News

  • Congressional Corner By Representative Fred Upton Mi 6 Feed

    This week, talks to repeal and replace the sustainable growth rate (SGR) formula continued, but lawmakers revealed that a temporary "doc fix" might be necessary. In addition, The Senior Citizens League (TSCL) announced its support for a new piece of legislation, and one key bill gained support. .Will it provide the diagnosis or will more tests be needed? .As we said above, the devil is in the details. Rather than signing four "executive orders," the only real executive order was the one on housing. The other three actions are marked as "memorandum," which carries less authority. … Continued

  • Benefit Bulletin Februarymarch 2016

    "It is not possible or believable that the infection control surveys accurately portray the extent of infection control deficiencies in U.S. nursing facilities," the report states. .At the hearing, the witnesses explained the intricacies of the prescription drug price-setting process and the drivers of rising costs. Doctor Anderson told the committee members, "Drug pricing is extremely complex … When a company has a monopoly, it sets the price that maximizes its profit and that's not the price that allows all people to get access to the drug." Doctor Howard urged Congress to "create incentives that reward providers who use medicines and technology to deliver care as efficiently as possible, while also empowering patients with the information they need to identify high-quality providers." .COLAs Reach All Time Lows At Same Time Seniors Report Expenses Higher Than Ever … Continued

Throughout the hearing, the witnesses stressed the importance of acting quickly, before reform options run out and seniors are left with a 23% benefit cut. Despite their pleas, however, it doesn't seem like Congress will be ready to compromise on Social Security reform any time soon. .The four stated that their proposal – The Congressional Health Care for Seniors Act – would "provide Medicare patients with the best healthcare in America," and that it would "forever protect seniors' interests by aligning them with self-interested politicians." But the plan is risky for two key reasons. First, it would eliminate Medicare completely, and second, it would do so beginning in 2014, affecting even current beneficiaries. Other proposals, including the plan released by House Budget Chair Paul Ryan (WI-1) in his fiscal 2013 budget, would offer traditional fee-for-service Medicare as an option to seniors, and would delay implementation to protect current enrollees from any drastic or sudden changes. In addition to phasing out traditional Medicare, The Congressional Health Care for Seniors Act would gradually increase the eligibility age to seventy, and it would increase means-testing measures so that wealthier seniors would pay a greater percentage of their healthcare costs. .Action on Capitol Hill was slow this week as lawmakers remained in their home states and districts for the holiday recess. They are expected to return to Capitol Hill to begin the second session of the 114th Congress on Tuesday, January 5th. Check back then for legislative news, or visit our new page on Twitter for more frequent updates. .In the meantime, though, as businesses re-open and we return to a new version of normal, it's important to stay vigilant. .his week, members of the new budget conference met for an opening session, and The Senior Citizens League (TSCL) announced its support for legislation that would extend the open enrollment period for the Affordable Care Act's (ACA's) health insurance exchanges. In addition, important numbers were released by the Department of Health and Human Services (HHS) this week, and TSCL saw . .First, the bipartisan Medicare Access to Rehabilitation Services Act of 2017 (H.R. 807) gained four new cosponsors in Representative Mike Capuano (MA-7), Representative Tom Rooney (FL- 17), Representative Linda Sanchez (CA-38), and Representative John Curtis (UT-3). The cosponsor total is now up to 23If signed into law, H.R. 807 would repeal the Medicare outpatient therapy cap that currently limits coverage for rehabilitation services at ,940. .It turns out that PhRMA "spreads that money around to political campaigns across the country as well as other trade groups like the American Action Network (AAN), a conservative dark money group that launched a million ad campaign to defeat the Democrats' H.R. 3 proposal, which would allow Medicare to negotiate lower prices for prescription drugs and cap out-of-pocket drug costs at ,000," again, according to the Salon.com report. .If signed into law, S. 960 would base Social Security cost-of-living adjustments on the Consumer Price Index for Elderly Consumers (CPI-E) and gradually phase out the cap on income subject to the payroll tax. .Which is right for you? Medigap policies tend to have have higher premiums, but pay most of your out-of-pocket costs, so your costs stay more consistent and predictable. You are also free to use any healthcare provider that accepts Medicare. If you choose Medigap you will also need to enroll in a separate Part D prescription drug plan. Medicare Advantage plans tend to have lower premiums and include drug coverage, but you will have deductibles, as well as co-pays and cost sharing for most services. Hospitalizations could be costly. Many Medicare Advantage plans are managed care and require that you use participating providers to receive reimbursement for your care.