TSCL's review of the Totalization Agreement and related documents raises a number of significant questions. For example, no new estimates of the cost of the agreement to the Social Security Trust Fund were released to TSCL..Medicare has begun a major program change that affects diabetics who get supplies home delivered and other seniors who rent medical equipment like home oxygen gear and wheel chairs. The program is intended to help seniors save money when they buy supplies and rent equipment, but TSCL believes it is more likely to first cause confusion and surprise unanticipated costs until patients figure out the new system..New eligibility rules make it considerably easier for millions of applicants, including seniors under the age of 65, who are too young for Medicare, to qualify for the program. But older seniors continue to have much more restrictive and stringent asset and savings tests to satisfy before they qualify for Medicaid, because the new rules don't apply to seniors age 65 and older. This sets up inequities in benefits between seniors like Notch Babies who are in their late 80s and 90s and who are more likely to be receiving long-term care, and other people younger than 65 who will benefit from the less stringent Medicaid qualification rules..The soda is getting warm, and I decide to put it in the fridge to keep it cold.."Relief From Deportation: Demographic Profile Of The DREAMers Potentially Eligible Under The Deferred Action Policy, Migration Policy Institute, August 2012..My husband passed away on March 31st. I was told that I have to return his entire Social Security payment for the month of March. Can this be true? This is an unfair and callous policy. Bills were incurred during the days that he was alive. Returning the check creates a financial hardship since every bit of it was spent on his healthcare, not to mention the costs of his funeral!.According to AARP, about 94% of widely-used brand-name drugs that were on the market between 2005 and 2017 nearly doubled in price. And in 2017, the average annual cost of specialty drugs - which treat complex conditions like cancer - was about ,800. In contrast, the average Social Security benefit in 2017 was just ,800..Health insurers are pushing back, and are warning that the cost of new coverage could limit other benefits they offer in private Medicare Advantage plans - such as free transportation to medical appointments or free over-the-counter drugs..During the August break an old and ugly threat to Social Security and Medicare surfaced once again. The Congressional Budget Office released its forecast of future federal government deficits. It said that deficits are expected to climb to over trillion in fiscal year2020, which begins this October And they will keep going up in the years after that.

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As was noted in last week's update, the AHCA would reform the current health system and negatively impact older Americans in several ways. It would restructure the Medicaid program, which funds nursing home care for many qualified Medicare beneficiaries. It would base premium subsidies on age instead of income, while allowing private health insurers to charge older Americans five times more than they charge younger folks for their coverage. And it would deplete Medicare's Hospital Insurance Trust Fund by eliminating two revenue sources that the ACA created, creating a funding crisis for the program..Social Security Subcommittee Discusses DI Program.Last week TSCL was part of a virtual meeting with Senator John Thune who, as the Majority Whip, is the second-ranking Republican in the Senate, after Majority Leader Mitch McConnell. … Continued

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Another issue known as "balance billing" arises when patients are billed the difference between what a doctor charges for a service and what an insurer is willing to pay for it..Tax Planning? Medical Expense Deduction Becomes Less Generous in 2019.Needless to say, the Centers for Medicare and Medicaid Services still lacks the effective oversight to monitor the wasteful payments that continue to plague the system. The Obama administration has made efforts to increase Medicare's accountability and reign in the waste and fraud that remain at an all time high level. In an education initiative, President Obama recently announced an increased effort and funding for a "Senior Medicare Patrol" program designed to educate Medicare beneficiaries on fraudulent spending from healthcare providers. The goal is to bolster Medicare fraud education programs for seniors across the country, highlighting ways to spot and report suspicious fraudulent activity from healthcare providers. … Continued

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