debt limit in time, the inflow of Social Security and Medicare payroll taxes won't be sufficient to cover daily obligations. That could mean the U.S. Treasury could default on Social Security payments as well as payments to Medicare health plans. .Among the bills that make up the GOP plan is one that would establish congressional review boards to examine the long-term solvency of the three trust funds, a topic that long has been politically fraught. .If his income is too high to qualify for either, your daughter may want to find out if the 0 penalty is really accurate. If she can find evidence that her father-in-law had qualifying health insurance coverage after turning age 65, such as through a former employer, even for a few years, that coverage may potentially reduce the amount of the Part B delayed enrollment penalty. This sort of digging can be difficult if her father-in-law has cognitive or memory issues now. Another family member or a former coworker may be able to help though, and at 0 a month, it's worth a few calls. .According to a report in Bloomberg Government News, "Centrist Democrats in the House are pushing to shrink their party's health-care wish list to focus more on low-income Americans, a move backed by industry groups including dentists who say a narrower focus is better policy. .What does this new "pay for performance" mean for patients? Not much is known yet, but I got a first - hand experience of the new system recently. One of my doctors, a specialist, told me that due to a "quality initiative reorganization," he wouldn't be seeing me as a patient anymore. I'll have to find a new doctor. .Although the President did not offer specific policy recommendations, he did renew his commitment to lowering prescription drugs costs. He said: "One of my greatest priorities is to reduce the price of prescription drugs. In many other countries, these drugs cost far less than what we pay in the United States. That is why I have directed my Administration to make fixing the injustice of high drug prices one of our top priorities. Prices will come down."