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Category Issues Medicare Fraud Waste And Abuse Articles Feed
The further we read into the Affordable Care Act, the more we learn it doesn't address the issues of rising costs and access to quality care. A majority of my patients were either Medicare beneficiaries or Medicaid recipients. I understand the importance of these issues and want you to know that I am working hard to ensure everyone, especially seniors, has access to quality care and to keep the Federal Government out of the way when it comes to making the important decisions that affect your health and well being. .In addition, when lawmakers return to Capitol Hill on Monday to begin the lame-duck session, TSCL will keep a close eye on the evolving budget negotiations. Lawmakers have until December 9th to negotiate legislation to keep the federal government operating. Should they fail to miss the looming deadline, the federal government will shut down like it did back in 2013, and Social Security and Medicare beneficiaries could see negative impacts. For progress updates from Capitol Hill, visit the Legislative News section of our website, or follow TSCL on Twitter. .The measure has bipartisan backing in the Senate, as well as support from some moderate House Democrats. However, it is facing opposition from House leaders who say the legislation is a roundabout way to cut Social Security benefits. … Continued
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Q November 2017
The total revenues in the sample could pay the Social Security benefits of 897 retirees, with an average monthly benefit of ,400, for an entire year. Or, that revenue could be used to provide a modest boost to the COLA of 448,560 retirees in the first year, by tying the annual inflation adjustment to the Consumer Price Index for the Elderly (CPI-E). .Use the Contact Congress feature on the Home page of this site to obtain the names, addresses and other information on your Congressional delegation. You can even e-mail directly and sign our on-line petition in this full featured legislative action center. Click Guide to Contacting Congress to go to this section now. .While Part D and Medicare Advantage have proven popular with seniors, nobody is lining up at the doors during the fall Open Enrollment to shop for and compare plans. The vast majority of beneficiaries, more than 80% according to TSCL Senior Surveys, don't compare their Part D or Medicare Advantage plan, and consequently don't reap any savings from competition between plans. If Congress were to convert all of Medicare to premium support in the future, the devil will be in the funding details — finding the balance between saving the federal government money while still keeping the program affordable for beneficiaries. And so far premium support hasn't been any magic bullet for reducing federal spending on Medicare. … Continued
TSCL agrees that Congress must act immediately – before next week's October 15th deadline – to prevent the cost increases from occurring. We will be advocating in the days ahead for the passage of the new bills sponsored by Sen. Wyden and Rep. Titus, and we will post updates here in the Legislative News section of our website, or on our page on Facebook. .Consequently, Social Security recipients with the lowest benefits may not see much of an increase at all after Medicare Part B premiums are deducted. Those with benefits of about 0 or less are at risk of seeing the Part B premiums consume their entire COLA, leaving nothing extra left over to deal with other rising costs. .These benefits are far from generous. Compared to other industrialized nations, we have one of the most paltry social insurance systems in the world. Seniors have an average Social Security benefit of only ,328 a month. This is not enough to keep someone in the middle class. .Your husband would need to apply for Social Security disability benefits to learn if his medical condition meets the Social Security Administration's definition of disability. But before getting started, it's important to understand your choices, since your husband is also old enough to start Social Security retirement benefits. .What you don't know about Medicare supplements (Medigap) or Medicare Advantage plans could cost you dearly. The system is rigged in favor of Medicare insurers, and consumers often have little idea what they will need or be able to afford. Here are a few tips: .When hold harmless is triggered program-wide as in 2016, however, there is no specific provision of law with which to finance the unpaid portion of Medicare Part B premium increases for 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, they pay a far larger share of the costs, thus the Part B premium spikes. .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. .Finally, one new cosponsor – Congresswoman Pramila Jayapal (WA-7) – signed on to Congresswoman Jan Schakowsky's (IL-9) Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to seventeen in the House. If adopted, it would take several steps to reduce prescription drug costs. It would require the federal government to negotiate lower prices for Medicare beneficiaries, allow individuals to import prescriptions from Canada, accelerate the closing of the Part D "doughnut hole," and cap monthly out-of-pocket drug expenses at 0, among other things. .The number of Medicare patients in observation stays has jumped 69% in the past five years, according to federal records. They are also staying in the hospital longer. Even though Medicare recommends that hospitals decide within 24 to 48 hours whether to admit or discharge patients, the number of observation stays exceeding 24 hours have nearly doubled.
