Medicare first started covering rehabilitation services in 197Just seven years later in 1979, Congress enacted a cap of 0 on outpatient therapy due to concerns that rehabilitation outpatient services would take over the Medicare budget. The cap – which was indexed to medical inflation – remained in place until the passage of the "Balanced Budget Act of 1997," when a ,500 cap was passed into law and set to take effect in 199However, President Clinton halted the implementation of the ,500 cap, leaving services open to reimbursements by Medicare. Since 1999, several bills introduced in Congress sought to either repeal or keep the spending cap on rehabilitation services, with the cap drawing bipartisan criticism as being unfair to Medicare beneficiaries. .The Fair COLA for Seniors Act of 2017 (H.R. 2896) gained two new cosponsors in Representative Zoe Lofgren (CA-19) and Representative Eleanor Holmes Norton (DC-01), which brings the total cosponsors up to two. If signed into law, H.R. 2896 would provide a mid-year COLA to Social Security beneficiaries of 3.9% to account for an insufficient increase in 2017, and it would apply the CPI-E to future Social Security COLAs. .Getting the maximum you've earned on your personal work record requires some homework and planning. You can't count on getting all of your retirement advice from the Social Security Administration. According to TSCL's Senior Survey, 77% of participants said they received no counseling from Social Security staff about the best age to start benefits, undoubtedly because people are directed to sign up for benefits online. .When Medicare Part B premiums spiked in 2015, Congress was not focused on the adequacy of the COLA. Instead, it was focused on the Medicare Part B funding lost when beneficiaries were protected from paying increased premiums. While the subsequent Medicare Part B premium increase for 2016 was reduced, it was still a very substantial increase of 16%, and all beneficiaries were required to repay the costs in higher Part B premiums in following years. Beneficiaries saw no growth in their net Social Security benefits in 2016, again in 2017 when the COLA was just 0.03% and, about half of all beneficiaries were once again affected in 2018 when a 2% COLA became payable. .The proposal calls for switching to a more slowly-growing consumer price index (CPI), known as the "chained" CPI, to calculate annual COLAs. Chaining is an apt name for it because that's what it would do to benefits — chain them down. .Planning healthcare costs is extremely important, but not an easy task. According to the Kaiser Family Foundation, healthcare expenses, on average, accounted for nearly 15 percent of Medicare household budgets in 200But even if you're in good health today, you're not out of the woods. The amount you spend on healthcare not only grows every year, but your need for more healthcare services increases with age. .Baicker, the public policy school dean, thinks public scrutiny will prevent outrageous pricing. The industry has made various pledges, trying to balance corporate citizenship against making eager investors happy: Astra Zeneca has promised 1 billion doses for low- and middle-income countries. Johnson & Johnson says it would make the COVID-19 vaccine available on a "not for profit basis" at for "emergency pandemic use." .I take a brand name drug that costs more than 0 per month in 2019 and I have a co-pay of In 2019, I hit the Part D coverage gap. Can you tell me how much I would have to pay in the Part D doughnut hole next year? .One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services.