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The Senior Citizens League is pleased that Congress has successfully negotiated a repeal of the SGR, since the flawed formula has not worked as intended for twelve years. It has called for physician pay cuts some as steep as 30 percent more than seventeen times, threatening access to quality medical care for beneficiaries. We are hopeful that the new payment system will bring increased stability to the Medicare program..Efforts are quietly underway to lay the groundwork for a far-reaching fiscal deal that involves Social Security cost-of-living adjustments and Medicare benefits. White House officials and Senate Republicans have met in a series of private sessions in recent months. In his fiscal year 2014 budget, President Obama proposed reducing the growth in COLAs as well as raising Medicare premiums, reducing benefits of higher income seniors and increasing the Medicare eligibility age. Everything is still on the table, the pressure point being the debt limit. The government is expected to hit the debt limit ceiling the statutory borrowing limit - sometime this fall..When an individual files a claim for benefits, the Social Security Administration searches its records for every wage report connected with that individual to determine entitlement. The search even includes earnings from jobs worked prior to legal authorization, under fake, invalid or stolen Social Security numbers if the applicant kept evidence of such earnings like pay stubs or W2s..TSCL questions whether the more widespread use of subjective criteria in disability determinations may be contributing to disability fraud. Recently, 134 people, including retired New York City police officers and firefighters, were charged in one of the largest disability frauds on record. Those indicted were charged with faking mental disabilities, like post-traumatic stress disorder stemming from responding to the 911 terrorist attack on the World Trade Center, to obtain hundreds of thousands of dollars in disability benefits..There's power in numbers. If you're concerned about your Social Security benefits, share this information with others and encourage them to visit the TSCL website to learn more. To learn how much COLA cuts might cost you, try the TSCL Chained COLA calculator..To find the Meals on Wheels program in your area, check the Eldercare Locator or call your local Area Agency on Aging..Neighborhood, and safety concerns. Does your friend still feel safe living alone? Are there suspicious strangers stopping by asking for jobs like yard work or repaving her driveway? People who live alone are frequent targets of scam and thieves..In a statement, Mary Johnson a policy analyst for The Senior Citizens League said this week: "This could be particularly problematic for older, low-income Americans who represent a disproportionate share of Medicaid spending … Capping and adjusting payments to states would take benefits away from millions of low-income families, including disabled and older Americans in nursing homes, all to pay for massive tax breaks for the very wealthiest U.S. households.".While Part D costs are not capped, there is a "catastrophic level" of coverage that kicks in once Part D enrollees spend ,000 of their own money out-of-pocket. Five thousand dollars is just the threshold in 201That threshold is forecast to rise to more than ,000 per year in just eight years. Even worse, the ,000 threshold is just for your covered drugs under Part D. It does not include other out-of-pocket spending for Medicare, such drugs you may receive through Medicare Part B, and all other out-of-pocket costs.