News

  • Unprecedented Generic Drug Price Spikes Wreaking Havoc

    Consequently, Medicare spent billion in 2013 but paid out billion by 2017 for these treatments. In addition, neurology medicines, mostly those used to combat multiple sclerosis, accounted for more than 50% of total Medicare payments, despite representing just 4% of all claims filed. .Members of Congress receive their benefits through the District of Columbia's small business health options program (SHOP) exchange that was established under the 2010 health law. Effective January 1, 2014, Members of Congress had to give up their previous health benefits received through the Federal Employees Health Benefits Program (FEHB) and get their insurance through the exchange. However, they remain eligible for employer contributions from the federal government (i.e., U.S. taxpayers) toward coverage, just as they previously received for their FEHB coverage. ."If you want to save money on health and prescription drug plans, it's more important than ever to compare and switch now during the fall Medicare Open Enrollment period which ends December 7th," Cates says. Free, unbiased, one – on – one counseling is available through State Health Insurance Assistance Programs (SHIP), many of which operate through local agencies on aging. … Continued

  • Ask The Advisor September 2020

    — are relatively young and, .The exact mechanisms for enacting the provisions therein — such as requiring manufacturers to reveal their development costs — remain unclear. The industry has previously protected development data as a trade secret. The bills would also require "reasonable pricing clauses" be included in agreements between drug companies and agencies funding their work. They propose waiving exclusive licenses for COVID-19 drugs, allowing competitors to sell the same products as long as they pay the patent holder royalties. .The Neal bill was passed by the Ways and Means Committee on Wednesday of this week. It would ban surprise billing using an arbitration process favored by hospitals and specialty physician groups but opposed by insurers, employers and labor unions. Neal's legislation would send all the disputes that can't be settled between the parties to arbitration but require mediators to consider median contracted rates used by health plans, with the mediators prohibited from considering "usual and customary charges," also known as "billed charges." … Continued

According to the 2020 Social Security Trustees report, which does not include estimates of the impact of the coronavirus, Social Security is expected to receive about 3.3 billion in payroll tax revenues this year. "That estimate is higher than it actually will be, since it was based on just a 5 percent unemployment rate," Johnson notes. "Currently the unemployment numbers are roughly four times higher than that," she points out. In addition, the Coronavirus Aid, Relief and Economic Security Act (CARES Act), allows employers to defer the employer portion of payroll taxes in 2020 for up to two years. .With about 1 million supporters, The Senior Citizens League is one of the nation's largest nonpartisan seniors groups. Located just outside Washington, D.C., its mission is to promote and assist members and supporters, to educate and alert senior citizens about their rights and freedoms as U.S. Citizens, and to protect and defend the benefits senior citizens have earned and paid for. The Senior Citizens League is a proud affiliate of TREA The Enlisted Association. .Nonetheless, several Senators at Tuesday's hearing urged CMS to consider withdrawing the proposed payment changes. Committee Chairman Orrin Hatch (UT) expressed concerns about the rule's potential unintended consequences. He said: "I believe this experiment is ill-conceived and likely to harm beneficiaries. It is an overreach on the part of CMS that, in my opinion, goes beyond the agency's statutory authority, extends nationwide, and requires all Medicare Part B providers to participate." .TSCL enthusiastically supports H.R. 1029, H.R. 3118, and H.R. 1795, and we were pleased to see support grow for each of them this week. .I recently received an email with a link to a "Tax Loophole for Illegals" video claiming that the IRS had paid over billion in Child Tax refunds to illegal immigrants. Is this an Internet rumor? How can our government give away billions to illegals, when they don't pay any taxes? .What you can do: Contact your Members of Congress and tell them to enact legislation that would ensure you get an emergency COLA in 202Let's tell our Members of Congress that you are asking to receive the 2.5% COLA which was already estimated in the January 2020 Social Security budget baseline by the Congressional Budget Office. You can send an email to your Congressman at www . .In addition, one new cosponsor signed on to the Strengthening Social Security Act (H.R. 3118), bringing the total up fifty-two. The new cosponsor is Rep. Mike Quigley (IL-5). If signed into law, the bill would reform the Social Security program in three ways: it would adjust the benefit formula, resulting in more generous monthly benefits; it would adopt the Consumer Price Index for Elderly Consumers (CPI-E), resulting in more accurate cost-of-living adjustments (COLAs), and it would lift the cap on income subject to the payroll tax. The bill would extend the solvency of the Social Security Trust Fund responsibly, without cutting benefits for seniors. .Sources: "Salaries of Members of Congress," Ida A. Brudnick, Congressional Research Service, February 1, 2012. .This week, lawmakers in the House and Senate remained in their home states and districts for the two-week spring recess. Both chambers are scheduled to be back in session by Tuesday, April 25th.