News

  • Legislative Update April 2019

    The TSCL survey found that, to improve Medicare's finances, seniors strongly support ramping up anti-fraud efforts, and better integration of care to reduce duplications of tests, services, and expensive imaging. What do you think? Take a poll. Visit TSCL's website at . .The "house calls" can be money-makers for health plans when they document medical problems like complications from diabetes or heart trouble. Health plans profit because Medicare pays higher rates for sicker patients using a billing formula based on the patient's "risk score." Plans can receive thousands of dollars in higher payments from Medicare even though the insurer incurs no additional costs for covering Medicare services for your brother. .Home care, though, is much cheaper, overall. The yearly average cost, per person, of a nursing home to Medicaid is ,000 compared with ,000 for home care workers, according to one expert. … Continued

  • How Much Less Do Notch Babies Receive 2

    Regrettably, this uncertainty persists during the on-going deficit reduction discussions. Those who received services paid for by Medicare will not be affected by the automatic budget cuts due to the failure of the Joint Select Committee on Deficit Reduction to reach a compromise. Nevertheless, I am concerned that providers are not also shielded from those cuts. That is why I am co-sponsoring H.R. 3519, legislation to protect Medicare providers from the 2 percent cuts that were part of the Budget Control Act of 2011. .Resource online: StopMedicareFraud.gov .Low-income seniors and disabled adults who qualify for benefits under both Medicare and Medicaid frequently have multiple chronic health problems, and more than half have cognitive or mental impairments. More than half of dual eligibles also have annual incomes of less than ,000, and are more likely to receive nursing … Continued

As Congress returns to work, it begins another debate over the Social Security payroll tax – and with it, a debate over funding for Social Security. Many Americans are asking how an extension of the payroll tax cut would affect the finances of the Social Security Trust Fund. That's an important question. Keeping Social Security financially strong is essential for protecting current beneficiaries – and for ensuring that Social Security's guarantee will be there for our children and grandchildren as well. .The Three Biggest Expenses to Cut In Retirement — Most seniors spend more time clipping coupons to save a few dollars when they do their weekly grocery shopping than they ever spend cutting these three biggies. Spend more time on these and you'll have more money for groceries and everything else. .A new Medicare cost-saving rule that was launched late in 2020 will cut payments to hospitals for some surgical procedures and could potentially raise costs for Medicare recipients. According to an article by Susan Jaffe, of Kaiser Health News, the Centers for Medicare and Medicaid Services (CMS) has for years classified 1,740 surgeries and other services as "so risky" for older adults that Medicare would pay for them only when people were admitted to the hospital as inpatients. But under the new rule, CMS is beginning to phase out that requirement. By the end of 2023, these "inpatient only services" which includes complicated procedures such as heart and brain operations, is scheduled to be gone. .Seniors are reporting that in recent years they have frequently put off visits to the doctor and other healthcare providers due to economic reasons, according to recent TSCL surveys. You may have been told that the new healthcare reform law provides "free" new preventive benefits. While that made a good sound bite for the TV news and those Andy of Mayberry ads, the reality is most Medicare beneficiaries will probably still have some out-of-pocket costs. In order to qualify for the "free" preventive services you need the following: .First, two new cosponsors – Representative Paul Gosar (AZ-4) and Representative John Larson (CT-1) – signed on to the Audiology Patient Choice Act (H.R. 2276), bringing the total up to thirty-two. If adopted, H.R. 2276 would improve Medicare coverage for hearing services that are performed by licensed audiologists. Under current law, audiologists are not recognized as providers of health-related hearing services, and the Medicare program will only reimburse them for their services when patients are referred by physicians or nurse practitioners. .Background Information: Roughly 56% of older taxpaying households paid income taxes on a portion of their Social Security benefits this year, even though many of them only made twice the federal poverty level in income. Question: Do you believe this is fair, and if not, what should be done about it? . Recently I read about a stimulus proposal that would allow people who are out of work to access ,000 of Social Security benefits in advance, in exchange for waiting a few months longer to get benefits when. Ask the Advisor: April/May 2020 I'm Entitled to a Pension for Work as a City Cop… .Two new pieces of legislation in addition to H.R.1565 (see above) have been introduced to stop these kinds of scams. .Key Bills Gain Support in the House and Senate