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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..If you don't want diabetic testing supplies delivered to your home, you can go to any local store that is enrolled in Medicare and buy them. Ask if the local store accepts "assignment" or the Medicare approved amount as payment in full. If they do not, the store may charge more than the 20 percent coinsurance and any unmet deductible. Shop around. Call your local stores and find out what your copayment would be first if you decide to pick up supplies instead..Creating a new minimum benefit for low-income retirees set at 25% above the poverty line ;.This year's study finds that Social Security benefits have lost 30 percent of buying power since the year 2000. This represents a 3-percentage point improvement in Social Security buying power from our 2019 study, which found a loss of 33 percent since 2000. While lower prices are good news in the short term, the deflationary trend suggests a very low COLA in 2021..The pharmacy benefit management company Express Scripts/Medco has one of the most comprehensive lists of the estimated dates in which brand drugs patents are ending. To learn more about your drug plan options, visit and look on the homepage for the link to "Compare health and drug plans.".The good news is that key members of Congress now say they will push for surprise billing legislation to be part of the next bill that deals with the coronavirus emergency..Year after year, physicians who treat Medicare patients are threatened with scheduled pay cuts that Members of Congress consistently override. While doctors, patients, and lawmakers have grown accustomed to the "doc fix," the ritual has grown unpleasant for all involved. Doctors are fed up with the looming pay cuts, patients are losing access to their trusted physicians, and lawmakers are tired of the political sparring that occurs each time a pay patch is needed..We hope this has been a little helpful to you. Certainly, we all need to follow the recommendations of our own doctors and the advice from public health officials about taking commonsense precautions as we go about our daily lives..In 2016 the COLA was zero and Part B premiums rose by 16.1 percent. In 2017 the COLA was just 0.3 percentage point, and Part B premiums rose by 10 percent. "Those premium spikes were due in large part to the cost-shifting effect created when no COLA was payable," Johnson notes.