News
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Legislative Update Week Ending October 21 2016
According to an article in The Hill, a Washington, D.C., newspaper that covers legislative matters in Congress, it just might happen. .Terry: The anchor effect is the psychological tendency to rely too much on the first piece of information we get in the process of making a decision. For example, when you go to buy a house, the list price becomes the starting point (the "anchor") for negotiations, even if it is a very poor reflection of the home's true value. When you get a solicitation for a charitable donation in the mail, it often lists suggested contributions, starting with the highest figure they hope you will select. That high figure becomes the anchor for your thinking about what to give. .Lower prescription drug prices is one of our top priorities and we will continue to fight for them as long as it takes, and for whatever actions it takes to reduce them. … Continued
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Congress Rolls Back Medicare Part B Increase Of 52 But No Emergency Cola
Tax Plan Moves to Conference Committee .Specialists are already warning that under the new "quality initiatives" some patients may have difficulty finding services under the new system as doctors join larger practices or stop accepting patients. As doctors reorganize and move into new HMO - like Accountable Care Organizations, all sorts of new questions are coming up. Does this payment system create an incentive to send unprofitably sick patients with complicated conditions elsewhere for care? How will the government measure quality, and what evidence will the Administration use to determine successful doctor performance? .According to the Congressional Budget Office's (CBO) recent baseline data for the Social Security Trust Funds, Social Security is expected to receive about 7 billion in payroll tax revenues in 202The CBO further estimates that the Trust Fund would receive billion in revenues in 2021 from the taxation of Social Security benefits. … Continued
Both bills were adopted by the Senate earlier this year and by the House two weeks ago. At a signing ceremony on Wednesday, President Trump said: "This is very strong legislation to end these ‘gag clauses' once and for all … Our citizens deserve to know the lowest price available at our pharmacies, and now that's what they'll be getting." .According to The Hill, the legislation would, "… completely change the way the U.S. pays for drugs, saving the federal government more than 6 billion over 10 years, according to an analysis by the nonpartisan Congressional Budget Office (CBO). .To avoid significant cost increases and unexpected benefit cuts next year, TSCL encourages its members and supporters to examine all MA plan offerings closely before making a selection or allowing a plan to automatically renew. The open enrollment period ends on December 7th, and coverage begins on January 1st. In the meantime, TSCL will continue to monitor the status of the MA program and advocate for legislation like the Medicare Advantage Participant Bill of Rights Act, which would protect MA enrollees from unfair and abrupt changes to physician networks. .Despite the big drop in costs related to petroleum prices, the overall costs typical of Social Security recipients continue to grow faster than benefits. Since 2000, the COLA has increased benefits just 43 percent while typical senior expenses have jumped 74 percent. Inflation has been at historic lows in recent years and seniors received a COLA of just 1.7 percent this year. .Currently, the funding for Social Security and Medicare programs comes from specific taxes for each program that are levied on the income of every working American. Once collected by the Internal Revenue Service, they pay for current beneficiaries. In years prior to the 2008 recession, more money was collected for Social Security and Medicare than was paid out to seniors. The surpluses were directed to their respective trust funds; however, they were never safeguarded and as result the accounts were raided of cash intended to help our seniors and replaced with Government I.O.U.s. .The Medicare Prescription Drug Price Negotiation Act (H.R. 275), which was introduced by Congressmen Peter Welch (VT) and Francis Rooney (FL-19), would require the federal government to negotiate lower Medicare Part D prices on behalf of Medicare beneficiaries. ."The distinction between inpatient or outpatient can make a tremendous difference to what Medicare patients have to pay," says TSCL Executive Director, Shannon Benton. Inpatient stays are covered under Medicare Part A. Inpatients who are hospitalized for three days or more qualify for Medicare's limited nursing home stay coverage. Observation stays are considered outpatient services covered under Part B. Observation patients can have much higher copayments costs and sometimes get hit with huge bills for non-covered drugs. .Conference Committee Announces Compromise .However, you don't need to read the 265-page report to understand why Medicare is going broke. Last year, Medicare spent 3 billion, but only took in 6 billion—leaving a billion deficit in just one year. With 10,000 new individuals becoming eligible each day, it's only going to get worse.
