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One of the first steps in bringing down prices is demanding transparency from the many players in the prescription drug supply chain. Many experts point to pharmacy benefit managers as potentially contributing to rising list prices and out-of-pocket costs. PBMs are the veritable middlemen of the drug industry - they serve as intermediaries between drug manufacturers, health insurers, and pharmacies. Some believe that, during this process, drug makers are forced to raise the list prices of their drugs just so they can offset the costs of rebates paid to these PBMs..Reduces the costs of your drugs..Currently, Social Security COLAs are based on the way young, urban workers spend their money not the way Social Security beneficiaries do. As a result, goods and services like gasoline and electronics are weighted more heavily than housing and health care two of the fastest growing costs for older Americans. If the COLA were actually based on the way retirees spend their money using the more accurate CPI-E, Social Security beneficiaries would not be receiving a 0.3 percent COLA in 2017, they would be receiving a 2.1 percent increase, according to new data from the Bureau of Labor Statistics..The COLA isn't living up to the promise of protecting the buying power of your benefits, and retirees are getting short changed. We need to work together to enact legislation that will provide a more fair and adequate COLA. To learn how you can get involved visit:..The deduction is especially important to people age 65 and over, since spending on medical expenses increases with age, and healthcare costs can be considerable. About 23 percent of participants in The Senior Citizens League's 2018 Senior Survey said they routinely itemize medical expenses. A recent report from the non-partisan Kaiser Family Foundation says that Medicare households spent on average ,355 in 2016 on healthcare costs that Medicare doesn't cover. That's equivalent to ,700 in 2018 adjusting for inflation..An individual's earnings are the basis for how the Social Security Administration calculates the initial retirement benefit. The benefit formula uses the 35 years of highest earnings to determine the average monthly wage. Low earnings and years of no earnings in one's earnings record, decreases the average monthly wage used to determine the monthly benefit. Initial benefits are pulled down with it. To boost benefits, some women today are working much longer than they anticipated to fill those gaps in their earnings records..Other services provided by an out-of-network provider at an in-network facility, unless notice and consent criteria are met..That said, roughly 30 percent of beneficiaries are not protected by the provision, and they can be subject to substantial spikes in the Part B premiums. In the past, the costs of the unpaid portion of Medicare Part B premiums of those who were protected by hold harmless were shifted to those who were not protected by the provision. Because fewer people were covering the costs Medicare Part B premiums, increases were significantly higher than usual..Here are the numbers: From 2007 to 2018, list prices on 602 medicines rose by 159%, or 9% per year. However, after accounting for rebates and discounts, net prices for the same drugs increased by 60%, or 4.5% per year."