As prices increase, those who depend on Social Security benefits experience a decline in the buying power. In fact, according to my research, Social Security benefits have lost 30% of buying power over the past 20 years. For some retirees, that means a decline in their standard of living. .Millions of Americans Forgoing Health Care .Here's how the board works: As soon as Medicare spending exceeds certain growth rates, the unelected 15-member board will begin making recommendations to lawmakers to rein in spending. Congress will then have a chance to respond by passing cost-cutting measures of its own. But if they fail to adopt legislation, the IPAB's recommendations will be automatically implemented. .By Noah Y. Kim SEPTEMBER 10, 2020 Kaiser Health News .SSI is a federal program that provides monthly benefit payments to people age 65 or older, who are blind or have a disability and who have little or no income and resources. People who receive SSI are also eligible to receive food stamps and Medicaid. .Thus beneficiaries will continue to be hit with steep costs when they fall into the coverage gap in the foreseeable future. To keep prices as low as possible in the doughnut hole, beneficiaries can look into using mail-order pharmacies, which require 90-day prescriptions and are often cheaper per dose than a 30-day supply. People with limited incomes may also qualify for Extra Help or other pharmaceutical assistance programs. TSCL also recommends that Part D beneficiaries talk to their doctors at each visit to discuss potential alternatives to their high-cost prescriptions. .Wages were lower than expected and initial retirement benefits for Notch Babies were calculated on lower average earnings. Thus, benefits were lower than anticipated. In addition, inflation grew at double-digit rates over the same period, yet the new benefit formula failed to fully account for inflation for many Notch Babies, especially those who delayed their retirements (5). .When a zero COLA was announced for 2016, the Medicare Trustees projected that the Part B premium and deductible amounts would increase by an unprecedented 52 percent between 2015 and 2016 — from 4.90 to 9.30 per month.[7] Passage of The Bipartisan Budget Act of 2015, however resulted in reducing the increase in Part B premiums from 9.30 per month to 1.80 per month, which was still an extremely high 16.1 percent increase. The premium included a repayment amount that was added to monthly premiums of all beneficiaries in future years to recover over time the cost of the reduced premium rate in 2016.[8] .TSCL believes a better approach to Medicare Advantage "risk adjustments" is needed, and should be written into law, rather than left to the discretion of politically appointed Medicare administrators. Congress could do this by writing a method for calculating the adjustment into the law. This approach would make payment for MA plans more like payment for other Medicare providers.