Instead, some physicians are experimenting with converting their practices to more lucrative payment models, such as concierge medicine, in which patients pay a fee upfront to retain the doctor. Patients who cannot afford that arrangement may have to search for a new physician..CMS has also partnered with the Department of Justice to help to increase law enforcement efforts for Medicare fraud and abuse. In 2009, the Health Care Fraud Prevention and Enforcement Action Team was established to provide a law enforcement arm to the government's effort to stem the tide of Medicare fraud and abuse perpetrators. The special task force combines authorities from local, state, and the Department of Justice and Health and Human Services agencies to increase communication and shared investigative techniques..If you were born during the Notch period and receive Social Security benefits based on your work record, or that of a Notch Baby spouse, you have been affected by this inequity from your first Social Security check. According to TSCL studies, this disparity costs you on average about ,000 to as much as ,000 per year in lower benefits..Earlier this month, House lawmakers voted on a balanced budget amendment to the constitution that would have been disastrous for Social Security and Medicare beneficiaries if adopted. Did you support this drastic measure, and if so, why?.The fact that there are actually two Social Security trust funds is important when you break down the numbers behind the trust funds' cash deficits. According to the Social Security Trustees' "intermediate" projections, the OASI trust fund would run a cash deficit of billion in 2010, and the DI trust fund a billion cash deficit..Low-Income Health Programs, Working and Laid Off Workers Take the Biggest Hit When Medicare Part B Premiums Spike.Years ago, drug legislation was passed that made importation of FDA approved drugs from Canada legal, but the Department of Health and Human Services secretary was required to certify the safety of the drugs. So far, no HHS secretary has been willing to do so, despite regular efforts to get importation going.."Lawmakers Never Faced With Losing Benefits," The Associated Press, April 19, 2006..After more than a decade of failed attempts to repeal and replace the sustainable growth rate the flawed formula that sets payment rates for doctors who treat Medicare patients Congress has finally succeeded in passing legislation to do away with it once and for all. In April, lawmakers in both the House and the Senate adopted a bipartisan bill that will permanently repeal the SGR, provide doctors with modest 0.5 percent payment updates over the next five years, and incentivize payment models that reward the coordination of medical care.