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  • Congressional Corner Mccaskill Questions The Financial Relationship Between Doctors And Pharmaceuti Feed

    Please join us in our drive to gather 100,000 signatures on a petition to the White House by clicking Here to sign our petition or by pasting this into your address bar: https://petitions.whitehouse.gov/petition/stop-calling-payroll-tax-cuts-and-preserve-social-security-and-medicare .While Part D and Medicare Advantage have proven popular with seniors, nobody is lining up at the doors during the fall Open Enrollment to shop for and compare plans. The vast majority of beneficiaries, more than 80% according to TSCL Senior Surveys, don't compare their Part D or Medicare Advantage plan, and consequently don't reap any savings from competition between plans. If Congress were to convert all of Medicare to premium support in the future, the devil will be in the funding details — finding the balance between saving the federal government money while still keeping the program affordable for beneficiaries. And so far premium support hasn't been any magic bullet for reducing federal spending on Medicare. .The costs shown in the chart below assumed plan coverage started on September 1, 2017 for a new enrollee. The Medicare Drug Plan Finder cost estimates include premiums, and out-of-pocket cost sharing for 201Costs shown are estimates and the actual costs may vary somewhat depending on pharmacy used. The prices illustrated in the chart are likely to change for 2018. … Continued

  • Legislative Update June 2010 Advisor

    While Part D and Medicare Advantage have proven popular with seniors, nobody is lining up at the doors during the fall Open Enrollment to shop for and compare plans. The vast majority of beneficiaries, more than 80% according to TSCL Senior Surveys, don't compare their Part D or Medicare Advantage plan, and consequently don't reap any savings from competition between plans. If Congress were to convert all of Medicare to premium support in the future, the devil will be in the funding details — finding the balance between saving the federal government money while still keeping the program affordable for beneficiaries. And so far premium support hasn't been any magic bullet for reducing federal spending on Medicare. .Medicaid is the major source of coverage for an estimated 6 million seniors who need long-term care. Last year, long-term care services required one-third of the federal Medicaid budget, more than 0 billion. States, which share the program's cost, spent tens of billions to match that amount. .The third piece of legislation they should pass is the National Defense Authorization Act (NDAA) for 202It has always been considered to be "must pass" legislation because it authorizes so many things for the military, including pay. But as we reported last week, President Trump has threatened to veto the bill because it doesn't contain a measure that he wants passed having to do with the regulations of social media like Twitter and Facebook. … Continued

It's unknown whether or not Congress will tackle the SGR before the end of the year, but most Subcommittee Members at Wednesday's hearing did seem set on providing extensions for the other payment provisions that are nearing expiration. .But as the StatNews article said, "… some people might remember the headlines of Moderna's and Pfizer's product offering greater than 90% effectiveness against Covid-19 and question J&J's announcement of 66% effectiveness. .New Medicare Enrollees in 201Because these people are new to Medicare they have not had an increase in the Part B premium. Thus, they must pay the full amount in 2017 when they sign up. .Under the Affordable Care Act, or Obamacare, private and public sector large employers are responsible for providing health insurance for employees and contributing toward the cost of insurance. Generally, the federal health insurance exchange is only available for people who can't otherwise afford to purchase the insurance offered by their employer (according to thresholds set by law). But the fight to pass the 2010 Affordable Care Act was so contentious and controversial that some Members of Congress insisted that their colleagues set an example and be required to have the same coverage as all other Americans. .Deciding when to file is the biggest decision you face. Social Security benefits are calculated using a formula called the primary insurance amount, or PIA. Seniors who wait to start receiving Social Security until their full retirement age (currently 66) receive 100 percent of PIA; taking benefits at 62, the first year of eligibility, gets them 75 percent of PIA. By waiting until age 70, they'll receive 132 percent of the PIA – nearly double the monthly income for the rest of their lives. Those benefits are enhanced by an annual cost-of-living adjustment, which is added back in for any years of delayed filing. .The latest report from the Congressional Budget Office says that after passage of recent massive tax and budget legislation, over the next decade the federal deficit is now expected to be .7 trillion higher than estimated in June of 201"To put that in context, that's close to the total amount of money that the federal government would need to cover the reserves held by the Social Security Trust Fund over the next 13 years," Johnson points out. ."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. ."Social Security was originally created to lift older Americans out of poverty," Johnson notes. "The annual COLA is intended to prevent erosion in the buying power of benefits," Johnson says. "Between the growth in healthcare costs and flat growth in benefits, the COLA is failing the very people it's intended to protect," she says. .The House-Senate conference committee reached a deal this week to extend the payroll tax break and unemployment benefits, and prevent a 27% pay cut to Medicare physicians. The agreement came after months of debate and only after Republicans dropped their requirement that the payroll tax extension be offset by spending cuts.