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  • Social Security Medicare Questions July 2013

    You should still watch out for symptoms of COVID-19, especially if you've been around someone who is sick. If you have symptoms of COVID-19, you should get tested and stay home and away from others. .Second, six new cosponsors signed on to the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), bringing the total up to twenty-six cosponsors. The new cosponsors are: Representative Adam Schiff (CA-28), Representative Joe Kennedy (MA-4), Representative Greg Walden (OR-2), Representative Kevin Kramer (ND-1), Representative Dan Webster (FL-11), and Representative Don Bacon (NE-2). If adopted, H.R. 4841 would allow for and standardize electronic prior authorization for Medicare Part D beneficiaries. .Medicare first began offering beneficiaries the chance to enroll in private Medicare HMOs' in the mid 1980's. That program was absorbed and expanded under the 1997 Balanced Budget Act, creating Medicare+Choice. To cut federal spending on Medicare, the Balanced Budget Act set payments to the private plans at 5% below the fee-for-service rates of traditional Medicare. But by 1999, Medicare+Choice plans were not renewing their contracts with Medicare and there was a widespread exodus, leaving more than 2 million seniors scrambling to find other coverage. … Continued

  • Issues Prevention Of Fraud Waste Feed

    TSCL Announces Support for H.R. 4104 .Paying heating or cooling bills, .TSCL Endorses New COLA Legislation … Continued

Other Legislation Also Targets Scams and Fraud Against Seniors .Those born during the Notch period are the same Americans who fought and sacrificed during World War II. When they retired, they paid the price of "saving Social Security" for future generations by receiving lower benefits for the rest of their lives. Now, although they receive lower benefits, they are among the senior age group hit hardest by escalating health care costs. Time is running out for Notch Babies. Congress must act soon. .But according to TSCL studies, Medicare Part B premiums are one of the single fastest - rising senior costs. Data from TSCL's annual survey of senior costs indicate that with next year's Part B increase, premiums will be 168% higher than 2000, rising on average 10.5% per year, even though there was no increase at all over the past two years. Part D premiums have grown roughly 60% since the program started in 2006, averaging about 6% per year. .Congressman Larson's bill would comprehensively reform the Social Security program by enhancing benefits and improving the solvency of the Trust Funds for decades to come. He said at Wednesday's hearing: "The Social Security 2100 Act will expand and enhance Social Security, making the program financially stable through this century and beyond. It is the only legislative proposal that expands benefits, is fully paid for, and achieves sustainable solvency as determined by the Chief Actuary of the Social Security Administration." ."The vast majority of prescription drugs [in the U.S.] are for generic, and there, the U.S. does pretty well," says Andrew Mulcahy, PhD, a senior policy researcher at RAND and the lead author of the report. "But for brand-name drugs, we pay much higher." .While there is no estimate of how large the cuts would be under the legislation that just passed, the Congressional Budget Office estimated that a previous version of the Covid relief bill would have triggered about billion in cuts to Medicare in fiscal 2022 and between and billion from other mandatory programs. . Basing a decision on amenities and features. Just because the facility markets itself like a five - star hotel or is located near a great golf course does not equate to five - star standards of care. Look around and get a feel for the number of staff to residents. Try to meet a few residents. Are they happy? Does the staff look like they get satisfaction from their work? The office of your local Long Term Care Ombudsman can tell you about documented issues and problems that facilities have had in the past. .In his opening statement, Dr. Conway said, "This proposal is part of the Administration's broader strategy to encourage better care, smarter spending, and healthier people by paying for what works, unlocking health care data, and finding new ways to coordinate and integrate care to improve quality." .A 2.5% COLA would boost an average monthly benefit of about ,500 by an additional ,000 over the next ten years through 2030. An emergency 2.5% COLA would boost a monthly ,500 benefit by an extra .50 (0 per year) in 2021, but it would grow to an extra .30 per month by the end of ten years. Another way to think about this, if retirees do not receive a 2.5% COLA, that would be like loosing ,000 in Social Security income over the next ten years.