Patient Education Giving BirthThe government will announce the 2017 COLA on October 18, 2016 and it remains to be seen whether Congress will take action to protect older Americans and state Medicaid budgets from unexpectedly high Medicare Part B premium costs. In response to similar circumstances last fall, Congress passed legislation that modified the Part B premium spike to the amount it would have increased if the hold harmless provision had not gone into effect..TSCL joins voices with Chairman Sam Johnson in urging President Trump to nominate a Social Security Commissioner immediately. To stay updated on the nomination and confirmation process in the months ahead, visit the Legislative News section of our website every Friday morning..TSCL Supports New Anti-Fraud Bill … Continued
Report Section Medicaid And Chip Eligibility Enrollment And Cost Sharing Policies As Of January 2020 Findings From A 50 State Survey IntroductionPresident Barak Obama included a proposal in his fiscal year 2014 budget that would have reduced Social Security benefits by using the more slowly-growing chained consumer price index to calculate the Social Security cost-of-living adjustment. An estimate produced for TSCL projects that "chaining the COLA" would cut Social Security benefits by about 9% over a 30-year retirement. Although the proposal has been under discussion for several years, it has not passed, primarily due to fierce resistance from older voters..When comparing plans, beneficiaries are generally told to check premium costs, deductibles and other cost-sharing, whether the plan covers the drugs you actually take, provider networks, and added benefits, if any, not covered by Medicare. All of that is essential. But one key consideration that can be overlooked is how the plan uses prior authorization..Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. … Continued
