Hospitals Tighten Belts On Eve Of Medicare Cuts

Posted by:  :  Category: Medicare

Senate Dems Protest Medicare Cuts by TalkMediaNews“Probably one of the most extreme things happened with one our best customers — one of the biggest providers here in Texas — where they actually sent out a letter and said, look, if you want to do business with us in the future, you’re going to have to drop your prices by 5%, period.”
Source: kuhf.org

Video: Medicare Cuts

Medicare cuts loom with failure of ‘Payroll tax cut’ act

Just say that since I work in healthcare, I have a vested interest in this unreported aspect of the gamesmanship going down in D.C. If anyone thinks that Doctors will continue to take  and treat Medicare patients, think again. They are already losing money on Medicare patients due to the low reimbursement rate. It is even worse for Hospitals. They are required to treat these patients, and many physicians that are on staff are employees of the Hospitals. The GOPers are giving Obama a gift with this one. Most hospitals are on the brink financially, this will just about finish them. Mandated care coming our way with another nail in the coffin of our Healthcare system as we know it. Another 27 percent cut coming down. Well done GOPers.
Source: wordpress.com

House GOP Unveils Fix to Looming Medicare Cuts

The $39 billion “doc fix” would be mainly paid for by increasing Medicare premiums for upper income retirees, along with some cuts in spending authorized by President Barack Obama’s health care overhaul. It’s unclear if Democrats will accept those.
Source: aarp.org

Rural hospitals hard hit by Medicare cuts

But hospitals can’t adjust their budgets to make sure they’ll be able to deliver services efficiently and continue to meet patients’ needs until they know how much funding will be cut, Montrose Memorial Hospital CFO Stephan Wilson told the CPN. “We have no way to figure out what’s going on or to plan,” he said. The potential Medicare payment cuts could cost his hospital up to $2.5 million–a hefty budget gap to fill.
Source: fiercehealthcare.com

Medicare cuts could hit Jan. 18

The recurring threat of cuts to doctors is perhaps the most visible symbol of Medicare’s financial problems. Reductions are required by a 1990s budget law that failed to control spending but never got repealed. Instead, Congress passes a temporary fix each time, only to grow the size of cuts required next time around.
Source: goerie.com

ObamaCare: More Government, Fewer Doctors

ObamaCare, if it is enacted in all of its grotesque manifestations, will guarantee higher health care costs (direct and indirect), reduce incentives for physicians to practice medicine, reduce the supply of health care services, and increase the demand for that dwindling supply. None of it makes financial sense, either, as it is not driven by market incentives (profits) but by political expediency and social policy. The best thing that can be said about ObamaCare, if implemented, is that it won’t last long. Using the politically correct term, ObamaCare won’t be “sustainable.” In the meantime, don’t get sick.
Source: wordpress.com

My Daily Struggles: Albert H. Taub, M.D.

Posted by:  :  Category: Medicare

New Online Rx System Makes UM Student 'Top Entrepreneur' Finalist by University of Maryland Press ReleasesIn February 1999 my then treating psychiatrist Albert H. Taub, M.D. advised the D.C. Board of Medicine, in response to a Complaint I had filed against him alleging his failure to obtain informed consent regarding contemplated medical treatment, that I suffered from paranoid schizophrenia of longstanding duration.  A brief time later I wrote a letter to Maryland Medicare alleging that Dr. Taub was engaged in defrauding Maryland Medicare.  The following is the written response of Maryland Medicare Part A: ______________ Maryland Medicare Part A 1946 Greenspring Drive Timonium, MD 21093-4141 Date: 03/17/99 GARY FREEDMAN 3801 CONN AVE NE #136 WASHINGTON DC  20008-4530 HIC: xxxxxxxxxA  CCN: XXXXXXXXXXX BENEFICIARY: GARY FREEDMAN DATES OF SERVICE, FROM 7/16/98 THRU: 07/31/98 SERVICES PROVIDED BY: Dr. Taub SERVICES PROVIDED TO: GARY FREEDMAN Dear Mr. Freedman, Thank you for your recent request.  Our office does not process the Medicare claims for Physician charges.  Therefore, we have sent your letter to the Medicare Part B Carrier that does process these claims: Trailblazer Health Enterprises, Inc. Executive Plaza III Second Floor 11350 McCormick Road Hunt Valley, MD  21031 Phone: 1-800-444-4606 If you have any questions regarding these charges, please contact Trailblazer Health Enterprises, Inc. Sincerely, Gerry Onorato Medicare A Claims and Service Medicare Part A
Source: blogspot.com

Video: Sue Ward from the National Committee to Preserve Social Security & Medicare at MD Celebration

Deep Creek Lake Real Estate Blog: State Receives Bonus For Efforts To Enroll Children in Medicaid, CHIP

Dec. 29, 2011 Maryland Department of Health and Mental Hygiene (DHMH) officials have learned that Maryland will receive a $28,301,384 performance bonus from the U.S. Centers for Medicare and Medicaid Services (CMS) for Fiscal Year 2011 because of Maryland’s consistent efforts to identify and enroll eligible children in Medicaid and Children’s Health Insurance Program (CHIP) coverage. “Since 2007, we have expanded coverage to more than 300,000 Marylanders, almost half of them children, and this bonus is a great recognition of those efforts,” said Lt. Governor Anthony Brown. “However, there is more work to be done, and Governor O’Malley and I will continue our commitment to expanding access to care because it is critical to improving the quality of care, expanding wellness and prevention strategies, and bending the cost curve.” The bonus is granted under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) to states that satisfy two sets of criteria: States must have in place at least five Medicaid and CHIP program features known to promote enrollment and retention in health coverage for children; and states must demonstrate a significant increase in Medicaid enrollment among children during the course of the past year. Maryland’s continuing efforts over the course of FY 2011 satisfied the requirements. Specifically, CMS recognized Maryland’s efforts to base eligibility on a family’s income alone (and not also on the family’s possessions); eliminate the requirement that applicants apply in person; streamline the initial application form so that it is as simple as the renewal form; and allow proof of eligibility for other low-income programs to be deemed sufficient to qualify for Medicaid (which is known as “express lane eligibility” under CHIPRA). “We will learn the lessons of this success for future efforts to help people enroll in health insurance in Maryland,” said Dr. Joshua M. Sharfstein, secretary of DHMH. “We have a great foundation for further progress with the Health Benefit Exchange.” More here.
Source: blogspot.com

Viewpoints: Giving States Responsibility For ‘Essential Benefits'; The Cost Of Proton Beam Treatment; Health Spending In 2012

New England Journal of Medicine: Building The Path To Accountable Care The recent release of the regulations that will govern the early years of Medicare’s implementation of accountable care organizations (ACOs) provides an important moment to reflect on the transition to this new payment model. … Traditional fee-for-service models will almost certainly see continued cuts in payment rates — which will make physicians’ and other providers’ work even more difficult if they remain under this payment model. Additional steps to accelerate the transition toward accountable care offer the public and providers a better and more hopeful path (Dr. Elliott S. Fisher, Dr. Mark B. McClellan and Dana G. Safran, 12/29).
Source: kaiserhealthnews.org

Maryland Auto Insurance: Choosing a Medicare Plan that Suits Your Prescription Drug Needs

Some plans will have a “doughnut hole” or coverage gap, depending on your drug costs.  The coverage gap is part of most Medicare Part D plans and starts once you reach a certain amount of total drug costs and ends when you reach a certain amount of out-of-pocket costs.  Some Medicare Part D Plans offer coverage gap alerts where the plan sends you a letter, email or makes a phone call to you when you get close to reaching your gap amount and can offer money saving tips to delay entry into it. Some Medicare Part D Plans provide money-saving options such as a lower co-payment for a supply of generic drugs received by mail during the coverage gap period.
Source: blogspot.com

Financial Literacy and Foreclosure Prevention Event to Be Held in Landover, Maryland by Congresswoman Donna F Edwards This Saturday

Smart Moves for Teens and Young Adults to Avoid Common Financial Mistakes »» Buying things you don’t need? Learn how to save for your future, plan for college, watch your expenses, build your credit record, and beware of credit card offers. Retirement Planning Strategies »» How can you maximize and protect your income sources in retirement? How should you plan for retirement? Learn about wills, trusts, estates, Social Security, Medicare. Placing our Children on the Right Financial Path »» Discover ways to talk to your children about finances, saving for college or their first car. Fraud, Scams, and Identify Theft: Protect Yourself! »» Identify ways to handle scams that arrive by phone, letter, the internet, or at your front door. Essential Tips for Effective Credit Management »» Too many credit cards? Paying excessive fees? Closing a credit card account? Learn what you need to know about your credit record and your credit score. Find out how to preserve your credit lines and loans. Your Online Presence »» Discover how your Facebook page, Twitter and email messages, and your credit history can cost you a job. If your name is “Googled” by a prospective employer, what would they find? Life’s Tsunamis: Are You Properly Insured? »» Learn about how to protect yourself with insurance products (life, health, disability, home owners, car, long-term care, death/ funerals). What financial records should you keep, for how long and where? Preparing, Managing, Sticking to Your Budget: A Blueprint »» Learn how to prepare and stick to a budget. The Housing Initiative Partnership (HIP) “Bounce Back” Program »» This program helps to keep people in their homes after a modification. The session will cover how to improve your credit score, being financially prepared for job loss, divorce and death, emergency savings, home insurance, improving home efficiency and more. The Foreclosure Legal Assistance Project — National Community Reinvestment Coalition (NCRC) »» This session will cover scams, how to avoid foreclosure, reverse mortgages and monetary assistance available. Department of Housing and Urban Development (HUD) »» This session will cover Mortgage Financing Options for new homebuyers and the differences between conventional and FHA loans. Housing Options Planning Enterprises, Inc. (HOPE)) »» This session will cover Financial Literacy, Foreclosure Prevention and Mortgage Financing Options (In Spanish).
Source: loansafe.org

The Interview: Hank Greenberg, AARP Maryland state directorMaryland, like the

The Interview: Hank Greenberg, AARP Maryland state director Maryland, like the rest of the country, is aging. Plan to raise Medicare premiums for upper-income retirees would affect middle class as well WASHINGTON Republicans may have found a way to squeeze more money out of well-to-do Americans without raising their taxes. A year-end economic package approved by the House on Tuesday prescribes a Medicare premium increase for high-income beneficiaries. Although the bill faces a veto threat from the White House, that specific provision may turn out to have staying power. Read full article >> Medicare HMO plan stirs confusion in north state Some north state doctors want to know why their names show up as network providers for a Medicare Advantage HMO plan being marketed by AARP. AARP president — Protect and strengthen SS, Medicare BY CAROLYN LUCAS-ZENK WEST HAWAII TODAY clucas-zenk@westhawaiitoday.com A big bullet was dodged with the supercommittee’s recent failure to reach an agreement on debt reduction, but the public should remain vigilant in “protecting and strengthening” Social Security, Medicare and Medicaid, AARP National President Lee Hammond said Wednesday. These programs are still “prime targets of many in …
Source: medicare-news.com

The Official Medicare Set Aside Blog And Information Resource: Changes to Maryland Workers’ Compensation Regulations Finalized

You may recall a September 2011 blog article that discussed proposed amendments to COMAR 14.09.01 and COMAR 14.09.19 adding specific requirements for workers’ compensation settlements involving Medicare beneficiaries. These amendments were finalized November 28, 2011 and officially adopted into Maryland Workers’ compensation law. The most noteworthy aspect of the new regulations is that the parties are permitted to forego CMS approval of a proposed settlement that meets CMS review thresholds provided that the settlement documents contain three elements: (1) an acknowledgement that the settlement is within the CMS review thresholds, (2) a statement that the parties voluntarily have elected not to submit the settlement and formal set-aside proposal to CMS for review and approval and (3) a statement that the parties are aware that CMS may refuse to pay for services related to the injury and may assert a recovery claim against any entity, including a claimant, provider, supplier, physician, attorney or private insurer. The previous version attempted to use state law as a means to mandate participation in CMS’ voluntary WCMSA review program, a move that was opposed by both claimant and defense attorneys equally.
Source: medicaresetasideblog.com

Medicare insurance Supplement Insurance policy, Or Medicare supplemental health insurance Policies

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSProbably the most common misunderstandings with Medicare health insurance supplement insurance coverage is the fact that newer, less highly-priced coverage come each time during offered enrollment with November 15th to be able to December 31st. This is false. The once-a-year open application period ideal for changing treatment plan Part N plans, dis-enrolling in a Medicare Convenience plan, or changing to some new Medicare health insurance Advantage system. It is absolutely not however an occasion when you can finally purchase an innovative supplement with no medical underwriting on a yearly basis.
Source: jstreetjive.com

Video: Medicare Supplement Insurance, Medicare Advantage Plans

Why Purchase Medicare Supplement Plans Illinois Policy

There are a lot of ways in which you can protect your life and your finances in times of illness, disabilities and other physical ailments when you get old. One of the ways is to enrol with a Medicare insurance policy and with a Medicare supplement plans. These two insurance policy works hand-in-hand to secure any healthcare cost arising from illnesses due to old age or disabilities. Medicare supplement plans Illinois based policies are standardized medical supplementary plans that are the same as being offered in other states. Benefits for a particular plan are the same even though you buy a particular plan in other states. All Medicare supplement plans offered by private insurance service providers must offer the same benefits and coverage, including Medicare supplement plans Illinois offerings. Their only difference should be the cost of the plan and company credibility. Furthermore, Medigap policy, as Medicare supplement plan is also called, has been created to help individuals with age 65 years and beyond to be able to have access to hospice care and medical treatment without the need to think of how to pay for the medical costs.
Source: austinads.com

New Heartland Medicare Supplement Plans Are Coming Out

DENVER- Heartland National Life Insurance company recently began offering their Heartland Medicare Supplement Insurance. Medicare National will be offering these plans through their Colorado based office. This new Medicare Supplement plan is poised to be one of the most competitive supplemental plans available. Keep in mind that while they are new to the Medigap market, the Heartland company has a very solid record in financial strength and taking care of their customers.
Source: fastrailconnectus.com

Medicare Supplement Plans That Offers the Best Help for Better Coverage

Along with these it should also be kept in mind that there are a lot of other things that should be paid proper attention to in order to get the best benefits from these plans. However, it is always a better idea to compare Medicare plans in order to get the best choice for yourself according to your needs. Besides that it should also be kept in mind that you can always go through all the Medigap plans to ensure that you are choosing the right one for yourself. In fact you can always seek the aid of an insurance agent who can easily guide you to make the proper choice for yourself. Or else you can always visit an online website where also you can easily make the best choice of the Medigap plans that offers the best coverage and the best benefits along with the best coverage of the gap left behind by the Original Medicare plans. Therefore, it is always a better idea to get the best choice of the Medicare supplement plans along with the original Medicare plans when you want to get the best coverage for yourself.
Source: articlelib.org

Medicare coverage and the assistance of the Medicare supplement plans

Other than that it is always a wiser decision to get the advice of some insurance agent who can offer proper guidance for the better choice of your Medigap insurance. However, along with these it should also be kept in mind that the Medicare supplement plans are sold and administered by the private health insurance companies only. And along with that it should also be kept in mind although these plans are sold and administered by the private Medicare companies only but also the fact is that there are only a handful of standard Medicare supplement plans to be sold by these private health insurance companies only. In fact the point is that since their standardization in 1992 there had been twelve Medicare supplement plans to be sold and administered by these private health insurance companies only. Other than that it is also essential to note that since 2010 some major changes had been brought in the standard Medicare supplement plans. According to these changes four of the existing plans have been dropped and in their place 2 new plans M and N have been introduced.
Source: ezinemark.com

Medicare supplement insurance policy

As we age, our bodies tend to have a lot more wellbeing issues and treating them adequately is the greatest thing we can do. Of class, this could mean accelerated expenditures, but if we assume about this problem significantly previously, then we can forestall a lot of economical difficulties. By having only the usual wellbeing insurance policy we possibility to pay out big amounts of income for our solutions, attempting to fill the gaps of our insurance policy.For this kind of circumstances, we have Medicare dietary supplement insurance policy, which is excellent for men and women with wellbeing difficulties who have to pay out for health care maintenance uncovered by usual insurance policy. In this way, each and every man or woman who has a agreement of this kind of wellbeing top quality, is assured that he/she vlc media player would be in a position to pay out every invoice emitted by the hospital, no matter the kind of solutions he/she will obtain. Below these situations, absolutely everyone can realize the substantial gain that we have if we invest in Medicare insurance policy. This dietary supplement is also recognized as Medigap insurance policy, its name remaining truly suggestive for its function. It can be brought to you only by non-public corporations, but what is truly critical for absolutely everyone is the truth that they are regulated by the Government. In this way, even if the insurance policy coverage is signed with a specified company, you have the certainty that it is secured. Also, you have the gain of not remaining restricted to cooperate only with specified health care ccleaner download networks. So, you will be in a position to observe your remedy everywhere you go a wellbeing care unit is.
Source: hovalot.us

Medicare Supplement Quotes

Posted by:  :  Category: Medicare

Here is how to get the best Medicare Supplement Quote for your situation. 1. One Plan is the same as Every Other Plan Medicare supplement plans are regulated by each state, but every plan has to offer the same coverage as any other plan. What this means is that normally, price is the biggest consideration when comparing your quote for a Medicare Supplement policy. 2. How Long Have They Been in Business Some companies have come recently into the competitive space of Medigap insurance. Make sure that the company you do business with has a proven track record and will give you good service. 3. Use a Broker That Can Find What You Need A broker works for you, not the insurance companies. Brokers can normally help you get what you need at the lowest price.
Source: foodini.net

Video: Medicare Supplement Quotes

Medicare Supplement Quotes

Here is how to get the best Medicare Supplement Quote for your situation. 1. One Plan is the same as Every Other Plan Medicare supplement plans are regulated by each state, but every plan has to offer the same coverage as any other plan. What this means is that normally, price is the biggest consideration when comparing your quote for a Medicare Supplement policy. 2. How Long Have They Been in Business Some companies have come recently into the competitive space of Medigap insurance. Make sure that the company you do business with has a proven track record and will give you good service. 3. Use a Broker That Can Find What You Need A broker works for you, not the insurance companies. Brokers can normally help you get what you need at the lowest price.
Source: moonrealestateutah.com

Medicare Supplement Quotes

Here is how to get the best Medicare Supplement Quote for your situation. 1. One Plan is the same as Every Other Plan Medicare supplement plans are regulated by each state, but every plan has to offer the same coverage as any other plan. What this means is that normally, price is the biggest consideration when comparing your quote for a Medicare Supplement policy. 2. How Long Have They Been in Business Some companies have come recently into the competitive space of Medigap insurance. Make sure that the company you do business with has a proven track record and will give you good service. 3. Use a Broker That Can Find What You Need A broker works for you, not the insurance companies. Brokers can normally help you get what you need at the lowest price.
Source: nezzart.org

Medicare Supplement Quotes

Here is how to get the best Medicare Supplement Quote for your situation. 1. One Plan is the same as Every Other Plan Medicare supplement plans are regulated by each state, but every plan has to offer the same coverage as any other plan. What this means is that normally, price is the biggest consideration when comparing your quote for a Medicare Supplement policy. 2. How Long Have They Been in Business Some companies have come recently into the competitive space of Medigap insurance. Make sure that the company you do business with has a proven track record and will give you good service. 3. Use a Broker That Can Find What You Need A broker works for you, not the insurance companies. Brokers can normally help you get what you need at the lowest price.
Source: capeaccounting.com

Integrity Insurance Services

Posted by:  :  Category: Medicare

www.e-healthinsuranceexchange.com Integrity Insurance Service offers affordable individual health insurance, life insurance, family insurance, small business insurance, vision insurance, HSA and COBRA plans, HIPPA guarantee issue, and senior healthcare including Medicare supplements and Medicare advantage plans in West Hills, Los Angeles County CA
Source: projectorhd.net

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

Medicare insurance Supplement Insurance policy, Or Medicare supplemental health insurance Policies

Probably the most common misunderstandings with Medicare health insurance supplement insurance coverage is the fact that newer, less highly-priced coverage come each time during offered enrollment with November 15th to be able to December 31st. This is false. The once-a-year open application period ideal for changing treatment plan Part N plans, dis-enrolling in a Medicare Convenience plan, or changing to some new Medicare health insurance Advantage system. It is absolutely not however an occasion when you can finally purchase an innovative supplement with no medical underwriting on a yearly basis.
Source: jstreetjive.com

How to Find Medicare Insurance That Meets Your Budget

Do you have any questions about your medicare options or something that is insurance related? Just get on the phone and give a licensed agent or a real company a call! Every insurer has some type of customer support system plus there are agencies that can help at no cost. A medicare broker can answer any kind of question that you have on any topic so you can know what you are buying.
Source: gatosolvidados.org

Essential Analysis from Medicare RAC System

A standard view is of the fact that Recovery Review Contractors include made the method easier to get CMS, and CMS thinks for a passing fancy lines. It is because how much recovery in which RAC possesses recovered. How much recovered, that may be good an adequate amount of? This is often a question to get answered. Overall looking within the statistics the particular recovery level is way too high. Payments are intended for services this were medically harm or would not meet the particular Medicare medical-related guide lines for those setting in which the service was initially provided (e. gary. a claim from the hospital medicare supplement plan three colonoscopies for those same beneficiary for a passing fancy date about service, whereas one simple colonoscopy everyday is clinically necessary; or actual physical therapy provided inside the inpatient setting if your therapy has been safely and additionally effectively provided inside the outpatient setting). The additional scenario is if your payments are intended is erroneous coding.
Source: thebelmontlounge.com

Crucial Analysis in Medicare RAC Plan

A view is the fact that Recovery Review Contractors contain made it easier intended for CMS, and CMS thinks about the same lines. It is merely because the quantity of recovery which usually RAC features recovered. The total recovered, is that it good adequate? This may be a question to become answered. Overall looking in the statistics that recovery level is excessive. Payments are built for services that have been medically pointless or failed to meet that Medicare medical related guide lines in the setting the location where the service has been provided (e. gary. a claim originating from a hospital medicare supplement insurance three colonoscopies in the same beneficiary about the same date in service, whereas only 1 colonoscopy in one day is scientifically necessary; or bodily therapy provided with the inpatient setting if your therapy has been safely together with effectively provided with the outpatient setting). One other scenario is if your payments are built is false coding.
Source: fusionextreme.com

Medicare insurance Supplement Insurance policy, Or Medicare supplemental health insurance Policies

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSProbably the most common misunderstandings with Medicare health insurance supplement insurance coverage is the fact that newer, less highly-priced coverage come each time during offered enrollment with November 15th to be able to December 31st. This is false. The once-a-year open application period ideal for changing treatment plan Part N plans, dis-enrolling in a Medicare Convenience plan, or changing to some new Medicare health insurance Advantage system. It is absolutely not however an occasion when you can finally purchase an innovative supplement with no medical underwriting on a yearly basis.
Source: jstreetjive.com

Video: Medicare Shared Savings Program: Application Process and Overview of the Advance Payment Model

What should you know about MedSup plans when comparing coverage?

Enrollment is Not Always Guaranteed: Medicare Supplement insurance is regulated by the states, so there will be eligibility differences based on where you live. For example, in New York, most applicants must be accepted anytime, while in other states all applicants must be accepted only within their first six months of eligibility for Medicare Part B and in a few other situations. Outside of the eligibility periods, carriers are allowed to reject an applicant based on adverse health conditions. This means that if you apply at the wrong time, you may not be eligible for a Medicare Supplement policy.
Source: ehealthinsurance.com

Social Security and You: Applying for Medicare

When each member of a married couple meets all other eligibility requirements to receive Social Security retirement benefits, each spouse receives a monthly benefit amount based on his or her own earnings. Couples are not penalized simply because they are married. If one member of the couple earned low wages or failed to earn enough Social Security credits (40) to be insured for retirement benefits, he or she may be eligible to receive benefits as a spouse.
Source: mysanantonio.com

Social Security Disability Law: I Was Recently Awarded SSI, Do I Get Medicare or Medicaid?

When you receive Supplemental Security Income (SSI) you become eligible for Medicaid immediately. If you are a low income individual, you can also apply for Medicaid regardless of whether or not Social Security has awarded you SSI benefits.   This means that if you have applied for SSI, you should also apply at your local Medicaid office for Medicaid, since it is possible to receive these medical benefits without waiting for a decision on your SSI application. According to Medicaid.gov: Medicaid coverage may start retroactively for up to 3 months prior to the month of application, if the individual would have been eligible during the retroactive period had he or she applied then. The benefits that you will receive through Medicaid varies by state. The list below is a full list of benefits that you may be eligible for, based on the state that you live in.
Source: blogspot.com

What’s Medicare Half B Protection?

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

Treatment Supplement Insurance policy, Or Medicare supplemental health insurance Policies

Posted by:  :  Category: Medicare

The single most common bad information with Medicare insurance supplement policy cover is this newer, less high-priced coverage are sold each 365 days during receptive enrollment by November 15th towards December 31st. This is definitely false. The gross open application period is perfectly for changing approved Part T plans, dis-enrolling in a Medicare Plus plan, or changing to your new Medicare insurance Advantage program. It is not really however a period of time to choose purchase an alternative supplement with no medical underwriting on a yearly basis.
Source: hectordiazforcongress.org

Video: Tommy Douglas – Medicare February 2, 1979

Maroon Colored Glasses: Medicare open enrollment commercial?

or covert Obama-care propaganda? I keep seeing this commercial, where the old men are sitting on the park bench, discussing the deadline for medicare open enrollment.  Towards the end, one of the old men makes a comment about ‘medicare gives you free this and free that and 50% off Rx drugs when you’re in the donut hole……..’.  Then he slips in the comment, “it’s all part of the health care law.” Is this an effort to subliminally endear seniors to Obama-care?  I think it is.  Watch and see:
Source: marooncoloredglasses.com

Does Medicare Pay For Hearing Aids, Glasses, or Contacts Lenses for Seniors? Will My Medicare Advantage Plan Help Pay for Wheelchairs?

For the most part, Medicare does not cover eyeglasses or contact lenses. There are some exceptions for seniors that have had a procedure like a surgery for cataracts or a lens implant. If you have had this type of procedure, then Medicare can help pay for eyeglasses or contact lenses (this is even for those that had surgery prior to enrolling in Medicare). Medicare will only cover a single pair of glasses or contacts, and they must be ordered by a physician and provided by a supplier that is enrolled with Medicare.
Source: seniornewscoverage.com

Why do folks who benefit from Medicare coverage denounce govt funded health insurance option at a town meeting?

Because you young people truly believe Medicare is given to seniors at no costs and pays all medical bills. It does not. Part A is free, Part B is 60 a month Part D is 40 Plus they must carry a supplemental policy costing 300 a month, then Catastrophic policy for 50 a month. Nursing homes is a 3000 a year policy. Out of pocket expenses for seniors 65 and over is roughly 5k a year Also there is deductibles to be met, some medicines not covered and so on. Most young people cannot afford the current system, never mind the cost once the government screws it up. Oh Dental and Eye glasses are out of pocket expenses
Source: bestlongtermcare.org

Treatment Supplement Insurance plans, Or Medicare supplemental health insurance Policies

One of the more common the wrong ideas with Medicare insurance supplement insurance policy is which usually newer, less costly coverage can be obtained each twelve months during wide open enrollment with November 15th in order to December 31st. This is actually incorrect. The once-a-year open sign up period may be for changing health professional prescribed Part VE HAD plans, dis-enrolling from your Medicare Bonus plan, or changing towards a new Medicare insurance Advantage program. It is just not however a time full when you can finally purchase an innovative supplement with no medical underwriting per year.
Source: uruguaypaintball.com

Significant reductions in corporate retiree health liabilities projected if Medicare eligibility age lowered to 60 statement of Lawrence H. Thompson, Assistant … Representatives (SuDoc GA 1.5/2:T

Posted by:  :  Category: Medicare

About Advantage affordable article Benefits best Business Care Companies compare comparison costs Coverage dental drug Family financial find from Good great Guide Health Healthcare home Insurance Joint Life Medicaid Medicare much News Nursing online Part Plan Plans Private Quotes Reform Report Security Small Social Supplemental
Source: healthinsuranceandmedicareupdate.com

Video: Low Cost GA Term Plan

Medicare advantage plans in georgia

advantage Benefit california comparability Complement cost cowl doctor firm health Hospital insurance insurance coverage Interval loss medical health insurance medical insurance coverage medical insurance plan Medicare medicare beneficiaries medicare benefit medicare plan medicare supplement medicare supplemental insurance medicare supplement insurance medicare supplement plan medicare supplements Medigap medigap plans personal insurance coverage physician plan Plans premium prescription prescription drug coverage Protection public insurance Safety sixty skilled nursing facility Social social security administration state supplement
Source: fluxfeatures.com

23 States Recognized for Success – Getting More Eligible Children Enrolled in Health Coverage

This year, 23 states qualified for CHIPRA Performance Bonuses totaling nearly $300 million. States were eligible for a bonus if they reached targets for the number of additional children enrolled in Medicaid, and if they took steps to simplify their enrollment and renewal processes, adopting at least five out of eight options.  In addition to providing an incentive for States to make lasting positive changes to their programs, the performance bonuses help offset the added costs of insuring the lowest income children.
Source: cms.gov

Groping The Elephant: Stop Playing Politics With Medicare

Now what chaps me is this: we can always find the money for one more war, but whenever it comes to providing a solid safety net for America’s most vulnerable citizens the politics always has to prevent doing the right thing. Democrats allowed themselves to get led astray in Iraq and Afghanistan – and the war drums are already beating for action against Iran – but always seem willing to play ball with the Republicans on these crucial welfare issues. They shouldn’t. They have allowed themselves to be pulled so far to the political right that they are afraid to come right out and do what needs to be done: raise the taxes on the upper income brackets to something like previous levels, where they were when the welfare state hit its stride. Now I’m not going to duck and dodge from that term welfare state. The Encyclopedia Britannica defines welfare state as the “concept of government in which the state plays a key role in the protection and promotion of the economic and social well-being of its citizens.” There are really only two options: a government that provides a solid safety net to its neediest citizens in order to give them at least the basic necessities of life, or a government that, as President Franklin Roosevelt said, looks away. It’s either welfare or no care. I’m squarely for the welfare of the citizenry. I’m one hundred percent opposed to any weakening or “restructuring” of either Social Security or Medicare. If we would stop giving tax breaks to the millionaires there would be plenty of money for social spending and infrastructure investment. What’s more, I’m really tired of all this talk about a budget crisis, especially when I hear Democrats engage in that type of foolishness. Do the right thing: restore our progressive tax system and then let’s see where we stand. Stop allowing our “job creators” to ship American jobs overseas so that tax money can go back into our system rather remaining hidden in off shore tax shelters. More jobs equal more revenue. And when you hear so-called progressives and liberals talking more about cutting spending than restoring economic fairness, call them out. Moderates are not liberals. Never have been, never will be.
Source: blogspot.com

Georgia Manufacturer Requiring Excessive I

Board Certified in Labor & Employment Law by the Texas Board of Legal Specialization, management attorney and consultant Ms. Stamer is nationally and internationally recognized for more than 24 years of work helping employers and other management; employee benefit plans and their sponsors, administrators, fiduciaries; employee leasing, recruiting, staffing and other professional employment organizations; and others design, administer and defend innovative workforce, compensation, employee benefit  and management policies and practices. Her experience includes extensive work helping employers carry out, audit, manage and defend union-management relations, wage and hour, discrimination and other labor and employment laws, privacy and data security, internal investigation and discipline and other workforce and internal controls policies, procedures and actions.  The Chair of the American Bar Association (ABA) RPTE Employee Benefits & Other Compensation Committee, a Council Representative on the ABA Joint Committee on Employee Benefits, Government Affairs Committee Legislative Chair for the Dallas Human Resources Management Association, and past Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, Ms. Stamer works, publishes and speaks extensively on management, re-engineering, investigations, human resources and workforce, employee benefits, compensation, internal controls and risk management, federal sentencing guideline and other enforcement resolution actions, and related matters.  She also is recognized for her publications, industry leadership, workshops and presentations on these and other human resources concerns and regularly speaks and conducts training on these matters. Her insights on these and other matters appear in the Bureau of National Affairs, Spencer Publications, the Wall Street Journal, the Dallas Business Journal, the Houston Business Journal, and many other national and local publications. For more information about Ms. Stamer and her experience or to get access to other publications by Ms. Stamer see here or contact Ms. Stamer directly.
Source: wordpress.com

Continuing To Understand Differences Within Medicare

Medicare is a discussion that often comes with many misinformation being shared and past on. One issue that is often misunderstood is how much money Medicare will cost and exactly what is included within the insurance plan. Medicare can be broken down into two main parts coverage types; Medicare Part A and B with supplemental added on or Medicare Advantage. Medicare Part A and B is offered to individuals sixty-five and older that meet the requirements associated with the government offered health insurance plan. It is also available to people you qualify that under sixty-five. The eligibility requirements associated with Medicare are quite in depth themselves so much that there are internet sites devoted to that subject entirely. Part A of Medicare is a completely free insurance plan. Part A offers recipients coverage for hospital visits; in-patient hospital services, skilled nursing homes if required after a hospital stay, hospice and blood transfusions after the first three pints. However Part B is requires a monthly premium to be paid out of pocket from the individual. Coverage from Part B offers coverage for miscellaneous medical coverage such as; medical expenses, laboratory services, outpatient service and preventative health exams. With Medicare Part A and B recipients are able to purchase supplemental insurance that helps fill in the gaps of what is not covered. Medicare supplemental insurance plans A, B, C, D, F, G, K, L, M and N offer benefits ranging from hospitalization co-pays to deductibles. All services not covered by Medicare all the recipients responsibility unless a Medigap plan has been purchased through an independent insurance company. Medigap is the term used for the insurance that is purchase to cover the gaps left by Medicare. For many this territory is uncharted and confusing. Terms are used interchangeably which can only add to the confusion. It is best to get a handle on the terms and there meanings. For instance a premium is the amount that an individual pays for their coverage. It will be the amount paid for Medicare Part B plus the additional for the Medigap supplemental insurance policies. Depending on the coverage that is chosen the premium will vary for each individual. Deductibles are the amount that is paid out of an individuals pocket before any covered medical expenses are paid for by Medicare. Co-pays, copayments, are a fixed dollar amount that is paid for medical visits. Finally coinsurance which is the amount that is required to be paid by an individual after Medicare has paid their agreed upon portion. Medicare Advantage Plans are offered to individuals that are eligible and have Medicare Plan A and B and that live in an area that offers the advantage plan. When enrolled in Medicare Advantage Plan recipients are still a part of the government supplied Medicare insurance however are not eligible to purchase extra supplemental insurance such as the Medigap policies talked about earlier. Medicare Advantage is in the simplest term a program in which Medicare offers contracts to certain area hospitals and doctors for approved amounts. In turn individuals enrolled in this insurance plan must attend to the facilities of these medical professionals. Medicare Advantage plan does offer greater coverage for individuals than original Medicare however not available in all areas and not right for everyone. Individual participants are limited in their choice of doctors and hospitals. If it is imperative that certain doctors and hospitals are seen than it is up to the individual to make sure they accept Medicare Advantage before signing up for the plan. It is important for individuals to seek out the Medicare supplements or advantage plans that are best for their situations. No one can predict their medical future however, using the past as a basis will help guide individuals to the right choice. Medicare supplemental insurance is all set in stone by the federal government the cost to individuals however is not. All supplemental policies are sold through private insurance companies. Companies such as Senior Health Direct offer services in which clients can review different plan options available in the area and the premiums charged by multiple insurance companies. This is helpful in the search to find the right coverage at the right price without having to meet with multiple private insurance companies.
Source: theseniorhealthplans.com

States to get bonuses for covering uninsured children — Health & Fitness — Bangor Daily News

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

2012 Medicare debate is all about the baby boomers

Posted by:  :  Category: 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

Video: Magnolia Health Plan web video

Shop Smart to Choose the Best

When you have realized that there is no hiding from spectacles and your eyes are in need of it for a clear vision, shopping for it comes next. Well, this is the toughest part as it is not always possible to find frames that can suit both your taste and and eye doctor’s prescription. You need to build a consensus between the two before settling in for the final one. There are many eyeglasses shops in Granville, OH that offer a lot of variety in terms of materials used for frames and bridges. Shops today are full of variety and so choosing the one suiting your need becomes quite complicated. Eyeglasses shop attendants in Granville, OH are usually helpful in making you choose the best, but on the other side they confuse you even more. Ask your friends to come along, they know what would suit you better. Your choice of eyeglasses also depends on the kind of activity you would be engrossed in.
Source: ezinemark.com

Eyeglasses Coverage for Seniors on Medicare?, Contact Lenses

does any one know about connecticut medicare coverage pertaining to vision exams and eyelglass coverage . i am 65 and have medicare coverage, with drug and a and b coverage , i have broken glasses and need exam but need to know if anyone can tell me about this., please. thanks
Source: tonyherman.com

This Federal Medicare health insurance Insurance Features

Here are a few buy these kinds of insurance plans you then will have fun with complete coverage of health after you actually turn 65 decades. These only two would pay back Texas Medicare Supplement Insurance eir have of insurance. The additional point is that most these Medicare supplement policies are purchased by professional companies. These projects are absolutely administered by these businesses. In Some states Medicare Supplementation Plans Some states is an extremely name which contains been portion people for many years with equivalent trust and also goodwill. The only real purpose of your Supplemental Treatment Insurance should be to bridge the gaps involving two plans connected with health. You can get only 12 projects staring coming from a to D though now there having become many adjustments in a lot of these 12 plans time for them to time. All a lot of these 12 projects have a variety of coverage projects and Medicare Supplement Insurance Dallas a specified plan tend to be same irrelevant of from which often private organization you possess bought the Medigap coverage. Medicare additional plan ANY and prepare B is the basic only two plans which might be quite mandatory and next the additional plans which often serve distinct benefits.
Source: poquosonpack28.org

New Laws Now Evaluated by Job Creation

Posted by:  :  Category: Medicare

The National Association of Letter Carriers, fighting a proposal to eliminate Saturday mail delivery, says it would not only degrade customer service, but also threaten millions of jobs at direct marketers, printing and publishing companies and other businesses in the mailing industry. New taxes are portrayed as job-killers, while tax breaks are defended as job creators.
Source: governorswindenergycoalition.org

Video: Medicare and the Federal Employees Health Benefits (FEHB) Program

Medicare fraud cases on the rise

A typical case concluded in Trenton last week when a federal judge sentenced a former senior manager of Columbia, Md.-based Maxim Health Care Services, one of the nation’s leading home health care providers, to five months in prison for setting up a phony office that billed Medicaid and the Veterans Administration nearly a million dollars. The criminal charges were part of a nationwide investigation of Maxim that led in September to an out-of-court settlement where the firm – to avoid a conviction that might have disqualified it from the programs – agreed to pay the government $150 million in criminal and civil penalties.
Source: massdevice.com

First Edition: January 3, 2012

The New York Times: New Laws Now Evaluated By Job Creation After years of judging the merits of federal laws by their costs or savings, Washington is applying a new yardstick: Will they create or destroy jobs? … Health care lobbyists argue that cuts in Medicare and Medicaid take jobs away from nurses and other hospital employees. Tree farmers argue that cutting forest conservation programs will destroy “good-paying rural jobs.” With unemployment stubbornly high, jobs, it seems, can be used to justify anything and everything. But some economists and other critics say that the figures can be misleading as advocates cook up inflated estimates to make their case (Pear, 1/2).
Source: kaiserhealthnews.org

House Approves Tax/Jobs Bill with Medicare Provisions; Fate Uncertain : Health Industry Washington Watch

Among many other things, the bill would avert a scheduled 27.4% cut in Medicare physician fee schedule (MPFS) payments in 2012 under the statutory Sustainable Growth Rate (SGR) formula and instead provide for a 1% payment update in 2012 and 2013. The costs of the MPFS fix would be offset through a variety of health care policy changes, including reducing funding for the ACA prevention and public health fund and ACA insurance subsidies, cutting Medicare reimbursement for hospital outpatient evaluation and management office visit services; reducing bad debt reimbursement, and rebasing Medicaid disproportionate share hospital allotments. The legislation also would extend: the Medicare outpatient therapy cap exceptions process; certain ambulance add-on payments; the floor used in the physician work geographic adjustment; the Qualified Individual program that reimburses states for certain Part B premiums; and the Transitional Medical Assistance program. In addition, the bill would relax certain restrictions on the expansion of physician-owned hospitals. The measure also would increase Medicare Part B and D premiums for higher-income beneficiaries beginning in 2017. 
Source: healthindustrywashingtonwatch.com

Louisville, Associate Actuary Group Medicare, Jobs

accounting & finance jobs in louisville, ky – associate actuary – group medicare full-time regular posted 12/16/2010 ky – louisville humana inc., headquartered in louisville, kentucky, is 1 of the nation’s largest publicly traded health benefits companies. humana offers a diversified portfolio of health insurance products and related services – through traditional and consumer-choice plans – to employer groups, government-sponsored plans, and individuals. today, humana is a leader in consumer engagement. throughout its diversified customer portfolio, the company offers guidance that can both help lower costs and lead to a better health plan background. role:associate actuary – group actuarial assignment:medicare group actuarial location:louisville, ky hiring manager:lindsey bussabarger required no:35056 are you a fit? are you a detail-oriented analytical thinker? would you enjoy using your mathematical knowledge to analyze and improve current business processes? if this sounds like you, then read on! assignment capsule …
Source: rpgds.com

Ryan/Wyden health care: controversy over ending Medicare distracts from real issues

I read as much as I can tolerate when these proposals get floated around. But I won’t claim that I’ve read everything, and somewhere there may be an answer to a question I ask myself. I’m a 61 year old male with “preexisting conditions.” But I’ve never had a year in which my insurance company paid medical expenses that exceeded my premium. My monthly insurance costs over $900. Would someone tell me what the premium for an 80 year old man would be in today’s market if Medicare were privatized? And tell me how much money the government voucher would be for that 80 year old man?
Source: kansascity.com