News
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October 2012 The Wall Street Journal
Medicare and many state Medicaid programs are in the process of transitioning to value-based medicine that would change the way government healthcare programs pay for care. Doctors and healthcare providers are given incentives to improve health and to reduce the incidence of chronic disease — in order to lower spending on healthcare and provide better care at a lower cost. There's emphasis on giving providers single payments for a "bundle of services" instead of paying for each service, checkup or X-ray. This reimbursement system differs from traditional fee-for-service Medicare, as well as Medicare Advantage plans' "capitated" payments, in which providers are paid more for sick patients, regardless of health outcomes. .The provision only protects an estimated 70 percent of beneficiaries (almost 43 million beneficiaries) from increases in the Medicare Part B premium that exceed the dollar amount of their COLA. When an individual's Part B premium increases more than the dollar amount of their COLA, the Part B premium is reduced to prevent a reduction in net Social Security benefits from one year to the next. .Without passage of the waiver legislation the Office of Management and Budget will impose the Medicare payment cuts at the end of the current congressional session. While Social Security, low-income programs such as Medicaid, and veterans' benefits are exempt from sequestration, Medicare payments can be reduced up to 4%. … Continued
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New Tscl Poll 77 Oppose Obama Immigration Policy
Finally, one new cosponsor – Rep. Marcy Kaptur (OH-9) – signed on to the Social Security Fairness Act (H.R. 1795) this week, bringing the total up to one hundred and fourteen. If signed into law, the bill would repeal the Government Pension Offset (GPO) and the Windfall Elimination Provision (WEP) – two federal provisions that unfairly reduce the earned Social Security benefits of millions of state and local government employees each year. .For many aged 65 and older, times are already tough. Since 2005, health care costs have risen faster than inflation every year except 200We need to be working to make retirement more secure for the 130,000 seniors living in Southern Arizona who I represent and the millions of others across the country. I'll continue to fight to make that happen. .We have heard such offers before. Pharmaceutical companies routinely provide coupons to cover patient copayments for expensive drugs so that we do not squawk when they charge our insurance company tens of thousands for the medicine, driving up premiums year after year. A naloxone injector to reverse heroin overdoses is given free to some clinics but priced at thousands for the rest. … Continued
This week, The Senior Citizens League was pleased to see support grow for three important bills that would strengthen the Social Security program if signed into law. .The President Introduces his Plan to Lower Drug Prices .This week, lawmakers returned to Capitol Hill following a two-week spring recess, and one member of The Senior Citizens League's (TSCL's) Board of Trustees visited Capitol Hill to advocate for legislation that would improve the Social Security and Medicare programs. In addition, two key bills gained support in the House and Senate. .House Democrats did not pre-negotiate terms with the GOP-Senate or the White House, so it is unlikely that the bill, called the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act will become law in its present form. Senate Majority Leader Mitch McConnell (R- Ky.) has already pronounced the bill dead. But most observers believe it is the opening bid on the part of the House leaders to begin a process that will eventually lead to a fifth virus-related relief bill. .Legislation to Control Drug Prices Possible This Year? .In addition to funding the government, the 2,000-page deal will renew health benefits for 9/11 responders, lift a ban on the exportation of crude oil that has been around for nearly fifty years, and delay two Obamacare taxes for two additional years – one tax on medical devices and one tax on high-cost "Cadillac" healthcare plans. As a part of the deal, leaders in Congress also agreed to make permanent a number of tax breaks that have been subject to frequent renewals for decades. .Social Security and Medicare benefits are paid for through payroll tax deductions from workers and their employers. Even after starting to receive benefits, close to 56 percent of retirees continue to pay into the programs through income taxes on a portion of their Social Security benefits. Medicare beneficiaries also pay premiums for Part B doctors and hospital outpatient insurance. Both programs are relied upon by tens of millions of older Americans for income and healthcare benefits. "According to the most recent surveys by The Senior Citizens League the public wants their lawmakers to protect these programs, but not by cutting benefits." Johnson notes. .A 2.5% COLA would boost an average monthly benefit of about ,500 by an additional ,000 over the next ten years through 2030. An emergency 2.5% COLA would boost a monthly ,500 benefit by an extra .50 (0 per year) in 2021, but it would grow to an extra .30 per month by the end of ten years. Another way to think about this, if retirees do not receive a 2.5% COLA, that would be like loosing ,000 in Social Security income over the next ten years. .Increasing the payroll tax cap. Under current law, the 12.4 percent payroll tax is applied only to the first 7,200 in earned annual income. Individuals earning more than that pay nothing in Social Security taxes on the rest of their earnings. Several proposals now before Congress would modify this policy so that higher income workers contribute more fairly to the program.
