News

  • Benefit Bulletin October 2020

    It is believed that Trump issued the executive orders because a drive to enact major legislation this year stalled in Congress. Although Trump has told Republican senators that lowering prescription prices is 'something you have to do,' many remain reluctant to use federal authority to force drug makers to charge less. .Currently, Social Security COLAs are based on the way young, urban workers spend their money, and because items like gasoline and electronics are weighted more heavily than medical costs and housing expenses, they underestimate the inflation Social Security beneficiaries experience. For example, this year, if COLAs were based on the spending patterns of seniors, Social Security beneficiaries would be receiving a COLA of around 2 percent instead of a 0.3 percent increase. .This week, lawmakers in the House postponed a scheduled vote on the American Health Care Act (AHCA) and leaders made last-minute changes to the text of the bill. In addition, The Senior Citizens League (TSCL) delivered letters to Congress urging leaders to address the looming debt ceiling crisis. … Continued

  • Category Issues Totalization Articles Page 7

    But when hold harmless is triggered more widely than usual, as we expect to be the case in 2021, there is no provision of law with which to finance the unpaid portion of Medicare Part B premium increases of the roughly 43 million who are protected by the provision. In the past, Congress has chosen to allow this cost burden to shift to the 30 percent of beneficiaries who are not held harmless. Because the cost is spread over far fewer people, instead of all beneficiaries, those who are not protected by hold harmless pay a far larger share of the costs, thus the huge Part B premium jumps. .The Social Security Fairness Act — Under current law, millions of teachers, police officers, and other retired public servants see their Social Security benefits cut by hundreds of dollars due to two unfair provisions of the Social Security Act: the Government Pension Offset and the Windfall Elimination Provision. TSCL has been advocating for the repeal of these two provisions for several years, and in our December meeting with the bill's sponsor, Congressman Rodney Davis (IL-13) said he will continue to work tirelessly towards its passage in the 116th .According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. … Continued

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." .Now that March has arrived, winter is starting to appear in the rearview mirror, large sections of the country will experience unseasonably warm temperatures this week, Covid-19 vaccinations are picking up, and we are all getting tired of living the way we have for the past year. .A study by the Health Care Cost Institute found that people receiving observation and other outpatient services in the hospital paid four times more out-of-pocket than inpatients in 2012— an average of per inpatient versus 9 for outpatients. Under Medicare, outpatients usually have co-payments or co-insurance for each service from doctors, test, prescription drug, and other hospital services. .Since 2000, COLAs have increased Social Security benefits by a total of 55%, yet typical senior expenses over the same period grew by 101.7%. The average Social Security benefit in 2000 was 6 per month. That benefit grew to ,262.40 by 2021 due to COLA increases. However, because retiree costs are rising at a far more rapid pace than the COLA, this study found that a Social Security benefit of ,645.60 per month in 2020 would be required just to maintain the same level of buying power as in 2000. .Wages were lower than expected and initial retirement benefits for Notch Babies were calculated on lower average earnings. Thus, benefits were lower than anticipated. In addition, inflation grew at double-digit rates over the same period, yet the new benefit formula failed to fully account for inflation for many Notch Babies, especially those who delayed their retirements (5). .TSCL Endorses New COLA Bill .Congress this week was sort of the entire U.S. in miniature form. The Senate came back to town to conduct business, but not all Senators agreed with that. Most Senators followed the rules for wearing face masks, but not all. Not all committee hearings were attended by all the members. Most Senators were careful about following the protocols that have been recommended by health care professionals, but not all. .It would implement a moratorium on all field office and contact station closures to ensure that beneficiaries have access to the essential services they provide. .More generous medical expense deductions for 2017 and 2018: The final tax bill retains the deduction for medical expenses and delays a previous change that would have limited the medical expense deduction for people age 65 and older in 2017 and thereafter. Under previous tax law, all taxpayers could deduct out-of-pocket medical expenses that exceed 10% of adjusted gross income, or only 7.5% for taxpayers age 65 or older. The amount of medical expenses that this group of taxpayers would be allowed to deduct was originally scheduled to rise to 10% in 201The new tax bill delayed that change, retaining the 7.5% threshold for medical expenses for taxpayers age 65 and over in 2017 and 201The change to 10% will go into effect beginning in 2019.