Health Insurance Options For Diabetics

Posted by:  :  Category: Medicare

The disease can be effectively managed, but treatment is expensive. According to the American Diabetes Association, diabetics pay around $11,744 a year for medical care and supplies needed to monitor and control blood glucose levels. What makes matters worse is that the complications of diabetes make it unlikely for patients to have full-time employment and be eligible for group health insurance benefits. Statistically, diabetics are more likely to have a lower income and are prone to social and economic stress in comparison to non-diabetics.
Source: trendlearn.com

Video: The Medicare Diabetes Screening Project – Savannah, Georgia News Coverage: WSAV News 3 at 6

Fitness Watch: The Academy Of Nutrition And Dietetics Advocates For Expanded Nutritional Coverage Under Medicare

Wonder if these IMHO whores have a vested interest in this. What do you think? The Academy of Nutrition and Dietetics has prepared a request to submit to the Centers for Medicare and Medicaid Services (CMS) to expand coverage of medical nutrition therapy (MNT) for specific diseases, including hypertension, obesity, and cancer, as part of the CMS National Coverage Determination (NCD) Process. Most chronic health conditions can be controlled or treated with medical nutrition therapy, yet Medicare will only reimburse nutrition therapy services provided by a registered dietitian for individuals with diabetes and renal disease. “That’s just not enough if we want to improve the health of the nation and rein in escalating healthcare costs,” says Marsha Schofield, MS, RD, LD, the Academy’s Director of Nutrition Services Coverage. Under the NCD Process, the Secretary of the Department of Health and Human Services can expand Medicare coverage for services that are reasonable and necessary for the prevention of an illness. Ms. Schofield explains, “There are an escalating number of baby boomers turning 65 and entering the Medicare system. The majority of Medicare spending is on individuals with chronic conditions, and almost 70% of Medicare beneficiaries suffer from cardiovascular disease. Chronic conditions can be controlled or treated with medical nutrition therapy, so it just makes sense to try to expand the Medicare beneficiary’s access to these important services.” If they have done such a slam bang, effective job heretofore, then why are there so many fat, sick people around? Screw ‘em, the feckless jerks.
Source: blogspot.com

Medicare And Medicare Dietary supplement Insurance policies See Burgeoning Enrollment

As additional and much more citizens procedure retirement age, it can be not astonishing that we see growing awareness of the need for fitness, health care and nourishment amongst seniors. That need to have is truly identified all-around the country with the Nationwide Senior Well-being & Fitness Day. Definitely in its 18th year, actions are held on the previous Wednesday of Can in recognition of Mature Americans Month and National Bodily Fitness and Distraction Thirty day period. It is the country’s biggest celebration that specially encourages health and fitness routines for seniors. This calendar year, it can be anticipated that additional than 100,000 seniors will join in the sponsored wellness and wellness routines approximately the nation on Could possibly twenty five. With the leading edge of the infant boomers turning into qualified for Medicare and Medicare Complement Insurance policies this year, you may see some big well-being insurance corporations sponsoring celebrations to encourage physical health and fitness, great nutrition and preventive treatment. Medicare Positive aspects Maximize In 2011 This is also the very first 12 months that Medicare, along with other overall health insurance policies options ordered upon wellness treatment reform, delivers preventive care services with no out-of-pocket expenses. In alignment with strengthening health and wellbeing amongst seniors, encouraging regular preventive care can guide seniors keep their independence longer to appreciate lively, vibrant lifestyles. We know from examples like Betty White and Dick Van Dyke that folks keep on to perform particularly successfully into their late eighties, but maintaining really good health is the critical. Whereas Medicare now handles preventive care at one hundred %, it however has gaps in coverage for people with failing well-being. The deductibles for Portion A features for hospital protection and Component B perks on general practitioner solutions are amplified yearly and protection is nonetheless less than a hundred percent just after all those deductibles are met. Medicare Supplemental Insurance coverage, which is normally called Medigap Insurance policy, as well as Medicare Benefit Designs aid to reduce the burden left by Medicare’s spotty many benefits in distinct solutions. Medicare Supplemental Insurance coverage Can Make Medicare Coverage Total There is really a choice of distinctive options to enhance Medicare’s coverage so there is no simple “ideal” Medigap Insurance plan for all seniors. Medicare Edge Strategies are governed by Medicare, but still have variations in their principles and limits on non-urgent and non-unexpected emergency care options. With greater structure, Medicare Supplement Designs have a lot less diversity. These strategies are divided into ten profit packages that are labeled Plan A via Scheme N. As you almost certainly discovered, some Options (like E, H, and so forth.) are not accessible. The recent additions, Programs M and N, just became available final yr. Maybe the cause why there are numerous variations of Medicare Dietary supplement Insurance policy is that numerous men and women have a vast array of wellness-correlated requirements. For men and women who have circumstances like high blood strain or diabetes that can demand standard monitoring by a health care provider, selected Medigap Options make up the variation just after Medicare pays you’ll find it 80 percent of health care provider expenses at the pre-decided price. If you demand to see a medical professional who genuinely fees larger service fees than Medicare will cover, there are also Medigap Designs that consider care of the extra costs. Realistically, Nationwide Senior Well being & Fitness Day is just the begin of what will need to be a significant push to teach us all on how to meet our wellness-connected wants as we age. Preserving wellness and independence demands an all-inclusive tactic that involves the proper working out prepare, total overall health insurance policies selections and diet that’s sustaining.
Source: articlerw.com

Medicare And Medicare Dietary supplement Insurance See Burgeoning…

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Source: sarticles.in

The five most significant healthcare events of 2011

Expanded healthcare benefits for seniors: Prescription drug costs have been reduced by 50% via pharmaceutical manufacturers’ discounts. Seniors can receive annual exams and some screening procedures without a co-pay; in addition, they can receive free counseling if they screen positively for obesity. It has been well established that obesity impacts health in regard to conditions such as cardiovascular disease, hypertension, and diabetes. Through the end of October, more than 2.65 million Medicare recipients saved a total of $1.5 billion on their prescriptions: an average of $569 per patient. By the end of November, more than 24 million seniors underwent an annual exam and/or a screening procedure; thus, they were being proactive in regard to their health.
Source: emaxhealth.com

New Obesity Counseling Coverage Can Help Patients And Taxpayers

However, a study released last month in the New England Journal of Medicine found that obese patients lose more weight when they’re part of a primary care-based program that incorporates lifestyle coaching, plus weight loss medication or meal replacement, compared with doctor visits alone. After two years, those in an enhanced counseling group lost the most weight, about 10.1 pounds on average, than those in a group that had only brief coaching sessions and a group that underwent only quarterly visits; these groups lost about 6.4 pounds and 3.7 pounds respectively. As there is no single weight loss approach that is proven to be successful across the population, the new ruling is promising in its intent to cover multiple consultations with obese patients in order to monitor progress as well as discuss alternative treatment options.
Source: wordpress.com

Grant, Hinkle and Jacobs Launches New Website for San Diego

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonGrant, Hinkle and Jacobs Launches New Website for San Diego Business Life Insurance Grant, Hinkle and Jacobs Launches New Website for San Diego Business Life Insurance (PRWeb December 26, 2011) Read the full story at http://www.prweb.com/releases/san-diego-life-insurance/life-insurance-services/prweb9064253.htm How to maximize the cash value of a permanent life insurance policy When you buy life insurance , the primary purpose is to provide cash for your loved ones in the event of your death. But many policyholders unwittingly shortchange their beneficiaries by The Hungarian market: not a life insurance policy Insurance companies in Hungary have experienced changes that are clearly the result of a struggling economy and a looming double-dip recession. Investment-linked insurances seem to dominate the market: companies have collected 68% of life insurance revenues from this type of insurance.
Source: medicare-news.com

Video: New York 26: Rep. Allen ‘Abu Ghraib’ West’s Fraudulent Tea-Party ‘Robo’ Alert on Medicare

Bullock, USDOJ Announce Settlement with Montana Health Insurance Companies

Bullock also cited the most recent Kaiser Family Foundation survey, which found that in 2011, the average total family premium nationwide climbed to over $15,000 a year.  Since the survey began in 1999, worker contributions to health insurance premiums have increased 168 percent, while wages have gone up only 50 percent. “Montanans simply can’t afford to keep paying a bigger and bigger slice of their income for health insurance,” Bullock said, “so my Consumer Protection staff worked closely with the U.S. Department of Justice to preserve competition in Montana’s marketplace.  New West has been the most significant competitor for Blue Cross.  By encouraging another company to take over a portion of New West’s business here, the settlement will help provide health care consumers a viable option when they are seeking coverage.”
Source: mt.gov

Married for Life (in Melbourne West): Improved Eyesight

I started developing myopia/nearsightedness a couple of years ago. Since Medicare allows for a free eye check every two years, I went back for another check recently. Guess what? My eyesight has improved. Yes I am still a bit myopic, but there has been slight improvement. They were -1.25 (right) and -1.75 (left) two years ago and the last check showed -1 (right) and -1.25 (left). Awesome news for me :), I just ordered a new pair of corrective glasses as the current pair is over what I need. Let’s hope the next check in a couple of years show even more improvement. In the meantime, I better look for my pinhole glasses again. It has disappeared since we moved house. Failing that, I should just order another pair off ebay, they are very cheap anyway. Yes I am of those people who would rather try alternative/natural methods rather than just rely on corrective lens. The only time I wear my corrective glasses so far are when I am either driving or sitting at the back of a lecture hall trying to see what is on the screen/board in front.
Source: blogspot.com

New West May Transfer Some Business to Blue Cross

Blue Cross spokesman Tim Warner said the company hopes to close the deal soon. “This is a competitive market. Blue Cross is competing for business,” Warner said. “In this case, we are competing for the business of some major hospitals in Montana.” The deal must pass regulatory approval. State Auditor Monica Lindeen, whose office regulates insurance in Montana, said Wednesday that she would work with the state and federal justice departments to make sure Montanans can still expect quality service after the proposed transfer. Attorney General Steve Bullock said his office will examine the deal to see if it complies with antitrust laws. The hospitals, New West and Blue Cross have been discussing a possible deal for several months, and the hospitals signed a letter of intent last week. If the hospital deal goes through, New West would then consider transferring the rest of its commercial health business to another, yet-to-be-determined insurer, Lee Newspapers reported. Warner declined to say if Blue Cross plans to buy additional New West business. If the second transfer goes through, New West would have 9,500 customers enrolled in Medicare Advantage, a private health plan that receives part of its premiums from the Medicare program and must offer a benefit package at least as good as Medicare’s. It’s unclear how the proposed changes will affect New West customers in terms of price or health coverage or what will happen with New West’s more than 100 employees.
Source: flatheadbeacon.com

Virginia Qui Tam Law: The Year 2011 Review: A New Record False Claims Act Recoveries

Posted by Zachary Kitts at 12/24/2011 7:41 AM Categories: Virginia Qui Tam filings, Litigation, Qui Tam practice in Virginia, Potential Uses of the Virginia Fraud Against Taxpayers Act, Practice Example The Utility of Qui Tam and Private Law Enforcement in Virginia, Office of the Attorney General of Virginia, False Claims Act, Qui Tam litigation, legal blogs, Virginia Fraud Against Taxpayers Act, Virginia Whistleblowers, False Claims Act Practice in Virginia Tags: Virginia Fraud Against Taxpayers Act State false claims act news Virginia Legal Blogs Qui Tam Litigation in Virginia Virginia Office of the Attorney General Review of 2011 Developments in Virginia Virginia Legal History Review of 2011 False Claims Act Recoveries
Source: vaquitamlaw.com

S.S. payroll tax cut extended 

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Source: wvgazette.com

Secure Horizons Medicare Advantage

Posted by:  :  Category: Medicare

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: beststockmarketinvestment.com

Video: United Healthcare Secure Horizons & Oxford – Medicare Advantage Denies Coverage

Secure Horizons Medicare Benefit

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Source: nasdaqtradingmarket.com

Safe Horizons Medicare Advantage

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: beststockmarketresearch.com

Safe Horizons Medicare Advantage

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Source: thetradereview.com

Secure Horizons Medicare Advantage

The primary benefit of the HMO is the lower cost sharing by using network providers. HMO plans often have additional benefits that may not be found in other types of plans. HMO plans are often available in metropolitan areas with a greater population and a comprehensive provider network. Make sure that you are comfortable with the provider network before you choose this type of plan.
Source: bestsalecheapbuy.com

Safe Horizons Medicare Advantage

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: moneytradingresearch.com

Secure 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: nasdaqreportnews.com

Secure horizons medicare direct

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Source: fluxfeatures.com

Secure Horizons Medicare Advantage Plans

These plans offer a low or zero monthly plan premium, and many of them include drug coverage!  This means that you can have Part D coverage through the plan and pay next to nothing for having the coverage.  The co-pays for doctors visits are also typically lower than the competition.  The plans focus on providing value for the items that most beneficiaries use on a regular basis.  In addition they offer preventative dental and vision care across their markets which most seniors like as well as SilverSneakers!  Silver Sneakers is a national program that gives seniors access to over 10,000 fitness centers across the U.S.  This membership is included at no additional cost.
Source: medicare-plans.net

When Does Medicare Pay For Nursing Dwelling Care?

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: mutualfundstraders.com

Q&A: find memory care facilities that accept secure horizons medicare advantage ever care?

Medicare does not pay for long term care, only physical rehab or post-op care for 20 to 100 days, with the patient footing the bill for part of that time. Look in the Medicare book for 2010 or at their website. You have to call around Albuquerque memory care facilities or call Secure Horizons if that isyour assigned plan under Medicare for the answer.
Source: coloradomedicaremedigap.com

State of IL Reminding Residents of Medicare Open

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SS“As the Medicare open-enrollment period winds down, Medicare enrollees who have not yet reviewed and compared available prescription drug and Medicare Advantage plans should call the Department’s toll-free SHIP hotline or the 24-hour Medicare hotline to help make sure they continue to have the most appropriate coverage,” said Andrew R. Stolfi, Acting Director of the Department.  “As always, the Department’s dedicated SHIP volunteers also provide information and assistance to Medicare beneficiaries and caregivers year round.”
Source: enewspf.com

Video: Medicare Insurance Illinois Medicare Advantage Medigap Plans Illinois

State of IL Reminding Residents of Medicare Open

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
Source: medicaresupplementalco.com

Five Stateliners Charged in Medicaid Fraud Bust; Three Have Theft Records

The above individuals were former Personal Assistants hired by the Illinois Department of Human Services (IDHS), and had been working in the Department of Rehabilitative Services (DORS) Home Assistance program. The arrests were the results of several 12 to 18 month long investigations. The allegations involve billing Medicaid for services not rendered. The above individuals were lodged at the Winnebago and Kendall County jails in lieu of bail. 
Source: wifr.com

Do highly rated nursing homes give families a false sense of security? : Nursing Homes Abuse Blog : Jonathan Rosenfeld’s Nursing Homes Abuse Blog : Jonathan Rosenfeld’s Nursing Homes Abuse Blog

Sure, having a good reputation is an important thing for any business— nursing homes included– but as a patient or family member, it is important to remember that a facilities fine reputation in the past does not mean that the facility gets to automatically maintain that reputation in the future.  Further, even the most highly regarded facilities are staffed by ordinary humans— who do make mistakes when it comes to patient care.
Source: nursinghomesabuseblog.com

Chicago Hispanic Newspaper, Lawndale News, Hispanic Bilingual Newspapers, Su Noticiero Bilingue

The Super Committee in Washington, charged with reducing the federal deficit, is currently considering significant changes to Medicare, including raising the eligibility age. Increasing the Medicare eligibility age to 67 would increase overall health care costs and shift these increased expenses to individuals, employers and state governments. Taking into account additional costs to individuals, Illinois employers and businesses, and the Illinois state government; raising the Medicare eligibility age would cost Illinois around $524 million per year. The Medicare Prescription Drug Savings and Choice Act of 2011 introduced by U.S. Senator Dick Durbin (D-IL) and Representative Jan Schakowsky (D-IL) would save Medicare at least $20 billion per year by creating a Medicare-administered Part D prescription drug benefit which is able to negotiate for lower prescription drug prices. “The proposed changes in Medicare would be harmful to the Illinois health care delivery system, shift costs to patients and reduce access to care,” said State Representative Jan Schakowsky. “Increasing the eligibility age for Medicare is just another attack on a program millions of Americans rely on and cherish. There are serious ways to reduce Medicare spending, such as requiring CMS to negotiate Medicare Part D prescription drug prices, combating Medicare fraud and abuse, and improving efficiencies, without passing the buck to seniors and needlessly putting their health and financial security at risk.”
Source: lawndalenews.com

subrealism: 2011 financial report of the u.s. government: either taxes have to rise, or Medicare benefit levels have to fall

The Medicare Board of Trustees, in their annual report to Congress, references an alternative scenario to illustrate the potential understatement of costs under current law. This alternative scenario assumes that the productivity adjustments are gradually phased out over the 16 years starting in 2020 and that the physician fee reductions are overridden. These examples were developed by management for illustrative purposes only; the calculations have not been audited; and the examples do not attempt to portray likely or recommended future outcomes. Thus, the illustrations are useful only as general indicators of the substantial impacts that could result from future legislation affecting the productivity adjustments and physician payments under Medicare and of the broad range of uncertainty associated with such impacts. The table below contains a comparison of the Medicare 75-year present values of income and expenditures under current law with those under the alternative scenario illustration.Another factor in holding down the 2011 deficit was that measured inflation was low, there were no cost of living adjustments [COLAs], when assumptions expected 2.5% or so. To the extent that COLAs remain low in future years, there will be further positive adjustments.
Source: blogspot.com

December Illinois Senior Medicare Fraud Tip

Kung may magnakaw ng iyong numero ng Medicare, maaaring maningil ng serbisyo ang magnanakaw gamit ang iyong akawnt ng hindi mo nalalaman! Mahuhuli lang ang panlilinlang na ito kung babasahin mo ang iyong statement. Binabasa natin ang ating mga credit card statement para masiguro na walang maling pagsingil dito. Kailangan ring basahin natin ang ating statement sa Medicare para masiguro na walang magnanakaw ng ating benepisyo! Kung mayroon kang Medicare, tatanggap ka ng statement apat na beses sa isang taon. Basahin ng maigi ang mga statement para masiguro na tama ang lahat ng nakasaad. Bantayan ang mga singil ng serbisyo o kagamitan na hindi mo tinanggap, mga serbisyo na hindi pinag-utos ng iyong duktor, o ano mang ibang pagkakamali. Kung nais mong makatanggap ng Paunawa ng Buod ng Medicare (Medicare Summary Notice) sa ibang wika maliban sa Ingles, tumawag sa 1-800- Medicare upang mahingi na ipadala sa iyo ang statement na ito sa iyong wika. Kung mayroon kang mga katanungan ukol sa iyong makikita sa Paunawa ng Buod ng Medicare, tawagan ang Illinois Senior Medicare Patrol Program sa AgeOptions para matulungan ka: (800)699-9043.
Source: filamnation.com

Pain Management & PT Practice For Sale in North Shore Chicagoland Illinois

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Source: businessmart.com

Useful Medicare Supplemental Insurance Guide

If you are looking for a useful guide for medicare supplemental insurance then you should really check out the website Medicare Supplemental Insurances, it is a professionally made site that acts as your personal guide to Medicare Supplemental insurance plans. Medicare insurance is extremely useful to have to help pay for all sorts of medical costs. Your exact coverage will depend on if you have just Medicare part A or if you also have the optional Medicare part B coverage. Depending on what you have Medicare Insurance will cover up to 80% of certain types of medical treatments, doctor office visits, hospitalizations, medical equipment, and even other types of medical costs. However even with this coverage many people still have to pay large out of pocket costs to cover the other 20%. If you still are unable to pay the co-payment in cash then you could make use of one of the many Medicare Supplemental insurance policies that are currently available.
Source: abadacapoeiraporto.com

Roskam Unveils Bipartisan Medicare Fraud Prevention Bill at Chicago

“At a time when the federal government is borrowing 40 cents on every dollar and Medicare fraud is costingAmerica’s elderly a staggering $50 billion annually, it’s hard to overstate the need for reform,” Roskam said after the ManorCare Health Service event. “The solution introduced in the House today would put in place valuable preventative fraud-check measures to strengthen Medicare, saving taxpayers billions. Stopping Medicare fraud won’t be the cure-all of our country’s fiscal woes, but it is a commonsense bipartisan solution to save taxpayers billions and help strengthen Medicare.”
Source: ice-news.net

Ron Paul thinks just about everything is unconstitutional

The reason Paul thinks just about everything is unconstitutional is because just about everything the feds do IS unconstitutional. Our history contains many many examples of political badgering of judges, and judges who make blatantly incorrect rulings based on a biased opinion. SOme of the most blatant examples of this are in the second amendment, but plenty of others exist. This is not to say many of the government programs we enjoy could not be offered, they just need to be at a state or local level in order to be constitutional.
Source: e-rockford.com

The RAsburry Patch: Get government OUT of healthcare!

Item: When my husband went on Medicare, we assumed our insurance costs, now being footed by the U.S. Government, would go down. Shouldn’t they? They went UP. It costs us more to be covered by Medicare than by our private insurance alone. Who do you think receives the extra money? Item: We saw on the news last week that if a patient comes in complaining of having fainted, Medicare pays “only” $7,000 to the health care provider. This low figure has been tempting some health care organizations to instruct their doctors not to call if fainting, but to call it central nervous system something-or-other, because that diagnosis brings in many times more dollars from Medicare. Fainting is a complaint my husband says can be resolved in less than half an hour at a cost of perhaps $50 to the doctor or practice. WHO PAYS SEVEN THOUSAND DOLLARS for a fainting fit? You? Forget it. Your private health care insurance? Dream on. Only the U.S. Government. And why? I defy you to make any sense of it without saying it involves corruption. The answer is, a lot of congressional somebodies are being paid a lot of money to funnel these kinds of dollars to doctors and hospitals. ITEM: When my husband had his carotid artery operated on in March of this year, he spent one night in the hospital. The hospital’s charge for this (not to be confounded with the doctors’ charges, which are separate things) was $5,830.00. For one night. Without any particularly complicated care, as all went smoothly enough for him to be discharged the following morning. Medicare paid $3,000, which is still outrageous. And the remainder? The hospital, we were told, would write it off. Meaning it would receive $3,000 but, come tax time, claim a $2,830 loss. The truth is, a major part of why the cost of health care in this country is so high is the federal government’s corrupt involvement in it. Therefore the probability is, we would all, from infants to seniors, have been better off had there never been a Medicare. So yes, in that sense, I am against Medicare. Does that mean I’m in favor of just dropping it? No, definitely not, because that would leave seniors, largely on a fixed income, defenseless in a sea of sharks. It ought to be dropped, yes, but only in the context of an overall reform in the American health care system. A real reform, I mean, not Obamacare. A reform in which medical charges bear some resemblance to actual costs, in which profits are not outrageous or extortionate, in which doctors and hospitals and pharmacies are paid directly by the patients, without any price-gougers interposing themselves between and dictating treatments. A reform brought about carefully, thoughtfully, and gradually. We’d all pay less, seniors included, seniors especially. Oh, and we’d also be living more nearly by the Constitution, which does not accord the federal government the power to set up or administer a program like Medicare.
Source: blogspot.com

Health Net Issues 2012 Earnings Guidance

Posted by:  :  Category: Medicare

Health Net, Inc. and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act (“PSLRA”) of 1995, including statements in this and other press releases, in presentations, filings with the Securities and Exchange Commission (“SEC”), reports to stockholders and in meetings with investors and analysts. All statements in this press release, other than statements of historical information provided herein, including the guidance for future periods and the assumptions underlying such projections, may be deemed to be forward-looking statements and as such are intended to be covered by the safe harbor for “forward-looking statements” provided by PSLRA. These statements are based on management’s analysis, judgment, belief and expectation only as of the date hereof, and are subject to changes in circumstances and a number of risks and uncertainties. Without limiting the foregoing, the guidance as to expected future period results and statements including the words “believes,” “anticipates,” “plans,” “expects,” “may,” “should,” “could,” “estimate,” “intend,” “feels,” “will,” “projects” and other similar expressions are intended to identify forward-looking statements. Actual results could differ materially from those expressed in, or implied or projected by the forward-looking information and statements due to, among other things, health care reform and other increased government participation in and regulation of health benefits and managed care operations, including the ultimate impact of the Affordable Care Act, which could materially adversely affect Health Net’s financial condition, results of operations and cash flows through, among other things, reduced revenues, new taxes, expanded liability, and increased costs (including medical, administrative, technology or other costs), or require changes to the ways in which Health Net does business; rising health care costs; continued slow economic growth or a further decline in the economy; negative prior period claims reserve developments; trends in medical care ratios; membership declines; unexpected utilization patterns or unexpectedly severe or widespread illnesses; rate cuts and other risks and uncertainties affecting Health Net’s Medicare or Medicaid businesses; any liabilities of the Northeast business that were incurred prior to the closing of its sale as well as those liabilities incurred through the winding-up and running-out period of the Northeast business; litigation costs; regulatory issues with federal and state agencies including, but not limited to, the California Department of Managed Health Care, the Centers for Medicare Medicaid Services, the Office of Civil Rights of the U.S. Department of Health and Human Services and state departments of insurance; operational issues; failure to effectively oversee our third party vendors; noncompliance by Health Net or Health Net’s business associates with any privacy laws or any security breach involving the misappropriation, loss or other unauthorized use or disclosure of confidential information; investment portfolio impairment charges; volatility in the financial markets; and general business and market conditions. Additional factors that could cause actual results to differ materially from those reflected in the forward-looking statements include, but are not limited to, the risks discussed in the “Risk Factors” section included within Health Net’s most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q filed with the SEC and the risks discussed in Health Net’s other filings with the SEC. Readers are cautioned not to place undue reliance on these forward-looking statements. Except as may be required by law, Health Net undertakes no obligation to address or publicly update its guidance, the assessment of the underlying assumptions or any of its forward-looking statements to reflect events or circumstances that arise after the date of this release.
Source: theyellowads.com

Video: Health Net Medicare Advantage – Compare to over 180 Compani

Medicare 2012 Open Enrollment

Medicare Supplements Medicare Advantage Individual Health Plans Family Health Plans Group Medical Plans Short Term Health Plans COBRA Alternatives HIPAA Guaranteed Issue Plans Universal Life Plans College Funding Tax Free Retirement Income Cancer/Accident Plans Non Fee Based Service
Source: wordpress.com

Anthem medicare d prior authorization

Anthem Medicare Part D Formulary. related to web 1.Anthem Blue Cross : Medicare Part D Anthem BlueCross of California aarp medicare complete prior authorization. related to web 1.Formulary Links and Forms Medicare Prescription Drug Plans. These are the complete formularies, Payor Aetna Medicare Advantage Anthem Medicare Advantage Connecticare Medicare Advantage Health Net Medicare Advantage United Healthcare Medicare Advantage Wellcare . Anthem.com: Affordable Health Insurance and Medical Insurance from Anthem Blue Cross and Blue Shield (BCBS) Looking for health insurance? Find a variety of affordable . Drug Health Services Review Form. Prior Authorization Center Phone: 800-338-6180 or FAX TO 800-601-4829 HEALTH SERVICES REVIEW CRITERIA IS SUBJECT TO CHANGE AND THUS . claim medicare non-payment reason codes. related to web 1.Medicare reason codes Sheep Ovis aries are descended from the wild..Medicare Part D Pharmacy Prior Authorization and Determination Forms. If you need additional information regarding . Medicare Part D Pharmacy Prior Authorization and Determination Forms. If you need Anthem medicare d prior authorization additional information regarding Medicare Part D prior authorization . Requirements for Hospital Attestation and Billing of Fiscal Year (FY) 2007 and 2008 Informational Only Inpatient Claims for Medicare Advantage Beneficiaries Services for which prior authorization (PA) is recommended: (Effective 1/1/2010) Bariatric surgery; Home health (PA must be initiated by the Home Health Care Agency) Summary of Benefits for Anthem Medicare Preferred Standard Available in Select Counties in Ohio Si usted necesita asistencia en espanol para poder entender . Hospitals: In-Network For Medicare-covered Anthem medicare d prior authorization hospital stays: Days 1 – 5: $250 copay per day Days 6 – 90: $0 copay per day $0 copay for additional hospital days $2,500 . Anthem Medicare Preferred Select (PPO) andAnthem Medicare Preferred Standard (PPO) 2011 Formulary . Hospitals: In-Network For Medicare-covered hospital stays: Days 1 – 7: $190 copay per day Days 8 – 90: $0 copay per day $0 copay for additional hospital days $1,330 . Author: Velcade Chemotherapy Weightlifter craps insides out Diovan 320 25 What Is Valsartan Used For Parlodel and Weight Gain 4.2 arena best combo Cipap berduri How to Use Seretide Accuhaler Red Fox Janssen Uses of Spironolactone FDA Medical Device Recalls Pulmicort Discounts Bristol-Myers Squibb Patient Assistance Humalog 75 %2425 Rebate What Is RELPAX Used For Contoh naskah drama untuk kelas 9 smp Pottery and porcelain marks gallery Spironolactone Uses Cabergoline Medication Antenna Factor for Dipole New Slot Machines In Casinos Plaquenil Side Effects Lidocaine Pharmacology Trileptal Therapeutic Levels Label axial skeleton printouts Karina jelinek en hextremo de marzo 2011 Cardboard furniture plans Does Lupus Have a Cure Method of 4d ct of parathyroid .
Source: posterous.com

CMS Lifts Sanctions Against Health Net Medicare Plans

Dow Jones Newswire (8/3, Subscription Publication) reports that Health Net Inc. will immediately return to marketing its Medicare Advantage and prescription-drug plan products after the Centers for Medicare & Medicaid Services lifted its sanctions against them. The sanctions were imposed last November, when CMS alleged that the company had failed to provide enrollees with prescription drug benefits in accordance with guidelines and contract terms. Wells Fargo analyst Peter Costa issued a note saying that the move may not have much impact on 2011 revenue for the company, but was a crucial step towards regaining its growth in Medicare Advantage.
Source: barricksinsurance.com

Marin•Sonoma IPA inks Medicare contract with Health Net for Sonoma County Seniors

Great. Seniors get their coverage so that they don’t have to experience the inconvenience of leaving town. (Even though their property taxes are exempt from the huge costs to keep "their" local hospital in business.) The non-insured also get to keep their "free" local care; paid for by the rest of us. The only ones to be forced to leave town for their health care are working families, who must use Kaiser or other out-of-town options because the local out-of-pocket costs are too high. So those that are paying for this huge privilege of localized medical care in this town are the least likely to be able to use it. Something stinks about this picture.
Source: patch.com

Health Net Insurance Review and Health Net Ratings

Pricing for Health Net’s products will vary greatly depending on where you purchase your insurance, the type of plan you choose, and how the plan is implemented. Generally speaking, the cheapest Health Net plans, outside of Medicare-based coverage, are the PPO and HMO options available through a group provider such as your employer. These plans provide the lowest premiums possible, as the risk is spread over a large group to keep costs low. If you must purchase individual health insurance, you may find that your premiums are significantly higher and you may have less coverage options than if you purchase your health insurance through your employer. However, Health Net does offer a range of products designed for individual needs, so you can contact the company through their website or by phone to receive a quote for your coverage.
Source: lowcosthealthinsurance.com

How to Reduce Your CMS Marketing Violations and Complaints

A key difference between the plans is found in the way Medicare beneficiaries access their benefits under Medicare Advantage. While Medicare Advantage covers all the same services as original Medicare, there are two primary differences in how the benefits work. First, MA’s cost-sharing for each type of service (doctor’s office visits, inpatient hospitalization, etc.) can, and likely will, be different than original Medicare. Second, MA’s network of medical providers (or the level of access to providers) will be more restrictive than original Medicare. Medicare Advantage can offer benefits above and beyond original Medicare (such as caps on out-of-pocket spending, enhanced preventive benefits, dental, hearing, vision, transportation, nurse hotlines, coordination of care, gym memberships, etc.); however, these extra benefits come at the price of using the Medicare Advantage plan’s network.
Source: lifehealthpro.com

Q&A: does medicaid or medicare cover dental work in kansas?

Posted by:  :  Category: Medicare

Medicare will pay for an opthamologist visit and he can prescribe glasses. They must but be a medical doctor. Dental is another thing altogether. You can get some supplemental policies that offer some dental but sometimes you are just as well off to find a reasonable dentist and pay cash. This works unless you have large dental needs. Go to Medicare.gov and look at the supplemental plot supplies. They are listed from A-M and each company must offer identical services for the letter that you have chosen. The more services included the more expensive they will be. Your state insurance office can give you the names of all the companies that are licensed to sell this type of insurance in your state. Prices and how the rates go up can vary from company to company.
Source: discountdental.info

Video: Net Insurance Solutions-Individual Health Insurance,Group,Dental,Medicare Supplements,La Jolla,CA

Can You FInd Medicare Dental and Vision Plans

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Source: fallriverart.org

Still No Coverage for Dental Care

In addition, Medicare will pay for some dental-related hospitalizations, for example, if  you develop an infection after having a tooth pulled, or if you require observation during a dental procedure because you have another health-threatening condition. In this case, Medicare will cover its usual cost of hospitalization (including room and board, anesthesia, and x-rays), but it will not cover the dentist fee for treatment or fees for other physicians, such as radiologists or anesthesiologists.
Source: marshagoodmanattorney.com

Advocates concerned about possible Medicaid cuts

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSLIA was supposed to be less costly to the state than the program that previously covered low-income adults, State Administered General Assistance, which was entirely funded by the state. However, LIA covered people who weren’t eligible for benefits under SAGA, which, along with the poor economic climate and other factors, made it more popular. Over the course of its first year, the program’s case load grew by 60 percent, from 46,156 clients to 73,915 clients. As a result, there was a budget shortfall of $139 million for the program in fiscal year 2011 and DSS is already predicting a budget shortfall of more than $90 million for LIA in fiscal year 2012.
Source: ctpost.com

Video: Connecticut Medicare Advantage Plans – Supplement Insurance

Connecticut comments: The Bipartisan Medicare proposal

Senator Ron Wyden (D-Oregon) and Representative Paul Ryan (R-Wisconsin) have introduced a new plan for reforming and saving Medicare. Basically, the plan keeps Medicare in its current form for the elderly but allows the option of choosing a private plan in place of Medicare in the future. Specifically, the proposal provides for no change to the current Medicare program for those who are over 55. Everyone else would participate in a premium-support system (like Ryan’s previous plan) except this system would allow Medicare recipients to choose either the current version of Medicare or a Medicare-approved private plan. The private plans must be at least as comprehensive as the current Medicare and they must accept anyone who applies. There also would be subsidies for low-income seniors. The idea here is that private companies would be encouraged to design plans that are more cost effective than Medicare while providing comparable benefits. Since the private insurers (unlike the Medicare system) actually have an incentive to keep costs down, the plan should operate to limit medical costs for the elderly. This plan is a breakthrough on the entitlement front. Every politician in the country has been telling us that Medicare either is or soon will be bankrupt. A bipartisan plan with a good chance to reduce costs should be greeted warmly in Washington. Of course, president Obama rejected the plan within hours after it was announced. For Obama, it is more important to have centralized government control of the healthcare system than it is to keep down costs so that people can afford to get first quality medical care. So, here is yet another reason why Obama has got to go.
Source: blogspot.com

Medicare Audits On Chiropractors

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: nasdaqtradingmarket.com

Free Leads, Sell AARP Medicare Branded Plans (NYC Area)

We are a Connecticut based brokerage agency in Danbury CT looking for Sales Associates in the New York City Area. Representatives are needed to work with new and existing Medicare clients to show them the full line of AARP branded medicare products including Medicare Advantage, Medicare Supplements and Medicare Rx plans. There is a full lead program through our agency with all leads provided at no cost to the representative. Leads are from mail responses and pre set appointments. Please give us a call today at the number listed below to discuss commission, questions, and receive the necessary paperwork. Full training is provided in the following areas: AARP branded Medicare Advantage, Supplement and Rx products, Medicare basics and how clients can benefit from AARP branded products, sales meeting training, one on one in the field training. Any interested persons should email this listing. We will respond within 24 hours Thank you. Hiring Organization: Crowe & Associates
Source: telecommuteanywhere.com

Private Duty Home Care CT Options

Patients that have long term care insurance may have policy benefits that also offer coverage for home health care so policies should be checked to determine what is covered if anything. Some nonprofit organizations also provide home care assistance CT residents may need so it is always important to check with different medical associations and member organizations you belong to in order to find out if any financial assistance programs are available. Home care assistance CT agencies work with clients to create a plan that is affordable and provides the maximum amount of needed service to keep patients in the home and still meet the family budget. In some instances private duty home care CT services can be covered by federal and private programs, and the home care agency you are considering can offer resources to help find needed funds and budget for services to keep family members at home with the care they need.
Source: ezinemark.com

Medicare Audits On Chiropractors

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

2011 Year in Review: Eight Ways the Health Care Law Helps You

Cracking Down on Health Care Fraud – The Affordable Care Act has given us strong tools to fight fraud. In 2011, the Department of Justice recovered more than $5.6 billion in fraud government-wide. Of the $5.6 billion, $2.9 billion was in health care fraud alone. Providers now have to go through tougher screening procedures before they can start billing Medicare.  And we’ve given investigators new tools that allow them to analyze data in order to identify and stop suspicious payments before they go out. As part of the law, we also released new rules that will give states the flexibility to recover improper Medicaid payments, saving more than $2 billion over the next five years, with nearly $1 billion going back to the states.
Source: gop1.com

Medicare to cover obesity services

Screening for obesity and counseling for eligible beneficiaries by primary care providers in settings such as physicians’ offices are covered under this new benefit.  For a beneficiary who screens positive for obesity with a body mass index (BMI) ≥ 30 kg/m2, the benefit would include one face-to-face counseling visit each week for one month and one face-to-face counseling visit every other week for an additional five months.  The beneficiary may receive one face-to-face counseling visit every month for an additional six months (for a total of 12 months of counseling) if he or she has achieved a weight reduction of at least 6.6 pounds (or 3 kilograms) during the first six months of counseling.
Source: ctnews.com

Survey shows Medicare benefits not fully understood by many

Another factor that came out from the survey was that many of those taking the survey felt they knew a good deal about health care cost management when, in fact, they did not. Some 78 percent said they believed they were knowledgeable about Medicare benefits. But when asked what was covered in Medicare Part A, many could not answer. Also, more than 50 percent of those taking the survey said they did not have a strategy to pay for long-term care needs.
Source: connecticutelderlawblog.com

Insurers looking for Medicare hikes

Insurers are increasing finding it difficult to win rate approvals in an economy where average Americans have struggled with employment and stagnating income. The insurers themselves face pressure to raise revenues and return profits to investors.
Source: ctnews.com

Medicare Audits On Chiropractors

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: forexfinanceanalysis.com

Woman Sentenced For Selling Oxycontin She Got Through Medicare

Thursday, Dec. 29 11:00 a.m. – 4:00 p.m. New England Carousel Museum 95 Riverside Ave Bristol, CT The New England Carousel Museum has planned a week of craft activities and movie fun for school Vacation Week, Monday, December 26th thru Friday, December 30th, 2011. All children are welcome to participate in a different craft each day, while enjoying a free mo […]
Source: cbslocal.com

Connecticut Bob: CT Dems seek to keep Medicare and SS intact

ConnecticutBob.Com is a small corner of the interweb since April 2006 where Progressive ideas are nurtured, all politically-minded and reasonable people are welcome, and the countdown to Joe Lieberman’s retirement continues.
Source: blogspot.com

Annual American Health Care Congress

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSAnnual American Health Care Congress and Exhibition, that took place December 5-6 in Anaheim, Calif., focused on post-reform innovation of health IT and other implementations for care delivery. The topic of the Congress this year is “Post-Reform Integration Strategies, Innovative Business and Care Delivery Models and Health IT.”
Source: acs-healthcare.com

Video: Los Angeles: Medicare Fraud Summit Law Enforcement Panel

Democrats Rebuff Idea for Standalone Bill To Delay Medicare Pay Cuts

The Senate on Saturday voted 89-10 to approve a two-month version of a House-approved payroll tax break and Medicare “doc fix” measure (HR 3630). Senate leaders initially assumed that the bill would pass easily in the House because it had been endorsed by Senate Minority Leader Mitch McConnell (R-Ky.) and included a provision related to a controversial oil pipeline that Republicans favor. Instead, the House rejected the short-term measure and on Tuesday voted 229-193 to set up a conference committee to work out differences with the Senate on the proposal. However, Senate members adjourned for recess after Saturday’s vote and are not expected to return until January. Reid on Monday said Senate Democrats would not take part in further negotiations until the House passes the short-term measure. Meanwhile, most House members also left town for recess after Boehner selected lawmakers for the conference committee. Rep. Phil Gingrey (R-Ga.), an obstetrician and co-chair of the GOP Doctors Caucus, said House leaders should not accept any proposal without a two-year doc fix, but he acknowledged that if lawmakers cannot reach an agreement, they might consider a standalone bill to address the issue during the next session (California Healthline, 12/21).
Source: californiahealthline.org

California tops list of states involved in mortgage fraud

According to the Mortgage Fraud Index which is released quarterly by Mortgage Daily, California prosecuted fraud cases that totaled $204 million. This is approximately 15 percent of the total value of mortgage fraud cases prosecuted across the nation. The index reported 175 mortgage fraud cases were prosecuted during the third quarter; totaling a whopping $1.33 billion. After California’s number-one spot comes New York with $199.6 million worth of mortgage fraud cases. Florida was in third with $144 million.
Source: losangelesfederalcriminaldefenseattorney.com

Insure The Uninsured Project (ITUP)

While enrollment of duals into managed care plans is central to the RFS process, the true innovation in California will be testing two distinct financial models. The first model will mimic a capitation arrangement with an arrangement between the state, selected health plan, and CMS to delegate risk, structure payments and develop implementation details as well as outcome measurements. The second model will be fee-for-service based, yet create a shared savings arrangement between the state and CMS. The details of both payment arrangements and proposed solutions are still being fully determined.
Source: itup.org

Support Enforcement and Medicaid Qualification in Florida

My question involves child support in the State of: Florida Hello, I am a non-custodial father who has an existing order of support through Child Support Enforcement, but no existing custody or shared parenting agreement. Over the past 3 months I have been taking steps with the mother of my child to begin having our child on a equal basis. We have come up with a schedule that seems to work well for both of us and have already started the transition of me having our child 1/2 the time. Everything on that end is well and we are both in agreement for the new shared parenting arrangement. Now for the problem: I wish for child support to be modified stating I do not have to pay out support, but I would continue to pay for our child’s medical coverage through my health carrier.The mother applies for Medicaid and is afraid that if there is an order for neither parent to pay support then that would mean that she would no longer be eligible for Medicaid benefits. I have contacted Child Support Enforcement and have contacted Medicaid, several times each. The answers I get vary greatly depending on who I talk to, it seems. I have tried looking up the information on my own and have not been successful. What I would like is a response from a knowledgeable person which would hopefully include citations (or links to valid information) for me to use when going to meet with the Child Support and Medicaid offices. I plan on scheduling appointments in the next week and want to have my own information before going in. The mother and I will both be attending together and I feel we try to be open with each other about everything. So, the question is: If two parents have a shared parenting agreement and a Court order stating that neither parent pays support then will that arrangement interfere with one parents eligibility for Medicaid services for themself? I hope this post has been concise enough to warrant a good answer. If more information is needed them please let me know. I do not know if financial info is needed but I make about 44K/year and the mother makes about 24K/year. I have the option for health coverage through my employer and the mother does not. Thanks in advance for any and all helpful responses.
Source: expertlaw.com

When Does Medicare Pay For Nursing Dwelling Care?

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: mutualfundstraders.com

ARRA News Service: Medicare Spending Is the Largest Driver of Future Deficits

Rob Bluey, Heritage Foundation: Medicare is in dire need of reform. This week’s chart illustrates why the entitlement program is the largest driver of long-term runaway deficits. With the country’s population aging and increasingly dependent on health care, Medicare’s cost to taxpayers is projected to rise from $522.8 billion in 2010 to $932 billion in 2020. The Heritage Foundation has long championed reforms for Medicare, most recently as part of Saving the American Dream. Heritage’s Bob Moffit recently outlined a two-stage approach to reform. The first step is saving the current program, then moving to premium support for Medicare, which is a variant of the defined-contribution system. The issue is also getting more attention on Capitol Hill. Just this month Rep. Paul Ryan (R-WI) and Sen. Ron Wyden (D-OR) introduced a bipartisan framework for structural Medicare reform. Their plan “would establish a premium-support system of financing for Medicare,” wrote Moffit and Rea Hederman on The Foundry. “This policy is central to the transformation of Medicare into a consumer-based system relying on competition rather than bureaucratic fiat.” Ryan, of course, already tried to transform Medicare earlier this year as part of his budget proposal. It created such an uproar among Democrats that their assertions were dubbed the “Lie of the Year” by Politifact and one of the “biggest Pinocchios of 2011″ by fact checker Glenn Kessler of the Washington Post. There isn’t anything false or misleading about Heritage’s chart. The numbers come directly from the Congressional Budget Office. And unless something is done, Medicare will be the biggest driver of future deficits.
Source: blogspot.com

Medicare Special Enrollment Period Means Good News for Seniors

Posted by:  :  Category: Medicare

2011 Health Innovation Summit 2579 by tedeytanAbout Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We serve approximately 8.9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

Video: Making Ends Meet: The Medicare Generation

Medicare on Main Street: Heritage and Kaiser Detail Medicare Challenges

The precipitous declines in “better off” responses since the Kaiser poll first asked these questions is worth noting.  In September of 2009, 46 percent of respondents said seniors would be better under the (future) law.  Now?  Only 32 percent believe so; a 30 percent decline.  In August of 2009, 38 percent of respondents said the Medicare program would be better off under the (future) law.  Now?  Only 22 percent believe so; a 42 percent decline.  And even among the 37 percent of respondents who have a favorable opinion of the law (44 percent unfavorable), only 2 percent (0.74 percent overall) suggest helping seniors is the main reason for their favorable opinion of the law.
Source: gop.gov

The Budget Act Control of 2011: Implications for Medicare

A new Kaiser Family Foundation brief examines the potential impact of the Budget Control Act of 2011, the process it creates for reducing the federal deficit over the next decade, and how it could affect the Medicare program, health plans and providers, and the program’s beneficiaries. The Budget Control Act of 2011, signed into law on Aug. 2, establishes a process to reduce federal budget deficits by $2.1 trillion over the 10 years, including $917 billion in agreed-upon spending reductions immediately and at least $1.2 trillion in additional deficit-reduction measures required to be enacted by Jan. 15, 2012.  If Congress fails to act on recommendations of a newly created Joint Select Committee on Deficit Reduction, the Budget Control Act would impose across-the-board cuts across key parts of the federal budget, including but not limited to Medicare. Medicare reductions would be capped at 2 percent of Medicare payments to medical providers and health plans. The brief looks at the key dates and milestones set out in the law and the range of Medicare changes that could be considered by the committee as part of its package – including proposals recommended in other deficit-reduction and Medicare-reform plans.  It also examines the cuts that could be imposed if Congress does not agree to reduce the deficit by the amount required in the Budget Control Act – including how the cuts to Medicare provider and plan payments could be implemented and their potential impact.   The brief is part of the Foundation’s Project on Medicare’s Future, which focuses on producing timely analysis of leading Medicare reforms affecting people on Medicare.
Source: kff.org

Wyden And Ryan Join Forces On New Approach To Overhaul Medicare

ACH19-ValueforMoney AHC13-PovertyandHealth Entitlement Reform NN11-Personal-News NN12-Job-Listings NN18-Conferences-Meetings NN19-Books NN20-Articles-Papers NN21-Grey-Literature NN22-Organization-News NN25-Videocasts NN27-Blogs PPACA-ComparativeEffectiveness PPACA-Constutionality PPACA-Impact-Access PPACA-Impact-Consumers PPACA-Impact-Costs PPACA-Impact-Employers PPACA-Impact-Equity PPACA-Impact-HealthInsurers PPACA-Impact-HealthProfessionals PPACA-Impact-Outcomes PPACA-Impact-States PPACA-Medicaid PPACA-Medicare PPACA-PublicOpinion PPACA-Repeal Regulation-FDA Regulation-HealthFacilities Regulation-HealthProfessionals
Source: wordpress.com

HHS Releases Data on Preventive Services and Drug Spending in Medicare

The Department of Health and Human Services releases new data showing that ”17 million people with Medicare have received free preventive services this year while 900,000 Medicare beneficiaries who hit the prescription drug donut hole have received a 50 percent discount on their prescription drugs” as a result of the Affordable Care Act. HHS also announced that “Medicare average prescription drug premiums will not increase in 2012.”
Source: kff.org

Kaiser Permanente CO earns Medicare 5

In addition to the high scores, Kaiser Permanente released survey findings revealing that consumers have a low awareness of the Medicare Star Quality Rating System. According to the survey conducted by Harris Interactive, only 18 percent of Medicare-eligible seniors said that they are familiar with the government’s rating system, and of those that are familiar, less than one-third have used the system to select their health plan. The survey also showed that only 2 percent of respondents know how their current health plan is rated.
Source: metrodenver.org

The Medicare Daily Report: GOP = Grand Old Politics, Medicare History: Recent and Past

Chaos from the same political party that brought the U.S. to the precipice of bankruptcy, gave America a lower, more expensive credit rating, and introduced oral sex into our living rooms.  The Republicans have become an extreme, out-of-control, and out-of-touch political party.  Of course, we never thought it was poker or a high stakes game.  Yes, as President Obama said, this is high stakes.  But poker is gambling, and the Republicans should not be gambling with the everyday life of millions of Americans.
Source: blogspot.com

HearUSA to help more patients

Posted by:  :  Category: Medicare

A study from the National Council on Aging reveals the detrimental impact of hearing impairment on independence and quality of life. The nonprofit Better Hearing Institute reports approximately 10 percent of Americans, some 36 million, experience some degree of hearing impairment. Nearly one in seven baby boomers has sustained some loss, and among those over 65, the number is approaches one in three. More males than females suffer from the condition, which is most often caused by exposure to high-decibel sounds.
Source: lifehealthpro.com

Video: Public Option Annie

Blue To You by Horizon BCBS

The van will aim to give person to person service and health information to individual members, employers and Medicare recipients.  The wheelchair accessible van is equipped with representatives who are courteous and knowledgeable.  They will be able to offer web-based services for insurance information, in addition to completing minor medical screenings and addressing claim processing issues.  This unique program is sure to set the insurer apart since customer service continues to be a crucial part of any quality health insurance plan.
Source: healthinsurancesort.com

Blue Republic / Green Living: Best page for 2012 Republican Party presidential primaries dates, # of delegates, winner

Table under construction. Corrections, comments are welcome. Aside from the above table, the following is the link for THE best site for the races for the 2012 Republican presidential nominating convention: http://www.thegreenpapers.com/P12/R-DSVE.phtml The site, “The Green Papers: Presidential Primaries 2012: Republican Delegate Selection and Voter Eligibility”, gives a wide range of important details: not just election date, but also indications for primary or caucus, winner take all or proportional, number of delegates: http://www.thegreenpapers.com/P12/R-DSVE.phtml Other authoritative reference: http://www.csmonitor.com/USA/Elections/2011/1102/Election-101-What-s-the-Republican-primary-calendar-for-2012/The-Fab-Five –but only for first five elections Michele Bachmann, Newt Gingrich, Jon Huntsman, Ron Paul, Rick Perry, Mitt Romney, Rick Santorum
Source: blogspot.com

Anthem Blue Cross and Blue Shield Committed More Than $744,000 to Improving Health and Strengthening Wisconsin Communities in 2011

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Source: getthemedic.com

Blue To You from Horizon Blue Cross Blue Shield of New Jersey Brings Person to Person Customer Service To Your Hometown

The Horizon Blue to you mobile van made its first “official” appearance Tuesday during a special Lakewood BlueClaws event for Silver Sluggers and their families, where event participants were able to “kick the tires” on Horizon’s newest and innovative effort to bring services to New Jersey residents in their communities. The van will be traveling throughout Ocean County in the weeks and months ahead in service to Medicare Advantage members and Medicare eligible populations. The van serves as a pilot for developing new and innovative approaches that bring Horizon BCBSNJ services closer to its members.
Source: patch.com

The Inside Straight: Socialized Medicine: a Preview ?

For instance, when my wife was hospitalized in 2005, there was an unexplained balance left unpaid to the hospital. We explored this issue with the hospital and with Horizon for several months, and were told by the latter all invoices presented had been paid in full. In 2007, while my wife was in intensive care fighting for her life, I received a notice from a collection agency. The hospital had NOT been paid the balance, had given up trying to collect it from Horizon, and had finally invoked the little clause on the Admission documents that says the patient is responsible if the insurance carrier refuses to pay.
Source: typepad.com

Michigan Blue Cross Deal Freezes Medigap RatesBlue Cross Blue Shield

Michigan Blue Cross Deal Freezes Medigap Rates Blue Cross Blue Shield of Michigan and Attorney General Bill Schuette say they’ve agreed to keep rates stable for seniors who buy supplemental health coverage from the insurer. Blue Cross seeks 4.4% hike in Direct Pay rates PROVIDENCE Blue Cross & Blue Shield of Rhode Island, the state s largest health insurer, filed a request with the Office of the Health Insurance Commissioner seeking a 4.4. percent increase for its Direct Pay customers. If approved, the rate increase would take effect on April 1, 2012. Blue To You from Horizon Blue Cross Blue Shield of New Jersey Brings Person to Person Customer Service To Your Hometown LAKEWOOD, N.J.–(BUSINESS WIRE)–Horizon Blue Cross Blue Shield of New Jersey is delivering personal service to New Jersey towns, courtesy of a new, multi-purpose van and a customer service, member-focused initiative, “Blue to you.”
Source: medicare-news.com

Roller Coaster Medicare Gain

Lesson two is if seniors want to drop Medicare Benefit and go again to Medicare, they want to enroll in a Component D to do that, and they must also get a Medicare dietary supplement. And on to lesson three, which would be Medicare supplement applications need to have to be submitted at the beginning of the month to give the bureaucracy time do its point. If you are trapped in a situation in which you require to modify your start off date, be ready to wait around for awhile before nearly anything transpires.
Source: theclimatequilt.com

New Jersey’s Largest Health Insurer Horizon Blue Cross and Blue Shield To Pay $500,000 Penalty Over Medicare Claims

The action comes after the state Banking and Insurance Department investigated how Horizon Blue Cross and Blue Shield of New Jersey processed claims for Medicare customers insured through small businesses that use Horizon as a secondary insurer.
Source: cbslocal.com