News

  • More Doctors Could Be On The Way To Underserved Areas Of The U S

    The witnesses at this hearing defended a number of payment provisions that may expire if Congress doesn't act soon, including add-on payments for mental health and ambulance services, and hold harmless payments for rural hospitals. When looked at separately the costs of these provisions seem minor, but if each of them were to expire at the end of this year, the federal government would save billion. The potential savings attracted most at the hearing, but Ranking Member Pete Stark (CA) reminded the Subcommittee that many of the provisions "ensure critical access to needy Medicare beneficiaries." .Two cosponsors – Rep. Doris Matsui (CA-5) and Sen. Dean Heller (NV) – signed on to the Social Security Fairness Act (H.R. 1332, S. 2010) this week, bringing the totals up to 166 in the House and 13 in the Senate. .TSCL's all-volunteer Board of Trustees and legislative team – including former Congressman David Funderburk and Mrs. Betty Funderburk – look forward to working with both new and veteran lawmakers on the issues that are important to senior citizens, like those mentioned above. We will work tirelessly in the 113th Congress to ensure that seniors receive the retirement security they have earned and deserve. … Continued

  • What Happens To Medicare Part B Premiums When Theres A Very Low Cola

    Medicaid is the largest payer of long-term support services such as home care for the elderly, but states are not required to participate in the home and community-based program. .The Neal bill was passed by the Ways and Means Committee on Wednesday of this week. It would ban surprise billing using an arbitration process favored by hospitals and specialty physician groups but opposed by insurers, employers and labor unions. Neal's legislation would send all the disputes that can't be settled between the parties to arbitration but require mediators to consider median contracted rates used by health plans, with the mediators prohibited from considering "usual and customary charges," also known as "billed charges." .Emergency 3% COLA, Social Security And Medicare Issues Land on the Congressional Priority List … Continued

Democrats have delayed the start of the program in part because of its cost and an agreement to limit the overall spending in the Biden budget bill to .5 trillion. There is some talk on Capitol Hill of offering seniors limited vouchers to use toward dental benefits before 2028 as a compromise. .The findings come as the nation finds itself in a growing a retirement crisis. Even before the coronavirus - caused recession, the U.S. Government Accountability Office estimated that about 48 percent of households headed by people aged 55 and over had no retirement savings. That situation has been made even worse in 2020 and 2021 as older workers have lost jobs or seen their work schedules reduced due to the pandemic. .Generic drugs account for 84% of drugs sold nationally, but only 12% of spending. .Social Security Reform – Work for solutions that extend the Trust Fund's solvency and strengthen the program without enacting harmful cuts. .At the same time, prices for generic drugs were slightly lower in the U.S. than in most other nations. Specifically, the U.S. spent an average of SSA Rescinds New Online Security Policy .What sort of income will your resources generate? Will the income generated by your retirement savings be enough to cover the loss of income, expenses, and taxes if any, if you die? .The traditional formula does not take into account rising Medicare premiums, deductibles and expenses for prescription drugs that have had increasing effects on this segment in recent years. The revised formula accounted for 15.9 percent of seniors 65 or older living in poverty, which nearly doubled the percentage used in the traditional formula. In total, a record level of 49.1 million Americans are considered in poverty, according to the new estimates. .Very modestly boosting the payroll tax paid by workers and matched by employers to employers. .— who have no Medicare supplement through a former employer. .Dental insurance works differently than health insurance. Standard Medicare, for example, has an 80/20 structure. Traditional Medicare pays about 80% of the Medicare approved cost, while the patient, or the patient's supplemental insurance, pays most, or all of the balance. On the other hand, dental insurance can follow a 100-80-50 structure. If you use in-network dentists, dental plans may pay 100% of routine preventive services, such as x-rays, cleanings and exams. The plan may pay only 80% for basic procedures such as fillings, root canals, and extractions. And major procedures such as crowns, implants and gum disease treatments may only be reimbursed at 50%, which can set you back with significant out-of-pocket costs. .Part B premiums are only part of what Medicare recipients pay. People also have premiums for a Medigap supplement and Part D plan, or a Medicare Advantage plan and those premiums are rising as well. Hold harmless protection does not apply to premium increases in these private plans, and any increase would leave retirees .The fall recess continued this week, and Members of the House and Senate remained in their home states and districts to prepare for the upcoming elections, which will occur on Tuesday, November 4th. They are expected to return to Washington following the elections for a "lame duck" session. .Housing Survey, a survey of landlords and tenants used to provide rent data for CPI's shelter indexes. .84 cents for a generic that would have cost an average of elsewhere, according to the report from RAND Corporation, a nonprofit and nonpartisan research organization. .TSCL agrees that doing away with the payroll tax cap would be a fair and responsible solution to the Social Security program's solvency issues. As the negotiations evolve over the coming months, we will continue to monitor them closely, and we will provide updates here in the Legislative News section of our website. .Sources: "Relief From Deportation: Demographic Profile Of The DREAMers Potentially Eligible Under The Deferred Action Policy," Migration Policy Institute, August 2012. .While the cost of the prescription is affordable, the drug causes a number of serious side effects. Susan needs to see her doctor more frequently for monitoring and blood tests. Her biggest prescription cost surprise was learning that her prescription vitamin, folic acid, which she needs to fight the side effects, was not covered under Medicare. Her Part D plan wanted 0.00 for a one-month supply. Susan instead orders an over-the-counter supply of 400 pills for .99 on Amazon, taking 7 pills every day to get to the required dosage, which is still not as effective as the prescription version of folic acid. Now her doctor is considering a different medication. .Here is an example from the SSA's Inspector General audit report: A beneficiary had been entitled to spousal benefits since February 200The beneficiary had not received retirement benefits (based on her own earnings) and earned delayed retirement credits between full retirement age and age 70. In January 2010, the beneficiary attained age 70, was eligible for a 5 monthly retirement benefit and was receiving a 9 monthly spousal benefit. Had SSA notified the beneficiary she was eligible for the higher retirement benefit, once she applied for those benefits, she could have received an additional ,345 from January 2010 through July 2013.