Fall Congressional Recess Continues.In past years, Congress has chosen to allow this cost to shift to the 30 percent beneficiaries who are not held harmless. The total cost increase is spread over far fewer people, instead of all beneficiaries, and those who are not protected pay a much bigger share of Medicare Part B costs. This could happen again for the 2021 premium..case feels just as crummy..Annual cuts to healthcare providers. The Affordable Care Act provided for a number of cost-cutting mechanisms that cut government spending on hospitals and other healthcare providers. Medicare's Chief Actuary and the Congressional Budget Office have raised doubts that the savings targets can be achieved over a prolonged period of time, without providers dropping out of Medicare. Media reports already suggest that a growing number of Medicare beneficiaries are left with significant uncovered costs as hospitals keep patients listed as outpatients rather than inpatients due to new rules that penalize hospitals for frequent readmissions. TSCL is concerned that these sorts of problems may escalate as provisions of the Affordable Care Act are implemented..IPAB Repeal Bill Approved by House.The Medicare Physician Payment Innovation Act, if signed into law, would repeal the SGR and set up a five-year trial period during which physician payments would stabilize and the Centers for Medicare and Medicaid Services would test new payment and delivery models. TSCL strongly believes that the SGR breeds uncertainty in the Medicare program for both physicians and beneficiaries. Many doctors have stopped accepting Medicare patients, and many more are threatening to do so if a permanent solution is not established soon. We believe that Rep. Schwartz's bill would bring increased stability to the program, and we urge Congress to pass it by the end of this year..The proposal to cut the growth of COLAs formed a major Social Security reform provision of President Obama's 2010 Fiscal Commission. It would reduce the growth rate in COLAs by switching to the more slowly-growing "chained" CPI. "The switch is insidious because it's enormously complicated to figure out, and it looks so small on paper - just 0.03 tenths of a percentage point," Hyland observes. "But the loss compounds over time. Within a decade it would have a significant financial punch that just keeps getting bigger," Hyland explains. The following chart provided by TSCL illustrates the impact of a chained CPI on a married couple's Social Security benefits, which start at a total of ,500 per month today, and how their benefits change over the first ten years. After ten years the chained CPI would reduce benefits by per month, and would cut benefits by ,488 over the ten-year period..This year, on Tuesday, February 16, Sen. Rob Portman of Ohio, will be reading Washington's address. Portman has announced that he will be retiring from the Senate when his term expires next year..The Notch that.

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They believe we should consider increasing future Social Security benefits.."Low COLAs also take a huge toll on overall growth of Social Security income over a retirement," Cates says. "COLAs are like interest, and when COLAs are so low, benefits remain flat. Because benefits are lower now, the amount of increase, if more normal patterns of inflation resume later, will be based on lower benefit amounts, reining in future growth that retirees may have factored into their retirement plans," Cates explains..TSCL believes modestly higher retirement benefits are needed by a majority of people at or nearing retirement. A number of national studies indicate that millions of older Americans are entering retirement without the financial resources to cover retirements that may stretch 30 years or more. A 2015 report from the U.S. Government Accountability Office that says about one - half of households 55 and older have no retirement savings, and many of those that do run the risk of falling short of income. … Continued

Medicaid Issue Brief Implications Of The Expiration Of Medicaid Long Term Care Spousal Impoverishment Rules For Community Integration View Footnotes

TSCL's Board of Trustees on Capitol Hill.One of the orders would allow for the legal importation of cheaper prescription drugs from countries like Canada. The second would require discounts from drug companies now captured by middlemen that are then passed on to patients..Outdoor improvements. First impressions are important to getting buyers through the door. The grounds and exterior of your home need to be in good condition including the siding, landscaping and any wooden deck or patio area. Resurface cracked driveways or sidewalks. … Continued

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