News

  • Legislative Update Week Ending February 6 2015

    One rule, known as "most favored nation," would require Medicare to tie the prices it pays for drugs to those paid by other wealthy countries. The other rule would limit rebates paid to middle men (called "pharmacy benefit managers" or "PBMs") by drug makers in Medicare. .According to the report, CMS has not expanded the recovery audit program to Medicare Advantage by the end of 2010 as was required by the Patient Protection Act. Recovery audits have been used for years in other Medicare programs to recover improper payments. TSCL believes Congress must provide stronger oversight to ensure that scarce Medicare dollars are spent appropriately and to prevent private insurers from boosting profits by gauging both taxpayers and older Americans. .Every year since the late 1990's, Congress has ‘balanced' the budget by declaring a pay cut to doctors' Medicare services. Every year, after the budget for the next year is revealed, this cut is rescinded. … Continued

  • Notch Bulletin Does Your Representative Support Notch Reform Help Us Build Key Support Now

    "Maybe the economic value of the COVID vaccine is a trillion — and even if the expense to the company was a billion, that's 1,000 times return on investment," said Schulman. "No economic theory would support that." .On Thursday evening, lawmakers in the House and Senate voted to pass a continuing resolution (CR) that will fund the federal government until Friday, December 22nd. TSCL is pleased that lawmakers successfully averted a government shutdown since failing to do so could have impacted the timely delivery of Social Security benefits. Physicians and other medical providers also could have seen delays in their reimbursements from the Medicare program if the federal government had shut down. .Although President Trump promised during his campaign not to touch Social Security, "it's unclear how he would view slowing the growth in Social Security benefits by this type of technical change," Johnson observes. "Make no mistake, no matter what sort of ‘improvement' lawmakers may try to call it, getting less money from Social Security is a cut," she states. … Continued

In exchange, annuities pay you a monthly income for the rest of your life, an income that can last 20 or 30 years. There are joint and survivor type annuities that continue the monthly income to your spouse after your death, and you can also buy annuities that have a 3 percent annual cost-of-living adjustment. .TSCL has not given up our goal of Notch reform. In recent months we have been working with long-term Notch reform allies in Congress to ensure that Notch Babies', needs are protected from deficit reduction plans that would affect people who are currently retired. .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. .The Senate amended and passed the bill 90-2 on March 25, with two Republican Senators voting against it. .Medicare part B was not paid for by increasing taxes but is paid for by borrowing money. So were the tax cuts that the President supported, and Congress passed in 2017. .Important work is also being done on the federal, state, and local levels to build awareness and advance medical research. As part of the bipartisan Congressional Task Force on Alzheimer's, my colleagues and I have been working to address the growth of Alzheimer's. One piece of legislation that I am pushing is the Alzheimer's Accountability Act, which would increase coordination between the National Institute of Health, Congress, and the White House regarding the resources necessary to help treat Alzheimer's. Another bill, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act would help improve early diagnosing of Alzheimer's and strengthen support services for patients and their families. .Telephone scammers are bilking Medicare out of billions of dollars, and bombarding millions of older U.S. consumers with multiple daily automated phone calls for everything from "free" back braces to genetic tests. While Medicare scams have been with us for decades, what's new is the use of automated calling technology, and the massive international scale of the scams. ."Most people 65 and over take more than one prescription drug, so to get the lowest-costing plan that's right for you, people need to do a drug plan comparison based on all the drugs they currently take, " Johnson explains. "In addition, you should carefully compare prices at network retail pharmacies as well as mail order — those prices can also vary significantly," Johnson notes. ."'We find no indication that these reductions in demand affect only ‘low-value' drugs; on the contrary, those at the highest risk of heart attack and stroke, who would benefit the most from statins and antihypertensives, cut back more on these drugs than lower-risk patients.'"