State legislatures magazine first branch news legislative headlines week of april 19 2021 magazine2021 data image png base64 iVBORw0KGgoAAAANSUhEUgAAAHsAAAAVCAYAAABmOZFVAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAAEnQAABJ0Ad5mH3gAAABPSURBVGhD7dExAcAwDMCwdPxZBVj7jIWsxwB8dvdOCN fAJoNaTak2ZBmQ5oNaTak2ZBmQ5oNaTak2ZBmQ5oNaTak2ZBmQ5oNaTak2YyZByvoA3Lay1 oAAAAAElFTkSuQmCC

One witness, Scott Serota, President and CEO of the BlueCross BlueShield Association, suggested a gradual shift from the current fee-for-service system toward a series of new payment models that would allow for geographic variability. Another witness, David Bronson, President of the American College of Physicians, suggested a patient-centered medical home model, where each patient would choose a physician with a specific team of caregivers. He explained that his model would result in better coordinated care for seniors..don't start feeling better..Medicare Part B premiums jumped .10 per month in 2020 - one of the biggest increases in recent years. While the Social Security cost-of-living adjustment increased benefits by 1.6 percent in 2020, Medicare Part B premiums climbed 6.7 percent, more than four times faster. A jump of this size can put older household budgets into a bind, forcing retirees to go without essentials when they run short before their next Social Security check..Out-of-pocket costs for deductibles, co-pays and co-insurance..This week, the fall recess continued for lawmakers in the House and Senate who are campaigning for the upcoming elections..A third option was introduced by Senator Rand Paul in June. His plan would repeal the SGR and base payments on the same formula that is used to calculate cost-of-living adjustments for Social Security benefits. It would cap annual pay increases for providers at three percent, allowing physicians to practice without the threat of annual reimbursement cuts..How would this compare with the "senior" CPI, the Consumer Price Index for the Elderly ? Estimates for TSCL indicate that if the CPI-E were to be used to determine the COLA for 2017 the COLA would be 1.7% - 1.1% higher than COLAs under the CPI-W, but federal poverty levels will rise as well..McCaskill brought her own brother's experience with pharmaceutical companies as an example to illustrate the way companies wine and dine the doctors who prescribe their medications..TSCL is calling on Congressional leaders to make them aware of the situation and to propose a 2.5% Emergency COLA.

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This week, lawmakers in the Senate voted on three health reform bills that would have repealed and replaced parts of the ACA if enacted. All three of the bills the Better Care Reconciliation Act, the Obamacare Repeal and Reconciliation Act, and the Health Care Freedom Act better known as the "skinny repeal" bill failed to win passage on the Senate floor..This week, Members of Congress continued to focus on a series of fiscal 2015 appropriations bills including one that would provide funding for the Social Security Administration and the Centers for Medicare and Medicaid Services. In addition, The Senior Citizens League announced its support for a new piece of legislation, and two key bills gained cosponsors..Whether or not appropriators will successfully negotiate an omnibus spending bill before December 11th remains to be seen. If Congress fails to reach an agreement, the federal government will shut down, and Social Security beneficiaries could see delays in their monthly benefit checks. In addition, doctors who treat Medicare patients and other medical providers could experience delayed reimbursements from the government. … Continued

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However, a modification to the bill is under consideration that would provide a portion of the income taxes collected on Social Security benefits to the Medicare Trust Fund in the same manner and amount as current law. That modification, however, would have a big impact on Social Security's cash flow in the earlier years. According to the Joint Committee on Taxation, the change would lower the total amount of revenues going into the Social Security Trust Fund by 1 billion over the 2020-2029 period, and would not prevent Social Security from becoming insolvent by 2036..Would a Higher Cost-of-Living-Adjustment in Social Security Make Me Ineligible for Medicaid?.12 Ways Seniors Would Get Less, Pay More … Continued

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