News

  • Legislative Update For Week Ending August 31 2012

    It accelerated the closing of the "doughnut hole." Under prior law, the Medicare Part D coverage gap or "doughnut hole" was set to close in 2020. The Bipartisan Budget Act accelerated the closing of the gap so that it will occur one year earlier, in 201Instead of paying a coinsurance rate of 30% in the "doughnut hole," beneficiaries will pay 25%. And instead of brand-name drug manufacturers providing 50% discounts in the doughnut hole, they will begin providing 70% discounts. This means that more than one million Medicare Part D beneficiaries will pay less for their prescription drugs next year when they reach the gap in coverage. .There's hardly anyone who isn't feeling the effects of our "Great Recession." We've learned of seniors sharing depression-era survival techniques with younger family members. Meanwhile their Baby Boomer children nearing retirement wonder if they'll ever have enough money to retire. .Sources: "Report: Social Security Numbers Active For 6.5 Million People Aged 112," Stephen Ohlemacher, Associated Press, March 14, 201"Man Impersonates Dead Mother To Collect 5,000 In Social Security, Rent Subsidies," New York Daily News, June 17, 2009. … Continued

  • Legislative Update For Week Ending November 22 2013

    Of particular importance is the portion of income that seniors and the disabled must spend on each particular category. Under the CPI-W, out-of-pocket medical costs are weighted or assumed to account for only 5.6% of total expenditures. National surveys indicate that Medicare beneficiaries spend far more. The Kaiser Family Foundation reports that median out-of-pocket health care spending as a share of income for Medicare beneficiaries was about 16.2% by 2006. .Before a vaccine was approved for distribution, the U.S. Securities and Exchange Commission posted a warning about fake stock offers pitching a nonexistent biotech company allegedly developing a vaccine. .Surprise! A new Part D plan drug pricing program may lower costs for those who seek out the savings. Recent Congressional scrutiny on drug pricing may be spurring some drug plans to drop prices on certain drugs. A new drug plan pricing program offered by Cigna, for example, lowers the cost of insulin. In 2018, the lowest cost Part D plan charged an copay for a 100/ML of Lantus Solostar. In 2019, the lowest cost plan in my area charges copays as low as .00 - .00 for Lantus Solostar in the Cigna-HealthSpring Rx Secure — Extra Part D plan. The highest cost plan, which does not cover Lantus, charges the full price, 3.18 per 100/ML. Which would you rather have? … Continued

This week, HHS announced several important numbers that will affect Social Security and Medicare benefits beginning in January. On Monday, the Centers for Medicare and Medicaid Services (CMS) announced that the Medicare Part B monthly premium will be left unchanged in 2014, and it will be set at 4.90. The Part B deductible will also be left unchanged, and it will remain at CMS officials noted on Monday that the past five years have been among the slowest-growing for Part B premiums in the Medicare program's history. .Senate Minority Leader Harry Reid (NV) told reporters on Wednesday, "The CR is not done; it's a work in progress … This isn't going to be wrapped up in the next couple hours, that's for sure." In addition, Senator John Thune (SD) said, "I think [Majority Leader McConnell's] goal all along has been to try and get something considered by the end of this week, to try and wrap things up. But I'll just tell you, my own view is that, based on past experience, I don't think we'll get there this week. I think this probably spills into next week." .Doc Fix for Medicare Providers – Establish a permanent solution in order to bring greater stability to doctor reimbursements, ensuring continued access. .The Senior Citizens League believes the inflation index that is currently used to calculate the COLA – the Consumer Price Index for Urban Wage Earners (CPI-W) – underestimates the inflation that Social Security beneficiaries experience largely because it fails to account for rising Medicare costs. .The Social Security cost-of-living adjustment (COLA) for next year is likely to be the highest seen by retirees since 198Based on the most recent CPI data through August, I estimate that the COLA will increase Social Security benefits by 6%-6.1% in 202This would be the highest increase that I've forecast. Your Social Security Benefits Buying Less , editor .Mismatched earnings reports remain in the ESF until SSA obtains evidence to link the unidentified earnings to a valid SSN — a process termed "earnings reinstatement."(14) When SSA encounters reports that don't match its records, SSA goes through an involved, and time-consuming attempt to make a match. Reinstatements can occur any time, even years later. .The 113th Congress: A New Opportunity for TSCL .Ticket to ride. If you still drive, consider issuing "Tickets to Ride" to friends or family members who don't drive any more. Type or hand letter tickets on colorful construction paper. Offer rides to doctor visits, stores, or even to visit out-of-town friends and relatives. If you are handy with the computer and want fancier artwork, do an online search for "free ticket artwork." You can find a number of free images that you can copy for your own use. .Throughout the hearing, the "big dog" in the room – as one witness referred to it – was the Sustainable Growth Rate (SGR). Each of the witnesses urged the Subcommittee Members to replace the current Medicare physician payment formula with a new model, saying that there's simply too much uncertainty surrounding the SGR. Though most seemed to agree, the price tag of repealing the SGR is daunting and the process of re-writing a billing system with 8,000 different codes will certainly take time.