Patient Education Preparing For Surgery Cleansing Your Skin For SurgeryThe White House budget released earlier this year proposes to establish an out-of-pocket limit to the Part D benefit by phasing down beneficiary co-insurance in the catastrophic coverage phase of the benefit from 5 percent to no-cost sharing over four years, beginning in 201While this is better than nothing, the proposals make other changes shifting significant costs to Part D plans which would likely be passed on to consumers in higher premium costs and higher drug costs for the sickest people who hit the pre-catastrophic Part D gap. One analyst has estimated those costs would average ,000. In addition, there is no proposal at all that would allow Medicare to negotiate drug prices..The Democratic leadership in the House has announced that the House will not take its August break until the next pandemic relief legislation is passed but so far we have seen no indication regarding the intentions of the Republican-run Senate. As of right now, the Senate is scheduled to be out of session from August 10 until September 7..TSCL on the Hill … Continued
Hospital Overview Community Resource CenterInflation data through April suggests that the annual cost-of-living adjustment for 2020 could be very low, perhaps 1.2%. Even though Social Security recipients received the highest COLA since 2012 this year - 2.8% - COLAs have averaged a meager 1.4% over the past decade. That's an unprecedented low rate of growth in Social Security benefits for an unprecedented period of time. From 1999 to 2009, COLAs averaged more than twice that rate of increase, at 3% per year..With the cash deficits of the disability trust fund growing and with the trust fund's projected insolvency in 2018, something will need to be done about the disability program, and soon..The concern is well justified. The Office of the Inspector General for the Department of Health and Human Services has reported that Medicare Advantage plans deny care inappropriately at high rates. When the Office of the Inspector General collected data, it found that when beneficiaries and providers appealed pre-authorization and payment denials, Medicare Advantage Organizations over-turned 75% of their own denials over the 2014-2016 period. The OIG noted "This is especially concerning because beneficiaries and providers rarely use the appeals process, which is designed to ensure access to care and payment." Only 1 percent of beneficiaries and providers appealed denials. … Continued