News

  • Q A January 2020

    Sources: "Draft MedPAC Language Calls For Medicare Benefit Redesign," John Reichard, CQ HealthBeat, March 8, 201Medigap Reform: Setting The Context, Kaiser Family Foundation, September 2011. .Eleven new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305) this week, bringing the total up to twenty in the Senate and thirty in the House. If signed into law, the comprehensive bill would take a number of steps to prevent fraud, waste, and abuse within the two programs – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. The new cosponsors are: Sen. John Boozman (AR), and Reps. Duncan Hunter (CA-50), Steve Stivers (OH-15), Dan Benishek (MI-1), Martha Roby (AL-2), Dennis Ross (FL-15), Thomas Rooney (FL-17), Shelley Moore Capito (WV-2), Ileana Ros-Lehtinen (FL-27), Allyson Schwartz (PA-13), Earl Blumenauer (OR-3), and Edward Royce (CA-39). .This Part B premium cost - shifting includes shifting those higher costs to state Medicaid budgets that pay the Part B premiums for low-income Medicare beneficiaries — which account for about 19 percent of all Medicare recipients. If this would occur in 2021, this would add yet another fiscal shock to state budgets that are already strained beyond anticipated budgets due to the coronavirus pandemic. … Continued

  • The Government Stays Open For Now But The Debt Ceiling Looms

    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, that individual can only buy worth today. .The bill, known as the Grassley-Wyden bill, would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .A new Medicare cost-saving rule that was launched late in 2020 will cut payments to hospitals for some surgical procedures and could potentially raise costs for Medicare recipients. According to an article by Susan Jaffe, of Kaiser Health News, the Centers for Medicare and Medicaid Services (CMS) has for years classified 1,740 surgeries and other services as "so risky" for older adults that Medicare would pay for them only when people were admitted to the hospital as inpatients. But under the new rule, CMS is beginning to phase out that requirement. By the end of 2023, these "inpatient only services" which includes complicated procedures such as heart and brain operations, is scheduled to be gone. … Continued

According to that study, during a recent five-year period, Medicare spending on hundreds of medicines to treat various neurologic conditions, such as epilepsy and multiple sclerosis, rose 50%, but the number of claims increased only 8%. .65 million Americans currently rely on Social Security benefits, yet many still struggle just to make ends meet, to the shame of the nation, millions have worked all their lives, paid into a system, and receive a below poverty line check from Social Security. .If signed into law, the Keeping Our Social Security Promises Act would amend the Internal Revenue Code of 1986 to apply Social Security payroll taxes to earnings up to the contribution and benefit base and to all earnings in excess of 0,000. .The extra time was needed because although both houses of Congress were finally able to pass the needed legislation, the bill was nearly 5,600 pages in length. It is probable that no member of Congress actually read the entire bill and likely very few Congressional staff members read it either. .Some issues of controversy inevitably arose at Thursday's hearing, but common ground was also found on the important issue of corporate tax reform. The Joint Committee, which must hold a vote on its final proposal before Thanksgiving, will likely hold a third public hearing in the coming weeks. TSCL will continue to monitor its progress. .Here's an example of how it might work: Let's say your husband was entitled to a benefit of ,400 or ,450 per month. Since he was at his full retirement age there are no reductions. You learn that your full retirement age benefit at age 66 would be about ,195, and by age 70 it grows to about ,640. In this case taking a reduced widow's benefit now and letting your own benefit grow due to the delayed retirement credit may potentially work as long as your earnings don't completely offset your benefits. .On Tuesday, the Senate HELP Committee held a bipartisan hearing to discuss the rising costs of prescription drugs. Members of the committee heard from four expert witnesses, including Doctor Paul Howard – Director of Health Policy at the Manhattan Institute – and Doctor Gerard Anderson – Professor of Medicine at Johns Hopkins University School of Medicine. .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%. .This week, one new cosponsor – Rep. David Loebsack (IA-2) – signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305). The total is now up to sixty-two. If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within the two programs – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly.