TSCL agrees, and we enthusiastically support the PRIME Act. We look forward to working with Reps. Roskam and Carney through the remainder of the 114th Congress to help build support for the critical piece of legislation. .Social Security is by far and away the nation's most successful and popular insurance program. .Medicare is structured to pay more to providers based on how sick people are — not on making them well. Yet about one-half of all adults have at least one chronic condition, which is not only the most costly type of health problem to treat over time, but also the most preventable. .At Thursday's hearing, Mr. Mathur updated the subcommittee members on the progress the administration is making to modernize the program's information technology. The administration is in the process of implementing a five-year plan that will result in improved service, stronger cyber security, and lower operating costs. Mr. Mathur reported that SSA's IT modernization efforts are currently on schedule and on budget, and that the outdated system should be fully replaced by 2022. .Tuesday's hearing made it clear that the Joint Committee has an enormous amount of work to do in a very short amount of time and in a very politically-charged environment. Adding to the pressure, Elmendorf told the Committee Members that if they wish to have their proposal scored by the CBO before voting on it, they'll need to submit it by early November, giving them less than two months to reach a compromise. Despite the tough circumstances, most Members seemed up to the challenge and will to, as one Committee Member put it, "go big, go long, and go smart." .Compare costs. Before making any decision to drop your current plan ask for a breakdown of costs of the plan you are considering. However, keep in mind the information supplied by an insurer or agent may be incomplete or omit important cost information. Don't sign anything without consulting several outside sources of information. .MedPAC Delivers Report, Testimony to Congress .In addition to drug manufacturers, major business groups and 32 conservative organizations to his actions and have been lobbying The President to change his mind. .The study examined the increase in costs of 40 key items between 2000 and January 2020. The items were chosen because they are typical of the costs of most Social Security recipients, and include expenditures, like the Medicare Part B premium, that are not measured by the index currently used to calculate the COLA. Of the 40 items analyzed, 26 exceeded the COLA over the same period while 14 were lower than the COLA.