Note the article about the changeover. If possible get on one of the panels.
Eric
________________________________
From: Barry A. Kaufmann, NYSARA President <president@xxxxxxxxxxxxxxxxxxx>
Sent: Monday, May 9, 2022 7:00 AM
To: ericprussell@xxxxxxxxxxx <ericprussell@xxxxxxxxxxx>
Subject: May 9, 2022 NYSARA Monday Alert Retiree News
[Image]
New York State's Minimum Wage Should Keep Up with the Needs of Workers With a
Senior Perspective
Monday Alert/NYSARA note - Six year's ago, right after NYSARA went from a 501c3
to a 501c4, NYSARA was very involved in a partnership of like minded
organizations and people to raise the minimum wage. NYSARA was active in in
person lobbying of legislators and the Governor to pass legislation that would
raise NYS minimum wage to $15 per hour. Since our stated objective was to
actively support and lobby on behalf of strictly senior issues many legislators
were flummoxed about how minimum wages were a senior issue. We explained then
and it continues to be true now that currently over 1/3 of those over 65 have
to work to make ends meet, often in minimum wage jobs and the increased wages
increase the contributions to the Medicare and Social Security trust funds. We
joined others then in saying that NYS not only had to increase the minimum wage
but had to be indexed to inflation guaranteeing that Minimum wage would keep
pace with inflation and support families, unlike the current federal minimum
wage. What we got six years ago was reason to celebrate but was a compromise
that did not address all the important aspects or really solving the entire
problem. While NYS is way ahead of many other States and the increase in
minimum wage did not cause a financial armageddon, as our opponents predicted
we need to do better. Now it is time to address the minimum wage challenge
once and for all. NYS AFL-CIO President Mario Cillento writes the following op
ed....
New York State’s minimum wage law has historically been inadequate for far too
many workers. For decades, the minimum wage has been etched in statute as an
inflexible and often arbitrary dollar amount that does not reflect the needs of
working families. Making matters worse, the inflexible amount only changes
AFTER the benefit has been stagnant for so long that its value has been
rendered meaningless. The last such increase was in 2016, over 6 years ago, and
was staggered at 3 different paces based on region. Each region’s value is
decreasing due to inflation and myriad other factors.
The minimum wage law continues to allow a separate and lower wage for tipped
workers and there are several specific industries, such as fast food, that have
had to resort to wage orders to keep pace with real-world worker needs. All of
these factors combined have been a disservice to the workforce and contribute
to broader pay rate problems. The stagnation of the minimum wage also
contributes to stagnation of pay for incumbent, longer term workers as
employers have no incentive or reason to ensure that their annual raises keep
pace with entry level positions. Also, the ongoing staffing problems that
continue to plague public and private sector employers are in large part a
reflection of inadequate pay.
New York City and the suburbs are now at $15.00 an hour and upstate New York is
at $13.20 an hour. Unfortunately moving forward, it appears the minimum wage
will remain flat even as inflation is over 8%, and health care, energy, taxes,
interest rates and other costs of living increase at a fast pace. It is time to
address the shortfalls in our minimum wage law once and for all.
We need to index the minimum wage to address the true cost of living so that it
increases at regular, sensible intervals. This will mean workers will be able
to predict and rely on regular increases and it will remove the need to make
the arbitrary and large increases to make up for past shortfalls. Indexation
will also mean that businesses will be better able to budget and plan for the
increases, rather than having to absorb a ‘sticker shock’ increase that we need
to periodically enact.
An immediate catch-up should be enacted so that the cost of living in downstate
areas is reflected. We should also ensure tipped workers are finally treated
equally with all other workers. We urge the Legislature and Governor to enact
these changes this session. We look forward to supporting this vital issue.
Medicare Pilot Program
ACO REACH
There has been a concern by some that a pilot program that potentially involves
100,000 Medicare participants would lead to all Medicare recipients being
forced onto a Medicare Advantage program run by for profit entities that could
destroy traditional Medicare. This program called the Direct Contracting Model
under the Trump administration and allowed Medicare recipients to be changed to
a Medicare Advantage program without their knowledge or permission has been
renamed ACO REACH under the Biden/Harris administration and absolutely does NOT
allow the change. Under direct contracting those monitoring the program were
NOT representative of Medicare participants, consumers and family physicians
while under ACO REACH those monitoring ARE representative.
Some organizations are making untrue statements that are "pants on fire" that
attempt to seek donations to their organization. Those organizations have put
out a letter about this "demonstration/pilot program that are blatantly untrue.
In a future Monday Alert we will have the letter and will highlight the untrue
statements in the letter. In the mean time educate yourself about this program
both by reading the write up below and going to the web site to see the
comparison of the Trump era program vs. the Biden era replacement that starts
in 2023. See also the stated purpose of the program that is highlighted.
The Center for Medicare and Medicaid Innovation (Innovation Center) is
releasing a Request for Applications (RFA) to solicit a cohort of participants
for the Accountable Care Organization Realizing Equity, Access, and Community
Health (ACO REACH) Model. The Centers for Medicare & Medicaid Services (CMS)
has redesigned the Global and Professional Direct Contracting Model (GPDC)
Model in response to Administration priorities, including our commitment to
advancing health equity, stakeholder feedback, and participant experience. CMS
is renaming the model the ACO REACH Model to better align the name with the
purpose of the model: to improve the quality of care for people with Medicare
through better care coordination, reaching and connecting health care providers
and beneficiaries, including those beneficiaries who are underserved, a
priority of the Biden-Harris Administration.
The new cohort will begin participation in the ACO REACH Model on January 1,
2023. Current GPDC Model participants must maintain a strong compliance record
and agree to meet all the ACO REACH Model requirements by January 1, 2023 to
continue participating in the ACO REACH Model as ACOs.
The redesigned ACO REACH Model reflects the priorities of the Biden-Harris
Administration and responds to feedback from stakeholders and participants. ACO
REACH will enable CMS to test an ACO model that can inform the Medicare Shared
Savings Program and future models by making important changes to the GPDC Model
in three areas:
1. Advance Health Equity to Bring the Benefits of Accountable Care to
Underserved Communities. The ACO REACH model promotes health equity and focuses
on bringing the benefits of accountable care to Medicare beneficiaries in
underserved communities. ACO REACH will test an innovative payment approach to
better support care delivery and coordination for patients in underserved
communities and will require that all model participants develop and implement
a robust health equity plan to identify underserved communities and implement
initiatives to measurably reduce health disparities within their beneficiary
populations.
2. Promote Provider Leadership and Governance. The ACO REACH Model includes
policies to ensure doctors and other health care providers continue to play a
primary role in accountable care. At least 75% control of each ACO's governing
body generally must be held by participating providers or their designated
representatives, compared to 25% during the first two Performance Years of the
GPDC Model. In addition, the ACO REACH Model goes beyond prior ACO initiatives
by requiring at least two beneficiary advocates on the governing board (at
least one Medicare beneficiary and at least one consumer advocate), both of
whom must hold voting rights.
3. Protect Beneficiaries and the Model with More Participant Vetting,
Monitoring and Greater Transparency. CMS will ask for additional information on
applicants’ ownership, leadership, and governing board to gain better
visibility into ownership interests and affiliations to ensure participants’
interests align with CMS’s vision. We will employ increased up-front screening
of applicants, robust monitoring of participants, and greater transparency into
the model’s progress during implementation, even before final evaluation
results, and will share more information on the participants and their work to
improve care. Last, CMS will also explore stronger protections against
inappropriate coding and risk score growth.
Compare the GPDC (Trump era program) to the ACO REACH (2023 Biden
Administration program) at
https://innovation.cms.gov/media/document/gpdc-aco-reach-comparison
Drug Prices Remain High and Unpredictable as Beneficiaries Look to Lawmakers
for a Fix
From our Friends at Medicare Rights
Medicare drug prices keep rising faster than
inflation<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDPvn3hEe9INeEKChwzt2WN41BWl66dAyRBuFoLsy8siZszQSJsTwJNKX5XHhfdpY9iAgMLPeFK_WneDwZb5q2DBrT-jUkNanfCACELKDmV5kZbCMRhvGFoZVmRITBttITQUul508UQGNV6CYgJL07xh-v0ehxOEcoQehslAi-zVp_l2Wq5QlNODIT0KUB0kvA03e2Ul8ccUijre__MwYhcL2WBS4T7aRoergVA_ux8G6N9HjcqssKqcGSfPK93h4xtG_1Az9jqfTFTuMiR-z4S2ykIeyoxy7RbKjYwQTd5g2qiCD-ytZLhiRoFaSjhY3yS-iDKMe4ZYS-140w_Q3afjlnpdPFzVGMrWQEUrignFTp2KOh5Muzv5ELcPwOK1nGk5N6c_I7m4eVQ7VNJxOxXOCk7EE7scfm6cVGeik5Eqv%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh0%2FNF0RkKJEG9bodHHRvgITAD2_E74OrHuRsEjVfHRjHYU&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=IxlEuvldr1D6Cux1hH5yOyh18zwWfvs8%2Fmgf4amKxl0%3D&reserved=0>,
and 8 in 10 adults say the cost of prescription drugs is
unreasonable<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDNeAOFa8HYXHQYNty7vbjNSCmCBamzuUEdOvtzKb49KoYjT0uPrVSMccDfieyWlc1676D2l6uiUGS84wfenc1z5T8EKX01soQEPUD5gFSToVsLO81crPf6heJtNRmPN8dVtf_lZTmuRxm8bi6axgXtEifuOBejpXdMriAsncZ_bN6DTeSm261CUtk2p69RUv9K55La5z-luYh6I73rI_qd8rPh6f9CE5mFua1aQX9MEg_Uf_DRmMZnvQJQ5yiGaQN6WTWxjaQqhPanIiqUy0yToDGfISpcttDX9r5Wo2MeL_oGrQbVSZlfZ9GQf3uJfO0HMGK5VOaxDL-NX0VcNSuEW-q2yp3dEHbgvLwp3IGQywLA_MIzm0Lh9wvxOOIXQe_g%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh1%2F_x-9Ded7HRvQmubkET3qwEBHJJ_VrnLs6Dzp0rxQwHI&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=EnArsAWo3W1IQ%2Bd7nfiCHEfyAeF%2BCfgnyKe0tO1OnjE%3D&reserved=0>.
A recent Health
Affairs<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDBw3aHsLIb31i8g8lZ_ZyaqdhBcSV_8XZoxrxvsrmn1I4ib2qsUijGdcLpKCsA4Ei2EnWomfVtRTOP2_8gl8muToxLv8lGpPXsyGfpNJfGoM8rKUTOcfBntDGk_P92q7p2P6_DaB6KeXAfGlUHDyg5t4vQbs779Klawx49W-8i2wc7DNVPib74fZ-0py4XyoP9_HOJOqREj_JhsbuK9ZNy-e352BEn2vO8AY9MipplIjzcj_ABrvPotxpK5p-nQZSr3HPUgnBeR3N-hbozNKmKb8-dOSkC4nzNCy4pVlelGffqvS_pLLAF7Jt0SVaborjQ25AZ_meGpGCFV7hAazp3Y%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh2%2FCloDcJwlreLbntAcYpgH6JNIJ_cwd3ZnDet8ftHtLTA&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=ras77mb8HTGMuyv4Kixiv%2F3beoAtMmpa79LSh3shd9o%3D&reserved=0>
article examines how and why Medicare Part D net prices are “significantly
higher and growing much more rapidly than those paid by other payers, such as
Medicaid. . . “.
The article references two Congressional Budget Office publications that found
that Part D brand name costs are high relative to other federal payers and have
grown much faster than inflation. The reports find that “market-wide
assessments of net price growth hide significant variation” across payers. When
considering both the net price growth and the change over time in the mix of
drugs taken by people with Medicare, brand name drug costs grew more than five
times the rate of inflation from 2009 to 2018. They argue that this increase
“is largely driven
by<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDAP3OwxUerZLAaryGxZP-WW4zFbSMRBJxE6QJ4ILV5rmcOD81TQSTp0aiRbAZ2HbLv67TdKUQEtIlt8TtCONr1YKEJUgpC50J0wHKRgByfPwzG6l6GebUW-SmTbcIp6DrmQXskKRuvBDCcHPkMKJZxLxy-CSvTL8KXD2aC9lPaem6YOT7xJfdmMo3Osukw4lPXNuMgdTCs9Oxnd3LPPgB2rZCXHbGmgaI-NWD1e8EjlRcQJEctFMaeTGKOp3jaLC2pHlzQHLyqgxx8xXkj8QvDb37OqpqsAh8gIQMQiuFrhgmPvaPNyztzEP7nSFSnKAj6gcqWYbYGFZO_cIhbUAE9PEDFhlx6_IPQOEfQ51_zMtFBE7EItM7yvs3Q0s9KaxQ5h8MVlTny7_dS45BQq9_1zOQzCWx1Lluf-rc33ubGbI%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh3%2FlvwqHuJc4nuVzYCcu2K3rEk5Pr6fqPCZXHDrpUYRLKI&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=cSpMVusG9fOLlr6r5zN4rOln%2BX9UeEQj%2BPuomNl1nYM%3D&reserved=0>
use of high-price specialty drugs, which are a growing
share<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDMr6eoKZXRohXOGYTD_dGDSnX_LvXNAZOS7qa7heLfUR7CJNBtklhs_ndU7w6VQqrak13m16yIJOGMItMVIvhgq3DzJmEoLgx9e7WoXKmr7hUVcTwJkajsixv42QuQZ1JvaLnYWmPinDSeE7_b5a1ymUObnYwb14Ub-pn4GfEPtlDsFXwi8nZg6ecXx0k93gMp-nwT876Z4UH-IbNUxr_1p8fq8VEIZhAQLRaRgncyXXUSinulZhkTwtvGW35kH9pAHUjyxlHErh81fTN8QKdq-s-yr0hvkcEt9M80pWMAwzqXGXJTXO2IGSxNtiQYN8R4M7HO1KRc04Buus2W4O75-fxHyvczUJT0qkJc1796I-%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh4%2Fk_Yc3ORjNi10grTDPgvEgsDB0nM8fNEhoSLzitrzbNM&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=n7zmtDBMbr10T%2FpTNrioJtBEVWLSCohAHSBEhHjfkzQ%3D&reserved=0>
of the drug
pipeline<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDPQ4noM2eDS7iuTwaNZapYuakGgcnW2ga8HvoSJL5oH0A_nDNYA-jBb8SXZfcvvW5J2Bwe6Eq97EjnfnBGdVa4f5ElTNWgskOx54h4KVpoHdJqg18AJzxnU_bpioNCsT5GufQDorOSk2vX-IdGbnc2SKix30_Ej-0o7M-xG4cqJNJuQrVP1gWY7iQ2IQ5wO8VMAdOOSc5s11KcsN3CcHViZmHbtNbaiC0pzQ3DXcUHcP-Kj-RQNDqc023VUH400qO6OPFsxoERw9wnXVeJE6b6g8Ga9eToL-CMgWY0SzHg87aubWaJ1DdqaKqYpCyaedzIZwbviDIkwz-GVpf8FtbOyhR8EfRDXCaqtZcEyopaGOxGAgjUUdYWSJzBp1l_kqCA%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh5%2FL_7SjMlFnYJjxZ6quK682DBsTiG2krBJbLiOe3DudyI&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=8wzYgufXN4Awxz7hfodWZHx67OJiy%2FXCLHiUxT%2F9rek%3D&reserved=0>,”
and that comprehensive reform is needed to avoid increasing burdens on
Medicare, taxpayers, and beneficiaries because most of the expected gains from
lower-cost generics have been realized.
Earlier this year, Medicare Rights
flagged<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDF4XFQ5RBkSodmMvsTyswfRgiMLgVRZm-LqC__b04sNpdgX2AvtsRUn2hpuro7IPFW17wxwHT8E8EiieRJ2My-m9-cbKei9BKMlm7xjxhNNoSmVulgmwe9Inmd42VEVu8WnZduYN4JRj9uuysDTNTJOkmsxA-cmrpLRvnAunu8r067nSekyPrtCJ14FZJTiOt-wEKXfX_eKOjlJylGhdHwcxsQnsuyhdxJryz2eDPGG90zbOHoelqjuqj-1faxiA15Abx17HQQB_SaI5tbvLA4noyDRn0bK3ELNT1L2M5KFNgbwZBwaLD3pdPa8aLsBy4-IkjhaVjXZnL6xKI9Dv3e7a5dFD8atgC5yi6bLGCorD%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh6%2FWx2yb8-yG46IbCH45J3Xf0PcH3YIRRAJJoJgLGfqR-E&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=nQ19SsFQgP12VfI1IrDZkiHeIl21F%2F0I%2BKWxw8jXtFs%3D&reserved=0>
an AARP Public Policy Institute
analysis<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FSVVf6UGddUySPN6znLYVWiTVJIfMwU1pwJKusir5ca11E_XTX3L3v2HouQiPVKF8JkfnKl6NdhOab4eRvtBDHbkL7JfDm_VXFdXTP1-MB8A-3_lIjEPpEZbuFrMWfe47J7DCVMhjs_qC19Em2_zK6-icWk3zAtGlDIlkdgfBZcWfVd2y0gH7fw-6o--6ZvZmaJY1Oe_ec9AFjqV4h5A08sq9WR82kqJ32AHO-s5IM7LzIe93esGDd3Z4Fhvrv6ck6SewRczN_OOOSE1-uevoe3sMnAUgQ3gyObBkL-P2hvWMvjpiYjqXn6yw2VSeYSh8nrzI4iUg_0Yvds_a5GlNgMFn1-OC2u0ogVoqU3kTKkas6h3_691gBrMHSnCBDpmY7yNAZXXBvWFLwFh-TTgYINCVNcXu0VfH-onFSVzzIfo%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh7%2FmwynD-ZN6fA4hMTRz5d-9erPMZL7k6smwmCjog7cqpE&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=r2tsvU%2BbmOn7jFha7A%2BQI7oFzoZS7Uc0idgAYx6ETpY%3D&reserved=0>
that found drug companies increased list prices for 75 of the 100 brand name
drugs with the highest Medicare Part D spending within the first two months of
2022. These increases mean that copayments or coinsurances that people expected
when choosing their Part D plan during open enrollment may have also increased.
Plans may change coinsurance and copay amounts when manufacturers change prices
because copay amounts are set based on the full cost of the medication. These
adjustments and increases can result in surprise
increases<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDK82BMzJuU3ZKuJtNHLYvEpT7Nqrg60UUd5XpsMrdmaqq3mZDVJLzbKigQCGeTdDXOgZ7pDkMQLoDsKQv2DwZoL91ZZwCJmJgb6LWcO__ghQTQooMqj_A77N0jaUs1SF_KmdgcGnSRdaAMFEjYE8qUqWb4SF3h1bv83eBI8GrG-rAgZFdWnsml_cMvPY2JsZw1Z76Mx42B3A97_fOMV6ZXQWyiiX1hSWkm6CTR8mI_eosP59iIaQehcuMyCpIdl2h7S8R8uDgTTwzdK3wieEdaDCkU3ifxI36JIBEhh5FkuY-BRQcSLc18nDxQgEfMKhYTef1tDu3r-ASrts3LJ96lN7Ulpc4lt02pVWW4FDnlve%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh8%2FJ3m8rK-5Y_nGgFn4Lx-c7WBqT8oOD_2x_entrChOY98&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=Ti%2Bkd7edy8FFL5BMS9lB9AZkePXwSHdpEQ3GpwYowDI%3D&reserved=0>
in costs at the pharmacy counter.
These reports make it even more apparent that we must take immediate action to
reform drug pricing. We support comprehensive efforts to lower prescription
drug prices through capping beneficiary out-of-pocket (OOP) drug costs;
realigning Part D financial obligations; penalizing drug manufacturers for
price hikes that outpace inflation; and allowing Medicare to negotiate drug
prices.
White House Issues “Older Americans Month” Proclamation
The White House has officially
proclaimed<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDEA0Es8AR8U9h_eL5jzwmAKy8CPWXmMSKb979xq4aFRMETdQqx02azQlwMocacCnxE0-XTrJ_mjJ1_XV1S78Zkv3f1PTuw0JBbHW_qEoVci2f6UHbiNXmj0lhvGjJ9DqWKLuX6S5nLVfLgYrlGknIrjuQRnzfzAXoWU3w0nxAv3AeQ70FrsW0mxpbx2kOmaQroc5sslX-6NUsjWY3oUa5T_A3YFGVO1s_Fti7y2l7TghZtbOJrm5cjsQWuaQB0zK0q5EV_J8f1cUDH6Eu6QL_bjWLgkwV3D1fQ2RlxGOVUH3ROcA2rysNHLUlRpzV6I8jeCaDDdviZk2bARPyHla8A1QrFkYmhClZdVWssZibwAYDEog2r8zuFv2rBvVcM7cxRSb_MoqywrKkfmnDdcvfk4%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh9%2FRKEIICHoSEaTQjdsExKzV0squZA65K1LKuFIXWjmed8&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=LCEr1E3bBw%2Fof8c0kR98j1tWhLGnjoeO9%2BWqP8JouyI%3D&reserved=0>
the month of May “Older Americans Month,” outlining a number of programs and
resources that will help seniors remain safe and healthy as they age.
President Biden noted that the American Rescue Plan, passed into law in 2021,
invested $1.4 billion to provide older adults with services for nutrition,
health promotion, disease prevention, caregiver support, and long-term care. It
also provided additional Medicaid funding to support millions of older adults
with disabilities and to help states improve the quality of caregiving jobs.
“Older Americans contribute their time and wisdom to make our communities
stronger, more informed, and better connected,” said Biden in the proclamation.
“They are our loved ones, friends, mentors, essential workers, volunteers, and
neighbors.”
In addition, the proclamation stated that the Administration is dedicated to
improving the safety and quality of care in nursing homes — ensuring that
facilities have sufficient staff, that families have the necessary information
to support their loved ones, and that poorly performing nursing homes are held
accountable.
“This White House is truly committed to providing the resources that seniors
need to have a secure and healthy retirement,” said Richard Fiesta, Executive
Director of the Alliance. “President Biden is a strong ally and Alliance
members are determined to work with him to expand Social Security and lower
drug prices.”
Alliance Facilitates Partnership with Labor Movement, SUNY to Help Students
with Family, Financial Obligations
Building on a mentorship program that the International Association of
Machinists and Aerospace Workers (IAMAW) established with Aviation High School
in Long Island City, New York, the Alliance has helped bring together the
American Federation of Teachers (AFT), the United Federation of Teachers (UFT)
and IAMAW in a partnership with the State University of New York (SUNY) that
provides pre-enrollment credits toward a college degree for high school
students. The credits are for extra classes taken in a high school aviation
program.
The partnership will credit graduates from Aviation High School who earn their
Federal Aviation Administration airframe or powerplant license with 28 to 29
college credits — roughly the equivalent of one year of college — toward a
bachelor’s degree in transportation management or labor studies before they
enroll in courses at SUNY Empire State College.
[https://s3.amazonaws.com/can2-unlayer/1651858941096-pres+with+caption.png]
IAMAW officials have been working on the program with Aviation High School for
two decades, and the Alliance facilitated discussions between AFT, UFT and SUNY
officials to set a goal and execute a plan. The work culminated in Aviation
High School and SUNY Empire State College representatives formally
signing the new agreement on April 27.
“The Alliance is engaging with young people as well as seniors. The program
helps students who have to take care of parents, grandparents or other family
members during high school, so they are not left behind due to their caregiving
responsibilities. It also helps students who have financial or other family
obligations and may need to work,” said Robert Roach, Jr., President of the
Alliance. “UFT members, who are affiliated with AFT, were key to obtaining this
agreement. Their dedication and expertise led to this successful outcome. This
is a program that could go nationwide if the results are what we believe we can
achieve.”
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More photos from the signing event can be viewed
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Visit the SUNY Empire State
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website to learn more about this new and exciting program.
COVID-19 Death Toll Among Older Americans Still Rising
Throughout the coronavirus pandemic, unvaccinated people have accounted for a
majority of COVID-19 deaths in the United States. But, in recent months, an
alarming number of vaccinated older and disabled
Americans<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDDUV27dB1SLFWpo-Uwox6EMS-133YkXvE9Q-PBVY-QYM1t-GHLSk1NzVpxr8zplA5xd4SrR4tkH034d6s73W_CY9qRMXUBXfoB9I9skdZJYnTMXu_Nngji-iAW2mpXN3vWDdW7MYFOrb8w_zVAC3KpUbcJG3AWhF_TZLHNL__EoTvEuPAADK0BbkEfhPI3BE96lWELtvZSxmaWQPLSJN9Df-KiTh2OEuXrocXPnJ1s68ZoF1oToTuBuR_OG_vaKGjDKTsSq1eBm129vtJA2iskoZiSEy0ON-MpEP0YCf36u1CWTWzgZ09na2Ka5sbhxDhqZ0s2wdx_PTaTF8VR2BkdgPI0SEq_4OFcRw6Y4NHtZW%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh12%2FKFJuhvvuAIrtkOZy8RwNcw3mw27ZNcWHMxJ79n-T1Go&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=Vn7RqegKxRlLM5jMCIGNCiCRaBZ%2FuLuThlmYV7VhorQ%3D&reserved=0>
have succumbed to the disease.
Forty-two percent of the people who died in January and February during the
highly contagious omicron variant’s surge were vaccinated, compared with 23% in
September, the peak of the delta wave. Most of the vaccinated people who died
had not received a booster shot. This analysis was conducted by The Washington
Post using data from the Centers for Disease Control and Prevention (CDC).
While a majority of seniors are immunized, the vaccine’s potency wanes over
time, leaving older people vulnerable to severe infection. The highest
concentration of vaccinated deaths occurred among older Americans and the
immunocompromised, with those over the age of 75 making up two-thirds of the
deaths from the ‘omicron’ wave.
Still, unvaccinated people remain far more likely to die from COVID-19 than the
vaccinated, especially when compared to Americans who have received booster
shots.
Health experts continue to stress that the overwhelming majority of the
vaccinated will survive COVID-19 infection. However, they argue that the deaths
serve as a reminder that high-risk groups such as older Americans should
receive booster doses and exercise extra precautions during infection surges.
“Seniors remain especially vulnerable during this pandemic,” said Joseph
Peters, Jr., Secretary-Treasurer of the Alliance. “The CDC has approved second
booster
doses<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDPuP5gMnJkdm95O-6xlV9hjJGyjcWVcmS99gYhbQ4OlKjIrWCuP_GaAVaFZOT91bzkEbeK7TGETled1mLpFzeSuJ56wYMTrVVPeW_H-Bzjq8OlGC930Ilhc1kGF6qqr3TAppJygARNOOQjtK415apDa2C4x6SL8wFufkvVSekvYWKvr5loCtkFocVxL8Z06uV3NfS-GFekX9SWzPJWsa6_ZYjS4CICk-jvGXKU8shtK8swSVgjON3Qh7UzdTr4b2wj3MWmoVBsrRkvBLTWRxf6SAiuJgfJ21cwi3PbPiRDvIqNv09zCzgfRmEFbNlimOp8e7qqOb1TplICd2pIuGguE%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh13%2F2Eelg8So9KMI9Lh0omdUWTt58qvyBEtWYwdT8d-eaqY&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=1R10df3EaS4%2FtoYSzeq9uH6rYVUqP2a%2BL%2FITlr4FPQU%3D&reserved=0>
for those 65 and older and those 50 and older with underlying medical
conditions<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.actionnetwork.org%2Fss%2Fc%2FatcYNHk4Eh2YdGnwBh-YDC1zXjOgMKTq1qg9b7LMk8PiY9Dh3Id1nPeCyb2kt6xlFxuvisbbzxeNOR9O-233J0ncyV7hFR5DOj4WD1E1UN-CRma_SiMsn3IwHbTVEkFN8qbDnrR3RsH9saMIunUAh2z59uN6USizbcOoddF-shIa0FlneDg9K7Kro8RuDnyzasWvMJuHq59NqMO1F4VPbPYWFv0T2KZ40YJRwNgxmODy-xN_8OzmELNQEmQ855CCLNqLWNj7Y3ZKQ860BF4oG149Xu5jjDJ6jqMQZIQB-AzX5Jczq129Kvr14PXGGneQJuOpEnY1z4hBSYZWMmPRWN3L45hZL9gcx0sz5ioc0QNxozJAa3TvDVkD4r0VFhzzmEUl2rnByQ3IS6Hdwr_Uhw%2F3lw%2Fdxdt9VbwR4OR02xosXgBYQ%2Fh14%2FpUx3n100_Sgbiie5mNuGd51CPmSumvXs4mLtdfTx6Ho&data=05%7C01%7C%7C80129c68f30846bf222d08da31ab28df%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637876908451087699%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=SS3swOKyRYLUhs27PLnQUojHiEaDQ5RZTBpLlrQpUZg%3D&reserved=0>
that increase their risk for severe disease from COVID-19, and we encourage
all seniors to follow their guidance when it comes to receiving that added
level of protection.”
Kaiser Health News: Medicare Surprise – Drug Plan Prices Touted During Open
Enrollment Can Rise Within a Month
By Susan Jaffe
[https://s3.amazonaws.com/can2-unlayer/1651858561563-image+(16).png]
Something strange happened between the time Linda Griffith signed up for a new
Medicare prescription drug plan during last fall’s enrollment period and when
she tried to fill her first prescription in January.
She picked a Humana drug plan for its low prices, with help from her longtime
insurance agent and Medicare’s Plan Finder, an online pricing tool for
comparing a dizzying array of options. But instead of the $70.09 she expected
to pay for her dextroamphetamine, used to treat attention-deficit/hyperactivity
disorder, her pharmacist told her she owed $275.90.
“I didn’t pick it up because I thought something was wrong,” said Griffith, 73,
a retired construction company accountant who lives in the Northern California
town of Weaverville.
“To me, when you purchase a plan, you have an implied contract,” she said. “I
say I will pay the premium on time for this plan. And they’re going to make
sure I get the drug for a certain amount.”
But it often doesn’t work that way. As early as three weeks after Medicare’s
drug plan enrollment period ends on Dec. 7, insurance plans can change what
they charge members for drugs — and they can do it repeatedly. Griffith’s
prescription out-of-pocket cost has varied each month, and through March, she
has already paid $433 more than she expected to.
Read more
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