News

  • The Advisor Volume 16 June 2011 Part 1

    To identify people in the country illegally, Medicare relies on information from the Social Security Administration in order to deny claims. The Social Security Administration receives data from the Department of Homeland Security and other agencies but CMS doesn't always receive information relating to unlawful presence in a timely manner, according to the Inspector General. .These overpayments occur because payments to plans are adjusted to pay more for older and sicker enrollees, and less for enrollees who are young and healthy. As well documented by the Medicare Payment Advisory Commission, Medicare Advantage plans use a variety of strategies to "document" enrollee medical conditions, including repeated, calls to homes in attempts to "update" health histories, and to schedule home visits from nurses to conduct health risk assessments even when patients have emphatically declined the visit. .Each state operates their own LIHEAP program and has different rules about when to apply, how to apply, and the criteria to be met in order to get help. Although income requirements vary by location household incomes must be less than: … Continued

  • About Us Board And Staff John Adams Tscltrea Liaison

    On Tuesday, the federal government shut down for the first time in seventeen years due to a legislative impasse between leaders in the House and Senate. Four days in, neither side has wavered much from its position. Leaders in the Senate are pressuring the House to pass a "clean" temporary funding measure, while leaders in the House continue to demand provisions that would delay or defund the Affordable Care Act. .Rick has served the last seven years as a member of the TREA National Board of Directors. First, as Director for 3 years, then elected and served two terms as National President and then two years as Immediate Past National President. Prior to serving on the National Board of Directors from 2009-2014 he served on several National Committees. During his tenure on TREA's Board of Directors, he chaired the Legislative Affairs, Information Technology, Convention, 5-Year Plan, Awards committees, and chaired the Past National Presidents Council. .Lower spending on prescription drugs. Under our current Medicare system, experts warn that Americans are taking too many unnecessary drugs for dubious reasons. A value-based system would tie the price of prescription drugs to its value in the treatment of the patient. For example, patients with high blood pressure would receive their blood pressure medications for the lowest price or even no co-pay. Value-based systems could lead to reducing the number of unnecessary prescriptions and over-the-counter medications that patients take, while improving their health. … Continued

This study illustrates why legislation is needed to provide a more fair and adequate COLA. To put it in perspective, for every 0 worth of groceries a retiree could afford in 2000, they can only buy worth today. To help protect the buying power of benefits, TSCL supports legislation that would provide a modest boost in benefits and base COLAs on the Consumer Price Index for the Elderly (CPI-E) or guarantee that the COLA would be a minimum of 3 percent. To learn more, visit . .Last Friday the Chairman and Chief Executive Officer of Pfizer, Inc., urged President Biden to form a bipartisan coalition in Washington to address high drug costs. .Who Will Decide the Future of Your Benefits? .(Washington, DC) – Low inflation is striking another blow to the long - term Social Security income of millions of older and disabled Americans, according to a new analysis by The Senior Citizens League (TSCL). "For the third time in only 7 years, older Americans will not see any Cost of Living Adjustment (COLA) increase in their Social Security benefits," says TSCL Chairman, Ed Cates. "For tens of millions of people this has a devastating impact on the long-term adequacy of their benefits," he says. The Social Security Administration recently announced that more than 59 million beneficiaries would not receive an annual COLA next year, because inflation was lower this year than it was a year ago. .Immigration Appeal Rejected by Court .By Rick Delaney, Chairman of the Board, TSCL .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .TSCL enthusiastically supports the bills mentioned above, and we were pleased to see support grow for each of them this week. .Legislation to Control Drug Prices Possible This Year?