Medicare pays the plans a pre-determined monthly amount for each enrollee. Higher rates are paid for sicker patients, and lower amounts for people in good health. The "risk adjustment" policy is intended to avoid the problem of plans cutting corners on healthcare to boost profits. But the audits found pervasive problems with many plans overstating the severity of enrollees' medical conditions, with little documentation of the medical conditions being claimed. .In 2008, an audit by the Social Security Administration's (SSA) Office of Inspector General found that spouses did not always receive the higher retirement benefits due them. Although 18,768 spouses were identified as eligible for higher retirement benefits in that audit and the SSA developed a notification letter, the agency took no further action to notify beneficiaries – citing "limited resources." As a result, these spouses never received the higher retirement benefits for which they were eligible. .TSCL believes the regulations could be costly to seniors and to Medicare. Alternative therapy and medical approaches are used by millions of Americans. The Centers for Disease Control and Prevention estimated, that the U.S. public spent between billion to billion on CAM therapies in 1997, an amount that was more than the U.S. public paid out-of-pocket for all hospitalizations in that year, and an amount that was approximately one-half of that paid by the U.S. public for all out-of-pocket physicians' services. .So far, 800,000 federal workers have been furloughed, and Members of the House have begun taking a piecemeal approach that would send some of them back to work by providing funding for certain agencies. However, the Senate has rejected each bill. Leaders in that chamber believe a piecemeal approach will set a bad precedent and give the opposing political party "veto power over what is funded and what isn't," according to Sen. Chuck Schumer (NY). .A major reason that the COLA is so low is the consumer price index that the government uses to calculate the increase. Under current law, the COLA is tied to the increase in the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). That index surveys the spending patterns of younger working adults and does not include the market basket of goods and services that is more typical of people age 62 and over. The CPI-W gives greater weight to goods and services that younger workers spend more on, like gasoline prices and electronics, which have dramatically dropped in price over the past two years. It gives less weight to housing and medical expenses even though those two categories have experienced bigger price jumps over the past two years, and are the two biggest spending categories for older consumers. .That spells trouble for people living on fixed incomes. "When COLAs fall down on the job of protecting benefit buying power, seniors face working longer, digging deeper into retirement savings, or falling into debt and poverty," says Ed Cates, Chairman of TSCL. .TSCL strongly believes that the current formula breeds uncertainty within the Medicare program. Some doctors have stopped accepting Medicare patients due to the steep pay cuts that the formula regularly calls for, and many more are threatening to do so if a permanent solution is not established soon. Rep. Schwartz's bill would do just that, bringing much-needed stability to the program for both doctors and seniors. TSCL enthusiastically supports H.R. 574, and we were pleased to see support grow for it this week. .According to the IRS, advance payments of the Child Tax Credit will be made from July through December to eligible taxpayers and will be up to 50% of the credit. Advance payments will be estimated from your 2020 tax returns, or 2019 returns if the 2020 returns are not filed and processed yet. .This week, discussions to fund the federal government past September 30th – the end of the fiscal year – seemed to stall. Leaders in the House and Senate told reporters last week that they planned to take up a short-term continuing resolution (CR) by September 21st. However, this week, lawmakers on both sides of the aisle said many important details remain up in the air, and the timeline has shifted.