Medicare to Start Paying Doctors Who Coordinate Needs of Chronically Ill Patients

By Robert Pear, New York Times – Aug 16, 2014

WASHINGTON — In a policy change, the Obama administration is planning to pay doctors to coordinate the care of Medicare beneficiaries, amid growing evidence that patients with chronic illnesses suffer from disjointed, fragmented care.

Although doctors have often performed such work between office visits by patients, they have historically not been paid for it.

Starting in January, Medicare will pay monthly fees to doctors who manage care for patients with two or more chronic conditions like heart disease, diabetes and depression.

“Paying separately for chronic care management services is a significant policy change,” said Marilyn B. Tavenner, the administrator of the Centers for Medicare and Medicaid Services. Officials said such care coordination could pay for itself by keeping patients healthier and out of hospitals.

 

 




Seven ways to prepare financially for retirement

By Robert Powell, USA Today – Aug 16, 2014

Researchers apparently don’t agree whether Americans are financially prepared for retirement. And that debate could greatly affect whether you’re saving enough or too little or too much for your golden years.

Consider two well-known studies: the National Retirement Risk Index (NRRI), published by the Center for Retirement Research at Boston College, and the Retirement Readiness Rating, published by the Employee Benefit Research Institute (EBRI). Those studies suggest that 43% to 52% of Americans won’t be able to maintain their pre-retirement standards of living in retirement.

But other studies, including one by RAND economists Michael Hurd and Susann Rohwedder and a series of studies by University of Wisconsin professors John Karl Scholz and Ananth Seshadri, suggest that only 16% to 29% of Americans have not saved enough for retirement. That, by the way, is consistent with a new Federal Reserve study that shows nearly 20% of people ages 55 to 64 have no retirement savings.




Pervasive Medicare Fraud Proves Hard to Stop

By Reed Abelson and Eric Lichtblau, New York Times – Aug 15, 2014

BALTIMORE — The ordinary looking office building in a suburb of Baltimore gives no hint of the high-tech detective work going on inside. A $100 million system churns through complicated medical claims, searching for suspicious patterns and posting the findings on a giant screen.

Hundreds of miles away in a strip mall north of Miami, more than 60 people — prosecutors, F.B.I. agents, health care investigators, paralegals and even a forensic nurse — sort through documents and telephone logs looking for evidence of fraudulent Medicare billing. A warehouse in the back holds fruits of their efforts: wheelchairs, boxes of knee braces and other medical devices that investigators say amount to props for false claims.




Do Retirees Take Too Much or Too Little Risk With Their Investments?

Wall Street Journal – Aug 15 2014

Many retirees grapple with whether they have a large enough nest egg—and may wonder whether they should be tweaking their investments to potentially boost their returns. With this issue in mind, we asked The Experts: Do you think retirees take too much, or too little risk with their investments?
How Retirees Should Determine the Right Investment Risk

DAVID BLANCHETT : Retirees today are probably pretty close to where they should be from a risk perspective, at least on average. I think a good starting point for the target equity (or stock) allocation for investors is 110 minus their age. For example, an adequately funded 65-year-old should target a stock allocation of about 45%. According to the 2010 Survey of Consumer Finances, a government study on the finances of U.S. families conducted by the Federal Reserve, the average household has about 40% of its financial assets invested in stocks at age 65, declining to around 20% by age 95.




Who Pays Your Social Security Benefits?

By Tim Parker, Investopedia – Aug 14, 2014

There’s a lot of talk about the future of Social Security but do you know how this massive government program is funded?

Social Security primarily serves Americans of retirement age. Of the 58 million people receiving benefits, about 41 million, or 71%, are retired workers.

Who are the other 29%? Social Security also pays benefits to people with qualifying disabilities, survivors of workers who have passed away, and certain dependents of beneficiaries, such as widows and widowers and some divorced spouses. Many of these dependents are children. In fact, according to a report by the Social Security Administration, the program pays more benefits to children than any other government program does.




The Truth About Retirement for Baby Boomers

By Josh Zumburn, Wall Street Journal – Aug 14, 2014

One of the biggest changes in the U.S. labor market over the past two decades has been the increasing number of people working over the age of 55. From the end of World War II until the early 1990s, a smaller and smaller share remained in the labor force but since the 1990s that trend reversed.

In 1993, only 29% of people that age were in the labor force. The vast majority were retired. But participation has been rising and by 2012 more than 41% of that age group were still in the labor force, the highest since the early 1960s.




Part D: Medicare’s shining star

By Robert B. Blancato, The Hill – Aug 14, 2014

Big things are happening for Medicare and its Part D prescription drug benefit. The Medicare program celebrated its 49th anniversary, a report by its trustees pointed to a fiscally healthier Medicare and that same report revealed that seniors have saved more than $11.5 billion on prescription drugs or an average $1407 for the 8.2 million enrolled in Part D.

Since Medicare Part D was enacted just over a decade ago, prescription drug coverage for beneficiaries has drastically improved. Through the program’s utilization of free-market principles, Part D provides access to needed medications, while controlling costs for both beneficiaries and taxpayers. To date, it is the best example of a federal program that works, for everyone. If there was doubt, last week provided two new pieces of concrete evidence to back the claim that the program is popular and competition is working well.




Opinion: Social Security: broken, but not broke

By Jill Schlesinger, Chicago Tribune – Aug 13, 2014
Just in time for the 79th anniversary of Social Security, the trustees of the plan released “The 2014 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds,” with the current and projected financial status of the trust funds. The report contained some optimistic parts, but also some scary realities for programs that account for about 40 percent of federal spending.



Social Security crisis is here

By Jason Fichtner and Frederick Kilbourne, McClatchy-Tribune News Service – Aug 12, 2014

The latest Social Security Trustees’ report shows the projected dates of insolvency for the program’s trust funds remain largely unchanged. Regrettably, some misinterpret this as an indication that Social Security doesn’t require immediate reform. Make no mistake: There is a Social Security crisis.

Misunderstanding the critical state of the program’s financial health will lead to grave consequences for all of the program’s beneficiaries — both current and future.

The 2014 report projects depletion of the combined Old Age, Survivors, and Disability Insurance trust funds in 2033. Social Security has no borrowing authority, and after the trust funds are exhausted there is only enough payroll tax revenue to cover a projected 77 percent of benefits; meaning future benefit payments must be reduced by about 23 percent. But the resulting cut in benefits will actually be much worse for retirees, workers and the economy if we don’t act now to reform Social Security.




Debt: The big threat to a happy retirement

By Rodney Brooks, USA Today – Aug 12, 2014

Debt — whether it’s credit card debt, student debt or mortgage debt — is emerging as a serious threat to a successful retirement for thousands of Americans.

“We saw this huge refinance boom in the 2000s,” says Katherine Dean, head of wealth planning at Wells Fargo Private Bank. “There’s also the trend of people buying homes later in life and buying a second home late in life. We are seeing older Americans saddled with debt.”

In fact, according to the Consumer Financial Protection Bureau, the percentage of homeowners age 65 and older carrying mortgage debt increased from 22% in 2001 to 30% in 2011. Among those age 75 and older, the rate more than doubled, from 8.4% to 21.2%.