Overcoming Bias : Why Boom Times Kill

Posted by:  :  Category: Medicare

"Never spend your money before you have it." ~ Thomas Jefferson. by eyewashApproximately 80 percent of the averted respiratory deaths are among those over age 60. … Virtually all of the additional cardiovascular deaths are among those over age 65. … The correlation between changes in hospital employment and changes in aggregate employment is strongly negative (-0.90). … Nursing homes experience especially severe shortages of nursing aides when the economy is strong. … Between 70 to 90% of home health care agencies and nursing homes indicate shortages of direct care workers. … Nursing home deaths are associated with an estimated [unemployment rate] coefficient that is an order of magnitude larger than the coefficient that is estimated among deaths taking place elsewhere. …
Source: overcomingbias.com

Video: Medicaid spend down

Office Hours: purposeful spend down to Medicaid

@Weiwen that wave N=~8,200. No study is perfect, but to restate the key findings 4 in 10 elderly are spent down in the community; 4% have enough assets to potentially benefit from spend down and a trust of any sort. Does anyone have a study of purposeful spend down in any sample? Are you saying you think rich people in Connecticut and New York are more likely to be trying to figure out how to die in a Medicaid NH so their kids can have their money than rich people in other parts of the nation? Yes to waivers, and generalized attempts at community based options; see this post on rebalancing here http://theincidentaleconomist.com/wordpress/rebalancing-long-term-care/ the trend is away from NH, but for those in the community, there is not the same shift to Medicaid paying for everything as they still must maintain a house and most likely supplement with informal care.
Source: theincidentaleconomist.com

Common Questions About Asset Protection From Nursing Home Medicaid Spend Down

Commonwealth Advisory Group has helped thousands of clients to protect assets from nursing home both prior to admission and also when a loved one has already been admitted to a nursing home. Following are the most common question asked: What will insurance pay? Typically, a medical emergency triggers a stay at a rehabilitation center or skilled nursing home following hospitalization. And many believe that because of this medical emergency, their health insurance will cover their stay for this additional care, however, this is not typically the case. Following admission in a hospital (at least three-day stay) and upon transfer to a nursing home, your health insurance, which includes Medicare, will typically pay toward your care for a limited period of time, not to exceed 100 days. However, the amount that Medicare pays towards your stay is varied. Your coverage may also be supplemented by health insurance such as Blue Cross Medex, United Health Care, CIGNA or other supplemental health insurance plans that are available. Health insurance coverage carries with it a maximum number of days of nursing home care that will be covered. Unless you have protected your assets, once your coverage has been exhausted, you will be expected to spend all of your hard-earned assets on your care, which becomes very, very expensive. We specialize in protecting your assets even if someone is already in a nursing home and privately paying. Contact our office at 800-705-1415 to schedule your consultation. Won’t Medicare pay for long term nursing home care? No. Medicare is health insurance for people over 65. Medicare provides payment for medical expenses for illnesses. Medicare does not cover the long term custodial care in nursing homes or adult care homes. Medicare will provide assistance only for a maximum of 100 days assuming that certain conditions are met. Medicare does not pay for what is called “custodial care.” Custodial care is the type of care most people receive in nursing homes – meaning not all nursing home residences receive the maximum 100 days of coverage. What Assets will be used to pay for Nursing Home care? Your home, jointly held property, gifted assets, retirement accounts, bank accounts, securities and insurance policies will all be used to pay for nursing home care. All of your assets will be spent. A single person will be left with only $2,000. Can’t I just give my assets to my children? There are many pitfalls to doing this. For example, you no longer control your assets. If your child is sued, your assets will be taken. If your child gets divorced, their spouse may be entitled to a share of those funds. Or, if your child dies, your funds may not go to individuals you have specified. Most important, transfers or gifts are subject to look back periods and penalties. If any of that gifted money is spent or lost and a loved one goes into a nursing home, there could be serious consequences based upon newly signed federal regulations. At Commonwealth Advisory Group, we are experts in MA Medicaid Spend Down planning to save on MA Nursing Home Costs. Commonwealth Advisory Group has helped families to protect assets prior to admission to a nursing home medicaid, and when a loved one has already been admitted to a Massachusetts Medicaid nursing home. We are Massachusetts leading Senior Asset Protection Planning and Massachusetts Medicaid planning consultants. Commonwealth Advisory Group specializes in helping Massachusetts elders and their families protect assets from nursing home. Please visit http://www.commadvisory.com/ for more detail.
Source: articleonlinedirectory.com

Medicare Supplemental Insurance Comparisons

best medicare supplement difference between medicare and medicaid excellent medical transcription health house of lords how does medicare work how to apply for medicare important difference in uk vs us health insurance models improving your health by medicare supplement leads insurance price hikes local social office medical insurance companies medical record medical records medical transcription medical transcription companies medical transcription service medical transcription solution medicare advantage plans medicare benefits medicare insurance medicare part a and part b medicare supplemental insurance- medicare supplement insurance medicare supplement leads Medicare supplement plans medicare supplements medicare vs medicaid medicare vs medicaidyour own choice medicare work medigap medigap insurance open referral open referral clients open referrals process outsourced medical transcription private medical insurance service delivery costs supplemental insurance supplemental insurance for medicare the benefits of medicare program transcription service office vs us health what is medical transcription mt what is the difference between medicare and medicaid
Source: apssupplements.com

Senior Care Options:Nursing Home Costs and Ratings for Medicare and Medicaid Insurance : Silvercensus Blog

As an entrepreneur in digital media, Julie Northcutt launched Caregiverlist.com to deliver the efficiencies of digital technology to senior care companies, professional senior caregivers and families. After graduating from the Missouri School of Journalism, she jumped fence from writing to advertising sales, due to her attraction to launching new business streams for companies. She credits her entrepreneurial skills to experiences gained while growing up on a family farm. She joined USA Today and then became a pioneer in the internet, launching the online advertising sales for Morningstar.com. Often having hobby businesses on the side, she finally saved her money to start her own business, a senior home care agency, combining her entrepreneurial skills with a service she had personal experience in. She grew the agency to be a leader in the Chicagoland market and sold it to a national company in order to focus full-time on Caregiverlist. Caregiverlist.com provides the online tools she wished she had when she owned the senior home care agency, serving as a reliable resource for senior care professionals, adult children and seniors. Caregiverlist answers all the questions that begin when senior care becomes a need, while providing efficient business tools for senior care companies. She credits clients, employees and business colleagues with keeping the idea for Caregiverlist.com on track and contributing to the continued success with their suggestions and feedback.
Source: silvercensus.com

Ohio Medicare Savings Programs 2011

medicare advantage plans ohio 2012 (7),slmb ohio (6),medicaid ohio eligibility 2012 (5),Medicare Ded 2012 (5),slmb program 2012 (4),qmb coverage ohio 2011 (3),ohio medicaid savings program (2),QMB &SLMB medicaid medicare 2012 income limits for OHio (2),ohio medicaid qmb coverage (2),OH Medicare Savings Program 2011-2012 (2),slmb medicaid ohio (2),ohio Medicaid qmb program and medicare advantage (2),2012 Ohio Medicaid (2),medicare advantage plans 2012 ohio (2),in ohiohumana medicare advantage 2012 and medicaid in ohio (2),slmb program ohio 2012 (2),qmb coverage ohio (1),2012 ohio medicaid income (1),QI-1ohio (1),ohio slmb program (1)
Source: medicareadvantagesupplementplans.com

CVS Caremark Interviewing Sr Analyst Medicare Operations in Scottsdale Arizona: Friday, December 23, 2011 04:10:53 GMT [Lx

Posted by:  :  Category: Medicare

Racism by elycefelizBudget Analyst, Financial Analyst, Quantitative Analyst, Quantitative Research Analyst, Treasury Analyst, Analyst, Credit Analyst, Investment Analyst, Help Desk Analyst, GIS Analyst, Operations Research Analyst, Intelligence Analyst, Business Systems Analyst, Data Analyst, Programmer Analyst, Systems Analyst, QA Analyst, Research Analyst, Market Research Analyst, Logistics Analyst, Business Analyst, Business Process Analyst, Director of Operations, Operations Manager, Operations Research Analyst
Source: lexxio.com

Video: Getting medicare for low prices

Your Questions About Medicare Part D

The way Part D was set up: you first pay a deductible of $275. Then you pay 25% of the medication costs until both you and the insurance company has paid $2510 (called initial coverage). You then go into the donut hole where you pay 100% (called the coverage gap) until you have an out of pocket cost of $4050. You then pay 5% of the costs (called catastrophic coverage). All dollar figures are for 2008 and will change each year.
Source: medicareinsuranceaz.com

Banner to test new Medicare program

Content recommendations are powered by Outbrain, a third party, to deliver links to additional articles and content that may be of interest based on contextual similarity and anonymous usage and browsing patterns from our visitors. To view Outbrain’s privacy policy, including instructions on how to opt out, please go to http://www.outbrain.com/privacy.
Source: azcentral.com

State Roundup: Ariz. High Court To Hear Medicaid Funding Challenge

San Francisco Chronicle: Ruling Could Stop Cuts In Elderly, Disabled Care States can’t cut in-home care for elderly and disabled people if there’s a serious risk they’ll be forced into nursing homes, a federal appeals court has ruled in a decision that could forestall a 20 percent reduction in services to 372,000 Californians. Friday’s ruling by the Ninth U.S. Circuit Court of Appeals in San Francisco did not directly involve California and came instead from Washington state, where officials reduced home-care hours for 45,000 residents by 10 percent in February. But the issues are similar to those now before a federal judge in Oakland, who has scheduled a Jan. 19 hearing on whether to let California eliminate one-fifth of the care it provides in the in-home supportive services program (Egelko, 12/20).
Source: kaiserhealthnews.org

Arizona Medicare Advantage Plans or Medicare Supplemental Insurance

disenrollment period for medicare, open enrollment period for medicare, medicare disenrollment period 2012, medicare advantage disenrollment period 2012, medicare advantage plans massachusetts special needs, NH Medicare Advantage Plans 2012, 2012 medicare supplement plans available for nebraska, nebraska medicare supplement plans 2012, advantage plans 2012 in maine, 2012 under 65 medicare advantage plans ri, medicare disenrollment period, nevada medicare supplement plans, medicare supplemental insurance georgia, 2012 medigap policies maryland, best medicare supplement plans 2012 in pa, 2012 medicare special needs plans in pa, medicare supplement plans 2012 for maryland, virginia medicare supplements 2012, 2012 disenrollment period medicare, medicare supplement plans in va for 2012
Source: medicaresupplementadvantageplans.com

Where the Buck Stops with Free Medical Care for Undocumented Immigrants

When the requirement to provide care is lifted, U.S. hospitals are faced with a dilemma when a patient does not have insurance or ability to pay but requires continuous care since medical costs are extremely expensive. The hospital is forced to choose between providing free care or sending the patient elsewhere—such as another hospital, rehabilitation facility, or possibly back to their country of origin.  Hospitals often try to find other care facilities to take the patient, but many refuse services because the patient cannot pay for treatment they require.  When other care facilities will not accept the patient, the hospital may look to a more drastic means of discharging the patient—sending them back to their country of origin.
Source: wordpress.com

Medicare Advantage & Medicare Supplement Info: The Truth About Medicare SELECT

Posted by:  :  Category: Medicare

BANKRUPT! by SS&SSAdam J (A.J.) Davis is one of the nations leading experts in senior health insurance matters. He is an independent licensed agent in 12 states and founder of The Medigap Experts – an agency focused on saving money on health/dental/prescription drug insurance for those age 65 and over. He is the author of “How to Avoid 7 Critical Medigap Mistakes” – a consumer awareness guide. You can view this guide right now by visiting: http://www.themedigapexperts.com/
Source: blogspot.com

Video: Jazzy Select Elite Power Chair, Medicare Approved

Texas Medicare Supplement Health Insurance Plans

 If you are considering choosing a Medicare Supplement plan, you do not have to worry about losing your doctor or having to use a doctor you are not familiar with. All Medicare Supplement plans give you the freedom to keep your doctor and use any hospital of your choice. If you are looking for an opportunity to save money on premiums, Medicare Select is available where in exchange for using doctors and hospitals in the plan’s network, you pay reduced premiums. These are the only instances where you would be restricted to a particular network and you do not have to enroll in Medicare Select to purchase Medicare Supplement insurance.
Source: medicareinsurancetexas.com

Medicare Complement Insurance Plans Comparison

While all information is believed to be reliable, it is not guaranteed by us to be accurate. Individuals should assume that all information contained in our newsletter is not trustworthy unless verified by their own independent research. Also, because events and circumstances frequently do not occur as expected, there will likely be differences between the any predictions and actual results. Always consult a real licensed investment professional before making any investment decision. Be extremely careful, investing in securities carries a high degree of risk; you may likely lose some or all of the investment.
Source: bestmutualfundtrader.com

Illinois Medicare Supplement Plan N

Plan N provides Basic Benefits (hospitalization and medical care) after a $20 copay for office visits and a $50 copay for emergency room visits. Your Part A deductible and coinsurance are covered completely and you receive an additional 365 days of hospital care after Medicare benefits end.  While your Part B deductible is not covered, a significant portion of your Part B coinsurance (which is usually 20% of Medicare approved expenses) is. Plan N pays for the first three pints of blood each year and 100% of your skilled nursing coinsurance. Plus, foreign travel emergency care is covered, so if you are in a foreign country and need medical care, you do not have to worry. Finally, if there are excess charges above what Medicare is willing to pay for Medicare approved services, Plan N covers them 100%. 
Source: ssiinsure.com

Safe Horizons Medicare Benefit

While all information is believed to be reliable, it is not guaranteed by us to be accurate. Individuals should assume that all information contained in our newsletter is not trustworthy unless verified by their own independent research. Also, because events and circumstances frequently do not occur as expected, there will likely be differences between the any predictions and actual results. Always consult a real licensed investment professional before making any investment decision. Be extremely careful, investing in securities carries a high degree of risk; you may likely lose some or all of the investment.
Source: thestockexchangereport.com

Medicare Complement Insurance Plans Comparison

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98While all information is believed to be reliable, it is not guaranteed by us to be accurate. Individuals should assume that all information contained in our newsletter is not trustworthy unless verified by their own independent research. Also, because events and circumstances frequently do not occur as expected, there will likely be differences between the any predictions and actual results. Always consult a real licensed investment professional before making any investment decision. Be extremely careful, investing in securities carries a high degree of risk; you may likely lose some or all of the investment.
Source: bestmutualfundtrader.com

Video: Medicare Part D Comparison Tutorial Video

Medicare Supplement Insurance Plans Comparison

arabian ranches bad credit bad credit cards bad credit loans balance transfer cards business business credit cards cash advance loans credit credit card credit cards debt dubai marina Dubai properties Dubai Property Dubai real estate dubai rent finance first time home buyer first time home buyer loans forex forex trading good credit insurance investing investing tips investment loans mis sold ppi money mortgage online payday loans payday loans personal finance ppi claim ppi claims property Dubai real estate rent dubai rent dubai property stock market stock trading trading unsecured credit cards unsecured loans
Source: nasdaqtradingmarket.com

Medicare Complement Insurance Plans Comparison

Bad Credit bad credit cards Bad Credit Loans balance transfer cards bankruptcy business business credit cards cash advance loans Credit credit card credit cards credit repair credit scores currency trading debt debt consolidation debt management debt relief Dubai Property Dubai real estate finance forex forex trading good credit Insurance investing investing tips investment Loans mis-sold ppi Money No Fax Payday Loans online payday loans payday loan questions payday loans personal finance Personal Loans ppi claims property Dubai real estate stock market stock trading trading unsecured credit cards unsecured loans
Source: themoneyfinances.com

Rewards Of Deciding on Medicare Supplemental Insurance

best medicare supplement difference between medicare and medicaid excellent medical transcription health house of lords how does medicare work how to apply for medicare important difference in uk vs us health insurance models improving your health by medicare supplement leads insurance price hikes local social office medical insurance companies medical record medical records medical transcription medical transcription companies medical transcription service medical transcription solution medicare advantage plans medicare benefits medicare insurance medicare part a and part b medicare supplemental insurance- medicare supplement insurance medicare supplement leads Medicare supplement plans medicare supplements medicare vs medicaid medicare vs medicaidyour own choice medicare work medigap medigap insurance open referral open referral clients open referrals process outsourced medical transcription private medical insurance service delivery costs supplemental insurance supplemental insurance for medicare the benefits of medicare program transcription service office vs us health what is medical transcription mt what is the difference between medicare and medicaid
Source: apssupplements.com

Medicare health insurance Supplemental Insurance coverage Comparison

Where you reside plays an enormous part in the level of your Treatment Supplemental Insurance policies will cost you. For example of this, people who survive on the eastern side coast pays off a essential amount more from month to month than people who live in your Midwest. Around the west seacoast, Los Angeles and Bay area can need plans utiliz high prices, but many locations are certainly affordable. Or, North Carolina, and Unique Mexico will be three texas medicare supplement affordable method to live intended for Medicare Aid Insurance. Take into account that plans will be priced dependent on your zero code and / or county, so premiums are go to vary dependent on in your town in a state.
Source: peppermintteabenefits.net

Am i able to Afford YOUR Medicare Area D Payment?

Are anticipating invest in the insurance for use on your family? Do you own senior citizens in the family? Include they intersected 65? If every one of your answers tend to be yes then you should really choose Treatment supplement blueprints by Medicare supplemental health insurance. This brand is only growing tremendously. Parents are definitely the pillars in any family therefore all their particular aspects ought to be paid ornate attention. Crossing 65 means a considerable amount of uncertainly and enduring health linked problems. Visiting dining establishments and health care practitioner turns into mandatory and every single one of will be as well as unexpected health care bills. Within this current unsound economical predicament it becomes quite challenging to deal up supplemental medicare insurance medical money.
Source: firewirehosting.com

Atlanta abortion doctor charged with Medicare fraud

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyThe Georgia Medicaid program is funded jointly by the state and the U.S. Department of Health and Human Services. Under federal law known as the Hyde Amendment, federal funds cannot be used for elective abortion services; nor are abortions covered by Georgia Medicaid, the indictment states.
Source: wordpress.com

Video: Georgia retirees celebrate Medicare, Social Security Birthday

What Is Georgia Medicare Fee Schedule?

The Georgia Medicare Fee Schedule can protect Medicare beneficiaries from paying the outstanding balance.  It was also implemented so that Medicare providers will have certain limits in their costs for the services.  A Medicare fee schedule also includes fees for physicians, hospitals and medical supplies.  There are some factors which can cause some adjustments to the Medical fee schedule.  For instance, adjustments are done if the hospital is considered as a teaching hospital or if it provides care for indigent patients.  The fees are also adjusted if the hospital is located in an area which has a higher cost of living.
Source: gamedicareplans.com

Bobbie Paul: Cut Missiles, Not Medicare

Bobbie Paul serves as Executive Director of Georgia WAND. She has spent almost 25 years supporting the vision of WAND’s founder – Dr. Helen Caldicott – to gradually rid the world of nuclear weapons. She has helped the Georgia chapter define its three areas of concentration across the state and Southeast region:  Peace in Action, Environmental Justice and Empowering People to Act Politically. Paul has watch-dogged Savannah River Site (SRS) for over fifteen years and led campaigns to successfully restore Department of Energy (DOE) environmental monitoring of SRS in Georgia. Paul is a former theatre professional and the co-founder of a regional theatre company in St. Petersburg, Florida (now known as American Stage Company). She has worked for the US Department of State as a theatre specialist in Egypt and Jordan.
Source: gawand.org

Georgia Ranked 48th in Per Capita Personal Health Care Spending

Arne Duncan Atlanta Public Schools Atlanta Schools Test Cheating Atlanta Test Cheating Scandal Attorney General Sam Olens Beverly Hall Bill and Melinda Gates Foundation Chief Justice Carol Hunstein CNN Corrections Reform Criminal Justice Reform Digital Learning drugs Education Georgia Charter Schools Association Georgia Charter Schools Commission Georgia Corrections Reform Georgia Department of Education Georgia Health Insurance Exchange Advisory Committee Georgia Public Policy Foundation Georgia Special Council on Criminal Justice Reform Georgia Supreme Court Governor Nathan Deal Health Care John Barge Judge Michael Boggs Kelly McCutchen Mark Butler Mike Bowers Mike Klein No Child Left Behind ObamaCare Pew Center on the States President Barack Obama President Bill Clinton Race to the Top Southern Regional Education Board SREB Student Achievement Taxes Tax Foundation Telecom Testing The Commerce Club Transportation
Source: 255.197

Cartersville mobile: Cartersville Medical Center named to the Georgia Hospital Association’s Partnership for Health and Accountability Core Measures Honor Roll.

For instance, a recommended treatment to help prevent a heart attack is to take aspirin either before or upon arrival at the hospital, as well as at discharge. A suggested treatment for pneumonia is to administer an antibiotic within four hours of a patient’s arrival. It is recommended that surgery patients are given an antibiotic one hour prior to surgery to prevent infection. The VBP core measure is a composite measure that determines whether or not a patient received the right care at the right time. A hospital’s adherence to these recommended clinical practices usually leads to better outcomes.
Source: blogspot.com

Georgia Medicare Health Plan Ratings

This entry was posted on Wednesday, October 26th, 2011 at 7:53 am and is filed under Aetna, BCBSGA, Georgia Health Insurance, health insurance rankings, Health Plan Rankings, kaiser foundation health plan, medicare, medicare advantage, Senior Health Insurance, United Health Care Group, United HealthCare. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.
Source: healthinsurancesort.com

Does Your own Medicare supplemental insurance strategy cover Diabetic issues Testing as well as Materials

At age Sixty seven, May well would be a semi-retired real estate agent. The love had been displaying houses. Residing in the same sleepy small Georgia city his whole life, everybody knew May well and that he knew all of them. People reliable him or her to do correct through all of them. Issues relocated in a reduced speed compared to what they did within the big town of Atlanta. Right here, no one locked their doors and they even remaining the secrets in a car whilst in the shop buying.
Source: hamstercageslab.com

**Sell Medicare Products, Life, and Health Insurance From Home**

I currently work at a call center, I am the youngest but last month I was the number 5 salesmen out of 26. I am highly competitive and I have owned a landscaping business. I know that 6 figure incomes require 12-16 hour days sometimes, and phone calls at random times. I simply want to work from home as a broker. I currently sell Medicare Supplement Products for Mutual Of Omaha, sold Life insurance for American Income Life (HORRIBLE), and I have sold Medicare Advantage for Bravo (Health Spring). I have served in the Army Guard as Infantry, and I know I have the discipline to sell from home. Now that thats out of the way, I cant find a GA or Agency that has a work from home position that doesnt ask me for money to work for them. Are all work from home gigs scams, or am I just not turning the right stones?? I Appreciate Your Time & Consideration!!! P.S. My driving license is suspended which is why I cannot be a field agent again, and I have 22 states that I am licensed in.
Source: insurance-forums.net

Medicare Spending Growth Slows, But 2011 A Profitable Year For Medicare Advantage Plans

Posted by:  :  Category: Medicare

Stop the Machine 2011 by Think-N-EvolveCNN Money: Medicare Passes On Big Profits To Insurers This has been a volatile year for the stock market. But one sector has been consistently earning a windfall for investors: health insurers that provide private Medicare plans to seniors. Among the top-performing Fortune 500 stocks of 2011, three — WellCare Health Plans, Humana, and Centene — were health insurers with a high proportion of Medicare Advantage enrollees. WellCare’s share price has nearly doubled while Humana and Centene are up about 50 percent. UnitedHealth Group (UHC) and Aetna, each with significant shares of Medicare Advantage patients, also inked gains of more than 35 percent in 2011  (Farrell, 12/22).
Source: kaiserhealthnews.org

Video: Medicare Advantage Plans 2011

2011 Top Story No. 9: Local doctor charged in Medicare scheme

GA_googleAddSlot(“ca-pub-2379203515891296″, “zone1_top_leaderboard_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_2_300x100_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_3_300x250_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_4_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_5_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_6_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_7_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_8_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_9_300x100_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_10_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_11_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_12_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_13_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_14_125x125_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_15_300x250_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “Zone_16_300x250_ST”) GA_googleAddSlot(“ca-pub-2379203515891296″, “
Source: timesreview.com

Louisiana Law Blog: 2011 Medicare RAC Audit Results

CMS released 2011 recovery results for the Recovery Audit Contractor (RAC) Program. The 2011 figures reflect a significant increase over the amounts recovered or returned to providers in 2010. Through four quarters (October, 2010 through September, 2011), RAC contractors recovered a total of $797.4 million in overpayments, with $141.9 million in underpayments returned to providers. The recovery amounts increased with each quarter of the fiscal year, from $82.9 million in the first quarter to $277.1 million in the last quarter.
Source: louisianalawblog.com

Biggest Lie of 2011: "Republicans Voted to End Medicare"

… Republicans passed the BIGGEST HEALTH CARE Bill since Medicare: But 400 BILLION to 1 TRILLION on unconstitutional health care is ok? Prescription Drug Benefit. The final version (conference report) of H.R. 1 would create a prescription drug benefit for Medicare recipients. Beginning in 2006, prescription coverage would be available to seniors through private insurers for a monthly premium estimated at $35. There would be a $250 annual deductible, then 75 percent of drug costs up to $2,250 would be reimbursed. Drug costs greater than $2,250 would not be covered until out-of pocket expenses exceeded $3,600, after which 95 percent of drug costs would be reimbursed. Low-income recipients would receive more subsidies than other seniors by paying lower premiums, having smaller deductibles, and making lower co-payments for each prescription. The total cost of the new prescription drug benefit would be limited to the $400 billion that Congress had budgeted earlier this year for the first 10 years of this new entitlement program. The House adopted the conference report on H.R. 1 on November 22, 2003 by a vote of 220 to 215 (Roll Call 669). Marsha Blackburn Voted FOR this bill. Marsha Blackburn is a Hypocrite. Marsha Blackburn is my Congressman See her unconstitutional votes at : http://mickeywhite.blogspot.com/2009/09/tn-congressman-marsha-blackburn-votes.html Mickey
Source: thenewamerican.com

Clinical Evaluation Manager

Posted by:  :  Category: Medicare

We deliver professional and paraprofessional services throughout all five boroughs of New York City and Nassau and Westchester counties.The VNS CHOICE Medicare program provides full coverage to individuals with Medicare and Medicaid for hospital stays, physicians, ancillary services and care coordination – enabling access to high-quality, cost-effective medical care for New York City’s residents.
Source: findmeajobx.com

Video: VNSExtras.flv

Nutritionists: Emerging from the Sideline to the Starting Line

Adherence APAP Assessment/Tools BPIPs Caregiver CHAMP Resources Clinician-Patient Relations Cognitive Impairment Depression Effective Communication Effective Management Fall Prevention FDA Health Care Reform Health Literacy HHQI Home Care Teams Informal Caregiver Interdisciplinary Managing Team Conflict Medicare Medication List Medication Management and Adverse Drug Events Medication Reconciliation Nurse-Physician Communication Nutrition OASIS-C Organizational Change Outcomes Pain Management Patient Care Team Patient Education Pharmacist Physical function QI/QA Rehospitalization Sadness SBAR Sleep Small Test of Change Smoking Cessation Stages of Change Teambuilding Transitions Video Blog
Source: champ-program.org

Case Studies Index: Client Success Stories and Testimonials

Spain’s leading savings bank wanted to expand into new markets. It decided to outsource its customer- and employee-facing support operations to EDS, now HP, freeing the bank to focus on growth. HP’s best processes deliver unprecedented flexibility, efficiency and scalability, as well as cost savings that la Caixa can reinvest in growth.
Source: hp.com

Medical Assistant Sentenced to 36 Months in Prison for His Role in a Fraudulent Home Health Scheme : FERS

Ross, 51, pleaded guilty in July 2010 to one count of conspiracy to commit health care fraud.  According to court documents, Ross received kickbacks from the owners and/or operators of two Detroit-area home health agencies, Patient Choice Home Healthcare Inc. and All American Home Care Inc., in exchange for referring home health patients to those entities.   Ross admitted to receiving $500 per patient, paid either by check or in cash, in exchange for providing co-conspirator Mohammed Shahab with Medicare beneficiary information for various patients he recruited.    After paying the kickbacks to Ross, Shahab, an owner of Patient Choice and All-American, billed Medicare for home health visits purportedly made to the beneficiaries recruited by Ross.   Ross referred 21 patients to Patient Choice and All American.   During the time Ross participated in the scheme, Patient Choice and All American submitted claims for $172,573 in improper benefits.  Shahab pleaded guilty in February 2010 to health care fraud charges in connection with this case.
Source: dehaanbusse.com

Quality Care Finder Tools Help People with Medicare and their Caregivers Compare Health Care Options

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSThe Centers for Medicare & Medicaid Services has created the Quality Care Finder as a collection of helpful tools on the Medicare.gov website to help consumers research their health care options. These online tools can help Medicare beneficiaries and their caregivers compare health care providers, including home health agencies, hospitals, nursing homes dialysis facilities, physicians and Medicare plans.
Source: wordpress.com

Video: Medicare and You – Resources for Open Enrollment

Compare lowest cost options this week for Medicare Part D prescriptions

There are other ways to save on Medicare Part D in 2012. More generic drugs are expected to become available. And an estimated 2 million people who are eligible for subsidized coverage are not enrolled, impacting lost-cost drug coverage. If you have questions, call Center for Estate Planning and we can provide you with some guidance.
Source: ceplawyers.com

Time to Review Your Medicare Coverage

Disclosure: Any comments or posts in this blog should be considered opinions of the authors of such comments. This site nor any of its authors or commenters offer any investment, legal, insurance or tax advise. Please consult with a licensed professional for any such advise. All information contained within this site is the copyright material of the site owners and any copy, reproduction or use of any kind is prohibited by law and your honesty. Any post or comment is also the copyright material of the site owners. If you post or comment you are agreeing to transfer all rights to the site owners.
Source: kenhimmler.com

Medicare Supplemental Options

best medicare supplement difference between medicare and medicaid excellent medical transcription health house of lords how does medicare work how to apply for medicare important difference in uk vs us health insurance models improving your health by medicare supplement leads insurance price hikes local social office medical insurance companies medical record medical records medical transcription medical transcription companies medical transcription service medical transcription solution medicare advantage plans medicare benefits medicare insurance medicare part a and part b medicare supplemental insurance- medicare supplement insurance medicare supplement leads Medicare supplement plans medicare supplements medicare vs medicaid medicare vs medicaidyour own choice medicare work medigap medigap insurance open referral open referral clients open referrals process outsourced medical transcription private medical insurance service delivery costs supplemental insurance supplemental insurance for medicare the benefits of medicare program transcription service office vs us health what is medical transcription mt what is the difference between medicare and medicaid
Source: apssupplements.com

How to Choose Your Medicare Provider?

Posted by:  :  Category: Medicare

New Online Rx System Makes UM Student 'Top Entrepreneur' Finalist by University of Maryland Press ReleasesSelecting an appropriate Medicare provider to take care of your healthcare needs is an extremely important step when you become eligible for Medicare. A health insurance program developed by the American government, Medicare caters to citizens above the age of 65 and individuals battling with End Stage Renal Disease or certain disability. There is a huge presence of Medicare providers across United States so that they can be located easily. However, citizens should think carefully when they choose such providers in order to get the maximum coverage and associated benefits. Mentioned below are few guidelines, which can be helpful in deciding on a suitable Medicare provider:
Source: canadiandrugsaver.com

Video: The Medicare Learning Network (MLN): Official CMS Information for Fee-For-Service Providers

Investigation Finds Shell Companies Stealing Millions From Medicare

The original Medicare program has two parts: Part A (Hospital Insurance), and Part B (Medical Insurance). Only a few special cases exist where prescription drugs are covered by original Medicare, but as of January 2006, Medicare Part D provides more comprehensive drug coverage. Medicare Advantage plans, also known as Medicare Part C, are another way for beneficiaries to receive their Part A, B and D benefits. All Medicare benefits are subject to medical necessity. Part A: Hospital Insurance Part A covers inpatient hospital stays (at least overnight), including semiprivate room, food, tests, and doctor’s fees. Part A covers brief stays for convalescence in a skilled nursing facility if certain criteria are met: 1. A preceding hospital stay must be at least three days, three midnights, not counting the discharge date. 2. The nursing home stay must be for something diagnosed during the hospital stay or for the main cause of hospital stay. 3. If the patient is not receiving rehabilitation but has some other ailment that requires skilled nursing supervision then the nursing home stay would be covered. 4. The care being rendered by the nursing home must be skilled. Medicare part A does not pay for custodial, non-skilled, or long-term care activities, including activities of daily living (ADL) such as personal hygiene, cooking, cleaning, etc. The maximum length of stay that Medicare Part A will cover in a skilled nursing facility per ailment is 100 days. The first 20 days would be paid for in full by Medicare with the remaining 80 days requiring a co-payment (as of 2009, $133.50 per day). Many insurance companies have a provision for skilled nursing care in the policies they sell. If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 100-day clock is reset and the person qualifies for a new 100-day benefit period. Part B: Medical Insurance Part B medical insurance helps pay for some services and products not covered by Part A, generally on an outpatient basis. Part B is optional and may be deferred if the beneficiary or their spouse is still actively working. There is a lifetime penalty (10% per year) imposed for not enrolling in Part B unless actively working. Part B coverage includes physician and nursing services, x-rays, laboratory and diagnostic tests, influenza and pneumonia vaccinations, blood transfusions, renal dialysis, outpatient hospital procedures, limited ambulance transportation, immunosuppressive drugs for organ transplant recipients, chemotherapy, hormonal treatments such as Lupron, and other outpatient medical treatments administered in a doctor’s office. Medication administration is covered under Part B only if it is administered by the physician during an office visit. Part B also helps with durable medical equipment (DME), including canes, walkers, wheelchairs, and mobility scooters for those with mobility impairments. Prosthetic devices such as artificial limbs and breast prosthesis following mastectomy, as well as one pair of eyeglasses following cataract surgery, and oxygen for home use is also covered. Complex rules are used to manage the benefit, and advisories are periodically issued which describe coverage criteria. On the national level these advisories are issued by CMS, and are known as National Coverage Determinations (NCD). Local Coverage Determinations (LCD) only apply within the multi-state area managed by a specific regional Medicare Part B contractor, and Local Medical Review Policies (LMRP) were superseded by LCDs in 2003. Coverage information is also located in the CMS Internet-Only Manuals (IOM), the Code of Federal Regulations (CFR), the Social Security Act, and the Federal Register. Part C: Medicare Advantage plans With the passage of the Balanced Budget Act of 1997, Medicare beneficiaries were given the option to receive their Medicare benefits through private health insurance plans, instead of through the original Medicare plan (Parts A and B). These programs were known as “Medicare+Choice” or “Part C” plans. Pursuant to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, “Medicare+Choice” plans were made more attractive to Medicare beneficiaries by the addition of prescription drug coverage and became known as “Medicare Advantage” (MA) plans. Traditional or “fee-for-service” Medicare has a standard benefit package that covers medically necessary care members can receive from nearly any hospital or doctor in the country. For people who choose to enroll in a Medicare Advantage health plan, Medicare pays the private health plan a capitated rate, or a set amount, every month for each member. Members typically also pay a monthly premium in addition to the Medicare Part B premium to cover items not covered by traditional Medicare (Parts A & B), such as prescription drugs, dental care, vision care and gym or health club memberships. In exchange for these extra benefits, enrollees may be limited in the providers they can receive services from without paying extra. Typically, the plans have a “network” of providers that patients can use. Going outside that network may require permission or extra fees. Medicare Advantage plans are required to offer coverage that meets or exceeds the standards set by the original Medicare program, but they do not have to cover every benefit in the same way. If a plan chooses to pay less than Medicare for some benefits, like skilled nursing facility care, the savings may be passed along to consumers by offering lower copayments for doctor visits. Medicare Advantage plans use a portion of the payments they receive from the government for each enrollee to offer supplemental benefits. Some plans limit their members’ annual out-of-pocket spending on medical care, providing insurance against catastrophic costs over $5,000, for example. Many plans offer dental coverage, vision coverage and other services not covered by Medicare Parts A or B, which makes them a good value for the health care dollar, if you want to use the provider included in the plan’s network or “panel” of providers. Because the 2003 payment formulas overpay plans by 12 percent or more compared to traditional Medicare,[11] in 2006 enrollees in Medicare Advantage Private Fee-for-Service plans were offered a net extra benefit value (the value of the additional benefits minus any additional premium) of $55.92 a month more than the traditional Medicare benefit package; enrollees in other Medicare Advantage plans were offered a net extra benefit value of $71.22 a month more.[12] However, Medicare Advantage members receive additional coverage and medical benefits not enjoyed by traditional Medicare members, and savings generated by Medicare Advantage plans may be passed on to beneficiaries to lower their overall health care costs.[10] Other important distinctions between Medicare Advantage and traditional Medicare are that Medicare Advantage health plans encourage preventive care and wellness and closely coordinate patient care.[13] Medicare Advantage Plans that also include Part D prescription drug benefits are known as a Medicare Advantage Prescription Drug plan or a MA-PD. Enrollment in Medicare Advantage plans grew from 5.4 million in 2005 to 8.2 million in 2007. Enrollment grew by an additional 800,000 during the first four months of 2008. This represents 19% of Medicare beneficiaries. A third of beneficiaries with Part D coverage are enrolled in a Medicare Advantage plan. Medicare Advantage enrollment is higher in urban areas; the enrollment rate in urban counties is twice that in rural counties (22% vs. 10%). Almost all Medicare beneficiaries have access to at least two Medicare Advantage plans; most have access to three or more. Because of the 2003 law’s overpayments, the number of organizations offering Fee-for-Service plans has increased dramatically, from 11 in 2006 to almost 50 in 2008. Eight out of ten beneficiaries (82%) now have access to six or more Private Fee-for-Service plans.[14] Each year many individuals disenroll from MA plans. A recent study noted that about 20 percent of enrollees report that “their most important reason for leaving was due to problems getting care.”[15] There is some evidence that disabled beneficiaries “are more likely to experience multiple problems in managed care.”[16] Some studies have reported that the older, poorer, and sicker persons have been less satisfied with the care they have received in MA plans.[17] On the other hand, an analysis of the Agency for Healthcare Research and Quality data published by America’s Health Insurance Plans found that Medicare Advantage enrollees spent fewer days in the hospital than Fee-for-Service enrollees, were less likely to have “potentially avoidable” admissions, and had fewer re-admissions. These comparisons adjusted for age, sex and health status using the risk score used in the Medicare Advantage risk adjustment mechanism.[18][19] In December 2009 the Kaiser Family Foundation published a report that rated Medicare Advantage organizations on a five star scale. The ratings were based on data from CMS, the Consumer Assessment of Healthcare Providers and Systems (CAHPS), Healthcare Effectiveness Data and Information Set (HEDIS) data, and the Health Outcomes Survey (HOS). New plans did not receive ratings, because data were not available. Almost six out of ten (59%) of MA plans did receive ratings, and these plans represented 85% of the enrollment for 2009. The average rating was 3.29 stars. Twenty-three percent of enrollees were in a plan with four or more stars; 20% were in a plan with fewer than three stars.[20] Twenty percent of African-American and 32 percent of Hispanic Medicare Beneficiaries were enrolled in Medicare Advantage plans in 2006. Almost half (48%) of Medicare Advantage enrollees had incomes below $20,000, including 71% of minority enrollees.[21] Others have reported that minority enrollment is not particularly above average.[22] Another study has raised questions about the quality of care received by minorities in MA plans.[23] The Government Accountability Office reported that in 2006, the plans earned profits of 6.6 percent, had overhead (sales, etc.) of 10.1 percent, and provided 83.3 percent of the revenue dollar in medical benefits. These administrative costs are far higher than traditional fee-for-service Medicare.[24] [edit] Part D: Prescription Drug plans Main articles: Medicare Part D and Medicare Part D coverage gap Medicare Part D went into effect on January 1, 2006. Anyone with Part A or B is eligible for Part D. It was made possible by the passage of the Medicare Prescription Drug, Improvement, and Modernization Act. In order to receive this benefit, a person with Medicare must enroll in a stand-alone Prescription Drug Plan (PDP) or Medicare Advantage plan with prescription drug coverage (MA-PD). These plans are approved and regulated by the Medicare program, but are actually designed and administered by private health insurance companies. Unlike Original Medicare (Part A and B), Part D coverage is not standardized. Plans choose which drugs (or even classes of drugs) they wish to cover, at what level (or tier) they wish to cover it, and are free to choose not to cover some drugs at all. The exception to this is drugs that Medicare specifically excludes from coverage, including but not limited to benzodiazepines, cough suppressant and barbiturates. Plans that cover excluded drugs are not allowed to pass those costs on to Medicare, and plans are required to repay CMS if they are found to have billed Medicare in these cases. It should be noted again for beneficiaries who are dual-eligible (Medicare and Medicaid eligible) Medicaid may pay for drugs not covered by part D of Medicare, such as benzodiazepines, and other restricted controlled substances.
Source: medicare-health.com

Why Conrad Murray, a Convicted Felon, Remains on the Medicare Payroll

Hatch and Coburn pointed out that CMS doesn’t appear to have built the basic infrastructure needed to root out felons. “CMS confirmed our understanding,” they write, “that it does not have basic data sharing agreements or performance metrics to share felony indictment or conviction data with the Department of Justice, the Internal Revenue Service, Office of the Inspector General within the U.S. Department of Health and Human Services (HHS OIG), or State Officials.” In other words, Medicare doesn’t know whether or not the people they send taxpayers’ checks to are criminals.
Source: yourmortgagejustice.com

What to Look for In Your Medicare Provider

Information about the Medicare provider: Patients should check the plans of each Medicare provider in detail. The points for comparing the different Medicare providers are:- the amount of premium to be paid, the drugs covered under the drug plans, the procedure for claims and the hospitals and doctors covered under the plans. Although the premium to be paid is an important factor for deciding on a Medicare provider, other factors are equally essential for knowing the quality of their service and how well the service provider can cater to the needs of the patient.
Source: nobledrugstore.com

HIT Exchange: Affordable Care Act helps 32 health systems improve care for patients, saving up to $1.1 billion

Under this initiative, operated by the Centers for Medicare & Medicaid Services (CMS) Innovation Center (Innovation Center), Medicare will reward groups of health care providers that have formed ACOs based on how well they are able to both improve the health of their Medicare patients and lower their health care costs. “Pioneer ACOs are leaders in our work to provide better care and reduce health care costs,” said Secretary Sebelius.  “We are excited that so many innovative systems are participating in this exciting initiative – and there are many other ways that health care providers can get involved and help improve care for patients.”
Source: hitexchangemedia.com

CMS opens up Medicare claims data for provider quality reports

In a move toward transparency and quality improvement, the Centers for Medicare & Medicaid Services (CMS) yesterday announced a final rule that will allow consumers, insurers, and employers to buy access to an extensive Medicare claims database, the Associated Press reports. The result will be data-rich performance report cards that evaluate providers on quality. “This is a giant step forward in making our health care system more transparent and promoting increased competition, accountability, quality and lower costs,” acting CMS Administrator Marilyn Tavenner said in a press release from the agency. “This provision of the health care law will ensure consumers have the access they deserve to information that will help them receive the highest quality care at the best value for their dollar.” For years, consumer groups and quality advocates have complained that Medicare data has been piecemeal and limited, according to the press release. Performance data, thus far, comes from private insurance companies and focuses on primary care doctors. Critics of the insurer data argue they lack sufficient statistical power to rank specialists. But with the new access, Medicare’s comprehensive claims data can offer a look into specialists’ performance too, the AP notes.
Source: fiercehealthcare.com

Medicare Providers need to REVALIDATE their Medicare information

Can you believe that after having to apply for an NPI number, and then re-enroll in PECOS, Trailblazer Health Enterprises, LLC posted a notice under the Provider Enrollment Tab that most Medicare providers are going to have to REVALIDATE their enrollment information?
Source: billrightonline.com

Now Available Online: List of Providers Sent a Revalidation Request

[…] In response to provider requests, CMS has posted a listing of providers who have been sent a request to revalidate their Medicare enrollment information. The listing contains the name and national provider identifier (NPI) of each provider sent a letter, as well as the date the letter was sent. To see the listing, click on “Revalidation Phase 1 Listing” in the Downloads section of the Medicare Provider Supplier Enrollment Revalidation Page. NOTE: You must widen each column in the spreadsheet to view the contents. CMS will be updating this list monthly.   If you are listed, and have not received the request, please contact your Medicare contractor. Their toll free number may be found at Medicare Fee-For-Service Contact Information.   For more information on revalidation of Medicare provider enrollment, see MLN article 1126, Further Details on the Revalidation of Provider Enrollment Information.Source: somersetblogs.com […]
Source: somersetblogs.com

Dealing with Meaningful Use Attestation Aggravation

• Picking quality indicators your EHR doesn’t support. As part of Stage 1, CMS requires that 15 core measures and five out of 10 menu-set measures are attested to in order to achieve Medicare EHR incentives. A provider must be careful to purchase a federally certified EHR that is able to report on all of these measures. "An EHR that is federally certified may meet only the bare minimum measurement-reporting requirements to achieve Stage 1 of meaningful use," says Matt Esker, director of the Central Ohio Health Information Exchange (COHIE), central Ohio’s regional extension center, adding that the EHR might be federally certified, but may have the designation of "Modular EHR" rather than "Complete EHR." And if the EHR is modular, the provider will be required to purchase additional "add-ons" to achieve meaningful use, Esker says. If you haven’t purchased an EHR yet, Esker suggests using the Certified HIT Product List (http://onc-chpl.force.com/ehrcert) to see all federally certified EHRs, the EHR’s status as a "complete" or "modular" EHR, and the specific meaningful use criteria that the EHR satisfies.
Source: physicianspractice.com

What are Medicare Providers?

1. Medicare Part A offers coverage to individuals concerned with inpatient hospital stays, medical expert service and health care at home. 2. Medicare Part B assists in covering outpatient care, general medical services from doctors and other healthcare facilities like investigations, check-ups, etc. 3. Medicare Part D helps individuals to cover the expenses of prescription medications. 4. Medicare Part C, also called as Medicare Advantage covers all the benefits and services provided under all the 3 parts mentioned above i.e. A, B and D. This all in one plan is offered to individuals by means of private insurance firms approved by Medicare.
Source: easterndrugs.com

HIPAA Tool Helps Organizations Meet Security Requirements

The views expressed in this post are the opinions of the Infosec Island member that posted this content. Infosec Island is not responsible for the content or messaging of this post. Unauthorized reproduction of this article (in part or in whole) is prohibited without the express written permission of Infosec Island and the Infosec Island member that posted this content–this includes using our RSS feed for any purpose other than personal use.
Source: infosecisland.com

$250 Medicare Rebate Checks a ‘Drop in the Bucket’ Compared to Rising Drug Prices

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSSometime in August, Patricia Holland will drop into Medicare’s dreaded doughnut hole. She is already bracing for that financial wallop. Holland, 67, of Centreville, Md., regularly takes seven prescription medications. One of them — Entocort — is especially expensive. It prevents severe attacks of her colitis, an inflammatory bowel disease. Right now, with full Medicare drug coverage — before the doughnut hole — Holland pays $195 a month for Entocort. That’s her co-pay, nowhere near the full price of the medication. When she enters the doughnut hole, though, her Entocort cost will go up exponentially, consuming, she says, her entire state retirement check. The doughnut hole is the coverage gap in the Medicare prescription drug benefit, called Part D. Seniors get initial coverage until their total drug expenses exceed $2,830. Then Medicare covers nothing until total spending reaches $6,440, when catastrophic coverage starts. The doughnut hole is the $3,610 space between the two amounts, when seniors pay all costs for their drugs.Health care reform legislation will shrink that hole in Medicare drug costs. This year, seniors who fall into the doughnut hole will get a rebate check for $250. Last week, the federal government mailed the first of those checks. Next year, Medicare recipients will get a 50% discount on brand-name drugs while in the doughnut hole. The coverage will improve annually until the hole disappears in 2020. The extra $250 doesn’t impress Holland. “A drop in the bucket,” she says. She spends hundreds of dollars a month on prescriptions even before she reaches the gap. When she arrives in the doughnut hole, the retail price of Entocort (three 3 mg pills a day) could reach $1,200 a month. For one drug. Fortunately, her position as a volunteer at a nearby Maryland hospital offers her a price break. Holland began volunteering there in 1997. Two years ago, when her drug costs spiked with Entocort, she started taking advantage of the hospital program offering medications at the same price that the hospital pays. When in the doughnut hole last year, Holland paid $680 for Entocort through the hospital. This year, she says, it will cost her $300 more a month in the doughnut hole. The hospital’s cost has climbed to $988, she says. The price difference stunned her. “My pharmacist told me that all drug prices have gone up,” Holland says. A recent AARP study found that average prices for brand-name drugs that are widely used by Medicare beneficiaries rose almost 10% over a 12-month period ending in March — higher than the rate of increase in the previous eight years. That compares with a general inflation rate of 0.3% over that same period. Meanwhile, the price of widely used generic prescriptions fell by an average of nearly 10% during that same period, the study found. AARP has been tracking drug price increases since the enactment of Medicare Part D and the doughnut hole. “It’s no surprise that prices have gone up,” says John Rother, AARP executive vice president. “The surprise is they’ve gone up faster than before — and gone up during an economic downturn.” Responding to the AARP data, the brand-name drug industry said prescription drugs help control health care spending by reducing unnecessary hospitalizations and helping manage chronic diseases. “Prescription medicines represent a small and decreasing share of growth in overall health care costs in the U.S,” said a statement from PhRMA, which represents the brand drug industry. Entocort is manufactured by AstraZeneca, which referred questions about pricing to the company that markets the drug, Prometheus Laboratories. A Prometheus spokesman declined to comment. The drug is expected to face generic competition in early 2012. As drugs near the end of their patent exclusivity, prices sometimes rise — probably so the manufacturer can maximize its revenue before the drug goes generic, AARP says. Holland takes generics when she can. She says her family income is too high for her to qualify for the manufacturer’s drug assistance program for Entocort. So the doughnut hole awaits — along with the $988 per month tab. “I know people in the doughnut hole who don’t take their prescriptions” because of the cost, Holland says, adding that it’s a good thing that health reform will eventually close the doughnut hole. Her overall assessment of the hole? “It stinks.” And the price increase for her medication? “There’s no rhyme or reason for that. It’s already high enough. ”
Source: dailyfinance.com

Video: Medicare Rebate Checks

Doughnut Hole Rebate Checks Fuel Medicare Fraud & Insurance Scams

Missouri Attorney General Chris Koster (also the name of the website) comments on the types of Medicare scams taking place across the nation. The article can be found in the Attorney General’s News Release titled, "Attorney General Koster Warns Seniors About Medicare Rebate Fraud Schemes" (June, 2010). According to the author (name not given), "[Koster] said a common scam related to the $250 donut hole checks was for individuals to convince seniors that the rebate check needed to be transferred to a third party or used to cover specific prescription drug payments."
Source: suite101.com

Affordable Health Care: What is Medicare Doing?

Annual drug expenses for seniors can range well over $3000.00 per year. Medicare Part D coverage insists that Medicare clients pay the cost of prescriptions until they reach the amount of $4550.00 per year. If a person is in the $2000 range, they are expected to carry the cost. The gap is referred to as the "donut hole." Many seniors choose to get lower prescription levels, off brand drugs that don’t work as well, do with out, or travel to other countries to get less expensive drugs. This June, the first rebate checks for $250 were sent out for a prescription drug rebate. The US government (Medicare administration) estimates 4 million checks will be sent by the end of the year. This is a provision of the Affordable Health Care Act, and its the attempt to fill the "donut hole." This information is provided by Guy Kovner, writer for The Press Democrat.
Source: suite101.com

Bill H.R. 25 Fair Tax Act what facts your be interested to know!

The FairTax plan is a comprehensive proposal that replaces all federal income and payroll based taxes with an integrated approach including a progressive national retail sales tax, a prebate to ensure no American pays federal taxes on spending up to the poverty level, dollar-for-dollar federal revenue neutrality, and, through companion legislation, the repeal of the 16th Amendment.
Source: wordpress.com

Report outlines what Affordable Care Act repeal would mean to Iowans

The infamous Medicare Part D “doughnut hole”—the huge gap in prescription drug coverage—would grow rather than diminish through rebates and ultimately close. About 46,000 Iowans received a rebate check for prescription drugs in 2010, thanks to the Affordable Care Act. In 2011, a similar number received even larger discounts—an average of $581 per person through just October—while in the doughnut hole. The gap in Part D coverage will continue to shrink each year, unless health reform is repealed.
Source: thegazette.com

$250 Medicare Drug Rebate Checks, A Small Start

Our previous post noted that compared to the $3,610 gap, $250 doesn’t seem like a lot of money. In fact it is only one-fourteenth of the total cost seniors will have to pay to get out of that hole and back into government subsidized prescription drug territory. This realization is discouraging in itself, but added to the fact that drug companies are boosting their prices higher than ever, seniors are faced with diluted savings that make little to no impact on their financial access to necessary prescription drugs.
Source: pharmacycheckerblog.com

Connecticut State Library Additional Grants for Libraries: Healthcare.gov, federal website

Provides information about your insurance options, based on your age, family situation, and which state you live in.  The insurance information includes both the Medicare plans and the private insurance plans available in your state.  Another part of the website is devoted to preventative care – i.e. how to stay healthy.  In addition, another section of the website allows you to compare the quality of care in different hospitals.  There is a section specifically for seniors
Source: blogspot.com