"Super Committee" Holds Second Hearing .The jury is still out on value-based health systems, and whether they can save any significant amount of money remains to be seen. The Congressional Budget Office issued a recent report outlining a number of issues and unintended consequences such as providing an incentive for providers to improve their "quality rankings" by avoiding sicker patients. Critics say that the system places a new burden on primary care doctors that would potentially punish providers financially for patients' bad health habits and behaviors. .Congress managed to pass a short-term fix to prevent a 19% benefit cut that was due to hit disabled Social Security beneficiaries by the end of this year. The legislation heads off the cut by temporarily transferring some payroll tax revenues over the next three years, expanding measures to better ensure medical eligibility for benefits, and by preventing improper payments due to fraudulent work. The stronger eligibility and anti-fraud provisions are strongly supported by TSCL, incorporating several recommendations that TSCL presented last fall to the House Ways and Means Subcommittee on Social Security. The legislation: .Recently we received the following from one of our readers: .Growing numbers of seniors are working longer, and delaying the start of benefits. According to a TSCL survey conducted early this year, 42 percent of seniors who are still working say they plan to delay the start of benefits until age 66 or thereafter. Those who continue to work, continue to pay Social Security, Medicare and other taxes as well. .There's good news and bad for older job seekers. The good news: the jobless rate for older workers is lower than the overall unemployment rate. And many employers do value older workers for their experience, skill sets, reliability and maturity. .If our annual COLA works as intended, this should not happen. .Consequently, Social Security recipients with the lowest benefits may not see much of an increase at all after Medicare Part B premiums are deducted. Those with benefits of about 0 or less are at risk of seeing the Part B premiums consume their entire COLA, leaving nothing extra left over to deal with other rising costs. .Because the economic fluctuations were highly unusual and unforeseen, logic dictates that Congress could not have intended the benefits that Notch Babies actually received. The disparities in benefits under the actual conditions of double-digit inflation are illustrated in the following chart, which was not developed until 199Even if Congress had developed this chart in 1977, however, they would have seen benefit differences of only 10%-14% shown on the left-hand side of the chart. Instead, the effects of inflation are reflected by benefit differences of 13% to 30% shown on the right. In effect, the actual benefit reductions for many retirees were more than double what original projections would have been at the time.