Currently doctors are paid for every service they provide, giving a big incentive for wasteful duplication. Patients wind up getting repeated tests, X-rays, CT scans and procedures involving expensive computerized equipment. .Seventy-eight percent of the prescriptions ordered by one Florida physician were for Schedule II drugs. For one beneficiary, this physician prescribed a 605-day supply of morphine, a 52day supply of oxycodone, a 460 - day supply of fentanyl, and a 34day supply of hydromophone. .To qualify for Medicare coverage, beneficiaries must be an inpatient for at least 3 days in a row, not counting the day of discharge. What you can do: If admitted to a hospital, it's highly important that you, or your designated caregiver, find out immediately whether you are being admitted to the hospital as an inpatient or an outpatient. Even if you are admitted as an inpatient, the hospital can sometimes switch you to observation (and outpatient) status, but the hospital is required to notify you while you are still a patient. Should this happen to you, ask your caregiver to take steps to have the decision reversed while you are still a patient. .While a drop in inflation should mean that people don't have to spend as much money due to higher prices, that hasn't been the case for older households, according to a survey by TSCL. The majority of survey participants, 72 percent, reported that their household budgets had gone up per month during 2015 even though the CPI-W in 2015 indicated that no COLA (for 2016) was payable. .It also included a second round of direct payments of ,200 per person, and up to ,000 per household. The bill also extended the 0 per week federal unemployment insurance benefit through January, which expired at the end of July. .Forty-five percent (45%) say their retirement savings dropped significantly in value and that they have cut back on spending. Another 13 percent (13%) say their retirement savings have dropped, but they are unable to cut back any further. .Mismatched earnings reports remain in the ESF until SSA obtains evidence to link the unidentified earnings to a valid SSN — a process termed "earnings reinstatement."(14) When SSA encounters reports that don't match its records, SSA goes through an involved, and time-consuming attempt to make a match. Reinstatements can occur any time, even years later. .One is that vaccines for the flu and pneumonia may be protective because the two diseases they are designed to prevent are known to affect the brain. Another possibility involves evidence linking Alzheimer's to a general weakening in the immune system and to changes that allow more bacteria and viruses into the brain. .Medicare and many state Medicaid programs are in the process of transitioning to value-based medicine that would change the way government healthcare programs pay for care. Doctors and healthcare providers are given incentives to improve health and to reduce the incidence of chronic disease — in order to lower spending on healthcare and provide better care at a lower cost. There's emphasis on giving providers single payments for a "bundle of services" instead of paying for each service, checkup or X-ray. This reimbursement system differs from traditional fee-for-service Medicare, as well as Medicare Advantage plans' "capitated" payments, in which providers are paid more for sick patients, regardless of health outcomes.