Sound like we're headed for a vicious cycle? The sheer paralysis that lawmakers have contended with in responding to our current sluggish economy over the past two years is an early warning that we are nearing the edge. Even so there are still some who brush off anxiety over Social Security's financing by saying "Social Security is an easy fix.".The Health Subcommittee focused on three specific Medicare proposals that President Obama included in his fiscal 2014 budget: establishing a home health copay, increasing the annual Part B deductible, and increasing means-testing measures for Parts B and D. Most Subcommittee Members, along with the expert panel, expressed their disapproval of all three options, stating that they would simply shift costs to seniors instead of targeting the root of the problem. Instead, many suggested that they focus on reforming the delivery system to better reward quality medical care..It's clear we need to take action to protect Medicare for future generations and safeguard it against those who want to turn it into a coupon-style voucher system. For over half a century, Medicare has guaranteed older Americans' access to health care, and most seniors don't want to see something so essential endangered or gutted. But here's some good news: There are steps we can take to put Medicare on sure financial footing and build upon it to improve insurance coverage and affordability for older Americans not yet on Medicare..The difference in drug prices between the lowest and highest costing plans, can be in the hundreds, or even thousands, of dollars. For brand name and specialty drugs, the most frequent reason that the drug costs so much more in the highest costing plan is lack of coverage. The drug is not listed on the high cost plan's formulary. For example, the lowest cost plan for Sovaldi, a drug used to treat Hepatitis C, charges ,600 in co-insurance. The highest cost drug plan charges 0,800, the full cost of the drug, because Sovaldi is not on the plan's formulary..As things are scheduled for now, the Senate will return to the Capitol on Sept. In the meantime, it will be in a "pro-forma session." That happens in the Senate at a time during which no legislative business is conducted. The sessions are held to satisfy a provision of the Constitution that prohibits either chamber from adjourning for more than three days without the permission of the other chamber. When the House or Senate recesses or adjourns for more than three days, both chambers adopt concurrent resolutions providing for the recess or adjournment..This week, the Beneficiary Enrollment Notification and Eligibility Simplification Act gained three new cosponsors in Representatives Anna Eshoo, Zoe Lofgren, and Earl Blumenauer, bringing the total up to thirteen. If signed into law, H.R. 2575 would simplify the Medicare enrollment process and increase efforts to educate those nearing eligibility about the program and the application process..Now Medicare has launched a formal process to determine whether Aduhelm will be covered, after a widespread uproar spurred a Congressional investigation. The final decision isn't expected until next spring, although an initial ruling could come around January. Medicare's coverage process came on the same day that two House committees asked drug maker Biogen to turn over documents on how the drug was developed and priced, and on its dealings with government officials at the US Food and Drug Administration..Action on Capitol Hill remained slow this week, as both Houses of Congress have adjourned for the August recess. However, The Senior Citizens League did see support grow for two key pieces of legislation..In addition, one new cosponsor Rep. Bobby Rush signed on to the Improving Access to Affordable Prescription Drugs Act this week. Rep. Rush is the eleventh Member of Congress to pledge his support for the bill. If signed into law, it would comprehensively reform the prescription drug industry to reduce costs for consumers.

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It would be unlikely for the vast majority of low-income beneficiaries. That's because state and federal poverty guidelines used to determine low-income are also adjusted annually for inflation, and the income thresholds would rise roughly in tandem with Social Security benefits. Currently the federal poverty level is ,880 for individuals, and ,020 for a family of two, with slightly higher amounts for Alaska and Hawaii..you need to start distributions. Most types of retirement accounts other than.Now Medicare Part A is projected to again become insolvent, perhaps by 202Policy experts are proposing that the revenues raised by the 3.8% net investment income tax should be "re-directed" to the Part A Trust fund rather than the federal government general revenue. … Continued

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One option recently recommended by the Medicare Payment Advisory Commission would repeal the SGR and encourage physicians to join two-sided risk accountable care organizations. Doctors participating in ACOs voluntarily group with hospitals and other providers to lower costs and better coordinate care. Pilot ACOs that are currently operating only see rewards for delivering high-quality, low-cost care. Those in two-sided risk ACOs, however, would also be penalized for providing low-quality, high-cost care. According to MedPAC, substantial savings would result, but many are still skeptical about the potential of ACOs..If you are like millions of Americans you have experienced delays in your mail, including drug prescriptions and checks. In some instances, it has taken over a month for a letter to arrive at its destination, and there are still stories of undelivered packages piled up in postal facilities..Get the Seasonal Flu Vaccine but Not Just Yet … Continued

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