Healthcare would be more efficient and convenient for patients. Value-based payment systems provide incentives for health providers to make it easy for patients to get all the services related to managing their condition in one "medical home." Payments to providers are "bundled," covering the patients' full care cycle, or for chronic conditions covering longer periods of time like a year or more. .He announced that he would meet with the drug companies to discuss his plan, but top company executives subsequently refused to meet with him. The drug companies did develop their own proposal but it was rejected by the President. .In exchange, annuities pay you a monthly income for the rest of your life, an income that can last 20 or 30 years. There are joint and survivor type annuities that continue the monthly income to your spouse after your death, and you can also buy annuities that have a 3 percent annual cost-of-living adjustment. .The other rule concerns drug rebates involving Medicare Part D. The Department of Health and Human Services (HHS) said that last year Part D rebates totaled .8 billion, representing an average discount of nearly 30% for brand drugs. .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 failure of the COLA to keep up with rising Medicare Part B premiums and other retiree costs is creating a dilemma that is growing in magnitude, not only for older Americans, but also for the nation's safety net programs like Medicaid. A majority of Social Security recipients depend on their benefits for more than half of their income, and almost half of all retirees have only limited or no retirement savings at all. The lack of adequate growth in benefits over the past eight years is pushing modest income seniors into poverty, forcing even those who started out as middle-income retiree households to rely on Medicaid for help paying Medicare costs, rental subsidies, fuel assistance, food pantries and senior meals programs. .On Tuesday, President Donald Trump addressed the nation in his first State of the Union. In his speech, the President reflected on the strong economic growth of the country and he shared his hopes for the year ahead. The President said he plans to push .5 trillion in infrastructure investments, to secure the southern border with Mexico, and to offer a pathway to citizenship for 1.8 million immigrants known as "Dreamers." .If you delay starting benefits, past your full retirement age, your benefit will grow by 8% of the full retirement benefit amount per year until age 70, at which point your benefit would be about ,50To learn more about your Social Security benefits, and to get estimates visit the Social Security Administration's website at www.SSA.gov. .In addition, two new cosponsors – Reps. Alan Grayson (FL-9) and Lee Terry (NE-2) – signed on to the Social Security Fairness Act (H.R. 1795). The cosponsor total is now up to one hundred and thirty-three. If signed into law, the Social Security Fairness Act 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 teachers, fire fighters, peace officers, and other state or local government employees each year.