What do you think about expanding the role of Medicare Advantage plans? Visit us at and send us your comments..Medicare's extraordinarily high reimbursement rates for durable medical equipment like back braces and power wheel chairs have made it a particularly lucrative target for crooks and abuse billing practices. The Centers for Medicare and Medicaid Services recently reported that an astonishing 66% of all durable medical equipment claims were improperly paid in the government's fiscal year 2012, costing Medicare more than billion.."The side effects of the drug, to be sold as Aduhelm by maker Biogen, are troubling and the cost is staggering, at ,000 per year 'forever,' doctors told STAT. More than one-third of trial participants developed brain swelling and 17% to 19% had small bleeds in their brains.".Nearly, 1.5 million people are affected by the WEP, which reduces the earned Social Security benefits of an individual who also receives a public pension from a job not covered by Social Security. For example, a teacher who spends his or her summers working a second job or a police officer who leaves the force after years of service but is not quite ready to retire can see their benefits reduced by as much as 40 percent. However, a similar worker with a private sector pension would not see this kind of reduction. We are punishing public sector employees such as our teachers, firefighters, and police officers..TSCL's report entitled "The Cost of Illegal Earnings Under Totalization With Mexico" examines three ways illegal Mexican workers could become entitled to benefits under an agreement with Mexico. The report concludes, "responsible, comprehensive cost estimates of the totalization agreement with Mexico simply cannot afford to ignore the very large and significant cost of benefits based on illegal, unauthorized work. Doing so results in highly misleading and incomplete estimates that would jeopardize the future solvency of Social Security, leading to benefit cuts and higher taxes."."The 6.7 percent increase in the Part B premium is the largest since 2006 for a year in which a COLA is payable," Johnson says. There have been bigger jumps in Part B premiums as recently as 2016 and 2017, but those were two years in which there was no or almost no COLA paid. This situation can cause unusually high Part B premium spikes..How Did the Supreme Court Decision About the Affordable Care Act Affect Medicare?.This occurred all over the U.S. at the very same time that food prices exploded. On December 21, 2020 the Louisiana Department of Children and Family Services, for example, announced that as of January of this year, 75,079 SNAP households would see an average reduction of in monthly benefits due primarily to the COLA. Another 118 SNAP cases would close, as increased income pushes those households over the eligibility limit..According to a new analysis from the Congressional Budget Office, in 2015, the weighted average net price for top-selling brand name specialty drugs in Medicare Part D was ,600 for a 30-day supply, almost twice as much as the weighted average net price of ,920 for the same drugs in Medicaid. The big difference is how drug prices are determined.

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Coming Months Could be the Roughest Yet.This week, lawmakers remained in their home states and districts to continue the fall recess. They are expected to return to Capitol Hill following the November elections to begin the lame duck session. Until then, most lawmakers will be attending local events and holding town hall meetings in their home states and districts..Despite the continued standoff on Capitol Hill, Social Security and Medicare beneficiaries should rest assured that their benefits will not be impacted by the ongoing shutdown. Both Social Security and Medicare are "mandatory" programs, which means that benefits will go out in full and as scheduled regardless of the federal government's operating status. In addition, the administrative offices for both programs are fully funded and are currently operating normally, so those applying for benefits should not see any delays in their requests. … Continued

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Around 20% of Medicare beneficiaries are also enrolled in Medicaid and receive help from the program to cover long-term nursing home stays. The BCRA would cut Medicaid by more than 0 billion and cap federal spending on the program. How will you ensure access to nursing home care if the BCRA is adopted, and can you guarantee that older Americans will not be forced out of skilled nursing facilities due to funding cuts?.In advocating for emergency COLAs TSCL has in the past, recommended that legislation contain wording that such COLA increases and Social Security benefits boosts be disregarded or not counted, in determining eligibility for SNAP, rental assistance, and other low - income benefits. In addition, TSCL is calling on Congress to pass a ,400 stimulus payment for Social Security recipients, to help offset potential reductions or loss of low-income benefits..What you propose is an interesting concept. It would be possible to design such cost of living adjustment option in several different ways. For example, the COLA could be calculated based on the national average retiree benefit in the current year. This amount could be adjusted using the current method the Consumer Price Index for Urban Wage Earners and Clerical Workers, or the use of a seniors' consumer price index such as the Consumer Price Index for the Elderly. The law could even add a provision that the COLA would never be lower than a certain amount - such as 3%. … Continued

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