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March 2018
Schlein
Washington Watch

Rewriting the Rules – Will Seniors Bear the Brunt of Deregulation and Rules Changes?

Under CMS's plan, the states could set minimum requirements, allowing insurers to scale back prescription drug coverage, for example, as long as it ramped up coverage in another category.
That allows them to make plans less appealing to someone they don't want to cover, such as someone with long-term conditions like diabetes or arthritis – in other words, older folks.

February 2018
Schlein
Washington Watch

Successful Tax Cut Bill Consequences Now Pointing Toward Cuts in Social Security, Medicare and Medicaid? Debates Will Definitely Ensue

Realistically, you can't reduce the costs of Medicare or Medicaid in big way unless you cut the costs of services or eliminate services altogether. So it's important to cut through the phony language when politicians lump Social Security and Medicare and Medicaid together in a fix-them-all-together solution. The policy solutions are different.

November 2017
Ambord
Dollar Sense

A Raise in Social Security for 2018 – Time to Rejoice or Regret?

Since 2000, SS beneficiaries have lost roughly 30% of buying power...Rising prices affect seniors differently than the general population, as housing, medical costs and prescription drugs represent such a large part of their spending. And the miniscule COLA received for 2017 of .03% only exacerbated the problem.

Ambord
Dollar Sense

It’s That Time Again – Medicare Open Enrollment: What’s New for 2018?

By 2020, the donut hole is scheduled to close entirely and go away… though this could change. Assuming the donut hole does close, enrollees will pay 25% of the cost of drugs, up to the catastrophic coverage limit.

Schlein
Washington Watch

Nursing Home Storms Come in Many Forms

In arbitration, the parties hire a private judge and use a different set of rules that can be more restrictive than civil court. A 2009 study found that awards to plaintiffs can be as much as 35 percent lower, using arbitration.

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“Investigators should observe nursing home staff demonstrating their actual emergency plans rather than just checking that these plans would have been written down.  If you have not implemented and exercised plans, they are paper tigers…"

October 2017
Schlein
Washington Watch

Nursing Home Abuse Vastly Under-reported; Emergency Rooms Coming to More Than Medical Rescue

The IG's report blamed Medicare for failing to enforce federal law which requires that nursing homes immediately notify the police in abuse cases.

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A 2011 New York state study found that as few as 1 in 24 cases of abuse against residents age 60 and older were reported to authorities...Because a visit to the emergency room may be the only time an older adult leaves the house, the staff of the ER can be the first line of defense.

September 2017
Schlein
Washington Watch

Follow the Money: Budget Negotiations Could Mean Major Changes for Medicare and Social Security

The House Budget Committee's plan doesn't end with raising the eligibility ages and premium support. It goes further, making a series of "modernization" ideas, including a cap on hospitalization out-of-pocket costs, streamlined deductible structure and limits on the richest Medigap supplemental plans. It would also expand means testing of Part B (outpatient services) and Part D (prescription drugs) premiums for high-income seniors.

August 2017
Schlein
Washington Watch

Nursing Home Patient Care Problems Continue Despite Oversight

The number of nursing homes under special focus at any given time has dropped by nearly half since 2012, because of federal budget cuts. In 2017, the federal government designated 88 nursing homes with this designation and put $2.6 million devoted to fix the issues. But federal regulators identified 435 facilities as warranting scrutiny.

July 2017
Schlein
Washington Watch

Greed and Fraud vs. Medicare: How a Few Changes Could Help the Government Fraud Fight

In Los Angeles a few years ago, one medical center recruited homeless people off the street to fill their empty beds, offering them cash and medications, plus clean sheets and three square meals a day, while billing Medicare tens of millions of dollars for their stay.

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The Social Security number issue will finally change next spring when Medicare is scheduled to start sending out new cards that replace your SS number with a randomly generated beneficiary identifier. The government will start sending out new cards next April with all cards scheduled to be replaced under a Congressional deadline of April 2019.

June 2017
Schlein
Washington Watch

House-passed Healthcare Bill on Way to Senate: Should Seniors Worry About What It Mandates?

They claim Medicaid is inefficient and wasteful, but studies, including a 2013 Kaiser Family Foundation study, point out that Medicaid is actually more efficient than even a private sector program could be.

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