Health Costs Perspective Why Drug Price Negotiation Has Staying PowerThe Medicare Physician Payment Innovation Act, if signed into law, would repeal the SGR and set up a five-year trial period during which physician payments would stabilize and the Centers for Medicare and Medicaid Services would test new payment and delivery models. TSCL strongly believes that the SGR breeds uncertainty in the Medicare program for both physicians and beneficiaries. Many doctors have stopped accepting Medicare patients, and many more are threatening to do so if a permanent solution is not established soon. We believe that Rep. Schwartz's bill would bring increased stability to the program, and we urge Congress to pass it by the end of this year..I've been filling my mother's prescriptions at the same pharmacy without a problem and charged the same co-payment every month. In November when I picked up her prescription, I was charged the full price of the drug. She was not near the doughnut hole. I was told her drug card "was not in the system." I went ahead and paid the full price because my mother needed the prescription, but what can I do now?.Effective since 1977, the GPO prohibits retired spouses, widows, and widowers from receiving the full benefits based on his or her spouse's employment. The WEP was passed in 1983 and reduces the benefit of a retired or disabled worker who also receives a federal, state or local government annuity based on his or her earnings by up to 60 percent. … Continued
Medicaid Issue Brief Medicaid Postpartum Coverage Extension TrackerTSCL continues working for enactment of The Notch Fairness Act, which has recently been reintroduced in both the House and Senate. Like an "old age boost" the legislation would provide Notch Babies born from 1917 through 1926 with a choice of ,000 payable in four annual installments of ,250 or an improved monthly benefit. To learn more about The Notch Fairness Act, click here..Premiums for Medicare Part B, as well as premiums for either a Medigap and Part D plan, or a Medicare Advantage plan..As was noted in last week's update, the AHCA would reform the current health system and negatively impact older Americans in several ways. It would restructure the Medicaid program, which funds nursing home care for many qualified Medicare beneficiaries. It would base premium subsidies on age instead of income, while allowing private health insurers to charge older Americans five times more than they charge younger folks for their coverage. And it would deplete Medicare's Hospital Insurance Trust Fund by eliminating two revenue sources that the ACA created, creating a funding crisis for the program. … Continued
