RAO Bulletin Update
15 December 2007
THIS BULLETIN CONTAINS THE FOLLOWING ARTICLES
== Military Health Care TF [07] ---------------- (Report Finished)
== Traumatic Amputees --------------- (Nam Vet Rehab Research)
== DFAS 1099-R for 2007 -------------------- (Availability Dates)
== Veteran Charities [03] -------------- (Congressional Hearings)
== Veteran Charities [04] ----------------------- (AIP Report Card)
== DoD/USPS Military Mail Policy ------- (Generic Addressees)
== Alabama Veterans Homes ----------------- (4th Home Planned)
== Utah Veterans Homes -------------------- (2nd Home Proposed)
== VA Fraud [04] ------------------- (Monessen PA/Ellington CT)
== Tricare Data Breach [02] --------------------- (Another Breach)
== Filipino Vet Inequities [07] ------------------- (S.1315 Impasse)
== NDAA 2008 [11] ------------- (Conference Committee Results)
== Pennsylvania Vet Bonus] ----------- (Application Availability)
== Chapter 61 Disability Pay [01] -------------- (CRSC Eligibility)
== Medicare Reimbursement Rates [07] ------- (Impact by State)
== VA Claim Tips ------------------------------- (What to Research)
== Salvation Army ---------------------------------- (Scam Warning)
== VA Secretary [05] ------------------ (Peake Hearing summary)
== VA Caregiver Program -------------- (Pilot Programs Funded)
== SBA Vet Issues [06] ----------------- (Vet Program Expansion)
== Medicare Part D [16] -------------------- (Less 2008 Coverage)
== VA Psychologists ----------------------------- (Unlicensed Staff)
== Vet Bonus Paybacks -------------------------------- (Overstated)
== Iowa Vet Bonus ---------------------------- (Extended Timeline)
== GI Bill [16] ------------------------- (Faster Education Benefits)
== CRDP/CRSC Open Season ----------------- (1 thru 31 JAN 08)
== Elderly Emergency Room Use ------------ (Drug Side Effects)
== VA Compensation Rates (Disability) -------- (2008 Mo Pmts)
== Draft Exposure ------------------------------ (Impact on Elderly)
== Deep Vein Thrombosis --------------- (Kills 200,000 Annually)
== TRICARE Coverage [01] ------------- (Guaranteed Coverage)
== USERRA [04] --------------------------- (25% Vets Dissatisfied)
== Pre-need Funerals ----------------------------------------
(Pitfalls)
== Ca & Federal Disabled Benefits (20% SC) --------------- (List)
== Ca & Federal Disabled Benefits (30% SC) --------------- (List)
== Estate Tax [02 (U.S) -------------------------- (Exemptions vary)
== Veteran Legislation Status 13 DEC 07 ----- (Where We Stand)
MILITARY HEALTH CARE TF UPDATE 07: At a public meeting of the Defense
Health Board, the Task Force on the Future of Military Health Care gave
a briefing which included a general description of what their
recommendations to the Secretary of Defense and Congress are going to be.
While
they were not a surprise; they are a real disappointment and worry for
the future. Following are a few items they covered that could impact
retiree financially:
• Along with many structural changes the Task Force made clear that
they are going to suggest increases in enrollment fees and deductibles for
retirees under 65 enrolled in TRICARE Prime.
• A new “modest” yearly enrollment fee for TFL.
• Changes in the incentives for everyone using the TRICARE Pharmacy
program (that translates into making co-pays to direct patients to choose
the mail order pharmacy plan or the MTFs).
• Automatic increases in enrollment fees, cost shares and deductibles
every 5 years
No specific numbers etc. will be announced until they present the
report to the SecDef on 19 DEC. Remember these are just
recommendations-nothing is final. But it is clear that there will be much
more work to do
on this again next year. [Source: TREA Washington Update 14 Dec 07 ++]
TRAUMATIC AMPUTEES: Recently, much national media attention has
focused on the traumatic amputees of the Iraq and Afghan conflicts.
However,
there is little known about the long term outcomes of traumatic
amputations arising from war. The largest remaining group with a
lifetime of
experience is the Vietnam War amputees. It is estimated there were
6,000 or more Vietnam veterans that came home with missing limbs.
The
Department of Defense has funded a partnership between Indiana University
and Ohio State University to create the Indiana-Ohio Center for
Traumatic Amputation Rehabilitation Research. They are trying to
locate
Vietnam veteran amputees in hopes of gaining a better understanding of the
needs of these veterans. Their objective is to study the health,
psychosocial, and rehabilitation needs of veterans with amputations to
help
determine the needs of Vietnam veterans and aid in the rehabilitation
and adjustment of traumatic amputees from present and future conflicts.
The Center is currently establishing a database of Vietnam veterans who
had amputations. The researchers are asking for those veterans
to
register by filling out an online questionnaire or obtaining a hard-copy
version through the mail. Participant confidentiality will be
strongly protected. The study currently has 125 Vietnam vets
enrolled but
there are many more out there and are encouraged to call or visit the
website for more details. For more info refer to
robbinsc@iupui.edu or
www.vietnamwaramputee.org or call (866) 283-2599. To obtain a hard-copy
questionnaire, call the number or write: Mr. Chris Robbins, Project
Coordinator, School of Health and Rehabilitation Sciences, Indiana
University, 1140 West Michigan St., Coleman Hall CF 124, Indianapolis, IN
46202. [Source: Office of the Secy of VA VSO Liaison 13 Dec 07 ++]
DFAS 1099-R FOR 2007:
• Retirees and annuitants receiving compensation from the Defense
Finance and Accounting Service can expect to receive their 2007 tax and
account statements beginning in DEC 07.
• DFAS customers with myPay access will be able to retrieve their tax
statements electronically up to two weeks sooner than those relying on
regular mail delivery.
• Retirees can view their annual statement now on myPay, and their
1099R should be posted 18 DEC 07. These documents will be mailed via
U.S.
Postal Service beginning 16 DEC until the end of the year.
• Annuitants can view their account statement and 1099R via myPay
beginning 18 DEC 07. These documents will be mailed via U.S. Postal
Service
beginning 19 DEC until the end of the year.
According to Lee Krushinski, acting DFAS operations director, tax
statements available through myPay are approved for use by the IRS and
have
several added benefits – mainly availability -- for myPay users. Mr.
Krushinski also pointed out the use of “restricted access PINs” allows
users to have other family members, tax preparers or other trusted
individuals view and print their tax statements without the ability to
change
any pay account information. This can be of particular interest to
anyone who uses commercial tax preparation services. The restricted
access personal identification number can be established after logging
into
a customer’s myPay account. Using myPay to access tax and account
statements eliminates the preparation and mailing costs incurred with the
traditional distribution methods. Combined with the earlier
availability of statements online, this makes myPay a better option for
many DFAS
customers and the Department of Defense, said DFAS officials.
Customers who have forgotten their PIN, or wish to open a myPay account,
can
do so on the myPay Web site at
https://mypay.dfas.mil/mypay.aspx.
[Source: Air Force Retiree News Service 12 Dec 07 ++]
VETERAN CHARITIES UPDATE 03: Americans gave millions of dollars in the
past year to veterans charities designed to help troops wounded in
Iraq and Afghanistan, but several of the groups spent relatively little
money on the wounded, according to a leading watchdog organization and
federal tax filings. Eight veterans charities, including some of the
nation's largest, gave less than a third of the money raised to the causes
they champion, far below the recommended standard, the American
Institute of Philanthropy (AIP) says in a report. One group passed along 1
cent for every dollar raised, the report says. Another paid its founder
and his wife a combined $540,000 in compensation and benefits last year,
a Washington Post analysis of tax filings showed. There are no laws
regulating the amount of money charities spend on overhead, fundraising
or giving. The House Committee on Oversight and Government Reform was
scheduled to hold its first hearing on veteran’s charities 13 DEC.
"People want to help the veterans," said Rep. Chris VanHolland (D-MD), a
member of the oversight committee. "They don't want to enrich
organizations that are cynically exploiting veterans for their own
personal gain.
"We need to make sure that the generous contributions of Americans to
veterans will help veterans and not line the pockets of fundraisers and
these organizations."
The AIP’s report suggests that 20 of the 29 military
charities
studied were managing their resources poorly, paying high overhead costs
and direct-mail fundraising fees and, in some cases, providing their
leaders with six-figure salaries. The 12 charities rated as failing by the
institute -- including the Military Order of the Purple Heart Service
Foundation, the AMVETS National Service Foundation and the Freedom
Alliance -- collected at least $266 million in the past fiscal year. The
charities' practices have sparked outrage among some members of Congress.
Richard H. Esau Jr., executive director of the Military Order of the
Purple Heart Service Foundation, said the cost of fundraising limits how
much his group can spend on charitable causes. Three emergency relief
groups that are holding massive asset reserves are the official armed
forces charities for the U.S. Army, Air Force, Navy and Marines, which
provide financial, educational and other assistance to current and past
members of the armed services and their families. These three charities
have combined fund balances of $638 million yet spent only $59
million, according to their most recently available financial reports.
Army
Emergency Relief (AER) tops AIP's list of large asset reserve charities
in relation to expenses with 17.6 years of available asset reserves and
a fund balance of $307 million as of 2005. Air Force Aid Society (AFAS)
has 10.1 years of available asset reserves and as of 2005 holds fund
balances of $172 million. Navy-Marine Corps Relief Society (NCRS) has
fund balances of $158 million as of 2005. Its years of available assets
is lower at 4.8, barely low enough to keep them from earning an
automatic F grade for charities having over 5 years worth of available
reserves.
Daniel Borochoff, president and founder of the AIP,
said many
veterans charities are woefully inefficient, spending large sums on costly
direct-mail advertising. "They over solicit. They love to send out a
lot of trinkets and stickers and greeting cards and flags and things
that waste a lot of money that they get little return on," said Borochoff,
who plans to testify before Congress. The AIF gave F's to 12 of the
29 military charities reviewed and D's to eight. Five were awarded
A-pluses, including the Fisher House Foundation in Rockville, which the
institute says directs more than 90% of its income to charitable causes.
One group received an A, and one received an A-minus. One egregious
example, Borochoff said, is Help Hospitalized Veterans (HHV), which was
founded in 1971 by Roger Chapin, a veteran of the Army Finance Corps and a
San Diego real estate developer. The charity, which provides
therapeutic arts and crafts kits to hospitalized veterans, reported income
of
$71.3 million last year and spent about one-third of that money on
charitable work, the philanthropy institute said. In its tax
filings, Help
HHV reported paying more than $4 million to direct-mail fundraising
consultants. The group also has run television advertisements featuring
actor Sam Waterston, game show host Pat Sajak and other celebrities.
Chapin, 75, the charity's president, received $426,434 in salary and
benefits in the past fiscal year, according to a filing with the IRS. His
wife, Elizabeth, 73, received $113,623 in salary and benefits as
newsletter editor, the Post's review of the tax filing showed.
Bennett Weiner, chief operating officer of the Better
Business
Bureau, said the agency has 20 standards for reviewing charities,
including that a charity's fundraising and overhead costs not exceed 35%
of
total contributions. Weiner, who is scheduled to testify before the
House
committee said he could not comment specifically on veterans charities
until after his testimony. Advocates for veterans said they worry
that scrutiny could damage military charities in general. Sen. Charles E.
Grassley (R-IA), one of Congress's leading critics of charities, said
some of the groups are abusing their tax-exempt status. Rep. John
Serbanes (D-MD), a member of the oversight committee, wants veterans’
charities to be held accountable. "I hope there is an explanation, but it
seems that most of the funds they raise never reach the veteran
community,"
Sarbanes said through a spokeswoman. "Some of the practices being
described are simply outrageous."
Rick Cohen, an expert on nonprofit groups and former executive director
of the National Committee for Responsive Philanthropy, called the
spending decisions of some charities grotesque. "I think in light of the
Iraq war and the Afghanistan war, these veterans are the people who we
should really be protecting and not using as excuses or avenues for
ripping off charity philanthropy," Cohen said. [Source: Washington Post
Philip Rucker article 13 Dec 07 ++]
VETERAN CHARITIES UPDATE 04: The American Institute of Philanthropy
(AIP), a leading charity watchdog, issued a report card this month for 29
veterans and military charities. Letter grades were based largely on
the charities' fundraising costs and the percentage of money raised that
was spent on charitable activities. Following is an alphabetical
summary of charities and grade assigned:
Air Force Aid Society (A+)
American Ex-Prisoners of War Service Foundation (F)
American Veterans Coalition (F)
American Veterans Relief Foundation (F)
AMVETS National Service Foundation (F)
Armed Services YMCA of the USA (A-)
Army Emergency Relief (A+)
Blinded Veterans Association (D)
Disabled American Veterans (D)
Disabled Veterans Association (F)
Fisher House Foundation (A+)
Freedom Alliance (F)
Help Hospitalized Veterans/Coalition to Salute America’s Heroes (F)
Intrepid Fallen Heroes Fund (A+)
Military Order of the Purple Heart Service Foundation (F)
National Military Family Association (A)
National Veterans Services Fund (F)
National Vietnam Veterans Committee (D)
Navy-Marine Corps Relief Society (A+)
NCOA National Defense Foundation (F)
Paralyzed Veterans of America (F)
Soldiers' Angels (D)
United Spinal Association's Wounded Warrior Project (D)
USO (United Service Organization) (C+)
Veterans of Foreign Wars and foundation (C-)
Veterans of the Vietnam War & the Veterans Coalition (D)
Vietnam Veterans Memorial Fund (D)
VietNow National Headquarters (F)
World War II Veterans Committee (D)
[Source: FDVA News Clips 13 Dec 07 ++]
DOD/USPS MILITARY MAIL POLICY: Hundreds of thousands of holiday
cards
and letters thanking wounded American troops for their sacrifice and
wishing them well never reach their destination. They are returned to
sender or thrown away unopened. Since the 911 attacks and the anthrax
scare, the Pentagon and the Postal Service have refused to deliver mail
addressed simply to "Any Wounded Soldier" for fear terrorists or
opponents of the war might send toxic substances or demoralizing messages.
Mail
must be addressed to a specific member of the armed forces - a rule
that pains some well-meaning Americans this Christmas season. Last
season, despite the rule, officials say as many as 450,000 pieces of mail
not
addressed to anyone in particular managed to reach Walter Reed Army
Medical Center in Washington. But they were returned or, if they had no
return address, were thrown out altogether, because the hospital lacked
the manpower to open and screen all the mail, spokesman Terry Goodman
said. "A lot of this is because of security concerns because it's
unsolicited mail that someone is going to have to go through. Also, being
a
democratic society, there could be inappropriate mail from someone who,
say, doesn't support the war, and then you've got a wounded soldier
getting It.", said Goodman. Lt. Col. Kevin Arata, a spokesman with the
Army Human Resources Command, said no one tracks the amount of
unnamed-soldier mail being returned, so it is impossible to judge the size
of the
problem. The busiest part of the holiday season has yet to arrive, but
officials said they are receiving far less mail this year addressed
simply to "A Recovering American Soldier" or "Any Wounded Soldier."
USO spokesman John Hanson said that like the military,
the
nonprofit service organization does not deliver unopened mail to
unspecified
recipients. He said the USO worries about security as well as hateful
messages from war critics. "We just want to make sure it's not, 'Die,
baby killer,'" he said. "There are people out there who act irrationally,
and we don't want anyone to get a message that would be discouraging."
The USO is one of the organizations the military is encouraging people
to support with donations as an alternative to sending cards to
unspecified soldiers. The military is also referring people to the
American
Red Cross and a Defense Department Web site where supporters have posted
thousands of messages to troops. Some groups are offering to forward
mail to the troops. Aides to Sen. Jeff Sessions, (R-AL)., are offering to
accept letters, screen them through the U.S. Capitol mail operation,
and get them to members of the armed forces. "We've had about a dozen
complaints from constituents about returned mail that they sent to
troops," said Steven Boyd, a Sessions spokesman. [Source: AP Jay
Reeves
article 11 Dec 07 ++]
ALABAMA VETERANS HOMES: The Alabama Department of Veterans Affairs
is
pressing forward on plans to build a fourth home in the state despite
being pestered by problems at one home. The veterans’ home committee of
the state Board of Veterans Affairs met 11 DEC to discuss possible
locations for the new home. A department survey found that Jefferson
County or Shelby County was the best choice since the highest
concentration
of veterans lives in those areas. But the department also is
considering locations in Pell City and Tuscaloosa. Commissioner Clyde
Marsh said
he wants to put the project on the fast track, and the committee
decided to meet again in early January to choose a site and make a
recommendation to the full board at its Jan. 11 meeting. Marsh said quick
action
is needed to get the budget request in for the upcoming legislative
session. The department estimated the total cost of the home at $40
million; the federal government will cover about $26 million and the state
will be responsible for $14 million, he said. The new home will ease
overcrowding at the state’s other three homes in Alexander City, Bay
Minette and Huntsville. Currently, there are only 450 beds available for
the
almost 800 veterans statewide eligible for long-term care.
Once a site is chosen, construction is expected to
begin in 2009
and be completed by the end of 2011, department officials said. The
department still is looking for ways to fund construction of the new home.
The department has money in its Veterans Assistance Fund, but it's
already being tapped to supplement the operational budget. Marsh said he's
hoping for dollars out of the general fund, but noted that those funds
also are limited. A third possible option is a bond, Marsh said. The
committee also discussed the probationary one-year contract with its
health-care provider, Human Management Resources (HMR) of South Carolina.
The contract was announced 10 DEC as a result of an unfavorable report
from the state health department. The problems were at the William F.
Green home in Bay Minette. Primarily, the report found that staffers
failed to follow procedures. Initially, the report stated that the home
was
responsible for the deaths of two residents. But that finding later
was retracted by the health department and the home was cleared of
culpability in those deaths. The other two state veteran’s homes, Bill
Nichols in Alexander City and Floyd E. "Tut" Fann in Huntsville, were
cited
only for minor deficiencies by the health department. Although the
company was cited for failure to follow procedure, officials said the
majority of veterans are happy with their care and Marsh said he was
confident HMR will correct the problems quickly. Committee chairman Ken
Rollins
said he too is confident in the care at the Bay Minette home.
Alabama State Veteran Home applications can be
downloaded at
http://www.va.state.al.us/forms/Adva-33.pdf.
The site will also
explain the eligibility and compliance requirements for admission. Homes
are
located at:
• William F. Green State Veterans Home, P. O. Box 1461, 300 Faulkner
Drive Bay Minette, AL 36507-1461 Tel: (251) 937-8049/2472 FAX.
• Bill Nichols State Veterans Home, 1784 Elkahatchee Road Alexander
City, AL 35010 Tel: (256) 329-3311/3350F.
• Floyd E. "Tut" Fann State Veterans Home, 2701 Meridian Street
Huntsville, AL 35811 Tel: (256) 851-2807/2967F.
[Source: Montgomery Adviser Jenn Rowell article 13 Dec 07 ++]
UTAH VETERANS HOMES: Gov. Jon Huntsman Jr. is urging lawmakers not
wait for the federal government to pony up before breaking ground on a
veterans nursing home in Ogden UT. Huntsman's proposed budget,
released
in DEC 07 includes $20 million in construction costs for the facility,
which would be the state's second nursing home for veterans and their
spouses. In making the recommendation, officials from the governor's
office said they are banking on a promise from federal Veterans
Administration officials that Utah will be reimbursed several years down
the
road. Veteran’s advocates began pushing in 2001 for the state
Legislature
to finance the project, which is high on the VA's priority list but not
high enough to get funded by Congress. Rep. Brad Dee said those past
efforts were unsuccessful chiefly because legislators were cautious
about spending money on a project that one branch of the U.S. government
said it wanted but another branch had yet to fund. That has frustrated
supporters of the project, who note that construction costs will continue
to rise while the state waits for a federal check. But Huntsman's
budget chief now says he is absolutely assured that the federal VA will do
its part. And though it may take three or four years to get the check
from Congress, he's confident it is coming.
Utah has just one nursing home dedicated to veterans
and their
families. The 80-bed facility in Salt Lake City has been at capacity since
it opened, nearly 10 years ago. The Ogden facility would offer more
than 100 additional beds to the scores of veterans on the capital city
facility's waiting list. Going ahead and building the new facility
"won't speed up or delay" reimbursement, Nixon said. "It just depends on
how
much Congress puts toward veterans nursing homes and how far down the
list that goes for this year and the next year." But Nixon noted
that
even if the state has to wait awhile to be refunded for the
construction costs, it will start receiving a federal per diem for each
resident
of the home as soon as the doors open. And that, he said, makes good
economic sense for the state. "We'll have the ability to create some jobs
immediately," he said. Dee, who is sponsoring the legislation that
would fill the governor's request, said he was among those lawmakers who
were concerned in the past about whether the feds "were serious about
reimbursements." Now, he said, "I've had those concerns alleviated. I'm
comfortable with what is going on." State Department of Veterans Affairs
director Terry Schow said no one has stepped forward from the upper
chamber to carry the legislation, but he's hoping that the governor's
backing and a good showing for Dee's bill in the state House of
Representatives will mean the legislation will have substantial momentum
by the
time it reaches the senators.
Utah State’s first Veterans Nursing Home, located near
the George
E. Wahlen VA Medical Center, was dedicated on 22 April 1998 and became
operational in May 1998. Quality nursing and health care services are
provided for Utah veterans with U.S. military service during peacetime
or wartime. While wartime service is not a requirement for admission to
the nursing home, wartime veterans with one day or more of wartime
service, as recognized by state and federal laws, have top priority. A
veteran's spouse or surviving spouse may also qualify for admittance to
the
Home, providing the marriage to the veteran occurred at least one year
before the application. For questions and applications contact the
Utah Department of Veteran's Affairs at either (801) 326-2372 or 1(800)
894-9497. You can also contact the Veteran's Nursing Home directly at 700
Foothill Drive, SLC, UT, 84113-1104 Tel: (801) 584-1900/1960F.
[Source: The Salt Lake Tribune Matthew D. LaPlante article 12 Dec 07 ++]
VA FRAUD UPDATE 04: Gregory East age 60, of 642 Braddock Ave.
Monessen PA man pleaded guilty in federal court to fraudulently accepting
$28,000 in pension payments from the Department of Veterans Affairs. U.S.
Attorney Mary Beth Buchanan said that East was found guilty of one count
of fraud for knowingly accepting the pension checks after his right to
collect ceased due to his earning of income. East will be sentenced 29
FEB 08 and could face one year in prison, a fine of $100,000, or both.
He remains free on bond until his sentencing. In another case Kevin
J. O'Connor, U.S. attorney for the district of Connecticut, said that an
Ellington woman pleaded guilty before U.S. Magistrate Judge Thomas P.
Smith in Hartford CT to one count of stealing government money.
According to documents filed with the court and statements made in court,
Kathleen M. Thibodeau, age 62, as a representative payee for both the
Veterans Administration and the Social Security Administration, was
entrusted by those agencies with money for the use of her mentally
disabled
brother. In pleading guilty, Thibodeau admitted that, between DEC 03 and
AUG 05, she converted $20,843 for her personal use. Thibodeau is
scheduled to be sentenced by U.S. District Judge Vanessa L. Bryant on 21
FEB
08, and she faces a maximum term of imprisonment of 10 years and a fine
of up to $250,000. This case was investigated by the Social Security
Administration and the Veterans Administration.
Under VA regulations as authorized by 38 U.S.C. 5502
payment of
benefits to a duly recognized fiduciary (i.e. representative payee) may
be made on behalf of a person who is mentally incompetent or who is a
minor. Also, payment may be made directly to the beneficiary or to a
relative or other person for the use of the beneficiary, regardless of
legal disability, when it is determined to be in the best interest of the
beneficiary by the Veterans Service Center Manager. Unless otherwise
contraindicated by evidence of record, immediate payment of benefits may
be made to the spouse of an incompetent veteran having no guardian for
the use of the veteran and his or her dependents prior to referral to
the Veterans Service Center Manager. [Source: Tribune Review & The
Hartford Courant articles Dec 07 ++]
TRICARE DATA BREACH UPDATE 02: A limited amount of Tricare
beneficiary data has been placed at risk through unauthorized access to
claims
information. Proactive measures are being taken to ensure that
affected
Tricare beneficiaries are informed. Analysis thus far has not
produced
indications of the beneficiary data being misused. Patient data was
found to be accessible in a manner that did not meet stringent security
specifications for the Department of Defense or Tricare’s information
technology services provider Electronic Data Systems (EDS). The data
included personal information such as the full or partial Social Security
number of the primary beneficiary, and for a dependent, name, birth
date and limited health information. The data was held on a Web
application server that allowed external entities an unauthorized level of
access without going through the required authentication process if the
Web
address was known. That situation has since been remedied. EDS has
sent out approximately 4,700 notification letters informing affected
beneficiaries of the risk. The envelopes contain a cover letter from
Army
Maj. Gen. Elder Granger, deputy director, Tricare Management Activity.
They also contain an informational letter about the incident from EDS,
including identity protection information. EDS has established a
specific “help line” to handle questions and concerns. The beneficiary
notification letters contain the number (800) 556–3195 that can be used in
the U.S. and from overseas. Those located outside the United States must
dial the country’s AT&T USADirect access number first to prevent being
charged a long distance fee. EDS is offering beneficiaries put at risk
a free, one-year subscription to a credit monitoring and protection
service. Through this service, beneficiaries will have access to
specialists with a leading identity theft and mitigation firm. These
specialists will be able to respond to concerns about any actual identity
theft
as well as provide more detailed information on credit, fraud and
identity theft matters. Additionally, those affected will receive up
to
$20,000 identity theft protection coverage with no deductible as it
relates to this matter. Additional information about the incident can be
found at the Tricare Web site press room at www.tricare.mil. Information
on
steps Tricare beneficiaries can take to protect themselves from
identity theft is available at www.tricare.mil/tmaprivacy/itpr.cfm.
Veterans
are once again reminded that financial protection up to one million
dollars against identity theft is available at nominal fees if they are
concerned about their government and/or commercial companies keeping
their personal data secure. Companies offering this service can be
found
online. Information on the one I use is available at
http://www.lifelock.com.
[Source: TMA News Release 07-94 dtd 7 Dec 07
++]
FILIPINO VET INEQUITIES UPDATE 07: S.1315, the Veterans
Benefits
Enhancement Act, would authorize additional wounded warrior benefits
including a new term life insurance program for disabled veterans. The
sticking point is that the bill also would increase disability benefits
for
World War II Filipino veterans, including non-citizens living outside
the US, in part by barring recent court-directed expansion of VA
compensation to certain additional categories of disabled US veterans.
Senate
Veteran Affairs Committee (SVAC) Chairman Daniel Akaka (D-HI) says
Congress never intended the expansion directed by the court. His
legislation S.13415 would block the court-directed expansion and use those
savings to pay for other upgrades in the bill for US veterans, as well as
the Filipino benefits expansion. Sen. Craig has blocked action on the
bill because he opposes funding expanded benefits for Filipino veterans by
barring the court-directed expanded benefits. Under Senate rules, any
Senator may place a "hold" on a bill to prevent a floor vote.
Senator Richard Burr (R-NC), the SVAC's new Ranking
Member said
this week, "Having talked to at least those that I know have holds on
[the bills], nobody has a position where they would entertain lifting the
holds by the end of the year." That leaves wounded warriors caught
in
the middle. S.1315 contains $633 million in benefit upgrades for
Afghanistan and Iraq conflict veterans. But the bill also would provide
$332
million for Filipino veterans. Some of its other provisions would:
• Create a new term life insurance program for disabled veterans ($326
million).
• Allow retroactive coverage (to 7 OCT 01) of traumatic injury
insurance (TSGLI) payments to severely disabled veterans ($47 million).
• Upgrade veteran’s mortgage life insurance ($51 million).
• Increase job training benefits ($31 million).
• Improve adaptive housing and automobile equipment benefits for
severely wounded warriors ($22 million).
• Increase Supplemental Disabled Veterans Insurance ($26 million).
• Authorize COLAs for surviving spouse dependent benefits ($9 million).
[Source: MOAA Leg Up 8 Dec 07 ++]
NDAA 2008 UPDATE 11: On 6 DEC, House and Senate leaders agreed to
drop the last contentious item from the FY2008 Defense Authorization Act -
a Senate-proposed provision that would have stiffened penalties for
discrimination against homosexuals. The agreement cleared the way for
passage and presidential signature of the Act, which includes a
substantial number of improvements for virtually all segments of the
military
community. . The compromise defense bill was passed by the full House with
a vote of 370 to 49 on 12 DEC. As of this writing the Senate has not
acted but is expected to pass before Congress adjourns. Adjournment
is
programmed for 15 DEC but there is talk of extending that by one week.
A detailed summary of the conference report to H.R. 1585 is available
at
http://armedservices.house.gov. Following are some of the military
community's high interest items which are included in the bill:
• Authorize full, immediate concurrent receipt for disabled retirees
with at least 20 years of service deemed "unemployable" by the VA, with
payment retroactive 1 JAN 5. Payments will begin 1 OCT 08.
• Extend eligibility for Combat-Related Special Compensation (CRSC) to
all military disability (chapter 61) retirees with less than 20 years
of service who suffer from combat- or operations-caused conditions.
• Prohibit increases in TRICARE fees, including pharmacy copays, for
FY2008.Military Pay Raise:
• Authorize a 3.5% raise in January 2008 for active duty, Guard and
Reserve personnel and increase hardship duty pay to a maximum of $1,500 a
month.
• Authorize a special “indemnity allowance” payment of $50 per month to
survivors of members entitled to retired pay (or of Guard/Reserve
retirees who died before age 60) whose SBP annuities are reduced by tax
free VA survivor benefits (DIC), effective 1 OCT 08. That amount will
increase by $10 each year for 5 years. Directs the Defense Accounting and
Finance Center to implement simplified and more sympathetic recoupment
processes to assist affected survivors. The indemnity allowance might be
perceived as a first step toward easing the ban on concurrent receipt
for military widows.
• Reduce the Guard/Reserve retirement age by 3 months for each
cumulative 90 days spent on active duty since 7 OCT 01.
• Increase the maximum Guard/Reserve annual drill points creditable
for retirement (from 90 to 130), effective for 2007.
• Authorize Selected Reserve members 10 years after separation to use
their 1607 GI Bill benefits earned from active duty service. Also allow
Reservists who rejoin to reclaim their previously earned 1607 benefits
and use them for 10 years after any subsequent separation. Selected
Reserve members who spend at least 3 years on active duty can earn up to
80% of the active duty GI Bill benefit.
• Require comprehensive plan for care, management and transition of
wounded servicemembers by 1 JUL 08. Requires recovery, medical and
non-medical care case managers for recuperating servicemembers and
establishes
maximum caseloads for each.
• Authorize medical care, training, and job placement service for
family members of recovering servicemembers and authorizes respite care
for
primary caregivers of servicemembers with a serious injury or illness.
• Authorize leave (from civilian employers) for family members of
injured personnel.
• Implement a fully interoperable electronic DoD/VA health record and a
joint interagency office to serve as a single authority for the
development and administration of the system. Requires the development of
a
process to send electronic records necessary to support eligibility for
VA benefits, including the DD Form 214, from DOD to VA.
• Require procedures to ensure parents with minor dependents have
adequate plans for family care upon deployment. Authorizes request for
deployment deferment in certain circumstances.
• Establish a Council of servicemembers, spouses, and representatives
of military family organizations to make recommendations for DoD policy
on military family readiness and to evaluate programs and services that
prepare and support military families.
• Authorize active-duty-level TRICARE coverage for members separated or
retired from the armed forces for a serious injury or illness when
care is not reasonably available in the VA. Note” Provision expires 31 DEC
12.
• Require by 1 JUL 08 a standardized process for medical and physical
disability evaluations that takes into account timely decisions,
uniformity between services, and provides servicemembers with advice and
counsel.
• Require DoD to include all conditions that render a member unfit for
duty in determining disability ratings for military disability
retirement purposes. Requires three pilot programs: use of the disability
rating assigned by the VA, use of joint DoD/VA rating system, and use of a
single DoD website for accessing DoD disability evaluation information.
• Require review of all disability separation cases between 11 SEP 01
and 21 DEC 09 in which a rating of 20% or below was assigned. Review is
to be conducted upon request of member or next of kin or under the
board's own initiative.
• Eliminate offset of disability severance pay by VA disability
compensation. Increases minimum disability severance pay to 12 months of
basic
pay and maximum to 38 months of basic pay. Applies to separation pay
for injuries incurred in combat.
• Authorize 5 years (versus 2) of automatic VA health care eligibility
for members who serve in a combat theater.
• Establish the Chief of the National Guard Bureau as a 4-star
position.
• Restore Tricare eligibility for Selected Reserve members and families
whose coverage previously earned by active service since 7 OCT 01had
expired.
• Bar courts from vacating child custody agreements because of the
deployment of a military member.
• Authorize reimbursement of up to $300 in drill-related travel
expenses for certain members, effective upon the date the president signs
the
legislation into law.
• Authorize retroactive payment of inflation-adjusted promotion pay
amounts for Navy and Marine Corps POWs of World War II (equalizes with
past treatment of POWs of other services).
• Authorize veterans the option of saluting the US Flag (vs. putting
the hand over the heart).
• To hold down drug costs for the Department of Defense, drug
manufacturers will have to provide the same federal discounts on
prescriptions
filled through the Tricare retail network that they do for military base
and VA hospital pharmacies.
• Prohibit additional shifting of military medical personnel positions
to civilian positions or contract positions.
[Source: MOAA Leg Up 8 Dec 07 ++]
PENNSYLVANIA VET BONUS: Enabling legislation for Pennsylvania’s
Persian Gulf Conflict Benefit Program became law on 24 APR 07, however,
applications for payment haven’t yet become available for the anticipated
30,000 eligible veterans. Anissa Fetchen, veteran service officer
with
the Lackawanna County Department of Veterans Affairs, said 7 DEC that
the department has not yet received the bonus applications from the
state. And, she added, the applications now are not expected to arrive
until some time in the first quarter of 2008, according to information
from
the state Department of Military and Veteran Affairs. The DMVA had
expected the applications to be available late this year, and previously
stated it would begin to accept them in the fourth quarter. It announced
the first payments were expected to be made this month or early next
year. The tardy production shouldn’t affect veterans (unless they need
the money now) because they have until 31 AUG 15 to submit applications.
Eligible veterans are those who have served on active duty in the
Persian Gulf theater of operations during the period from 2 AUG 90 to 8 31
91, and received the Southwest Asia Service Medal. They must have been
legal residents of Pennsylvania and have served under honorable
conditions. Vets will receive $75 per month for each month (or major
fraction) of active service, up to a maximum of $525. The sum of $5,000
will be
paid on behalf of veterans who died in active service or as a result
of service-connected wounds, and $5,000 to prisoners of war in the
conflict. The benefit program will cost the state an estimated $20
million.
The Pennsylvania Merchant Marine World War II Veterans Bonus Act 22
of JUN06 expired on 30 JUN 07. For more information, refer to the
Pennsylvania Department of Military and Veterans Affairs Web site at
www.dmva.state.pa.us. [Source: The Times Tribune Bill Wagner article
9 Dec 07
++]
CHAPTER 61 DISABILITY PAY UPDATE 01: Tens of thousands of veterans
forced from service short of 20 years because of combat-related injuries
will be eligible for Combat-Related Special Compensation (CRSC)
effective 1 JAN 08, under a compromise 2008 defense authorization bill
worked
out by House and Senate conferees. The compensation payments would
be
set using the same formula as military retirement, usually 2.5% of base
pay multiplied by years of service. The payments would be paid on top
of disability compensation, thus ending for these combat-injured the
long time ban on “concurrent receipt.” The size of the eligible
population among so-called “Chapter 61” retirees was not immediately
available,
but the projected cost of the combat-related program is $678 million
over the next 10 years. Conferees rejected a more modest House plan that
would have restricted compensation eligibility to the most seriously
disabled who served at least 15 years. [Source: The News Tribune Tom
Philpott article 8 Dec 07 ++]
MEDICARE REIMBURSEMENT RATES UPDATE 07: Georgia physicians will lose
$410 million for the care of elderly and disabled patients over the next
two years due to the 10% cut in Medicare payments for 2008 and an
additional 5% cut in 2009. The state’s physicians will lose $6.4 billion
for the care of elderly and disabled patients by 2016 due to nine years
of cuts for this important medical care. For Georgia:
• 83,686 employees, 969,070 Medicare patients and 428,854 TRICARE
patients in Georgia will be affected by these cuts.
• Compared to the rest of the country, Georgia, at 207 practicing
physicians per 100,000 population, has a below-average physician-to-
population ratio, even before the cuts take effect.
• 39% of Georgia’s practicing physicians are over 50, an age at which
surveys have shown many physicians consider reducing their patient care
activities.
• In 2008, the “Rest of Georgia” locality faces cuts of an additional
1.1% on top of the 10% cuts across the country. The 2003 Medicare law
provided a temporary increase in geographic payment adjustments for
certain states. This increase also will expire on January 1, 2008 under
current law.
To find out how the cuts in authorized payments to physicians for
Medicare services impact on your state refer to
http://www.ama-assn.org/ama/pub/category/14332.html.
Scroll down and
select your state. The law provides for Medicare physician payment
rates
to be updated each year as follows:
• Each year’s payment update calculation starts with the Medicare
Economic Index or MEI, which is a conservative government index of
practice
cost inflation.
• The update is then adjusted up or down from MEI based on a national
spending target called the Sustainable Growth Rate (SGR).
• The SGR was created by Congress in 1997 as a target rate of growth in
Medicare spending for physician services.
• The key factors in setting the SGR are Gross Domestic Product (GDP)
growth, Medicare enrollment, price changes and changes in Medicare
benefits or other changes in law.
• If spending exceeds the SGR targets, then annual physician payment
updates are less than annual increases in practice cost inflation, even
if they produce steep reductions from current payment rates.
The present Medicare physician payment update formula is producing
disastrous effects. In addition to generating the pending steep pay cuts,
the formula:
• Has kept average 2007 Medicare physician payment rates about the same
as they were in 2001.
• Prevents physicians from making needed investments in staff and
health information technology to support quality measurement.
• Punishes physicians for participating in initiatives that encourage
greater use of preventive care in order to reduce hospitalizations.
• Has led to a severe shortfall in Medicare’s budget for physician
services that have driven Congress to enact short-term interventions with
funding methods that have increased both the duration of cuts, as well
as the cost of a long-term solution.
• Hurts access to care for America’s military families because payment
rates in the Department of Defense’s TRICARE program are tied to
Medicare rates
In November the CBO released a study titled The Long-Term Outlook for
Health Care Spending. The study presents the CBO's federal spending
projections on Medicare and Medicaid and health care spending generally
over the next 75 years. The CBO reports that the goal of the study is to
examine the implications of continuing current federal law, and finds
that federal spending for health care would eventually reach
unsustainable levels. In fact, in the absence of federal law changes, the
CBO
projections suggest that total spending on health care would rise from 16%
of gross domestic product (GDP) in 2007 to 25% in 2025, 37% in 2050 and
49%. It also projects that federal spending on Medicare (net
beneficiaries' premiums) and Medicaid would rise from 4% of GDP in 2007 to
7% in
2025, 12% in 2050 and 19% in 2082. [Source: MRGRG Don Rehwaldt msg
10
Dec 07 ++]
VA CLAIM TIPS: Three things that will help a veteran with a claim
are
to know the process; to know how to find info about your illness or
injury; and to determine how the VA has handled cases like yours in the
past.
1.) A web site where you can see the C&P Exam the VA uses, and print
it out, and can show it to your private doctor.
www.vba.va.gov/bln/21/Benefits/exams/index.htm. These 57 Disability
Examination Worksheets
are in use both by the doctors of VHA (Veterans Health Administration)
who do the disability examinations and by the rating specialists, hearing
officers, and Decision Review Officers of VBA (Veterans Benefits
Administration) who do the disability evaluations.
2.) A web site you can search, review and print out various pages of
regulations, etc about the VA system and claims is
www.warms.vba.va.gov/TOCindex.htm, which includes:
== Compensation and Pension - 21
== 38 Code of Federal Regulations - REGS
== Book A - General
== Book B - Adjudication
== Book C - Schedule for Rating Disabilities
3.) A web site where you can search Veteran Board of Appeals to see
how the VA has handled your illness or injury, what they were looking
for, and what paragraphs in VA regs apply is
http://www.index.va.gov/search/va/bva.html.
Decisions are current
through 31 AUG 07.
[Source: USDR Daniel Cedusky Dec 07 ++]
SALVATION ARMY: A warning has been issued by the Salvation Army in St.
Johns County FL of a scam in the name of The Salvation Army as a
result of being contacted by concerned citizens. Salvation Army Capt.
Bethany Delaney advised two individuals have been pulling a scam by "going
door-to-door in neighborhoods posing as Salvation Army bell ringers,
soliciting donations wearing red aprons while carrying bells. "We
would
like the community to know that The Salvation Army does not solicit
door-to-door, nor have we ever done so," Delaney said. "Our bell-ringers
and
kettles are located at local stores, and these are legitimate and
secure ways of donating to The Salvation Army." Delaney notes that
the
kettles are an important fundraising effort that supports The Salvation
Army's seasonal and year-round services in America. "If you are
approached at your home for donations to The Salvation Army, please
contact the
local law enforcement immediately." Delaney said. [Source: St.
Augustine Record staff article 8 Dec 07 ++]
VA SECRETARY UPDATE 05: A Congressional hearing was held 6 Dec on the
nomination of retired Army Lt. Gen. James B. Peake to be secretary of
veteran’s affairs. The confirmation hearing lasted 2 1/2 hours and
was
reported by a number of news media who took the following slants on the
hearing results.
- The Washington Post /AP (12/6, A12) reported, "Pledging to do the
right thing, the nominee said that he would be an independent advocate
for thousands of injured veterans and would fight for the needed funding
for their care." Peake also vowed to work on fixing gaps in care and
reducing delays in disability pay, although he hedged on offering
specific solutions, deferring to the detailed briefings he would receive
later, if confirmed.
- A longer version of the AP article appearing in the Washington Times
(12/6) reported, "No major veterans organization is opposing Mr.
Peake, and the full Senate is expected to confirm his nomination as early
as
this month. Still, members from both parties on the Senate Veterans
Affairs Committee questioned Mr. Peake closely about his independence and
how he would set himself apart from former VA Secretary Jim Nicholson,
who almost immediately after taking office in 2005 was forced to admit
to a $1.3 billion agency shortfall that put veterans' health care at
risk."
- The Los Angeles Times (12/6, Macias) reported, "Peake...assured
senators during his confirmation hearing Wednesday that he would fight to
improve care for military personnel injured in Iraq and Afghanistan." He
also "promised to look into senators' complaints about the lack of
staffing and facilities for veterans in rural areas, reduce delays in
healthcare claims, put mental health issues at the forefront and be
truthful about the department's budget needs."
- The San Antonio News-Express (12/6, Martin) said, “Peake sailed
through the hearing after senators quizzed him about his ties to private
sector firms and his views on how to improve care at Walter Reed Army
Hospital. Peake faces minimal opposition to his nomination, although the
group Veterans for Common Sense has called Peake the wrong man at the
wrong time. And the Iraq and Afghanistan Veterans of America, which
represents 62,000 members in 50 states, questioned how Peake would address
the backlog of VA claims and improve services."
- In contrasting coverage, the St. Louis Post-Dispatch (12/6, Vines)
said skepticism ran high at the hearing, particularly when Peake said he
knew little about the 22,000 veterans who have been discharged for
pre-existing personality disorders. Sen. Patty Murray (D-WA), a
committee
member and leading administration critic on the issue, said she found
Peake's answers disappointing. Leaders of several veterans
organizations at the hearing also said they were surprised by what they
said
appeared to be a lack of preparation by Peake, a physician who recently
served as Army surgeon general. Matthew Cary, president of Veterans &
Military Families for Progress, said, "He's been in the system for a long
time, he's an M.D., and he should be more knowledgeable about these
issues." The Post-Dispatch adds, though, that problems at the VA and a
leadership vacuum led most senators to say they would support the
nomination,
which is expected to go to the full Senate later this month.
- CQ (12/5, Yoest) reports Peake appears poised for confirmation by
the end of the month, with several Senate Democrats offering support for
him at a hearing Wednesday. According to Veterans Affairs Chairman
Daniel K. Akaka (D-HI) a committee vote on Peake's confirmation will occur
after senators submit last-minute questions. Akaka said he expects
committee and full Senate votes on confirmation to occur before Congress
adjourns for the year. Akaka said he plans to support Peake, and Murray,
a frequent critic of the department, said she too is likely to support
Peake's nomination. Another Democrat, Montana's Jon Tester, offered his
support as well. Republicans, meanwhile, had nearly unequivocal praise
for Peake.
- CBS News.com (12/5, Malbran) noted in a blog entry that Peake faced
questions about veteran suicides and a CBS News investigation during
his confirmation hearing before the Senate Veterans Affairs Committee.
CBS added, "The committee will now need to vote on Peake's confirmation
which could happen before the end of the year. Then, the nomination will
go to the Senate floor. A Senate Veterans Affairs staffer told CBS
News the nomination appears to be a shoo-in'"
- The Navy Times (12/6, Maze) adds that Peake's comments during the
hearing appeared to seal the deal on his nomination, with plans for a
Senate vote before Congress adjourns for the holidays.
[Source: VA Secy Vet Group Liaison Officer News 6 Dec 07 ++]
VA CAREGIVER PROGRAM: The Department of Veterans Affairs announced 6
DEC it will provide nearly $4.7 million for “caregiver assistance pilot
programs” to expand and improve health care education and provide
needed training and resources for caregivers who assist disabled and aging
veterans in their homes. The pilot programs will support eight
caregiver projects across the country. In addition, VA provides
support and
assistance through a variety of programs such as care management, social
work service, care coordination, geriatrics and extended care, and
through its nationwide volunteer programs. Among the key services provided
to caregivers are transportation, respite care, case management and
service coordination, assistance with personal care (bathing and
grooming), social and emotional support, and home safety evaluations.
Education
programs teach caregivers how to obtain community resources such as
legal assistance, financial support, housing assistance, home delivered
meals and spiritual support. In addition, caregivers are taught
skills
such as time management techniques, medication management, communication
skills with the medical staff and the veteran, and ways to take better
care of themselves.
Many of the projects use technology, including
computers,
Web-based training, video conferencing and teleconferencing to support the
needs of caregivers who often cannot leave their homes to participate in
support activities. The VA pilot programs announced include:
• At the Memphis (Tenn.) and Palo Alto (Calif.) VA medical centers, a
project will provide education, support and skills-building to help
caregivers manage both patient behaviors and their own stress. This
intervention will be provided in 14 Home-Based Primary Care (HBPC)
programs
across the country and also to caregivers in non-HBPC settings at the
Palo Alto VAMC.
• At the VA medical center in Gainesville, Fla., caregivers will take
part in a Transition Assistance Program to provide skills training,
education and supportive problem solving using videophone technology.
• At the VA Healthcare System of Ohio, headquartered in Cincinnati,
caregiver advocates will be available around the clock to coordinate
between VA and community services.
• At the VA Desert Pacific Network and the VA Sierra Nevada Healthcare
System, VA will work with a community coalition to provide education,
skills training and resources for caregivers of veterans with traumatic
brain injury using computer-based telehealth, including Web, telephone
and videoconferencing.
• At the VA medical center in Albany, N.Y., a pilot project will
convert a three-hour workshop developed by the National Family Caregivers
Association called “Communicating Effectively with Health Care
Professionals” into a cost-effective multimedia format.
• At the Atlanta VA Medical Center, use of computer-based technology
will provide instrumental help and emotional support to caregivers who
live in remote areas or to those who cannot leave a patient alone.
• The Tampa VA Medical Center and the Miami VA Healthcare System are
working on a collaborative project. In the Tampa area, the current
program will be expanded to provide 24-hour in-home respite care to
temporarily relieve caregivers up to 14 days a year. In Miami, the
program
will coordinate comprehensive community-based care services, including
respite, home companions, adult day care and use of emergency response
system.
• The VA Pacific Islands Health Care System will use the “medical
foster home” model of care, in which caregivers in the community take
veterans into their homes and provide 24-hour supervision. This
program will
take place on the islands of Kauai, Hawaii, Maui and rural areas of
Oahu.
[Source: VA News Release 6 Dec 07 ++]
SBA VET ISSUES UPDATE 06: The House passed legislation by a vote of
407-2 on 6 DEC that would expand Small Business Administration (SBA)
programs for veterans and military reservists. The bill (HR 4253), which
was sponsored by Jason Altmire (D-PA) would authorize $4.4 million to
support Veterans Business Outreach Centers. Approximately 4 million
veterans own small businesses, making up about 14% of all such
enterprises.
The House measure also would establish a Women Veterans Business
Training Resource Program. The program would compile and distribute
information on resources available to women veterans and would provide
technical
and regulatory assistance to small businesses owned by armed forces
reservists. [Source: Congressional Quarterly 7 Dec Homan article ++]
MEDICARE PART "D" UPDATE 16: Medicare beneficiaries are likely to
see
a smaller number of drugs covered under their Part D insurance plans
next year, as insurers have revised offerings and the government has
culled hundreds of products from a list of approved drugs. On average, the
number of drugs offered by the 10 insurers with the largest enrollment
shrank by 26% from this year to next, according to data analyzed by
Washington consulting firm Avalere Health. Two of the largest insurers —
UnitedHealth (UNH) and Humana (HUM) — saw drops of 30% in some of their
plans, from more than 3,750 drugs to just more than 2,620, Avalere’s
analysis shows. Even so, the two insurers still have among the largest
drug lists of the 10 biggest insurers. The drop came mainly because of
changes made by Medicare, which shrank the list of drugs it will pay
for, culling those that have been pulled by the FDA, are no longer being
made, had duplicative billing codes or were drugs deemed “less than
effective” by the FDA.
Medicare officials and the insurers say most
beneficiaries are
unlikely to be affected. Enrollees taking drugs that were pulled will
usually be able to find alternates or can go through an appeals process to
try to stay on their current drugs, they said. “Most of those (removed)
drugs were not used,” says Jeff Kelman, chief medical officer for
Medicare’s Center for Beneficiary Choices. UnitedHealth spokesman Daryl
Richard says even with the drop, the company’s Medicare Rx Preferred plan
covers “100% of the drugs” on Medicare’s approved list. Humana
spokesman Tom Noland says, “As the Part D program develops, the size of
the
formulary is becoming more aligned with utilization patterns, consumer
preferences, health outcomes and value for consumers.” Avalere’s Jon
Glaudemans says the enrollees should check the drug lists of plans they
are
considering before signing up, to see if the medications they take are
included. The deadline for enrolling is 31 DEC 07. “Every year,
insurers revise their formularies, and every year, beneficiaries should
reassess their choices,” Glaudemans says.
One group that may be particularly affected by the
change are some
beneficiaries who qualify for government premium subsidies because
they are low-income. About 2.1 million low-income-subsidy enrollees will
be automatically switched to new insurers in 2008 because their current
insurers raised premiums above a government benchmark. An Avalere
analysis of those being switched from plans in Texas to other plans found
that, on average, enrollees will be switched to coverage with 14% fewer
drugs than if they had been able to remain with their current insurers,
based on the revised 2008 drug lists. In addition, the new insurers
require prior authorization on 15% of all drugs offered, compared with 10%
under the plans no longer eligible to take low-income enrollees in
Texas. That means the patient has to get approval from the insurer before
getting the drug. “This means they will have a harder time accessing
what they need,” says Dan Mendelson, president of Avalere. Medicare
spokesman Jeff Nelligan says there is no way to determine if the Avalere
findings from Texas also hold true nationally. Nelligan said that
insurers must meet Medicare’s requirements for offering drugs in all
classes
of products, provide at least a 30-day transition for those who must
change drugs and offer an appeals process. He added that subsidy-eligible
enrollees can change insurers even after the open enrollment period
closes. Other enrollees cannot change. Following is a breakdown by Part D
insurer indicating their number of enrollees as of JUL 07, the number
of drugs covered in 2007, and the number of drugs that will be covered
in 2008.
- AARP MedicareRx Preferred : 3.1 million : 3,763 : 2,627
- Humana PDP Standard : 2.1 million : 3,752 : 2,623
- Humana PDP Enhanced: 1.1 million : 3,755 : 2,623
- Community Care Rx Basic: 1.0 million : 1,835 : 1,627
- AARP MedicareRx Saver: 0.9 million : 3,167 : 2,184
[Source: USA TODAY Julie Appleby article 4 Dec 07 ++]
VA PSYCHOLOGISTS: Providing the very best mental health care to
soldiers returning from combat in Iraq and Afghanistan is one of the
highest
priorities for the U.S. Department of Veterans Affairs. But at the
nation’s busiest VA hospital, the James A. Haley VA Medical Center in
Tampa, the most-troubled and vulnerable veterans are often treated by the
least-experienced psychologists, according to a complaint to the state.
About 12 of Haley’s 34 psychologists - more than a third - are
unlicensed and receive little if any direct supervision, according to a
complaint filed 29 NOV with the Florida Board of Psychology. The VA
disagrees with the complaint’s figure, saying just nine are unlicensed.
The
complaint, filed by Haley psychologist Brian Nussbaum, said some of these
psychologists still use the title of either “psychologist” or
“clinical psychologist” with patients. If true, that would violate state
law.
In an interview on 3 DEC, Nussbaum said three of the four psychologists
working in Haley’s Post Traumatic Stress Disorder Clinic are
unlicensed. Nussbaum is the only licensed psychologist in the clinic. And
he said
Haley’s suicide-prevention coordinator also is an unlicensed
psychologist. Nussbaum fears patient care is endangered by this
inexperience.
Unlicensed psychologists, he said, are typically people who have
recently obtained their psychology doctorate and have far less clinical
experience than their licensed counterparts.
VA officials denied that patient care is impacted and
said that
all unlicensed psychologists receive ample supervision and are on track
to receive their licenses in the future. Florida and federal law allows
unlicensed psychologists to work as long as they receive constant
supervision, the VA and state said. Regional VA spokesman John Pickens
said
the VA places the highest priority on veteran mental health treatment
and that unlicensed psychologists do receive constant supervision. At
the Bay Pines VA Medical Center in St. Petersburg, which also operates a
PTSD clinic, all of the hospital’s 22 psychologists are licensed, said
Pickens. Mary Kay Hollingsworth, a representative of the North
Florida/South Georgia Veterans Health System speaking on behalf of the
section
of the VA that serves veterans in North Central Florida, Hollingsworth
"said there are a total of 37 psychologists on staff; of those, only
four are not yet licensed." Hollingsworth "said Nussbaum's complaint
only took in part of the picture at facilities that serve veterans in
Florida and Georgia. The full picture is that this system allows the VA a
unique opportunity to grow our own clinical staff, with the training
they need in PTSD and other concerns particular to veterans."
Some veteran advocates questioned the practice of
relying heavily
on unlicensed psychologists at a time when the numbers of veterans
requiring mental health treatment is increasing. To obtain a state
license, the state says an applicant must complete 2,000 hours of
supervised
clinical work, which must include a supervisor reviewing their notes.
In addition, the state says applicants must have two hours of direct
supervision each week with a licensed psychologist. At least one hour must
be face-to-face, rather than over the phone. Complaints to the Board
of Psychology, a division of the Florida Department of Health, are
confidential and the department won’t comment on or confirm a pending
complaint. The state investigates such complaints and can take a range of
actions, from suspending a license to levying a fine against anyone
accused of misconduct. But it was unclear whether the state has
jurisdiction
over the VA. The VA employs 10,000 mental health professionals
nationally, up 15% since 2003. The James A. Haley VA Medical Center is a
327-bed tertiary care teaching hospital with 180 authorized nursing home
care beds. [Source: St. Petersburg Times William R. Levesque article
4
Dec 07 ++]
VET BONUS PAYBACKS: A wounded Iraq war veteran came forward last
month to say the Pentagon asked him to repay a large chunk of his
enlistment bonus, and Congress was outraged. Lawmakers condemned the
practice,
and more than 250 signed on to sponsor legislation designed to right the
wrong. They promised to rein in the heartless government bureaucrats
who dared to implement a policy that could snatch soldiers’ money away
like this. Problem is, there doesn’t appear to be much of a problem.
Only a handful of cases have been found in which a wounded soldier was
asked to repay a bonus, and those turned out to be clerical mistakes. But
Iraq is such an emotional issue that initial reports of mistreated
veterans put many in Congress into a state of high dudgeon. Those watching
such developments say the problem appears to have been wildly
overstated.
Joe Davis, a spokesman for Veterans of
Foreign Wars said, “We’re
six years into a war. The military’s been paying enlistment bonuses
for a while, and we would have heard a lot about it if it were happening.
There are other issues that are more important for the Congress to be
taking up.” The Pentagon says it has received just two complaints on
the issue since a wounded warrior hotline was set up this summer.
Pentagon policy and practice for at least 20 years has been to fully pay
enlistment bonuses to soldiers forced to leave the military early for
reasons beyond their control, such as a combat injury, according to Bill
Carr, deputy undersecretary of defense. Administrative lapses have
occurred, however. Most recently, Jordan Fox, an Army sniper from Mount
Lebanon, Pa., who was partially blinded by a roadside bomb in Iraq, was
mistakenly sent a letter asking him to repay $2,800 of his enlistment
bonus.
A similar case, involving a veteran whose bonus payments were cut off,
was found by a presidential commission formed earlier this year to
recommend improvements in veterans’ care. In both instances, the Pentagon
said the problems were administrative errors that would be corrected.
Fox, it turned out, would not be asked to repay his bonus. Despite that,
lawmakers have rushed to respond introducing a bill in the Senate on 3
DEC. In the House, members stepped up by the dozens after hearing Fox’s
story to sign on as co-sponsors of a similar bill introduced in
October by Rep. Jason Altmire (D-PA).
Susan Hosek, an economist at the Rand Corp. think tank
who was the
presidential commission’s research director, said the commission was
satisfied with the Pentagon’s response. “It certainly didn’t rise to the
level of an important issue in our work,” Hosek said of the panel,
headed by former Sen. Bob Dole and former Health and Human Services
Secretary Donna Shalala. “If it had, we would have made sure that it was
highlighted in our report ... we literally only heard about it once that I
know of.” The commission did not mention the issue in its final report,
but did discuss it with Defense Department officials and suggested
that the policy be worded more explicitly. The Pentagon implemented the
revised wording in September. Paul Rieckhoff, executive director of the
Iraq and Afghanistan Veterans of America, which pushed for the
legislation, acknowledged that his group knows only of a few complaints.
But he
said the legislative effort will keep the Pentagon on its toes and
highlight the bureaucratic hassles that veterans face when they return
home. “I would rather have them focus on the fact that the Veterans
Affairs
budget is late. I would rather have them focus on traumatic brain
injury,” he said. “But in general, this kind of problem does raise
awareness that the bureaucracy for everyone is still too difficult.”
[Source:
AP Ben Case article 4 Dec 07 ++]
IOWA VET BONUS: Vietnam-era veterans may be eligible for a little
extra cash this holiday season under a state bonus program that has
received an extended timeline. The Iowa Department of Veterans
Affairs is
promoting the Iowa Veterans Bonus program to veterans who served from 1
JUL 73 to 31 MAY 75. Anyone who served in Vietnam during that period
will receive $17.50 per month of service up to a maximum of $500. Anyone
who served on active duty anywhere during that period is eligible for a
payment of $12.50 per month for a maximum of $300. The bonus applies
to any Iowa resident who lived in state at least six months prior to
service. Previously, the bonus program applied to anyone who served from 1
JUL 58 to 31 JUN 73. Any bonus previously paid for that time period
would be subtracted from any additional payment under the extended time
period. To learn whether you already received the bonus, or for more
information on the program, call (515) 242-5331. A form to apply is
available online at www.iowava.org. [Source: The Hawkeye Newspaper
article
5 Dec 07 ++]
GI BILL UPDATE 16: The Department of Veterans Affairs (VA) announced
3 DEC it has dramatically improved its ability to process applications
for GI Bill education benefits from veterans and servicemembers. “Our
processing time is good, and it’s going to continue to get better,” said
Acting Secretary of Veterans Affairs Gordon H. Mansfield. “These
improvements come despite a 40% increase in applications for GI Bill
benefits since 2001.” For first-time recipients of educational
benefits, the
average processing time decreased from 40 days in 2006 to 32 days in
2007. Claims from veterans reenrolling for subsequent school terms
or
additional training programs were processed in an average of 13 days,
down from 20 days in 2006. VA developed short-term strategies for
immediately processing more claims. As an example, VA created a
temporary call
center in late 2006 to respond to customer service calls, freeing
additional employees to process education claims. The center’s
success led
VA to develop plans for a permanent call center, scheduled to open in
early 2008 at VA’s Regional Processing Office in Muskogee, Oklahoma. VA
has also developed programs that promote self-service among GI Bill
users. Services that once demanded the attention of VA
employees—from
enrolling in direct deposit to updating contact information—can now be
performed online. In OCT 07 alone, veterans and servicemembers
completed
more than 10,000 self-service transactions.
VA has also expanded its
self-servicing approach to school
officials, many of whom now submit veterans’ enrollment information
electronically. VA uses this electronically submitted data to
process
automatically more than 100,000 of the more than 1.5 million education
claims
received in fiscal year 2007. While these accomplishments are
significant, VA remains committed to continued improvement in the delivery
of
education benefits. The Department’s performance goals are
aggressive,
calling for 20% reductions in processing time during the next year. In
2007, 524,000 veterans and beneficiaries received approximately $21
billion dollars of education assistance. Since 1944, more than 21.4
million veterans and their beneficiaries have received GI Bill benefits.
VA
education benefits include Montgomery GI Bill for active duty
personnel, Montgomery GI Bill for Selected Reserves, the Reservist
Education
Assistance Program and educational assistance for survivors and
dependents. For more information on VA education benefits, refer to VA’s
education Web site at: www.GIbill.va.gov. [Source: VA Media
Relations 3 Dec 07
++]
CRDP/CRSC OPEN SEASON: Retired servicemembers eligible for both
Concurrent Retirement and Disability Pay (CRDP) and Combat-Related Special
Compensation (CRSC), may participate in the CRDP/CRSC open season to
choose which payment they prefer to receive. Federal law states retirees
can receive CRDP or CRSC - not both. This year’s annual open season is 1
JAN 08, to 3 JN 08. Beginning in late December, all eligible retirees
will be mailed a CRDP/CRSC Open Season Election Form. Retirees need to
return the form only if making a change from CRDP to CRSC or vice
versa. If a retiree prefers to keep things the way they are, no action is
needed and the current payment will continue uninterrupted. The election
form includes a comparison of the CRDP and CRSC entitlement amounts as
well as information about the tax ramifications. If a retiree wants to
change from CRDP to CRSC or vice versa, the form needs to be completed
and mailed, and postmarked no later 31 JAN 08. If the form or envelope
is dated after this date, it will not be processed and the current
payments will continue. Return your form quickly and your change of
payment
should be effective by the first business day of FEB 08. Typical
processing time is 30 days. Your change in pay will occur on the first
business day of MAR 08, if it does not occur in February. For March
payments, there will be a retroactive adjustment for the payment that
would
have been paid on the first business day in February. Your election will
remain in effect unless changed in a subsequent annual open season.
[Source: MOAA News Exchange 5 Dec 07 ++]
ELDERLY EMERGENCY ROOM USE: Side effects from just three drugs
are
responsible for a full third of all U.S. emergency room visits by senior
citizens who had adverse reactions to medications, a new study found.
Researchers found in 2004 and 2005, the blood thinner Warfarin, the
diabetes drug Insulin and the heart drug Digoxin caused about 58,000
emergency room visits a year in those 65 and older. The major problem is
that it’s hard to determine the correct dose for each drug, said study
lead author Dr. Daniel Budnitz, a medical officer with the U.S. Centers
for Disease Control and Prevention (CDC). “It’s challenging,” he
said,
“and it takes work between the patient and physician to get the dose
just right.” Budnitz and his colleagues undertook the study to determine
the danger posed to senor citizens by a long list of drugs that have
been deemed “potentially inappropriate” for use in the elderly. The
researchers looked at several surveys of emergency room visits from 2004
and 2005. The study findings are published in the Dec. 4 issue of the
Annals of Internal Medicine.
Forty-one drugs are on the list—called the BEERS
criteria—of
medications considered inappropriate for the elderly. But they accounted
for
just 3.6% of a total of about 177,000 annual emergency room visits.
Warfarin (also known as Coumadin), insulin and digoxin which has a
number of trade names) posed many more problems. (Digoxin is also on the
list of potentially inappropriate drugs for the elderly, but it’s only
listed as a potential problem if taken in certain situations.) All three
medications are well-known, commonly used drugs and all can create
problems in some cases. Warfarin, often prescribed to heart patients,
prevents blood clots by thinning the blood, but can cause excessive
bleeding
if the blood becomes too thin. Insulin treats diabetes but can
sometimes cause blood sugar levels to drop to dangerous levels. And
digoxin, a
long-used drug, can cause a variety of problems from nausea to erratic
heartbeats.
In some cases, there aren’t good alternatives to these
three
drugs, although some doctors consider digoxin to have outlived its
usefulness, the study authors noted. Doctors can monitor the levels of all
three
drugs with blood tests, Budnitz said. Simple finger-prick blood tests
allow testing of blood sugar levels, and similar tests measuring
clotting ability are now available in some clinics for people taking
warfarin, he said. The study results are “a reminder that doctors
and patients
need to work on doing the best job we can managing these medicines,”
Budnitz said. “The answer isn’t to take away medications.” Dr. Knight
Steel, head of geriatric medicine at Hackensack University Medical Center
in New Jersey, said the study results aren’t really surprising.
Doctors have long known the risks of the three drugs in question, he said,
adding that the research doesn’t provide any new information. To learn
more about the health risks that drugs can pose to the elderly, refer to
http://www.dukehealth.org/HealthLibrary/News/7994.
[Source: HealthDay
Reporter Randy Dotonga article 4 Dec 07 ++]
VA COMPENSATION RATES (DISABILITY): This benefit program evaluates
disability resulting from all types of diseases and injuries encountered
as a result of military service. The degree of disability as determined
by VA represents (as far as can practicably be determined) the average
loss in wages resulting from such diseases and injuries and their
complications in civil occupations. Generally, the degrees of
disability
specified are also designed to compensate for considerable loss of
working time from exacerbations or illnesses. By law, payment of VA
compensation and military disability severance pay for the same medical
condition or disability is prohibited. VA compensation will be withheld on
a
monthly basis until the total amount of military severance pay has been
recovered. As required by the Veterans’ Compensation Cost-of-Living
Adjustment Act of 2008 the DVA has given notice of adjustments in certain
benefit rates. These adjustments effective 1 DEC 07 for 2008 affect the
compensation program as indicated below:
10% - 20% (No Dependents): 10% $117 20% $230
*****************************************************
30% - 60% Without Children Dependent Status 30% 40% 50% 60%
Veteran Alone $356 $512 $728 $921
Veteran with Spouse Only $398 $568 $799 $1006
Veteran with Spouse & One Parent $432 $613 $856 $1074
Veteran with Spouse and Two Parents $466 $658 $913 $1142
Veteran with One Parent $390 $557 $785 $989
Veteran with Two Parents $424 $602 $842 $1057
Additional for A/A spouse (see footnote b) $39 $52 $64 $77
*****************************************************
70% - 100% Without Children Dependent Status 70% 80% 90% 100%
Veteran Alone $1,161 $1,349 $1,517 $2,527
Veteran with Spouse Only $1,260 $1,462 $1,644 $2,772
Veteran with Spouse & One Parent $1,339 $1,553 $1,746 $2,783
Veteran with Spouse and Two Parents $1,418 $1,644 $1,848 $2,897
Veteran with One Parent $1,240 $1,440 $1,619 $2,641
Veteran with Two Parents $1,319 $1,531 $1,721 $2,755
Additional for A/A spouse (see footnote b) $90 $103 $116 $129
*****************************************************
30% - 60% With Children Dependent Status 30% 40% 50% 60%
Veteran with Spouse & Child $429 $610 $850 $1068
Veteran with Child Only $384 $550 $776 $978
Veteran with Spouse, One Parent and Child $463 $655 $907 $1136
Veteran with Spouse, Two Parents and Child $497 $700 $964 $1,204
Veteran with One Parent and Child $418 $595 $833 $1046
Veteran with Two Parents and Child $452 $640 $890 $1114
Add for Each Additional Child Under Age 18 $21 $28 $35 $42
Each Additional Schoolchild Over Age 18 (see footnote a) $68 $90 $113
$136
Additional for A/A spouse (see footnote b) $39 $52 $64 $77
*****************************************************
70% - 100% With Children Dependent Status 70% 80% 90% 100%
Veteran with Spouse & Child $1,332 $1,545 $1,737 $2,772
Veteran with Child Only $1,228 $1,425 $1,603 $2,623
Veteran with Spouse, One Parent and Child $1,411 $1,636 $1,839 $2,886
Veteran with Spouse, Two Parents and Child $1,490 $1,727 $1,941 $3,000
Veteran with One Parent and Child $1,307 $1,516 $1,705 $2,737
Veteran with Two Parents and Child $1,386 $1,607 $1,807 $2,851
Add for Each Additional Child Under Age 18 $49 $56 $63 $71
Each Additional Schoolchild Over Age 18 (see footnote a) $158 $181 $204
$227
Additional for A/A spouse (see footnote b) $90 $103 $116 $129
Footnotes:
a.) Rates for each school child are shown separately. They are not
included with any other compensation rates. All other entries on this
chart reflecting a rate for children show the rate payable for children
under 18 or helpless. To find the amount payable to a 70% disabled veteran
with a spouse and four children, one of whom is over 18 and attending
school, take the 70% rate for a veteran with a spouse and 3 children, $
1,430, and add the rate for one school child, $158. The total amount
payable is $1,588.
b.) Where the veteran has a spouse who is determined to require A/A,
add the figure shown as “additional for A/A spouse” to the amount shown
for the proper dependency code. For example, veteran has A/A spouse and
2 minor children and is 70% disabled. Add $90, additional for A/A
spouse, to the rate for a 70% veteran with dependency code 12, $1,381. The
total amount payable is $ 1,471.
[Source:
http://www.vba.va.gov/bln/21/Rates/comp01.htm Dec 07 ++]
DRAFT EXPOSURE: Your normal body temperature can drop after
prolonged
exposure to cold drafts. The elderly and those who have compromised
immune systems need to protect themselves because a decrease in the
body’s natural temperature can lower resistance to germs/viruses and make
you feel stiff, uncomfortable and run-down. Stopping drafts can help
you
stay warm and healthy—and save money, too. As the cold weather rolls
in, you may hear your windows rattle or feel a cold breeze through your
back door, even when it is closed. These are sure signs of drafts
stealing your heat and making it harder for you to stay warm.
Following are
a few tips that will help you handle drafts and stay warm at the same
time:
• If you have older windows, they might not keep the heat in very well.
Plastic sheeting can be affixed over the whole window to provide a
layer of insulation without blocking the light. The plastic helps you stay
warm by stopping drafts as well as the cold that just seeps through
the window pane itself.
• If you can see daylight through the edges of your doors that means
they leak. You can’t cover doors with plastic sheeting, but a storm door
will probably pay for itself within a few heating seasons. There are
also inexpensive insulation kits for doors that have foam, magnets or
fleece to seal the edges, and weather stripping to put along the bottom.
• Draft stoppers for the base of doors and windows can be found in
colorful and playful designs. You can also make your own. Sew a fabric
tube
and fill it loosely with dried beans or popcorn kernels. Want to
recycle? Cut the sleeve off an old shirt or fill pantyhose you aren’t
using
anymore.
• If you have double hung windows, check each one to ensure it is fully
closed on both the top and bottom. They sometimes slide down a little
bit during the warmer months and will cause a draft if not closed
properly.
How to deal with drafts you can’t stop:
• Try rearranging your furniture to stay warm. If you feel a breeze on
you while you sit in your favorite chair, consider rearranging the room
to avoid drafts in the locations where you sit regularly.
• Ceramic space heaters are very cost effective for heating a small
area and cost much less to run than trying to heat your entire home. For
safety from accidents, make sure that your heater has a timer on it or
remember to unplug it when you leave the room.
• Most of us use our ceiling fans only in summer, but try using the
ceiling fan when the weather is cold too. Most styles have a reverse
switch on them that will push down the warmer air that collects at the
ceiling to help you stay warm.
• Wearing several thin layers of clothes will help you stay warm in
cold weather. The warmth from your body will get trapped in the air
pockets between the layers. Long underwear is particularly good for
helping
you stay warm and dry.
• Keep a throw blanket handy to cover your feet or shoulders, or use a
fleece shawl across your lap or around your shoulders to help you stay
warm. Fleece blankets and throws are particularly useful, because they
are incredibly warm but lightweight and less bulky than most other
fabrics.
• Wearing fleece slippers around the house can help keep your feet
warm. Look for non-skid bottoms because they prevent slipping and possible
falls.
• Heat from external sources can be helpful. If you use a heating pad
for warmth, limit the length of time it’s close to the skin to avoid a
burn and always turn it off if you are sleepy. Some heating pads come
with safety shut-off switches, which will turn off automatically after a
set period of time. There are also wraps or pads that you can heat in
the microwave. They provide temporary warmth and you don’t need to
remember to turn them off.
[Source: About.com Senior Living Guide article 4 Dec 07 ++]
DEEP VEIN THROMBOSIS: Deep Vein Thrombosis (DVT) is a
difficult-to-detect ailment that kills 200,000 people in the U.S. each
year—more than
AIDS and breast cancer combined. Yet few have heard of it and what you
don’t know can kill. Often the symptoms for DVT are subtle and can
sometimes be mistaken for muscle strains, skin rashes or inflammation in
the veins. Left untreated, DVT may cause severe or fatal complications
such as pulmonary embolism or blood clotting in the lungs. It has been
dubbed the “economy class syndrome” because of its association with long
flights in cramped conditions. However, it can also strike first class
passengers, and has been known to afflict travelers on long journeys in
cars, trucks, buses and trains. It also affects injured persons who
are immobile for long periods of time. Anyone may develop DVT, but there
are conditions that place some at higher risk including:
• Immobility or poor mobility
• Surgery that lasts more than 30 minutes
• Health conditions that cause the blood to clot more easily than
normal
• Contraceptive pills and hormone replacement therapy
• Cancer or heart failure
• Pregnancy (about 1 in 1000 pregnant women have DVT)
• Obesity
Nearly half of all people diagnosed with DVT have no symptoms; however,
there are some warning signs that require immediate attention.
Contact your health care provider if you notice:
• Pain, redness, tenderness, or sudden swelling in one leg
• Skin that is warm to the touch in one leg
• Unexplained shortness of breath
• Chest pain or rapid heart rate
• Coughing up blood
For more information on DVT, visit
http://www.nhlbi.nih.gov/health/dci/Diseases/Dvt/DVT_WhatIs.html.
[Source: TMA Gail Cureton article 30 Nov 07 ++]
TRICARE COVERAGE UPDATE 01: Beneficiaries may have seen recent news
reports alleging that health insurance company Health Net Inc., rewarded
its senior analyst in charge of Tricare’s managed care contractors,
Tricare beneficiaries might think they are also at risk of cancellation or
revocation of their TRICARE coverage. Tricare leaders say that is
simply not true. Health Net Inc., has many divisions. The
issue in the
news report involves the civilian commercial health insurance portion of
Health Net Inc., and is not related to the Federal Services part of
the company. Unlike some commercial insurance policies, Tricare
benefits
are not limited by such things as pre-existing conditions or failure
to report health information. If a person is entitled to care under
the
laws established by Congress, then they receive that care. Tricare
Management Activity wants to reassure its beneficiaries that none of them
are at risk of losing their Tricare coverage, regardless of the cost of
their care or other conditions that might affect commercial insurance
policies. Tricare is a statutory entitlement earned by Military
service. No contractor can simply drop the health care coverage of
its
beneficiaries. [Source: TMA News Release No. 07-93 dtd 3 Dec 07 ++]
USERRA UPDATE 04: A Pentagon study reports that about four in ten
returning civilian soldiers filing complaints against their employers are
dissatisfied with the Department of Labor’s (DOL’s) response to their
requests for help. And even though the number of actual employee
complaints is going down slightly, companies still lack sufficient
knowledge of
the reemployment rules. The study found that 44% of the returning
Reservists and National Guard members who filed a complaint under the
Uniformed Services Employment and Reemployment Rights Act (USERRA) were
dissatisfied with the government’s handling of their cases in 2006,
compared with 27% in 2004. Roughly one-third said the Department of
Labor’s
response was not prompt. In addition, about one in four (23%) said they
could not find a job because their previous employers did not promptly
rehire them as required by law.
Other findings in the Pentagon report include:
• Nearly 15,000 of the returning Reservists and National Guard members
didn’t receive the training they needed to return to their former jobs;
• Nearly 11,000 didn’t get their health insurance back.
• About one-third experienced difficulty getting reemployment
assistance from government agencies.
[Source: VetJobs Veteran Eagle Dec Newsletter ++]
PRE-NEED FUNERALS: The notion of pre-need funerals dates back to the
1930s, when local morticians informally began allowing customers to pay
for their services in advance. The deals were often sealed with little
more than a handshake. “It was a matter of trust,” says Ron Hast,
publisher of the industry newsletters Mortuary Management and Funeral
Monitor. By the 1980s, as national chains began gobbling up family-run
funeral homes, the industry realized there was profit to be made in
pre-need
sales. Pre-payment would guarantee a steady stream of business in the
future, and the pre-need money could be invested to keep pace with the
rising cost of funerals. The companies developed more aggressive
marketing tactics to convince Americans that pre-payment was a gift to
one’s
survivors. Today, pre-need continue to be big business. A 2007 AARP
survey of 1,087 Americans 50 and older found that 23% of them had made
pre-payments on funerals, burials, or both. Dan Isard, founder of The
Foresight Companies, a consulting firm for funeral homes, estimates that
$18 billion is currently invested in pre-need accounts. He projects that
will increase by about $2 billion a year. This money, however, isn’t
being stuck in file cabinets as in the old days. Funds are now invested
in sophisticated life insurance policies or state-regulated trusts.
For many customers, their pre-need money is safe. But
even
customers dealing with trusted funeral homes must study their policies.
Otherwise, details—often buried in the fine print—can pop up to surprise
at
the worst moment. One of the most common complaints about pre-need
involves the casket bait and switch: the customer asks for a specific
casket, but when the time comes, it’s not available and the funeral home
offers a lesser-quality model. Another problem occurs customers try
to
cancel their policies: many states don’t require that funeral homes make
full refunds. Also, customers in our transient society of who try to
transfer their policies to other funeral homes sometimes have problems.
Even worse are cases involving outright fraud. Most states require that
pre-need sellers deposit 70 to 100% of their customers’ pre-need
payments into trust accounts, which are supposed to remain untouched until
the
money is needed to pay for the service. (In states that allow pre-paid
funerals to be funded by insurance policies rather than trusts, those
plans are regulated separately, under state insurance laws.) With
industry profits on the decline, though, some morticians find it too
tempting and easy to dip into pre-need funds for other purposes.
Depending on state law, customers often have little
recourse when
their pre-paid funeral policies disappear. Lawsuits are an option. But
if the funds are gone, they’re gone. And big funeral chains don’t
necessarily offer more protection than the smaller family-run businesses.
Even with mounting evidence of widespread abuse, the federal government
has done little to regulate pre-paid funerals. Senator Christopher Dodd
(D-CT) then-Representative Mark Foley (R-FL) twice introduced
legislation to protect pre-need consumers, including giving them the right
to
transfer their policies from one funeral home to another. But Congress
never took up the measures. The only federal agency currently concerned
with protecting pre-need customers is the Federal Trade Commission. And
it’s not doing much. The FTC focuses mainly on funeral homes’
compliance in providing itemized price lists to customers. But price lists
can’t
protect customers against pre-need fraud. FTC attorney Monica Vaca
says the agency is privately reviewing possible rule changes. The
resulting lack of federal oversight leaves regulation of pre-need policies
up
to the states. A few take a tough stance. New York, for example,
requires funeral directors to deposit 100% of pre-paid money in
interest-bearing trusts that are refundable to customers at any time. The
only
exception: irrevocable contracts, designed to shield the assets of
consumers
who are spending down their assets to qualify for Medicaid. Such
contracts are not refundable in New York but can be transferred to another
funeral home. New York’s tough oversight, though, is an exception. Most
states “operate with a loosey-goosey patchwork of regulations” that
enables unscrupulous behavior, writes Chris Raymond, editor of the
National Funeral Directors Association’s newsletter. Funeral-industry
leaders
say they support consumer-friendly laws, though their definitions of
friendly vary wildly. [Source: AARP Barry Yeoman article Dec 07++]
CALIFORNIA & FEDERAL DISABLED BENEFITS (20% SC): Veterans who are
residents of California who are rated 20% overall disabled by the VA as a
result of a service connected (SC) determination are entitled to the
following state and federal benefits. This list was last updated OCT 06.
For residents of other states the federal benefits are the same but the
state benefits will be in accordance with that state’s laws. To
determine what they are check the VA website associated with the state in
question:
1. VA fee basis outpatient medical card for SC condition(s) requiring
treatment.
2. Enrollment in VA Healthcare Priority Group 3 (no healthcare
co-payments required; pharmacy co-payments required for NSC medications,
except
for former POWs).
3. Eligibility for sensorineural aids—hearing aids, eyeglasses, contact
lenses—without regard to whether the condition producing need for such
is service-connected.
4. Eligibility for Service-Disabled Veterans’ Insurance (RH).
5. Possible eligibility for special monthly compensation for loss or
loss of use of a creative organ.
6. Possible eligibility for payment of annual clothing allowance for
specified SC disorders resulting in need for prosthetic appliance or use
of a wheelchair, or for certain skin conditions.
7. Eligibility for education or training under VA Vocational
Rehabilitation.
8. Golden Access Passport for U.S. National Parks.
9. Eligibility for 10-point preference for Federal Civil Service
employment.
10. Eligibility for 15-point preference for State of California
employment.
11. Home loan guaranty funding fee exemption.
12. Possible eligibility for Home Improvement and Structural Alteration
(HISA) home modification grant.
13. Eligibility for CAL-VET College Tuition and Fee Waiver for children
(Plan B).
14. Possible eligibility for DMV Disabled Person Parking Placard.
15. If a 20-year military retiree, possible eligibility for CRSC.
16. Possible eligibility for the California Disabled Veteran Business
Enterprise (DVBE) and the Federal Service Disabled Veteran Owned
Business (SDVOB) programs.
[Source: CA Dept of VA website Nov 07 ++]
CALIFORNIA & FEDERAL DISABLED BENEFITS (30% SC): Veterans who are
residents of California who are rated 30% overall disabled by the VA as a
result of a service connected (SC) determination are entitled to the
following state and federal benefits. This list was last updated OCT 06.
For residents of other states the federal benefits are the same but the
state benefits will be in accordance with that state’s laws. To
determine what they are check the VA website associated with the state in
question:
1. Eligibility for additional allowance for dependents—spouse,
children, dependent parent(s).
2. Eligibility for additional aid and attendance allowance for disabled
spouse.
3. VA fee basis outpatient medical card for SC condition(s) requiring
treatment.
4. Enrollment in VA Healthcare Priority Group 2 (no healthcare
co-payment required; pharmacy co-payments required for NSC medications,
except
for former POWs).
5. Eligibility for sensorineural aids—hearing aids, eyeglasses, contact
lenses—without regard to whether the condition producing need for such
is service-connected.
6. Eligibility for Service-Disabled Veterans’ Insurance (RH).
7. Possible eligibility for special monthly compensation for loss or
loss of use of a creative organ; loss of a female breast; or, loss of use
of one eye (blindness).
8. Possible eligibility for payment of annual clothing allowance for
specified SC disorders resulting in need for prosthetic appliance or use
of a wheelchair, or for certain skin conditions.
9. Eligibility for education or training under VA Vocational
Rehabilitation.
10. Golden Access Passport for U.S. National Parks.
11. Eligibility for 10-point preference for Federal Civil Service
employment. Under certain circumstances, may be employed on a
noncompetitive
basis.
12. Eligibility for 15-point preference for State of California
employment.
13. Home loan guaranty funding fee exemption.
14. Possible eligibility for Home Improvement and Structural Alteration
(HISA) home modification grant.
15. Eligibility for CAL-VET College Tuition and Fee Waiver for children
(Plan B).
16. Possible eligibility for DMV Disabled Person Parking Placard.
17. If a 20-year military retiree, possible eligibility for CRSC.
18. Possible eligibility for the California Disabled Veteran Business
Enterprise (DVBE) and the Federal Service Disabled Veteran Owned
Business (SDVOB) programs.
[Source: CA Dept of VA website Nov 07 ++]
ESTATE TAX UPDATE 02 (U.S): In 1789, Ben Franklin said, “In this
world, nothing is certain but death and taxes.” As you manage wealth
preservation and transfer, truer words do not exist. In recent years, a
significant number of states have radically changed how they deal with
death
and inheritance taxes. A 2001 federal tax law significantly changed
the way state inheritance and death taxes are treated on federal estate
tax returns. Because of threats of potential revenue drops some states,
to protect and maintain these revenue streams decoupled their estate
exemption from the federal level freezing the estate tax exemption at a
lower level. Kansas, Maine, Maryland, Massachusetts, Minnesota,
Nebraska, New York, Oregon & District of Columbia set exemption rates of
$1
million and New Jersey, Rhode Island, & Wisconsin set exemption rates of
$675,000. Other states imposed separate estate tax systems.
The
state estate tax threshold for Connecticut is $2,000,000, Ohio is
$338,000, Oklahoma is $2,000,000, & Washington is $1,000,000. Some states
impose an inheritance tax (also called a death tax) in addition to or in
lieu of estate taxes. Indiana, Iowa, Kentucky, Maryland, Nebraska, New
Jersey, and Pennsylvania all levy inheritance taxes.
Estate plans drafted in the late 1990s through 2001
¬which relied
on streamlined state and federal estate-tax treatment may need to be
revisited. This especially is true of estates totaling $1 million to $2
million or more, which use credit shelter trust (also called A-B trust
or bypass trust) techniques that might be exempt from federal taxes but
are subject to a nasty surprise at the state level. Depending on the
state, these recent changes could add tens of thousands of dollars or
more in state taxes to your estate’s tax burden, making where you die just
as important as where you live — especially for large estate holders.
If you live in one of the affected states, contact an estate-planning
attorney to see if your estate plan needs to be updated. Don’t get
ambushed by estate taxes because you weren’t paying attention. At
www.moaa.org/serv/serv_lawyerListing.htm is a listing of MOAA member
lawyers who
have agreed to give other MOAA members a 25% discount off their
regular and customary charges. If you cannot find an attorney in your
location, you check your local public library for the “Martindale-Hubbell
Law
Directory,” which lists most attorneys in practice throughout the
country or visit their web site at www.martindale.com. [Source: MOAA Phil
Dyer, CFP article JUN 06 ++]
VETERAN LEGISLATION STATUS 13 DEC 07: For a listing of Congressional
bills of interest to the veteran community that have been introduced in
the 110th Congress refer to the Bulletin’s House & Senate attachments.
By clicking on the bill number indicated you can access the actual
legislative language of the bill and see if your representative has
signed on as a cosponsor. Support of these bills through cosponsorship by
other legislators is critical if they are ever going to move through the
legislative process for a floor vote to become law. A good
indication
on that likelihood is the number of cosponsors who have signed onto the
bill. A cosponsor is a member of Congress who has joined one or more
other members in his/her chamber (i.e. House or Senate) to sponsor a
bill or amendment. The member who introduces the bill is considered the
sponsor. Members subsequently signing on are called cosponsors. Any
number of members may cosponsor a bill in the House or Senate. At
http://thomas.loc.gov
you can also review a copy of each bill’s
content, determine its current status, the committee it has been assigned
to,
and if your legislator is a sponsor or cosponsor of it. To determine
what bills, amendments your representative has sponsored, cosponsored,
or dropped sponsorship on refer to
http://thomas.loc.gov/bss/d110/sponlst.html.
The key to increasing
cosponsorship on veteran related bills and subsequent passage into law is
letting our representatives know of veteran’s feelings on issues. At
the end of some listed bills is a web link that can be used to do that.
Otherwise, you can locate on
http://thomas.loc.gov who
your
representative is and his/her phone number, mailing address, or
email/website to
communicate with a message or letter of your own making. [Source:
RAO
Bulletin Attachment 13 Dec 07 ++]
Lt. James "EMO" Tichacek, USN (Ret)
Director, Retiree Assistance Office, U.S. Embassy Warden & IRS VITA
Baguio City RP
PSC 517 Box RCB, FPO AP 96517
Tel: (760) 839-9003 when in U.S. & Cell: 0915-361-3503 when in
Philippines.
Email:
raoemo@sbcglobal.net Web:
http://post_119_gulfport_ms.tripod.com/rao1.html
AL/AMVETS/DAV/FRA/NAUS/NCOA/MOAA/USDR/VFW/VVA/CG33/DD890/AD37 member
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