This week, lawmakers in the House and Senate continued their work on an omnibus spending bill to fund the federal government through the remainder of the fiscal year. Lawmakers set a .07 trillion cap in the sweeping budget deal that they passed at the end of October, and now they have until December 11th just three weeks to outline how those funds will be spent..CMS Leader Confirmed by Senate.Members of Congress on both sides of the aisle agree that the current payment formula the sustainable growth rate is fundamentally flawed. TSCL was disappointed when the Affordable Care Act did not address the issue in 2010, but many believe that the lame-duck session following the November election will provide a prime opportunity for Congress to finally repeal the faulty formula. The replacement options are numerous, however, and many of them are contentious. Just three months away, it still remains unclear which solution lawmakers could agree upon..Then, in our Oct. 3 Update we reported that the chairmen of the House Ways and Means Oversight and Health subcommittees had sent a letter to Health and Human Services Secretary Alex Azar requesting more information about the discount card. Among the questions they were asking was what legal authority is being used to justify the program and how it will be paid for..urging, but she finally got a physical. She was shocked to learn that her blood.Congressional aides have said that the conference co-chairs, Sen. Patty Murray and Rep. Paul Ryan, are "talking almost every day," but a partisan divide over potential "sequester" offsets seems to have halted progress. Half of the conferees hope to replace a portion of the "sequester" with revenue increases, while the other half would like to enact cuts to mandatory programs, including Social Security and Medicare. At this point, conferees on both sides are remaining steadfast in their positions..If you are having trouble affording costs as they are in 2014, premiums and possibly some of your out-of-pocket costs may be higher in 201If your premium subsidy remains unchanged, that would mean it would be up to you to cover increased costs..House speaker Paul Ryan's proposal to overhaul Medicare by providing beneficiaries a subsidy or voucher to shop for private insurance on a federal health exchange has been included in House budget blue prints numerous times, but voters are overwhelmingly opposed to the idea. The plan would give private insurance plans a greater role in Medicare, and beneficiaries would be given a subsidy to shop for insurance coverage. The Congressional Budget Office has estimated that the plan would shift a growing share of the costs to beneficiaries..The Biden administration announced last week that it will begin distributing a limited number of Covid-19 vaccine doses directly to retail pharmacies across the nation.

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One option recently recommended by the Medicare Payment Advisory Commission would repeal the SGR and encourage physicians to join two-sided risk accountable care organizations. Doctors participating in ACOs voluntarily group with hospitals and other providers to lower costs and better coordinate care. Pilot ACOs that are currently operating only see rewards for delivering high-quality, low-cost care. Those in two-sided risk ACOs, however, would also be penalized for providing low-quality, high-cost care. According to MedPAC, substantial savings would result, but many are still skeptical about the potential of ACOs..According to a report released by the Congressional Budget Office on Tuesday, a full repeal of the law without a replacement would result in a loss of insurance coverage for 18 million individuals, and premium increases of around 25 percent for those who purchased coverage through the individual market. In response to the new report, Senate Majority Leader Chuck Schumer said: "The numbers are even worse than experts could have imagined.".New legislation to help the economy and give relief to the American people is urgently needed because at the end of this week the 0/month that unemployed workers were receiving will expire. In addition, there has been an order in place stopping any evictions of people from their homes if they fell behind in the mortgage payments or rent. That also expires at the end of this week. … Continued

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Spousal and/or divorced spouse retirement benefits based on spouse's or former spouse's account..Click here to learn more about the NASI survey..Starting benefits prior to full retirement age means you receive benefits over a longer period of time, but the amount you get will be reduced, perhaps significantly. Delaying the start of your benefits until after your full retirement age of 67, until age 70 means a bigger check but paid out over a shorter period of time. … Continued

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