The TSCL survey found that, to improve Medicare's finances, seniors strongly support ramping up anti-fraud efforts, and better integration of care to reduce duplications of tests, services, and expensive imaging. What do you think? Take a poll. Visit TSCL's website at . ."That combination elevates the risk of disruptions to care, and unexpected, uncovered costs — two problems that could plague seniors shifted to new managed-care plans," Hyland says. Most states are expected to "passively enroll" beneficiaries into the plans requiring beneficiaries to take the initiative to opt out. "It is too early to know what type of choices those wishing to opt out will have," Hyland notes. "Without a strong notification and education process, many of the affected dual eligibles may not be aware, or understand, that they have new health coverage, " he says. "A new health plan can mean a change of doctor if their former providers don't participate," Hyland explains. .Sources: "Choices for Debt Reduction," The Congressional Budget Office, November 2012. .It would permanently set the Social Security Administration's administrative funding at 1.5 percent of overall benefit payments, more than doubling the funding that the administration currently receives. .Regrettably, this uncertainty persists during the on-going deficit reduction discussions. Those who received services paid for by Medicare will not be affected by the automatic budget cuts due to the failure of the Joint Select Committee on Deficit Reduction to reach a compromise. Nevertheless, I am concerned that providers are not also shielded from those cuts. That is why I am co-sponsoring H.R. 3519, legislation to protect Medicare providers from the 2 percent cuts that were part of the Budget Control Act of 2011. .In January as my specialist told me goodbye, he gave me a 10-day prescription for a simple .16 antibiotic. Did I get better? Yes, at least for now. While the antibiotic treatment was inexpensive and seems effective at curing the cough, the CT scan and bronchoscopy he ordered last year cost about ,000 before insurance. Would I have done just as well getting that prescription from my primary care doctor and skipping all the rest? Maybe, but how does the patient make that judgment? .In Washington, my priority is helping improve the lives of the American people, and that includes addressing our nation's retirement system to ensure it serves our seniors more effectively. One way Congress did this was by passing the Setting Every Community Up for Retirement Enhancement (SECURE) Act of 201This bill, which passed with my support, will streamline and update our nation's retirement system in several ways, including removing the age limitation on IRA contributions, increasing access to retirement plans by allowing small businesses to join together to offer plans, and allowing penalty-free distributions from a retirement account for the birth or adoption of a child. This legislation isn't perfect, but it is a step forward, and I am glad the SECURE Act was passed into law at the end of 201While approximately half of American households still don't have an option for work-based retirement plans, as a nation we must continue to work to advance access to retirement savings vehicles and decrease barriers to entry for small employers who want to offer savings plans to their employees. .That spells trouble for people living on fixed incomes. "When COLAs fall down on the job of protecting benefit buying power, seniors face working longer, digging deeper into retirement savings, or falling into debt and poverty," says Ed Cates, Chairman of TSCL. .Nutritious food through the Supplemental Nutrition Program (SNAP).