Spotlight on scams and frauds targeting older Americans 

Published in RINewsToday on September 23, 2024 

Although the U.S. Senate Special Committee on Aging, initially established in 1961 as a temporary committee, later becoming a permanent Senate Committee in 1977, has no legislative authority, it studies an array of issues related to older Americans. Last week, U.S. Senator Bob Casey (D-PA), Chairman of the U.S. Senate Special Committee on Aging, held a full Committee Hearing, taking a look at an important issue impacting older Americans, the rampant increase of scams and frauds.

The hearing entitled “Fighting Fraud: How Scammers are Stealing from Older Adults,” lasting over one hour and thirty minutes, highlighted the psychological and economic impacts that frauds and scams have older adults, who are disproportionately targeted by fraudsters.

During the hearing, held on Sep. 19, Casey unveiled the Aging Committee’s 9th annual Fraud Book, “Fighting Fraud: Scams to Watch Out For.” The 93-page book, hot off the press, provides seniors with an overview of the most prevalent scams to help them identify and avoid being victimized. The Fraud Book also contains valuable resources for scam victims.

At this hearing, Casey also touched on the 2017 Republican tax law, called “Scammed Then Taxed,”which details how the law’s repeal of the theft loss deduction has imposed significant taxes on many scam victims.

The 91-page Majority Staff Report details the results of a months-long investigation examining how the removal of the casualty and theft loss tax deduction—repealed by Republicans in the 2017 tax law has devastated many American fraud victims.

This report details how some older adults—who lose the most to frauds and scams—are now facing huge tax bills on top of losing all their assets, leading them to feel as though they have been victimized twice.

According to the report, for a century, the theft loss deduction allowed taxpayers who experienced theft to receive a tax deduction to offset their losses. The repeal of this provision has meant that fraud victims are now often obligated to pay taxes on money that has been stolen.

Keeping Scammers from Stealing from Older Adults

In his opening statement, Casey stated: “At today’s hearing, we heard tragic stories from scam victims and law enforcement about how fraudsters are getting more sophisticated and aggressive with their scams and throwing the lives of older adults into chaos.” The Pennsylvania Senator stressed the importance of educating older adults about the threats they face from frauds and scams.

Casey rattled off a list of common scams, detailed in the released Fraud Book, including grandparent scams, investment scams, tech support scams, to name just a few.

With the advent of Artificial Intelligence, scammers have now gotten even more sophisticated, especially by cloning the voice, warned Casey, making their phone and online message even more convincing to the older victim.

“That may explain why recent FBI data shows that fraud losses among older adults have gone up in recent years – reaching $3.4 billion in 2023,” says Casey.

Casey also called for more resources to be provided to persons who have been victimized by scams, including those who have been forced to pay taxes on money they’ve lost due to changes in the 2017 Republican tax law.

Like Casey, in his opening statement Ranking Member Mike Braun (R- Indiana) also stressed the need to prioritize education and outreach to older adults help them to recognize red flags that warn of scams.

“Our community banks and credit unions are often the first line of defense intervening on transactions that just don’t add up,” says Braun. “In my home state of Indiana, one community bank has been able to stop over $1.2 million worth of scams this year,” he notes.

According to Braun, last year Medicare lost an estimated $60 billion due to fraud, errors, and abuse. “Every dollar lost to fraud is a dollar that can be spent on vital programs for American seniors,” he says.

The Indiana Senator noted that he has requested the U.S. Government Accountability Office (GAO) to initiate a full audit of Medicare fraud. The GAO has begun its audit in July, says Braun, noting it to be the most comprehensive audit in Medicare’s history.

And Braun expects the GAO investigation to uncover “how much fraudsters are stealing from the American taxpayer” and to revamp the current Medicare Fraud Prevention System to reduce fraud taking place. 

Witnesses testifying before Senate Aging Committee

Casey invited Susan Whittaker, an Administrative Assistant at Lehigh County Aging and Adult Services in Allentown, Pennsylvania, to testify at the hearing about her late husband’s experience as a QuickBooks scam victim.  At the time of the scam, Bill, 75, suffered from dementia along with other chronic conditions.

Susan told Senators that her husband had received an email receipt on Tuesday, that appeared to be from QuickBooks. It claimed that a software upgrade fee of $499 had been charged to the business account that Bill used to manage his son’s company.  He knew that he hadn’t purchased this upgrade.  Calling the company and requesting a refund, he was told to pay $500 upfront, thru a created Venmo account, install an application on his computer and provide personal financial information.  Once done, Bill would get his money back.

On Friday, by the time Susan had learned about the financial transaction, $28,000 had been withdrawn from their accounts. Although the bank ultimately recovered $8,000 the following week, $20,000 was gone — money that her husband was planning to use to buy medications.  And he lost his job, too.

“This scam was devastating and had a devastating effect on Bill—both financially (losing $20,000) and emotionally,” stated Susan, forcing her husband to begin rationing his medications.

“We just couldn’t afford them [medications] anymore… He also lost his sense of self-worth. I was really sad to see this very intelligent and past business owner, become so afraid to read emails and use a phone. It was a huge setback for him, and I think contributed to his worsening health conditions…he stopped living,” said Susan.  

Kathy Stokes, Director of AARP’s Fraud Prevention Program, told Senators that there has been a “meteoric” growth in fraud crimes. When considering fraud that goes unreported, Stokes noted that the Federal Trade Commission estimated the cost of fraud at $137 billion in 2022.  But most fraud experts say that this is far higher than the $ 8.9 billion in losses reported that year, she added.

Beyond educating seniors about fraud prevention thru the sharing of information online at aarp.org/fraudwatchnetwork, AARP covers the issue in AARP the MagazineAARP Bulletin, biweekly emails or text ‘watchdog alert newsletter,” and on its podcast “A Perfect Story,” notes Stokes.

“Beyond education, AARP is unique in its focus on supporting victims of fraud and their families,” says Stokes, noting that its Fraud Watch Network Helpline receives 500 calls a day.

“Addressing fraud requires more than piecemeal solutions; it demands a whole-of-society approach,” warns Stokes. “But together, educators, policymakers, law enforcement and industry can turn the tide against vicious crime gangs who hold the power right now. Together we can disrupt their business model, protect millions of consumers, and keep billions of dollars in saving and retirement accounts and in our economy,” she says.

“Currently, we are all failing the very people who need us the most: older adults- m any of whom can’t afford to lose anything, let everything. We are failing in our most basic duties to protect those in their golden years who are living off their nest eggs they worked for their entire lives and who are beyond the ability to rejoin the workforce to make the money back,” charged Scott Pirrello, who oversees the San Diego District Attorney’s Office’s Elder Abuse Prosecution. 

“Too many very well intended programs are not implemented in a way to truly impact the tsunami of fraud that we are facing each day,” he said.

Pirrello told the Senators about the success of the Elder Justice Task Force (EJTF), created by his office, working with the San Diego FBI, to combat elder fraud. Oversea scammers depended on organized networks of money launders operating in the United States, he said, noting that EJTF worked to disrupt these networks.

Like the other witness, Pirrello called for investing in education, as well as adequately fund task forces like the EJTF, to fight against scammers.

One of the biggest crimes affecting Medicare beneficiaries and persons with disabilities is Medicare fraud, waste and abuse, says Nancy Gilmer Moore, who works for the Indiana Association of Area Agencies on Aging managing its Senior Medicare Program. “Health care experts estimate improper Medicare payments are approximately $ 60 billion a year,” she says.

Gilmer Moore admitted to the Senate Aging Panel that she was personally the target of the “Intermittent Urinary Catheter fraud scheme.  Medicare paid the fraudsters $1,500 a month (for supplies never ordered) before she noticed it on her statement. Moore ultimately reported the suspicious claims to Centers for Medicare and Medicaid Services and requested a new Medicare number since her number was compromised.

“Be on the lookout for duplicate billing, services or products not rendered or received and services not ordered by their physicians,” urged Gilmer Moore, noting that beneficiaries and caregivers should never give their Medicare number or financial information over the telephone to an unknown called.  Medicare does not make. unsolicited phone calls.

For information on fraud prevention, go to aarp.org/fraudwatchnetwork.

To download a copy of the 2024 Fraud Book, go to https://www.aging.senate.gov/imo/media/doc/2024_fraud_book_english.pdf.

To watch the Senate Aging Panel’s hearing on fighting fraud, go to https://www.aging.senate.gov/hearings/fighting-fraud-how-scammers-are-stealing-from-older-adults.

To see the Majority Staff Report, “Scammed Then Taxed,” go to

https://www.casey.senate.gov/news/releases/scammed-then-taxed-casey-unveils-new-report-showing-how-republican-tax-law-further-devastated-scam-victims

Cap on out— of-pocket costs for Medicare drug plan enrollees coming soon

Published in RINewsToday on September 2, 2024 

Back on Aug. 16th in 2022, President Joe Biden signed into law the Inflation Reduction Act of 2022 (IRA), it’s enactment lowering the health cost for millions of older Americans by lowering the high cost of prescription drugs by granting Medicare the power to directly negotiate drug prices with drug companies.  Rising drug costs were forcing some Medicare beneficiaries to cut their expenses by not filling a prescription or even skipping doses. This could lead to complications and side effects resulting in hospitalization, even death.

“AARP was instrumental in Congress passing the prescription drug law of 2022 to lower prices and out-of-pocket costs for Medicare enrollees,” said Jo Ann Jenkins, CEO of AARP in an Aug. 28 statement announcing the release of AARP’s new report. “As we approach January 2025, we want every senior in America to know that, thanks to the new annual cap which limits their out-of-pocket costs, they will have more money to invest in their families, spend on their broader health needs or simply save to achieve greater financial stability.”

Virtual Media Briefing Details Impact on IRA law

Last week, the Washington, DC-based AARP briefed the media on the state-level impact of the historic new federal protection for 56 million Medicare drug plan enrollees. The new law caps out-of-pocket prescription drug costs every year, beginning at $2,000 in January 2025. 

The nine-page Public Policy Institute report, released at the virtual media briefing, analyzes the number of enrollees (not receiving the Medicare low-income subsidy) that will benefit from the new cap by state, age, gender, and race between 2025 and 2029.

Nancy LeaMond, the chief advocacy and engagement officer for AARP, say putting the brakes to spiraling drug cost by enacting the IRA put money back into the pockets of millions of America’s retirees purchasing pharmaceuticals for their medical conditions. “Upwards of 95% of Americans, age 65 and older, have at least one chronic condition and close to 80% are dealing with 2 or more chronic conditions,” says LeaMond, like diabetes and heart disease, to debilitating neurological diseases like Parkinson’s and Ms.

“Prescription drugs are a lifeline, said LeaMond, stressing that medicine is only effective if you have the money to pay for it. The passage of IRA two years ago is already having a significant and positive impact on millions of Medicare beneficiaries who now don’t pay more than $35 a month for insulin and get free vaccines for things like shingles,” she noted. 

“There are even bigger savings coming down the pike, starting in January 2025. The total amount that folks enrolled in Medicare drug plans pay out of pocket for their prescriptions will be capped at $2,000 a year,” reports LeaMond.  

During the media briefing, Leigh Purvis, Prescription Drug Policy Principal, AARP Public Policy Institute, stated “one of the biggest challenges in the original Medicare Part D benefit was the lack of a cap on out-of-pocket spending.”  Even after reaching a certain limit, Medicare beneficiaries were still required to pay 5% of their drug costs, with no limit for those on expensive Medications, she said.

According to Purvis, out of pocket expenses could exceed $10,000 per year, “an unmanageable amount for anyone, but especially for a population with a Median annual income of $36,000. Because of this, AARP pushed for the inclusion of a cap on out-of-pocket spending for Medicare Part D, to be included in the IRA, she said.  And it was…

Purvis noted that 3 million Part D beneficiaries (who don’t receive the Medicare Part D low-income subsidy are expected to benefit from the $2,000 cap in 2025.  This number is expected to grow to over 4 million by 2029.  These Medicare drug plan enrollees would see average savings of roughly $1,100, or 56%, in 2025 for their prescription drugs. 

Purvis also gave a few other takeaways from the report.  On average,  approximately 1.4 million (40 percent) Medicare drug plan enrollees who reach the new out-of-pocket cap between 2025 and 2029 are estimated to see annual savings of $1,000 or more, and just over 420,000 (12 percent) will see savings of more than $3,000.  In addition, more than three-quarters of Medicare drug plan enrollees who will benefit in 2025 are between the ages of 65 and 84.

Finally, Paula Cunningham, AARP Michigan State Director (discussing  results of a state survey) and Diana Devito , who has lived with chronic lymphocytic leukemia for over 19 years, participated in the media briefing. Both reinforced  how the report’s numbers aren’t just statistics, they represent real people “who are being forced to make impossible choices.” 

Cunningham told a “heartbreak” story about a woman who had lost her husband, and she had to sell her wedding ring in order to pay for her prescription drugs. “She’s now deceased, but I will never forget her story, or the stories of people across this great state that we met who had to make difficult choices between paying rent or buying groceries to pay for their medications,” she said.

After experiencing the high prescription costs for treating life-threatening chronic disorder, Devito came to share how important a $2,000 cap can be “for people like me.”  She said, “It’s a real-life changer,” noting that everyone doesn’t understand that. “If you’re not taking one of these expensive drugs, you don’t realize the impact that it has on your life,” she added.

On Another Note…

U.S. Senator Jack Reed brings to my attention another Congressional report that details the Rhode Island specific data as to the impact of IRA on older Rhode Islanders.

According to the Congressional Joint Economic Committee (CJEC), this year, about 57,000 Rhode Island Medicare beneficiaries will save an average of roughly $200 each year because of IRA’s improvement to the Medicare Part D drug coverage. By 2025 this number would increase to 68,000 retirees, saving them an annual average of $340 on prescription drugs.

By allowing Medicare to negotiate with drug companies to bargain down the high cost of many lifesaving drugs, 29,000 retirees use drugs that are with the new negotiated prices, says the CJEC report.

For a copy of AARP Public Policy Institute’s Medicare Part D Out-of-Pocket Spending Cap, go to https://www.aarp.org/pri/topics/health/prescription-drugs/medicare-part-d-out-of-pocket-spending-cap-prescription-drug-costs/.

To learn more about AARP’s work to lower prescription drug prices, visit https://www.aarp.org/politics-society/advocacy/prescription-drugs/.

For a copy of CJEC’s report, go to https://www.jec.senate.gov/public/_cache/files/356ae3d2-af5e-4d32-bd42-fafc548173c5/ri-cost-savings-fact-sheet.pdf

For details how the IRA impacts older Rhode Island retirees, go to https://www.whitehouse.gov/wp-content/uploads/2022/08/Rhode-Island-Health-Care.pdf

New AARP Report Takes a Look at Older LGBTQ+ Issues

Published in RINewsToday on August 26, 2024

The newly released, annual AARP report, “Dignity 2024: The Experience of LGBTQ+ Older Adults,” shows that four in five (78%) older adults who identify as LGBTQ+ are concerned about having enough support from family and friends as they age. At the same time, the researchers noted that nearly half (45%) are already living with a chronic condition, disability, or both – a figure that will likely increase as they age. The 53-page report examines top concerns of LGBTQ+ adults age 45 and over, from caregiving, to mental health, to finances.

The Dignity survey, first published in 2018 and repeated every year, examines the LGBTQ+ communities that have different life experiences than their heterosexual and cisgender counterparts. Cisgender relates to a person whose gender identify corresponds with the sex registered for them at birth. 

About 7.6 percent of American adults identify as lesbian, gay, bisexual, transgender, queer, or another non-heterosexual orientation, reports a 2024 Gallup poll.  Four years ago, this percentage was 5.6.

Understanding aging LGBTQ issues

“The unique needs and realities of older LGBTQ+ Americans are still too often overlooked in society,” said Cassandra Cantave Burton, Senior Research Advisor for AARP in an Aug. 12 statement announcing the report’s findings. “AARP’s research has consistently shown that the majority of LGBTQ+ older adults are concerned about having adequate social supports to rely on as they age.”

Three-in-five LGBTQ+ respondents age 45 or older (58%) are a caregiver or have been one in the past, which can add additional challenges to their lives, say researchers, noting that 78% of respondents say they are stressed emotionally due to caregiving responsibilities. The study findings indicate that some feel obligated to care for someone who is not accepting of their identity (14%).  

Almost half of all study’s respondents (45%) expressed they lack companionship, with more (48%) saying they often or sometimes feel isolated from others. LGBTQ+ respondents with a disability say they are also more likely to be extremely or very concerned (51%) about having adequate social support compared to those without a disability (33%).

Most (77%) LGBTQ+ older adults say they have been physically active and health is important. But they face unique challenges when it comes to healthcare.

Sixty one percent of the LGBTQ+ caregivers say they find it difficult to get enough rest or exercise, while 45% find it hard to visit their doctors.  Fifty percent report that they struggle to maintain a healthy diet, while 85% take a prescription medication on a regular basis.

When asked about access to health care, respondents felt that age discrimination (25%), sexual orientation discrimination (21%), or gender identity discrimination (20%) have an effect on health.

Here are few more notable findings gleaned from AARP’s LGBSTQ study. 

When considering future employment prospects among those who are employed, age-based discrimination is feared by nearly half (45%) of LGBTQ+ adults 45-plus.  Almost all respondents (94%) say maintaining financial security is very or extremely important. And between all LGBTQ groups, transgender/nonbinary individuals are least likely to have $75,000 or more (34%) in household income.

The report also offers recommendations to improve outcomes, including increasing access to health care and providing health care providers tools and training for increased awareness of issues related to the LGBTQ+ community.

 LGBTQ Rhode Islanders weigh in

“The report’s findings are heartbreaking and highlight the social and health disparities that for so long have impacted our LGBTQ+ Community,” says Yesenia Rubio, calling for the creation of intentional legislation that would eliminate prejudice and disparities once and for all due to sexual orientation.  “We need to develop more resources within our healthcare system and communities across Rhode Island, said Rubio, Pawtucket City Councilwoman at-large who is the proprietor of Pawtucket-based Notes Coffee Co.

 “The release of this report is a call to action for all of us to ensure that the LGBTQ+ community can age with the dignity, equal care, and community support they deserve,” says Rubio.

“When my wife and I tried to get pregnant with our son Julian, our insurance would not cover our fertility treatment because we were a gay couple and not a heterosexual or “man and woman” couple,” says Rubio. “Where is the equity in that? It violates our civil and constitutional rights. Everyone should have the right to create a family regardless of their sexual orientation,” she adds. 

After reviewing AARP’s study, Deborah DeBare, 63, board member of Pride in Aging – RI (formerly SAGE-RI), questioned the age cutoff for the report. “Although it is great to see people between ages 45 and 60 being included in this study, the experiences  elated to health access, caregiving, social isolation and discrimination are significantly different when looking at elders,” she notes.

“I think that this skews the results. If the survey had been conducted among LGBTQ+ people who are 60 or older, I believe the results would have shown an even more alarming rate of social isolation and difficulties accessing care, feeling safe, and being discriminated against, says DeBare, who serves as Senior Deputy Director at the National Network to End Domestic Violence. 

The high percentage of women identifying as caregivers among the LGBTQ+ population is not surprising, adds DeBare, noting that women as a whole are disproportionately relied on for caregiving (with parents, children, adult children with special needs, with partners, and within social networks). “It would have been interesting to compare the rates reported in this survey with rates among the heterosexual population of women,” she says. 

According to DeBare, the AARP report does not dive deep enough into questions about abuse, exploitation or discrimination. “These are serious risks for LGBTQ+ elders. When they move into nursing homes or assisted living spaces, or participate in senior center activities/spaces, they are not able to “screen” the environments to ensure that the staff or fellow residents/participants are going to treat them with dignity and respect,” she warns.

“After having been “out” for many years or decades, it is an emotional burden for LGBTQ+ elders to have to approach their lives in the cloak of “the closet” to assess the safety of their new environment, says DeBare. “There are way too many stories of people having been insulted, treated disrespectfully, and discriminated against by caregivers, staff, and fellow residents,” she notes.  

Dignity 2024: The Experience of LGBTQ+ Older Adults was fielded online in April, 2024. A total of 2,212 LGBTQ community members age 45 and over participated, including 1,013 cisgender gay and bisexual+ men, 868 cisgender lesbian and bisexual+ women and an oversample of 331 transgender and nonbinary (TGNB) participants. The study oversampled Asian (106), African American/Black (276), and Hispanic/Latino(a/x) (269) individuals.

Resources

All reports in the Dignity series can be found at   https://www.aarp.org/pri/topics/social-leisure/relationships/lgbtq-dignity-series/?CMP=RDRCT-PRI-HOMFAM

To download a copy of this report, go to  chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.aarp.org/content/dam/aarp/research/topics/social-leisure/relationships/lgbtq-dignity-series-2024.doi.10.26419-2fres.00805.001.pdf.

For AARP’s LGBTQ Community Caregiving Guidelines, go to chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.aarp.org/content/dam/aarp/caregiving/pdf/family-caregiving-guide/lgbtq.pdf?intcmp=AE-HF-VC-LGBT-R2-C3

Find more News, finance, wellness and other topics of interest for the lesbian, gay, bisexual, transgender and queer community, go to https://www.aarp.org/home-family/voices/lgbtq/?cmp=RDRCT-LGBTQ-03022023