News

  • Legislative Update For Week Ending June 7 2019

    Fraud, waste and abuse are costing taxpayers and seniors an estimated billion a year, but Medicare fails to recover overpayments about 80 percent of the time. The Inspector General recently said that of the 6,287,546 in overpayments identified through the 30-month period ending March 31, 2009, the Centers for Medicare and Medicaid Services (CMS) reported collecting only ,168,50But it gets even worse. The OIG said that it could not verify that the ,168,502 had been collected as reported because CMS did not have an adequate system for documenting overpayment collections. .Chairman Larson also mentioned the Know Your Social Security Act and heralded it as a great bill. But it hasn't been reintroduced. Also, he did not mention his own bill, the Social Security 2100 Act, which he introduced in the previous Congress but has not done so in this Congress. . Check to see if Eliquis is covered by your drug plan and the cost sharing for the tier in which it is listed. Many drug plans have five tiers covering preferred generics, generics, preferred brands, non-preferred brands and specialty drugs. Check to see where Eliquis fits in on these tiers (probably preferred or non-preferred brand). It's not uncommon for insurers to move a drug from preferred brand to non-preferred brand status, causing you to pay more out-of-pocket. For example, your plan in 2019 may have charged a co-pay of for preferred brands, but if Eliquis was moved into a non-preferred tier in 2020 you might have to pay 50% co-insurance or about 5.00. … Continued

  • Ask The Advisor October 2011 Advisor

    But New Co-Pay "Tiers" May Raise Some Costs .Meanwhile, some of the highest-priced drugs in the United States are brand-name drugs that can cost thousands of dollars per dose and are used to treat life-threatening illness such as hepatitis C or cancer, the researchers said. .However, we believe Congress can and must do more to reduce prescription drug prices. In the months ahead, we will continue to advocate for legislation like the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), the Affordable and Safe Prescription Drug Importation Act (S. 469, H.R. 1245), and the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776). … Continued

If they are not included, we will continue to fight for them next year and each year until we are successful. .If signed into law, H.R. 1716 would prohibit unauthorized workers from receiving Social Security benefits based on work done while in the country illegally, using stolen, fake, or fraudulent Social Security numbers. TSCL was pleased to see support grow for H.R. 1716 this week, and we will continue to advocate for it on Capitol Hill in the coming months, since we feel strongly that protecting the integrity of the Social Security program is of utmost importance. .The wage reports held in the Social Security Earnings Suspense file also represent a huge hidden time bomb for Social Security and Medicare. Under current Social Security policy, all earnings, even if based on illegal work, are used to determine entitlement to benefits. If at some point an illegal worker gains valid work authorization, as he or she would under an "amnesty" or a Totalization agreement, and can produce proof of earnings like old W2s, those earnings would be reinstated to their new Social Security account. Eventually the individual could file a claim for benefits that might be based, at least in part, on illegal work. .TSCL enthusiastically supports the Credit for Caring Act, the Social Security Fairness Act, and the Equal Treatment of Public Servants Act, and we were pleased to see support grow for each one this week. To receive frequent progress updates on these and other Social Security, Medicare, and family caregiving bills, follow TSCL on Twitter. .This article focuses on immediate annuities that provide income that starts right away, and lasts over your entire lifetime. (There are deferred annuities that younger investors purchase for later payouts. This type often has a reputation for high sales costs and poor investment performance and is not the topic of this article.) .This week, The Senior Citizens League was pleased to see support grow for three important bills that would strengthen the Social Security program if signed into law. .In a press release, Mary Johnson – a policy analyst for TSCL – recently said: "Anyone who cares about his or her health coverage, Medicaid, or Medicare should contact their Members of Congress now." Since many in Congress are undecided on the AHCA, it is not too late for grassroots advocates to make an impact. TSCL encourages its members and supporters to call their representatives in Congress immediately to request their opposition to the AHCA. Contact information can be found HERE. .First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. .Medicaid already uses this strategy to lower drug costs, and pays much lower prices than Medicare for the same drug. In June we reported that Medicare spending on the highest price category of prescription drugs, called "specialty drugs," increased from .7 billion in 2010 to .8 billion in 201Spending on the same drugs under Medicaid, the program that provides healthcare for low-income Americans, grew much more slowly over the same period, rising from .8 billion to .9 billion.