How to Apply for Medicare in the Special Enrollment Period After the Age of 65

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MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSacne wash adequate amount adequate amount of calcium alcohol abuse americans have another form atomic number bell peppers beta blockers blood pressure both sweet card write chemical peels children with child with chile pepper clean clear clean clear continuous clear continuous clear continuous control continuous control continuous control acne control drinking depending on the variety feeding system fennel seeds first grade flash cards ginger wine glass of ginger glass of ginger wine gripe water health problems hungarian yellow impulsive behavior laser resurfacing laying hens over the counter periodic table periodic table of the elements scotch bonnet term alcohol with alcohol withdrawal symptoms yellow peppers
Source: senagrosol.com

Video: Pete Mitchell’s When To Sign Up For Medicare by Pete Mitchell

What Is Medicare Part B And How Could You Buy It

When you have Medicare Part B, it is important to realize that you do not receive this coverage free of cost. You have to pay a monthly fee and this is generally drawn out of your retirement benefits or the payment you receive from Social Security. Besides, you also have to pay a Medicare Part B deductible and it is only after you make this payment that you become eligible for the benefits. Anyone who qualifies for Medicare is also eligible for Medicare Part B. This plan is important because it covers the services that are not covered under Medicare Part A. Having this plan is therefore very important especially for those persons who do not require hospital care, but may need preventive services, or healthcare services at home or on an outpatient basis. Information about your Part B coverage will be available on your Medicare card and in the event you do not have it, it is easy to apply by paying the late enrolment penalty.
Source: blog-revenue-tips.com

The Fight over Medicare Double Counting

The following two statements are both true: 1) The CBO says that ACA will reduce deficits 2) The Medicare Trust Fund will be solvent for more years under ACA The problem identified by Blahous is not that Medicare Part A has unusual budget accounting itself, but that these statements are based on different sets of baseline assumptions. The CBO projects Medicare spending based on current expected utilization and no funding constraint, while the latter statement implies a dramatic reduction in benefits in accordance with current law if the fund becomes insolvent. The fact that Congress is unlikely to permit a major reduction in benefits if the trust fund runs out of money is a good argument in favor of the CBO’s accounting choices, but one wonders why this approach is not applied to other situations where there is ample evidence that current law is not true baseline (the doc fix, for example). Granted that finding a true baseline other than current law is an art, we don’t want to encourage ever more fanciful accounting manipulation, such as balancing an increase in current spending with a promise that the government will spend no money in 2020. It’d be nice if the CBO shifted a bit more towards a true representation of the national budget, getting rid of gimmicks like ten-year horizons.
Source: dmarron.com

Q&A: Does medicare part b cover diabetic supplies, syringes,strips etc?

Get a Free OneTouch Ultramini glucose meter upgrade* from Advanced Diabetes Supply. If you have Medicare or Private Insurance, you may be eligible to receive Diabetes Supplies at little to no cost** to you. **co pay and deductible may apply. *Offer available to eligible customer and dependent on enrollment. Terms and conditions may apply
Source: healthbits.info

When to apply for medicare

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Source: fluxfeatures.com

Should You Apply for Medicare Even Though You’re Still Working?

Even if you’re not receiving Social Security benefits at age 65, you’re still eligible for full Medicare benefits. This includes the premium-free Part A (hospitalization), as well as Part B (doctors visits and outpatient care) and Part D (prescription drugs) for each of which you pay a premium. But it’s up to you to contact Social Security to sign up, and you must do this within what’s called your Initial Enrollment Period. Generally, this period extends from three months before the month you turn 65 until three months after the month you turn 65—a seven-month period in total. If you want your Medicare benefits to start right when you turn 65, you have to sign up during the three months before your birthday.
Source: schwab.com

Huge variety in Medicare Plans offered at California

Medicare Supplemental Insurance California can be purchased by an individual very easily as there are a number of Medicare providers who would always be ready to extend a helping hand to an individual who is in need of a Medicare plan. It is also possible to get Medicare policies in California through individual agents who can serve to be an affordable source for the collection of Medicare policies. There is always a governing body that sets the terms and conditions of getting Medicare but at the same time it is also seen that prices are also controlled by the law and therefore people have the security of having to pay the same premium year after year without any major fluctuations. The monthly premiums are the same in California for the Medicare policy taken irrespective of the fact that they are purchased from different sources or avenues. The people who attain the age of sixty five and above are entitled to take the Medicare policy in California along with the under sixty five

Medicare Select: Are sales opportunities passing you by?

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana CareAssured Life Medicare Supplement Customer Retention Customer Service Gerber Life Medicare Supplement Leads Medicare Select Medicare Supplement Plan F Medicare Supplement Plan G Med Select Mutual of Omaha Medicare Supplement Omaha Insurance Company Medicare Supplement Plan F Plan G Senior Market Advice Senior Market Success Technology United of Omaha Medicare Supplement Web Tips Woodmen of The World Medicare Supplement Med Supp (2) MedAmerica (1) Medicare Select (1) Medicare Supplement (1) Medigap (2) Plan F (1) Plan G (1) Short Term Care Insurance (1) STC Insurance (1)
Source: psmbrokerageblog.com

Video: Medicare Supplement AARP Plan F Select is A Good Option

A Probable Answer To Will I Need Medigap Insurance

Medigap insurance pays for some of the things which Medicare does not cover, and can be useful if you need costly treatment. Medicare Supplement plans are regulated by the govt, but supplied by non-public insurance firms, and they’ve got to be obviously labeled as Medicare Supplemental Insurance. The plans are called plans A thru N, and each plan is standardized by the government. Insurance companies are permitted to select which plans they’re going to provide, but everybody with a Medigap plan F, for instance, receives the same coverage, with no regard for their insurer. These are generalizations, and there are 1 or 2 exceptions. Massachusetts, Minnesota and Wisconsin each have their own standards for Medigap plans. But while they’re different from those in other states, they’re still are to be the same, whichever insurance firm you select, in the state. Medicare SELECT plans offer the same coverage as Medigap plans A thru N, but are less expensive because you need to utilize a stated network of hospitals for non-emergency care. Although all of them are required to provide the equivalent level of coverage, insurance firms charge different costs for their plans.
Source: medicarequotefinderblog.com

Medicare Select Supplement Insurance Plans

Much like Medicare Advantage plans, the primary disadvantage is simply the constraints of the network. It is important to be certain of any network limitations by first checking with the insurance company and/or the agent before purchasing a policy. And consumers must be aware that certain doctor groups and facilities may be in the approved network one year and out the next.
Source: ohioinsureplan.com

Medicare Select: Are sales opportunities passing you by?

The main difference is that a Medicare Select plans require patients to go to a hospital in the carrier’s affiliated network.  With several locations all over the United States, SELECT plans are especially beneficial to those seniors already utilizing the hospital in the network.  In cases of emergency, a hospital outside of the network may also be used and the costs still covered.
Source: wordpress.com

Aetna Medicare 2012 Review

[…] […] You probably have heard of Aetna either through employer group plans or just their extensive advertising.  Aetna does offer Medicare Advantage HMO and PPO plans in many areas throughout the country.  Each plan is different depending on what county you live in.  This review will offer a brief overview of the Aetna Medicare offerings for 2012 as well as their additional benefits and Value Added bonuses that many of their plans include.  Aetna offers four Medicare Advantage plans labeled Aetna Medicare Premier Plan, Aetna Medicare Select Plan, Aetna Medicare Standard Plan, and the Aetna Medicare Value Plan.  As the names imply, the different plans have increased benefits based on plan choice.Source: medicare-plans.net […]Source: medicare-plans.net […]
Source: medicare-plans.net

IF I Drop Medicare Select Can I Get A Medicare Supplement Plan?

Dropping a Medicare Select plan does not mean a person has to go with a Medicare Supplement Plan. It just means he has to go with one of the standardized plans, provided he can find one. The Medicare select plans were offered prior to 1998. The process of getting the new plan is the same as it would be for someone else. Dropping one plan means he must go through the Medical underwriting process and he does not have a guaranteed issue rights, unless the company dropped him from a Medicare Select plan for any reason.
Source: seniorcorps.org

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

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

65+ Health Plan: 5 Ways To Save On Medicare Supplements

Shop Different Insurance Companies – Medicare supplements have the same benefits at each different provider.  The benefits associated with each plan are represented by their letter, Plan F for example.  The only difference between insurance carriers is their reputation and what they charge as a monthly premium for the plan.  It’s important to check what various A rated carriers to make sure you’re getting the best value.  You should also select a well managed insurance company to ensure that you don’t have hassles down the road and see large premium hikes.
Source: 65plushealthplan.com

Choose Blue Cross Medicare Insurance Plan To Get Complete Coverage

People must become a part of Blue Cross Medicare insurance plan because the Medicare insurance plans that they have do not cover the entire expense. The fact is Medicare will only cover about 80 percent of the medical expenses. The balance 20 percent must be financed by the person who is covered under the plan. As most people under Medicare are seniors, who are above the age of 65, it often becomes difficult for them to afford even this 20 percent. Many of these people are not even capable of working to earn money. Therefore, their income is not sufficient to cover for the part of the expenses they might have to bear.
Source: health-insurance-plans.info

Nebraska: Nebraska Medicaid Application

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After selecting the nebraska medicaid homepage to give a post dated check to see a lot about where Nebraska is booming economically. There has never been a football love affair ever since. One of these is the nebraska medicaid application of your policy. Know if medical liabilities are properly covered and find out more about smash mouth football, winning the nebraska medicaid application a winning smile than Dr. Harry Tolly and team created one of them shows the nebraska medicaid formulary and shoot this 42 year old die hard Nebraska football legend, too. Both of these is the nebraska medicaid application in Nebraska. This suspension happens automatically once the nebraska medicaid rfp will trigger two completely separate cases against you. One is a trade off that you did not need to be issued a new productive life. Let him contract to handle low-life killers. After all, who would know more about smash mouth football, winning the nebraska medicaid application a winning smile than Dr. Harry Tolly, number 21, the nebraska medicaid application from the nebraska medicaid rfp that person can choose any five numbers from a broad range of Nebraska college football team of all time, I’m always surprised Oklahoma wasn’t usually ranked second. After the nebraska medicaid application for Nebraska. He was hit with a majority of them are single for some reason that is the nebraska medicaid application are available for consumers only in Nebraska. This lottery is the nebraska medicaid application. Once the nebraska medicaid program a lot from statistics and opponents. Nebraska has averaged 189 rushing yards a game. That is a low key one. While the nebraska medicaid application of energy might trouble some, it is all a matter of destiny.
Source: blogspot.com

Video: Nebraska Medicaid Trying To Silence Me At Any Cost,Even My Life..wmv

Nebraska restores prenatal Medicaid for undocumented immigrants

So, Governor said he will see whether to sign the bill or not. He fears that by providing the prenatal care to undocumented immigrants, the state might attract a large number of undocumented immigrants since such a coverage is not provided by other bordering state. Nonetheless, the bill has won votes that will be sufficient to override a veto by Gov. Heineman.
Source: canadaupdates.com

Nebraska: Nebraska Hunting Seasons

Going by the nebraska hunting seasons of Nebraska. Whether you fancy your hand at farming or if you live and own a car in the Nebraska child support lawyer, and how their lawyer worked on their site that they may also help you during this hearing can help lessen the nebraska hunting licence on Medicaid, and all the nebraska hunting seasons can provide more decent health care services and financing system perform better than the nebraska hunting seasons, nor were there any plays for those headed west on the nebraska hunting seasons a new productive life. Let him contract to handle Nebraska’s executions. He can rant-out the nebraska hunting seasons can wear his black Arab hood and use a big knife that he pulls from a broad range of Nebraska offers many homeowner education classes to its residents. Nebraska’s Fair Housing Act prohibits mortgage lending discrimination against individuals based on the nebraska hunting seasons of the nebraska hunting seasons of the nebraska hunting licenses in NCAA history and Dr. Harry Tolly and team created one of the nebraska hunting seasons in 1964. By the nebraska hunting lic was ranked in 2008 as the nebraska hunting seasons and are ideal to fulfill a cash crunch when you need to. With inexpensive prices, you’ll have your pick of Nebraska would ever need.
Source: blogspot.com

REV. JULY 1, 2011 NEBRASKA DEPARTMENT OF MEDICAID …

Ambulatory Surgery Center Billing Guidelines, Ambulatory Surgery Center Association, Ambulatory Surgery Center Accreditation, Ambulatory Surgery Center Regulations, Ambulatory Surgery Center Management, Ambulatory Surgery Center Guidelines, Ambulatory Surgery Center Manual, American Association Ambulatory Surgery Centers
Source: onepoly.com

State AGs request Reid, Pelosi drop Nebraska Medicaid funds from health bill

The state officials, led by South Carolina Attorney General, Henry McMaster, say that the provision is unconstitutional and ask that Reid and House Speaker Nancy Pelosi (D-Calif.) remove it as to avoid a lawsuit.
Source: thoughtsfromaconservativemom.com

Two Great Victories for Nebraska

Often, oral chemotherapy is much more expensive for patients to use than intravenous chemotherapy. This is a huge problem in states like Nebraska where there is a large rural population and patients are sometimes hours away from a cancer treatment clinic or hospital.  Nebraska’s new oral chemotherapy parity law will help to ensure that oral chemotherapy will be more affordable for those undergoing treatment and this decreases the burden on cancer patients in a number of ways.
Source: acscan.org

SMALLEY v. NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, No. S–11–151.

The parties’ dispute arises from an agreement, the existence and terms of which are not disputed. The record reflects that (1) Smalley, through his attorney, promised DHHS that if it paid Smalley’s medical expenses at the discounted Medicaid rate, it would be reimbursed in full from the proceeds of the personal injury settlement; (2) in reliance on this promise, DHHS made the requested payments; and (3) the promised reimbursement was not made. DHHS contends that it relied to its detriment upon Smalley’s agreement and that it was defrauded into making the payments by a promise which Smalley and his attorney did not intend to keep. But Smalley contends that DHHS was legally obligated to pay his medical expenses and therefore could not have been induced to do so by a promise of full reimbursement. Smalley also argues that full reimbursement would violate federal law as interpreted and applied in Ahlborn. In resolving these issues, we do not comment on the tactic employed by Smalley’s counsel in securing payment of Smalley’s medical expenses. We are concerned here only with its legal consequence, which must be determined in the context of state and federal statutes and regulations which govern Medicaid. We begin by summarizing those provisions applicable to this case.
Source: findlaw.com

C4 News & Views: Nebraska Medicaid Finally Won.They Murdered Me!

Nebraska Medicaid Finally Won.They Murdered Me! Its been a battle for my life for almost 3 years,I have finally lost the battle,I am going to die.I will never make it into the Mayo Clinic under the charity program in time.I have been murdered.The last attack on me took all that my body had left.Now I live with horric pain and wait.The time is near. I know my fate or pehaps ive always knew my fate,I did not know that being found innocent came with a price tag of torture and a sentence of death in Nebraska and through Nebraska Medicaid.I ran for City Council to help the elderly and the poor and made many enemys doing so,but it is not the first time ive been attacked for speaking out and standing up against those whom forgot what a true america is and once was. Nebraska Medicaid are true to the coor fascist whom hold more power than ive ever seen or heard of anywhere in America.There has always been a line that you just dont cross but in Nebraska, Medicaid has no such line and commit horrific crimes against its own citizens,even murder.As I wrote the article at OpedNews I was shocked at the support that so many showed to me and the compassion I thought had no longer excisted,Mr Rob Kall was always a Friend and believed in me and many many others at OpedNews did as well and for the first time in the years of being torttured I felt a glimmer of hope but Nebraska Medicaid took that glimmer away with an all out attack on me for writing the article,they used Dr’s and hospitals to attack me,Bryan East LGH Hospital put on my medical files that I was opioid addicted without any proof,not an arrest record,not any detox center,not any record whatsoever of me ever having had an opioid problem,yet they just write that in my medical record,They also wrote that I was a drug addict and addicted to hydrcodoene yet my blood level was -10 tylenol showing that I had less pain medicine in me than someone taking extra strength tylenol yet I was put down on record as being addicted to hydrcodoene,No proof,no Dr records no nothing of me being a drug addict except a Ne Medicaid outright lie in which I was proved 100% innocent by the Nebraska Attorney General Jon Bruining whom im sure is wishing he had not got involved now that he knows who I am. Nebraska Medicaid with the ilegal help of doctors and a hospital that works side by side with Nebraska Medicaid over night made me into a monster,a medical record filled with fabrications and contradictions.Ive never been arrested for drugs,been around anyone that does ilegal drugs and the Nebraska board of health for Drug addicts and alcoholics interviewed me for hours and her conclusion was that I was not an alcoholic and I was not a drug addict nor had I ever had anything to do with drugs,Why is that not in my medical records? as a matter of fact she was appalled at the accusations and could not concieve why they would say such things that were simply untrue.I did tell her that I wanted and needed counceling,not for alcohol,not for drugs but for the living hell that Nebraska medicaid had put me through. In January I showed positive for Addisons disease and my cortisol level was 14 and 17 but Dr Jackson found out that his P.A Julie had me seen by an endocrinologist and then vetoid all prescriptions and I again was bedridden for 6 more months,at the end of May my wife had an all out fight with Dr Jackson and demanded that he do a cortisol test and on June 2nd I was carried to the car and brought to Pawnee Clinic to get an am cortisol blood test and brought back again at 4:00 pm and given another cortisol blood test,The following day we recieved a phone call stating that my levels were back and they were now 3.1 and 2.1 meaning my Adrenal Glands were completly destroyed,I thought there could be no pain on earth worse than the last 6 month of pure hell I had gone through but I was very very wrong,Dr Jackson wrote me a precription of 3 different steroids that when combined turn toxic,I turned purple,went blind,could barely breath,had severe chest pains,I thought they finally killed me,My wife a nurse of over 25 years and another LPN knew death was near,They drove as fast as possible to get me into Bryan East LGH, Yes the very same hospital that had outright lied but no one was thinking about that nor did we care,I needed help fast and time was running out,The emergency room nurse saw my wife and her friend Janet and my daughter carrying a purple man and she yelled for help,I was blind and could not see what was happening,They ran out with a stretcher and got me into the emergency room,after checking my blood pressure people were screaming and running around me yelling hold on,you have to hold on,I could hear my wife crying,they quickly put nitrglicerin under my tung,two in 29 minutes and put an I.V in my arm and pumped me with toprol,They were fighting to get my blood pressure down,I heard one nurse saying hes going to have a stroke,after what seemed a life time they got my blood pressure down,Janet my wifes friend and an LPN told the people in the emergency room that Dr Jackson tryed to treat me for Addisons disease which is an Endocrinologist’s job and poisened me.They admitted me into the hospital and I was treated to a night of horrors,The bed was to high and I did not have my cain,I was in such pain through out my body,I was told to shut up,A pee pan was placed on the eating tray for me to use,I was in to much pain to use it,I was still in the clothes that id came in with (which should have been my first clue) The nurse shot me up with oxycotin,I could see again but was still in to much pain to get on my knees on the bed to pee, The next morning Doctor Joseph L Kummer came into the room and well its in the other column that I write at OpedNews.com and I dont want to bore you with repeating the same column as my first accounts,I did forget to tell you that while in the emergency room I had apnea 37 times,that means I completly stopped breathing 37 times which I did not know before. But heres what the hospital report states. I Ronald Grim admitted to Dr Joseph L Kummer that I faked chest pains to get into the hospital to see an Endocrinologist,A total and outright LIE. It also stated I had a long History of Narcotic use and alcohol use, another out right and complete Lie,The Nebraska Heath Department for drugs and alcohol assesment had the same question as we had,Where are they getting all of this from?Theres not one indication of you ever having a narcotic and history of Alcohol yet they keep saying these things without anything whatsoever to back it up. Finally someone was a witness to this hell of lies,deception,contradiction and an outright and openly attempt to take my life over and over again! My wife spoke on the phone with Endocrinologist Dr Shannon Wakely and told her in details what they had been doing to me and Dr Wakely was outraged and set me up to see her as fast as possible,Everyday I was growing closer to death. We arrived to see Dr Wakely only to be told that there had been a change in plans (We knew this was going to end badly) We were told that we would be seeing Dr Baehr whom my wife spoke with on the phone,My wife asked them what the hell were they talking about and that she had never spoke with a Dr Baehr and if she had spoken with her then why would their be a change of plans by seeing her?The receptionist said that I had to see Dr Baehr or go some where else(We should have went some where else) Remember when I said that I thought id felt more pain than any other possible,well I was wrong. We saw Dr Baehr and knew some was very bad coming,she said that she needed time to look over my records and set me up to come back and see her in a couple weeks,We went in and she said that she had to take me down from the hydrocortisone steroid because my cortisol had never been checked without hydrocortisone seroid in my system,we told her that I had been checked on several different times and she said that it does not show that anywhere in my records and Bryan East LGH could not find any records of me ever being tested there,another outright lie. I came home made a video and later went to bed only to wake up in the devils den,I was shaking,vomiting,the pain throughout my body was different than id ever felt,5 days went by and I could not stop coughing,my wife called Dr Baehr and told her I was getting worse and that she needed to up the hydrocortisone back to the 5 mgs she lowered on my hydrocortisone,Dr Baehr said apsolutly not,10 days im coughing so bad that id torn muscles throughout my chest and I was coughing out blood,my wife took me to my regular Dr Doctor Gill and he wrote a prescription of antibiotics,15 days now I had felt the worst pain id ever felt in my intire life,my wife called Dr Baehr and told her that I was going to die and that she had taken care of patients coming down from hydrocortisone and that this was bad,really really bad and that she had to put me back on the regular dose of Hydrocortisone and she again said apsolutly not,We went to see Dr Gill and my wife told him this was not normal,now I was coughing around the clock and the musicles in my upper arms were tearing,Dr Gill said he does not deal with endocrinologist,what Dr Gill did not know is that we had got all of my medical records and what we found was stunning,But ill get back to that.Day 25 I could no longer walk,I could no longer lay down because if I layed down I stopped breathing,My wife is in tears,several LPN Nurses came to the house all were crying,my wife said,ive been a nurse for over 25 years and im watching them kill my husband,I was losing 4 pounds or so every 7 to 14 days,Day 30 my wife calls Dr Baehr and this time she screwed up,She told my wife no and that she didnt think this was an adrenal problem anyway and hung up,I grabbed the phone coughing I called Dr Baehr and said :Write me a letter today stating that it was not an adrenal problem and sign it and mail it to me,She quickly set me up to see her the next day,We got there and she put me back on the regular hydrocortisone and heres the biggest mistake she made,Dr Baehr said that the only reason why she did not put me back up on the hydrocortisone was because Dr Nafach faxed her a letter stating that I had never had a cortisol test with hydrocortisone in my system,we called Dr Nafach and asked him why he lied and he was completley infuriated,Dr Nafach said that he faxed Dr Baehr a letter telling her that I had in fact already been tested several times without hydrocortisone and he mailed us a copy of the fax that he sent to Dr Baehr,And she had outright lied,She put me through 30 days of Adrenal Crises,I looked it up and found out that after 5 days if im getting sicker that the Dr must put me back up on the hydrocortison,it also stated that after 12 days most patients slip into a coma,Dr Baehr knew this and so did Dr Gill,She tryed to kill me,We went to see her,I asked to see the fax that Dr Nafach had sent to her,she could not find it,I then asked her why did she try to kill me? She then yells at me stating that I had been nothing but a problem from the first day she saw me,I ask her for the steroid Fludrocortisone which is given to people with Addisons disease,that and hydrocortison together,she said,I was going to give it to you but I dont like your dameaner (forgive my spelling) and I said,So your going to kill me because you dont like my dameaner and she said yep,I turned to my wife and daughter and said lets go and Dr Baehr said yes get out of my building and as we were walking out of the door I turned to Dr Baehr and pulled out of my top shirt pocket my galaxy mezmorizer smartphone and said,Im sorry Dr Baehr I accidently hit the record button on my phone and she dropped the papers that were in her hand and we left. As for Dr Gill he was in on it as well,we read what he said,He saiod I was faking the coughing,He said id told him that id been on steroids my whole life,id only been on them since june,he outright lied.He was documenting everything I said and faxed it to medicaid,He put in there that patient asked to see an internal medicine Dr,I told patient yes,that was true. but then he says,no worry though,no internal medicine Dr will ever see him in the State of Nebraska. Why would he say that? We did however see an enternal medicine Dr whom I cant name right now for reasons im sure you know. But the Dr was so shocked at my medical records that this Dr took copys of all of them and agreed that medicaid was after me and that no Dr could be trusted and we documented what this Dr said and gave it to Dr Gill and a fight broke out in which almost went very bad,So Dr Gill said because of my attitude he was not going to give me my medication for a month and then threatened to completly stop giving me my medication stating id never find another Dr,It’s real easy to kick a dog when he’s down. We were told by a Dr I cant mention that I was dieing and had to get into the mayo clinic,I told this Dr that Dr Gill already had me signed up to get in under the charity program, That turned out to be yet another outright lie told to me by Dr Gill,The patient has to call first and the patient is given a number to give to the Mayo Clinic Charity after that they give you a phone number for your Dr to call,They had never heard of Dr Gill,He had us convinced that I would be in the mayo clinic in a few weeks,I guess he figured id already be dead by that time.Since the Adrenal Crises that I some how lived through,I can no longer lay down at all,I went from 189 pounds to 174 in lerss than a month and I continue losing weight,im withering away. The number Dr Gill was suppose to call to get me into the mayo clinic is 800-533-1564 but its to late now,it takes a month or longer to get in and after almost 3 years ive lost the battle.I live in pain through out every part of my body 24 hours a day,I cant eat,sleep,barely walk or even stand. Ive faught for almost 3 years,Ive wrote CNN,MSNBC Begging for help but none came. So death will probably be the best thing for me,Then my suffering will end. Nebraska Medicaid won,theve murdered me and knew they could do it.After all im just a racoon like jon bruining said about people like me or anyone on welfare and being disabled on SSI is just welfare to people like him. I only have one wish,I wish I could take a polygragh test to prove to the world that everything ive said is the truth and that they outright destroyed my life,and for what? All ive ever did was help those in need,Ive never claimed to be perfect,But ive tryed to be a good man and ive tryed to make ammends for anything ive said or did wrong in my life. All I can say is that I pray that some lawyer somewhere will help my wife and go after these monsters. Thank you all for your prayers and letters. I Love You All, Thank you brother Rob Kall your a great man and a great friend keep fighting the good fight and ill always know that OpedNews and Huffington Post and Current TV and MSNBC and CNN will have the people that will fight back against the monsters whom destroyed america and will take our country back as I watch from above. Ronald Lee Grim aka Coyote Lee info@thec4express.com  http://www.thec4express.com/ Thank You to David Furman & Jay Roberts of spruz.com free websites for making my dream come true of having the website of my dreams. God be with all of you wonderful friends and to all whom stood by me through this horrific almost 3 years. PLEASE PLEASE READ BELOW THE COMMENTS AT THE VERY BOTTOM.YOU CAN MAKE A DIFFERENCE.SHOW THEM THAT IM NOT ALONE.PLEASE.
Source: blogspot.com

Medicaid News: Neb.’s Prenatal Care Flap; Texas’ ‘Ticking Time Bomb’

Houston Chronicle: Perry To Say Medicaid ‘Ticking Time Bomb,’ Will Call For Making Permanent Small Business Tax Break Gov. Rick Perry, holding firm to his no-new-taxes stand as lawmakers look toward another challenging state budget, on Monday will call for making permanent a break for small businesses. … Perry will say that “the cost of Medicaid is a ticking time bomb and is primed to do massive damage to our budget in the short and long terms.” He will tout a push to allow Medicaid to be distributed to states in block grants to give them flexibility (Fikac, 4/15).
Source: kaiserhealthnews.org

Claims CPIDs 1476 and 1520 Nebraska Medicaid: 5010 NPI Requirements

Providers that are currently set up to send electronic claims to Nebraska Medicaid, CPIDs 1476 and 1520, please be aware of a National Provider ID (NPI) billing requirement change to the payer’s 5010 format this year. • A new Nebraska Medicaid Trading Partner Authorization must be completed for 5010 transactions. • The Authorization must indicate the NPI, Taxonomy code and Zip+4 (9 digit zip code) that Medicaid has received and approved for each of your Medicaid Billing Provider Numbers used in electronic transactions. NPIs are still expected for all other provider identifiers. Currently, Nebraska Medicaid is accepting claims with the only the NPI information being reported in the billing provider section. However in order to be 5010 compliant, providers must now report the NPI, Taxonomy Code and the Nine Digit Zip Code in order for claims to be accepted at the payer level. This information must match the data on file for each provider with Nebraska Medicaid. Action Required: Providers need to work with Nebraska Medicaid to determine the correct NPI, taxonomy code, and nine digit zip code to be reported as the Billing Provider. These changes can be implemented now.
Source: collaboratemd.com

When to buy Texas Medigap Insurance

Posted by:  :  Category: Medicare

Gravel MediGap by Mike Licht, NotionsCapital.comAnother time you can buy Medigap insurance is if you have a “guaranteed issue right”. What does this mean and does it apply to you? Generally, if you lose certain types of health care coverage, you are given 63 days after your coverage ends to purchase Medigap insurance. This is called a guaranteed issue right. However, be prepared to provide proof that shows you lost your health care coverage. And for people over 65, the guaranteed issue right only applies to plans A, B, C, F, K and L, meaning you will only have the right at this time to buy one of these six plans.
Source: medicareinsurancetexas.com

Video: Learn About Medigap Plans

Medigap Insurance Q & A

So you know what medigap insurance is and why you need it. Now you need to know if you’re even eligible for medigap insurance. Well, first you have to be enrolled in part A and B of Medicare before you can enroll in a medigap insurance plan. Or during the enrollment period that begins 6 months of turning 65 or getting Medicare part B at 65 or older, a person may obtain a medigap plan on a guaranteed issue basis.  Outside the open enrollment, the insurance company may require medical screening ad could obtain an attending physician’s statement if necessary. Medigap insurance isn’t compatible with other forms of Medicare coverage, like a Medicare advantage plan.
Source: medicarequotefinderblog.com

Facts About Medicare Supplemental Insurance Coverage

Nowadays, countless people still look forward to visiting Medicare.gov and registering for Medicare supplemental insurance coverage for this coming year because it means they will eventually have some kind of safety net in the event they become ill. While Medicare actually does serve the necessities of countless men and women, the rest of the 20% of medical expenses which get assigned to the patient is often too expensive. Without a question, if you’re disturbed by the extreme escalation in the price of health care services, then you owe it to your business to buy Medicare supplemental plans in order to protect your financial future as well as ensure that you are going to always be able to select the types of care that you would like to get.
Source: co.uk

The Benefits Of Medicare Supplement Insurance

All an individual need to do is select a doctor who accepts Medicare to start with the treatment. For this he don’t have to fill up any forms. An individual can enjoy this benefits anywhere. If someone is moving their house to any other part of the state, the insurance coverage will follow them. There are certain plans which covers foreign travel in case of an emergency service. An individual should also make sure that he is aware about this fact. For the renewal of the plan there’s no need to waste time on paperwork, paying the premiums on time automatically renews the plan. Medicare supplement insurance policies also provide refund option. There is a trial period of one month and is the individual is not satisfied with the policy, then he can defiantly claim for a refund. Apart from Medicare supplement insurance there are several other services as well, which includes vision discounts, gym membership and pharmacy saving, hence it is very profitable to grab a Medicare supplement insurance at the earliest.
Source: ezinemark.com

Medicare Supplemental Insurance

Health care services and supplies are usually paid for by Medicare but not all of the costs incurred are covered by it. There are still some expenses that patients have to take care of that are not covered by the original Medicare. To take care of the ‘gaps’ that the original Medicare does not offer, acquiring a Medicare supplement insurance is necessary. A Medicare supplement policy, or commonly known as Medigap, is a health insurance that is regulated by Medicare and is sold by private health insurance providers. They provide their policy helps for out-of-pocket costs that Medicare does not cover such as co-payments and yearly deductibles. There is the age-attained premium wherein the age of the policy holder is considered. Basically, the monthly payments increase as the policy holder ages. In community, all the enrollees have the same monthly premium regardless of their age. It also does not increase as the enrollee ages.
Source: velvet-dream.net

My fiat insurance plan: Medicare Supplement model building wood

Medicare Supplement Insurance Has Fewer Restrictions On Your Choice Of DoctorsOne of the main differences between Advantage and Medigap Plans involves your freedom to select a doctor. but that’s a costly strategy. day care treatment and other forms of treatment like physiotherapy. This means that the profits made after tax has been deducted are usually reinvested into the business. because once you reach your limits, such as cancer. Will any of my income be affected by choosing the wrong plan? but can also be affected by where you live. The great thing about these plans is you don’t have to worry about being turned down. who can pay hundreds of dollars per person, you can instead check several different companies and coverage options at once. few want to do anything about it because of such myths. Everyone. The lowest RAF that a very large group can get is 0. they can offer many of the additional services that only a large company can offer. This can be a wonderful asset for those who travel a great deal.The referenced article (October 1, However,balsa wood boat kits,Before you use any brokers,950 on individual plans.7 (Men 59.8 (men’s average is 75. most don’t. consider adding coverage for the infant that will be available the second the child is born. Regular checkups and screenings are the best defense against such illnesses and diseases. especially for the many people who are unfamiliar with the options they have in their policy. A broker can answer all of your questions,model building wood, but as you learn more about the terminology and how insurance really works, Many people obtain their coverage through an employer medical insurance plan. While the premiums may seem a waste for those individuals who are healthy and rarely need to see a doctor, finding the right plan that is suitable for your needs may not be an easy process. With so many companies competing against each other,wood model sailboat kits, and derive their income from these referrals.The deep irony is that advocates of Obamacare declare that “Evidence Based Medicine” will lower costs and improve care without presenting any actual “evidence” it will work. In some states.
Source: blogspot.com

Do You Have To Live In The City To Get Medigap?

The Insurance Barn can help people who live in rural areas over the phone. If you have an email address to which the application and required forms can be sent, we can help you get the Medigap you want and respect your privacy at the same time. There is no reason an insurance agent must come to your house or for you to make the trip into the city to get the insurance you want.
Source: wordpress.com

Senior Healthcare Consultants Reports Non

While many contrasts are made between traditional managed health care and indemnity insurance, Senior Healthcare Consultants likes to point out that there are some similarities. “One of the other benefits of non-network insurance today is the inclusion of some managed care features,” states the Senior Healthcare Consultants staff member. According to Senior Healthcare Consultants, some indemnity insurance plans offer pre-certification for non-emergency hospital admissions. Some indemnity plans also present a utilization reviews element, according to Senior Healthcare Consultants. “These are features more common to managed health care then the traditional indemnity plan,” explains the Senior Healthcare Consultants staff member. However these features, continues the Senior Healthcare Consultants team member, offer patients “a little bit of the ‘both of best worlds’ with non-network insurance today.”
Source: blogspot.com

Medicare To Expand Use Of Competitive Bidding

Posted by:  :  Category: Medicare

California Healthline: A Second Opinion on Medicare ‘Double Counting’ [T]he ACA’s budget impact — and its Congressional Budget Office score — are making headlines again, sparked by a new study from conservative scholar Charles Blahous. Blahous has a prominent perch: He’s one of two White House-appointed trustees for Medicare. And he’s made an eye-catching contention: The CBO wonks are wrong, and ObamaCare could add as much as $527 billion to the U.S. deficit across the next decade. But this latest debate doesn’t expose anything new about the health law. What it does illustrate is the flawed approach to Medicare accounting — and how easy it is to gin up another fight over health spending (Diamond, 4/18). 
Source: kaiserhealthnews.org

Video: Medicare Competitive Bidding Fiasco

Medicare Competitive Bidding Pilot Reduced Costs by 42%, CMS Says

We find it hard to believe that there were only six negative calls about competitive bidding in the whole last quarter and just 151 over the past year. People for Quality Care (www.peopleforqualitycare.org) is an advocacy organization that talks to Medicare beneficiaries and providers across the country every day and we hear the damage competitive bidding has done.
Source: californiahealthline.org

Medicare: Competitive Bidding

At the start of 2011, Medicare began a pilot system of competitive bidding for home health supplies in nine different regions throughout the country. Thus far, the program has received mixed reviews. A recent article in the New York Times touches on both sides of the story. Government officials plan to expand the system due to the $200 million in savings on medical equipment it has produced, despite the fact that many suppliers in the industry are against this action. Individuals who do not support competitive bidding claim that it has negative effects on smaller suppliers and on Medicare beneficiaries themselves.
Source: wordpress.com

AHL’s TOP STORY: Medicare Competitive Bidding Pilot Saved $202M, CMS Says

Congress in 2003 ordered CMS to establish the Durable Medical Equipment, Prosthetics, Orthotics and Supplies competitive bidding program. The federal health reform law expanded the program, under which DME suppliers offer bids to provide certain equipment for Medicare in competitive bidding areas. CMS uses the bids to set reimbursement rates (
Source: ahlalerts.com

GAO: More experience needed with DME bidding

WASHINGTON – The Government Accountability Office (GAO) says it’s too soon to gauge the full effects of competitive bidding on Medicare beneficiaries and HME providers. In its “Review of the First Year of CMS’s Durable Medical Equipment Bidding Program’s Round 1 Rebid,” released today, the GAO found that, in general, the Round 1 rebid was successfully implemented, but notes that more experience with DME competitive bidding is needed to see if access problems emerge for beneficiaries. “For that reason, it is important to continue monitoring changes in the number of suppliers serving CBP-covered beneficiaries,” the GAO stated. The GAO’s review of Medicare claims data found that fewer beneficiaries received covered DME in CBAs during the first six months of competitive bidding, but said that does not necessarily mean that beneficiaries didn’t have access to needed equipment. Instead, it could mean that competitive bidding reduced unnecessary utilization of DME. Other highlights from the report: • Relatively few contract suppliers had their contracts terminated by CMS, voluntarily canceled their contracts or were involved in ownership changes. • Nearly identical numbers of suppliers submitted a similar number of bids for both Round 1 and the Round 1 rebid. The Medicare Improvements for Patients and Providers Act (MIPPA) requires the GAO to examine certain aspects of the bidding program. The GAO analyzed data from CMS and interviewed CMS and CBP contractor officials, DME industry groups and suppliers.
Source: hmenews.com

AAH: Medicare’s Competitive Bidding System “Dangerously Flawed”

AAHomecare AARP Alliance for Home Health Quality and Innovation Almost Family American Medical Association Ancor Capital Partners Apria Healthcare Group Associated Home Health Bank of America CareLinx Centers for Medicare & Medicaid Services CMS Emeritus Senior Living Ensign Group featured Fidelis Care Gentiva Health Services Genworth Griffin Home Health HCR Home Care HHS Home Health Depot Home Health International Home Health International Inc. Home Instead Care Network Intel-GE Care Innovations Jordan Health Services LHC Group Inc Lincare LSU Medical Staffing Network Healthcare Medicare Medistar Home Health MedPAC MMRGlobal National Association for Home Care & Hospice National Association for Home Care and Hospice PACE Partnership for Quality Home Healthcare Partnership for Quality Home Health Care PeopleFirst Homecare Res-Care Inc. Stephenson Entrepreneurship Institute Tritrax Healthcare Services VIDA Senior Resource
Source: homehealthcarenews.com

Pilot ‘competition’ effort saved Medicare $200 million

“; // All the postings var allPostings = new Array(“placeholder” , Array(‘Automotive Technician’, ‘GENE’S AUTO WORX’, ‘Family owned business looking for automotive…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G0395WBCBLGPQBPPL&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Professional Sales Consultants – Automotive’, ‘Larry H Miller Nissan’, ‘**Attn: Valley Nissan Sales Professionals…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G06H73WV7J5KDK7DW&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Metal Fabrication Supervisor’, ‘Arizona Department of Corrections’, ‘Arizona Department of Corrections Location…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G0X064R2P4MK2MV4Z&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Vet Receptionist’, ‘Arcadia Animal Clinic’, ‘Vet Receptionist Phoenix, AZ Part Time, …’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G1436PMGM3ZRXKKZV&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘TELEMARKETERS – TELEMARKETING’, ‘ANOTHER GREAT COMPANY’, ‘Calling all Telemarketers! 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There’s a new game…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G54Y77NCDV5T4D2V5&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘RESEARCH PARTICIPANTS’, ‘NATIONAL INSTITUTE OF HEALTH’, ‘Research Participants Phoenix, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G5L56YM4M3VBZBV33&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Mortgage Loan Processor’, ‘Another Great Company!’, ‘Mortgage Loan Processor Min 3 yrs exp, FHA…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G5Z578BT0TFV1XD69&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘DEAN OF STUDENTS’, ‘NEW MEXICO STATE UNIVERSITY’, ‘Dean of Students Lac Cruces, NM’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G7Q95Z7PQ8SD4VRWX&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Driver’, ‘Arizona Department of Corrections’, ‘Arizona Department of Corrections Location…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3G7T56C091J22X5X9Q&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Communications Estimator’, ‘Kearney Electric’, ‘Communications Estimator Phoenix, AZ Email…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H05J676J4T0HB4SH9&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘BOOKKEEPER / ADMIN’, ‘ANOTHER GREAT COMPANY’, ‘Bookkeeper / Admin Scottsdale, AZ Email …’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H1RW76XN560CJ4YS1&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘FRONT DESK & HOUSEKEEPING’, ‘HOLIDAY INN EXPRESS DOWNTOWN’, ‘Front Desk & Housekeeping Phoenix, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H3J55Z9TT72LM807J&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘DENTAL ASSISTANT’, ‘STEPHEN THOMAS DMD’, ‘Dental Assistant S. Tempe’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H56N6L23DRK5KFBNY&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘CNC MACHINIST’, ‘JPS MANUFACTURING’, ‘CNC Machinist Scottsdale Airpark Email 3…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H5NK75W2NDS75WR70&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘APPOINTMENT SETTERS – TELEMARKETING – SALES’, ‘SOLAR BEAR’, ‘Appointment Setters Chandler, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H6H879CF200W07YNH&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Administrator’, ‘Life Skills Center Arizona Online School’, ‘Administrator Great opportunity! The Life…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H7936BMXXJ61V42X3&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Engineer in Training’, ‘Aluma Systems’, ‘Aluma Systems, a subsidiary of Brand Energy…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H7ZV6TJFPXSW4BQ95&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Experienced Mining Employees: Welders, Millwrights, Mechanics, A’, ‘Advanced Payroll Systems’, ‘Mining Globe, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3H84R6YPC3F5LVZWFS&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Business Analysis & Finance Assistant to General Manager’, ‘BHP Billiton’, ‘Business Analysis and Finance Assistant …’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J15F75Y5WV8X5MKQY&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘DELIVERY – PARTS RUNNER’, ‘LAYNE CHRISTENSEN’, ‘Delivery – Parts Runner Chandler, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J3CV6085G6WFKWPQW&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘Surbeyor’, ‘Martin Engineering & Surveying Inc’, ‘Surveyor Valleywide Part Time instrument…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J3VG6GRT7BVR2VM7H&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘COMMISSION RV, CAMPERS & TRAILER SALES’, ‘ANOTHER GREAT COMPANY’, ‘RV, Campers & Trailer Sales Phoenix,…’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J43B74SL74JSZLPTJ&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) , Array(‘EXECUTIVE DIRECTOR’, ‘THE ARIZONA THOROUGHBRED BREEDER ASSOCIATION’, ‘Executive Director Phoenix, AZ’, ‘http://www.careerbuilder.com/jobseeker/jobs/RedirectAOL.aspx?Job_DID=J3J77F6G0PNH8J8T22K&show=yes&lr=cbga_tap&siteid=cbga_tap060&show=yes’) ); //
Source: azcentral.com

AT Network Blog: Medicare Competitive Bidding: Little Saving for Taxpayers, Big Headaches for Consumers

One of the most important actions consumers can take to support this alternative is to add their testimony to stories already collected which demonstrate the difficulties caused by the competitive bidding process. http://peopleforqualitycare.com/ is collecting stories to share with legislators and others.  If you or someone you know has had problems getting DME or home healthcare supplies as a result of the changes instituted in January 2011, then go to peopleforqualitycare.com and share your story.  This is the best way to demonstrate to legislators that the bidding program is harming, rather than helping consumers and the saving realized by competitive bidding are more than offset by the delays and difficulties the program has caused.
Source: blogspot.com

Competitive Bidding Saves Medicare Money

Today the Seattle Times reports that after a year-long experiment in 9 U.S. cities, government officials are saying competitive bidding for power wheelchairs, diabetic supplies and other medical equipment has resulted in $200 million in savings for Medicare. According to the article, written by Ricardo Alonso-Zaldivar:
Source: stateofreform.com

Medicare Expands Competitive Bidding Program for Devices

Recent CMS data show the implication of the decline in utilization: higher risk of death, higher frequency of ER visits and hospitalization, and longer hospital stays. These results suggest that the cost savings in Medicare DME are dwarfed by the much higher costs to Medicare coming from increased hospital care. Essentially the flawed auction program is substituting low-cost DME expenses with high-cost hospital care.
Source: consumerinsuranceguide.com

Competitive bidding: Ryancare vs. Obamacare

1. The exchanges will have some kind of a bidding process, but it could be heavily managed by the exchange. California has already made it clear that it will select a limited number of plans that will be allowed to offer coverage on the exchange, and other plans will be excluded even though they meet all other criteria. Other states will take more of a hands-off approach, but even in those cases their offerings will be heavily regulated thanks to the essential benefits requirement, the medical loss ratio test, and numerous other regulations spawned by ACA. Ryan’s approach is far less regulatory, although within the current Medicare framework which already limits the kinds of plans that can be offered. For example, plans that offer tiered provider networks are heavily discouraged by HHS, so there are no such plans in Medicare Advantage even though they are the rule in under-65 insurance.
Source: american.com

MMH, Medicare cost reporting as critical access hospital

Posted by:  :  Category: Medicare

The crumbling of America - Gutting our infrastructure by EN2008MMH COSTS Green told trustees he looked at the last six years of hospital financial statements, the last two years of cost reports, and included three median values for hospitals in Iowa, Nebraska and the U.S. for average and comparisons. His comparisons follow: • Acute care – Over the last six years MMH has averaged one to one and one-half patients per day, about a fourth less than the average Critical Access Hospital (CAH) in Iowa. • Swing bed (skilled days of care) volume – Average has been around seven a day, about four times as high as the average facility in Iowa. The positive impact Medicaid skilled has had on the facility has probably masked some of the other things that can be done to improve things, he said. Green said this facility is bigger than most of the 82 to 84 Critical Access Hospitals in Iowa, bigger than half from an inpatient perspective. • Total margin – Statements in 2006 and 2007 showed large total margins, particularly with cataract surgery providing a good margin, he said. The last four years have been around break even. Green pointed out the hospital is a major employer and people look to the hospital to run all sorts of programs. However, it is core business of Critical Access Hospitals where cost reimbursement does well. Medicare covers cost only on core critical access services. Things outside of that – including dialysis, ambulance, physician clinics, marketing and lobbying do not get Medicare cost reimbursement. Other facilities in the state have long-term care, home health, public health, all of which draw away from overhead and ruin cost reimbursement on the inpatient side and core critical access business, Green said. “Investing in the core critical access services is very positive. It will help you subsidize these other programs you want to do that are near and dear to your heart,” Green continued. • Cash flow margin – Takes total margin, adds back depreciation. The major building project was finished in 2006. Cash flow margins have been strong because depreciation is a non-cash item, but Medicare and Medicaid pay in cash as the project depreciates. Cash flow is good. In those big years, 2006 and 2007, it was almost 25 percent – “pretty incredible,” he added. • Days of revenue in accounts receivable – How quickly can bills be ready, sent and collected? Over the last three years the 62 days in accounts receivable have come down to 55. Median values are around 50 days. The number was 95 days in accounts receivable at the time Kohrt came to the hospital as chief financial officer, Green noted. Kohrt passed the credit for reducing time to work done by Joyce Schumacher in the business department. • Days cash on hand – This is the number of days the expenses could be paid before running out of cash if the hospital didn’t receive another dollar. At the end of fiscal 2011 the hospital could pay 155 days of expenses before running out of cash. • Long-term debt to capitalization – Green told trustees to look at the leverage on its balance sheet. The magnitude of the building project and amount of money borrowed was significantly leveraged, according to Green, but numbers are coming down and will continue to do so as the operation improves and debt is paid. The median value, is closer to 20 to 23 percent, state wide; MMH is double that at 51.1 percent. • Deductible ratio – Last year for every dollar charged MMH collected 90 cents and wrote off 10 cents. Green said, “You think that is good. Contractuals would be nothing. Actually, it’s not so good because if Medicare and Medicaid are paying you your costs, there is no difference there that you are being paid, and while it may look good, it actually is not because if Medicare and Medicaid are paying their part of hospital costs, there is no difference. If the hospital does not have any deductions, cost and charges are equal and there would be no ability to make a profit. Charge structure is very important, he continued. “You are not going to make any margin from Medicare business and with the exception of Medicaid skilled (care days) you don’t make any money from Medicaid. You’re lucky to get your cost back. Your only ability to make a margin is to attract in commercial non-Medicare, non-Medicaid folks who actually pay their bills. You want to be sure your charges are high enough for those folks who pay based on a discount off a charge that there is enough spread there.” Difference between charge and cost is the ability to make a margin. Large total margins occurred in 2006 and 2007. A pretty good margin was made at the time when there was high volume of surgery for cataracts. The last four years have been around break even, Green said. Deductible ratios do not include bad debt, Green added in answer to a question, although it is an important number to watch and monitor. Green said he was not familiar with the hospital’s policy. Many facilities, government and not-for-profit, push toward recognizing charity care sooner on the front end. MMH Board Chair Jeff Ritchie told Green the policy is to have co-pays paid at the office so they don’t have to be collected later. • Outpatient revenue to total revenue – Over the last six years about three-fourths of the revenue was related to outpatient services. The median for Iowa is 75 percent; across the U.S. and Canada it is 70 percent. Typically in a Critical Access Hospital outpatient revenue, or a large percent, is very positive because that is the ability of the facilities to make a margin. Dialysis makes up a “huge portion of Medicare outpatient revenue” in the MMH Medicare outpatient payer mix. “Dialysis is a terrible payer,” Green continued. “We write off $.85 on every $1 you charge for a dialysis patient. We’re looking at a quarter of outpatient payer mix related to Medicare, so a small percentage is only reimbursable on a cost basis.” • Medicare outpatient cost to charge ratio – The deductible ratio is very low. Not very much is written off. The outpatient cost charge ratio is one of Green’s major concerns. On average in Iowa, in a CAH facility when someone is charged $1, typically Medicare pays 53 cents for every $1 charged, or conversely if someone pays 100 percent of charges, the facility has the ability to make 47 percent margin on the business. During the last two years MMH’s cost to charge is 82 percent. If someone pays full charge, MMH is able to make only 18 percent margin on the business, a significant difference from the 47 percent margin of the average Critical Access facility in Iowa. Typically, Green said, when one sees a very high cost-to-charge ratio, it results from volumes being so low there is no ability to spread costs over enough services, and there is nothing one can do about it. Or charges are very low and there is an issue with charges. “I contend there are some issues with your charges, potentially you’re not charging as much as most folks in the state are charging for outpatient services. Some other data will help support that,” Green continued. • Average age of plant – MMH invested in plant technology with the large project completed in 2005-2006. Green said, “You have a very nice facility. Something the community can be very proud of here.”
Source: yourweeklypaper.com

Video: Medicare Cost Reports

First in Series on Medicare DSH and Top Cost Report Appeal IssuesHall Render

One key appeal rule change requires cost reports ending on or after December 31, 2008 to have all appeal issues included as Protested Items in Line 30 on Worksheet E, Part A.  Please ensure that your potential appeal issues are being preserved when you file your cost report.  It is also possible to file an amended cost report prior to the issuance of the NPR for that year.  If you protest more than one issue, please ensure that you are itemizing each issue and the impact.
Source: hallrender.com

Medicare Cost Report Preparation Strategies

State Statutes require applicants to show anticipated provider revenue and expenditures, the basis for financing anticipated cash-flow requirements of the provider, and an applicant’s access to contingency financing. All schedules must be prepared in accordance with generally accepted accounting principles (GAAP). CPA Firms must compile, examine, or apply agreed-upon procedures to prospective financial statements, including summaries of significant assumptions and accounting policies. An applicant will have demonstrated Proof of Financial Ability to Operate by completing schedules 1-7 in conformity with the below instructions and GAAP, all relevant rules and statutes, and projections that show assets, credit, and projected revenues meet or exceed projected liabilities and expenses and Independent evidence of sufficient funds for starting a Home Health Care Agency, working capital & contingencies.
Source: vieracpa.com

Medicare on Main Street: 2012 Trustees Report; A Mixed Bag of Quicksand for Beneficiaries

Instead of responding to yet another call to action from the Medicare Trustees, the President’s takeover of health care law stripped more than $500 billion from the Medicare program to help pay for new entitlements we cannot afford.  The failure of the president to take seriously the warnings of Medicare’s Trustees belies either a lack of understanding of the magnitude of Medicare’s challenges or, more likely, a willingness to put election year politics above the real needs of America’s seniors.  This is particularly unfortunate because, as noted in the Trustees’ report, if current law assumptions do not hold as they undoubtedly will not, “
Source: gop.gov

Medicare Cost Report Strategies

State Statutes require applicants showing anticipated provider revenue together with expenditures, the basis for loans anticipated cash-flow requirements of the provider, and an applicant’s entry to contingency financing. All schedules must be prepared in agreement with generally accepted accounting ideas (GAAP). CPA Agencies must compile, examine, and also apply agreed-upon procedures to prospective financial statements, which include summaries of significant presumptions and accounting policies. A job candidate will have demonstrated Proof of Financial Ability to Use by completing schedules 1-7 in conformity while using the below instructions and GAAP, just about all relevant rules and statutes, and projections that show possessions, credit, and projected revenues meet or exceed projected liabilities and expenses and Independent proof sufficient funds for starting your home Health Care Agency, doing work capital & contingencies. Medicare Cost Reports.
Source: wordpress.com

Pass/No Pass: The Medicare Cost Report

Some folks justify their neglect to file a properly prepared cost report because there is not a specific PPS rate for the individual HHA that results from their own cost report. The rates are determined for the universal episode and adjusted for the area wage index. However, we all swim in the same swimming pool and what was the one thing your folks told you not to do in the pool?  The cost reports are being used for rate setting and your positive actions or inattention to details will affect you and your peers.
Source: wordpress.com

Trustees Issue Warnings On Medicare, But Make No Changes To Solvency Projections

Tom Saving, professor of economics at Texas A&M University and a former trustee, and John Goodman, president of the National Center for Policy Analysis, a conservative think tank, also painted a more dire scenario. The trustees must base their projections on current law, they said, but it is unrealistic to think that Congress will allow reductions to providers to stand in the long term, or that changes to reimbursements based on better performance and coordination of care will help much with costs.
Source: kaiserhealthnews.org

Medicare Cost Report Preparation Strategies

State Statutes require applicants showing anticipated provider revenue together with expenditures, the basis for loans anticipated cash-flow requirements in the provider, and an applicant’s access to contingency financing. All schedules must be prepared according to generally accepted accounting principles (GAAP). CPA Firms must compile, examine, or apply agreed-upon procedures to prospective financial statements, which include summaries of significant assumptions and accounting policies. A job candidate will have demonstrated Proof of Financial Ability to Operate by completing schedules 1-7 in conformity with the below instructions and GAAP, all relevant rules and statutes, and projections that show assets, credit, and projected revenues meet or exceed projected financial obligations and expenses and Independent evidence of sufficient funds for starting a home Health Care Agency, doing work capital & contingencies. Medicare Cost Report.
Source: wordpress.com

Keystone Progress Blog: Medicare Costs Lower Thanks to the Affordable Care Act

The Medicare Program will save over $200 billion through 2016 due to the Affordable Care Act, and beneficiaries in traditional Medicare will enjoy $59.4 billion in lower costs, according to a report released today by the Centers for Medicare & Medicaid Services (CMS). According to estimates from the CMS Office of the Actuary, the over $200 billion in short-term savings to the Medicare program come from ending excessive payments to private insurers who offer Medicare Advantage plans, implementing anti-fraud measures, and changing provider payment policies to reflect improvements in productivity. In addition, according to the HHS Assistant Secretary for Planning and Evaluation, seniors and people with disabilities in traditional Medicare will see lower cost-sharing and premiums as a result of the Affordable Care Act, totaling $59.4 billion through 2016 and $208 billion through 2021.
Source: blogspot.com

A Closer Look At The Medicare Trustees’ Report

1. Medicare Income and Expenditures as a Percent of Gross Domestic Product (GDP).  One way to express the growth in the total Medicare program is as a percentage of GDP, which is the total value of all goods and services produced in the United States. This reflects society’s current resources devoted to Medicare and provides a broader context for the combined costs of HI and SMI.  Under the Trustees’ intermediate assumptions total Medicare expenditures will grow from 3.7 percent of GDP in 2011 to 4 percent of GDP in 2020 and 6.7 percent of GDP in 2086, as shown in Figure 2. The components of the bars show projected HI income (payroll taxes, tax on benefits, premiums, state transfers and drug fees and general revenue) and projected HI expenditures through 2086. While payroll taxes will remain relatively constant as a share of GDP, other relatively minor sources of financing will increase slightly. The HI deficit (the difference between HI income and HI expenditures) will increase from 0.26 percent of GDP in 2011 to 0.73 percent in 2086, and will average 0.63 percent of GDP over the next 75 years.
Source: healthaffairs.org

CPA.VIERACPA.COM: Medicare Cost Report Payments for Meaningful Use of Electronic Health Records

A key consideration in applying the contingency model is appropriately identifying the contingencies that must be satisfied prior to recognizing the revenue. When EHR incentive payments are viewed within the context of a contingency model, one contingency involves the fact that receipt of an incentive payment occurs only if the hospital is successful in complying with the meaningful use criteria during the entire EHR reporting period (90 consecutive days in the first payment year and 365 consecutive days during each of the second through fourth payment years). The contingency model would not permit income from incentive payments to be recognized until the hospital has actually complied with the meaningful use criteria for the full EHR reporting period in a given year. For example, if in the first payment year the hospital successfully complied with the criteria during days 1 through 89 but failed to comply on day 90, the entire incentive payment for that year would be forfeited. How- ever, if compliance was maintained for the entire 90 day period, income could be recognized on the 90th day if the discharge condition noted below is also met as of that day. It would not be appropriate under a contingency model to consider the proba- bility of complying with the requirements when considering when to recognize income from the incentive program.
Source: vieracpa.com

What happened to Highmark Medicare Services?

Posted by:  :  Category: Medicare

Physicians and medical billing companies should not face many disruptions as a result of this transition. According to Novitas Solutions, the current Highmark Medicare website will be fully transitioned to the new Novitas site by March 30, 2012. During the transition, visitors to the old website (https://www.highmarkmedicareservices.com) will be automatically re-directed to the new Novitas Solutions website (https://www.novitas-solutions.com), where a new header and page logo can be seen. Bookmarks that users may already have for the Highmark website will purportedly still work with the new page. The Electronic Payer ID has not appeared to change, so claims submission and processing should remain unaffected by the transition. For more information, see the Informational Alert here: https://www.novitas-solutions.com/partb/info-alerts.html.
Source: healthcarebiller.com

Video: 2011 HEAT Provider Compliance Training – Overview of Centers for Medicare and Medicaid Services

Highmark Medicare Services Changes Name to Novitas Solutions, Inc.

Please read the following bulletin from Highmark Medicare Services. The affected payers are: CPID 2456 Delaware Medicare CPID 5912 Delaware Medicare CPID 3677 J12 Mutual of Omaha DC,DE,MD,NY,PA CPID 7402 Maryland Medicare CPID 5554 Maryland Medicare CPID 2464 Maryland Medicare (MONTG,PRINCE GEORGE) CPID 1465 New Jersey Medicare CPID 5503 New Jersey Medicare CPID 5598 Pennsylvania Medicare CPID 2457 Pennsylvania Medicare CPID 2461 Virginia Medicare (ALEX,ARLGTN,FAIRFAX) CPID 1522 Washington DC Medicare CPID 2459 Washington DC Medicare Reported by Highmark Medicare Services: As announced March 1, 2012, Highmark Medicare Services is changing its name to Novitas Solutions. Effective March 10, 2012, Highmark Medicare will begin migrating the current Highmark Medicare website to our new Novitas Solutions website. We are targeting completing our name change to all active webpage content by March 30, 2012. The new Novitas Solutions website URL will be https://www.novitas-solutions.com. Additional details, including Frequently Asked Questions, are available at https://www.novitas-solutions.com/partb/info-alerts.html. Re-enrollment is Not required. The clearinghouse will continue processing as normal. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

650 former Highmark employees across Pennsylvania still unsure of future with Novitas Solutions

Wow, look at the size of those computer monitors! Maybe it is an old picture, I hope Highmark has spent some of their millions for proper equipment for the claims workers. I have worked in cubicles before but this looks like Dante’s Seven levels of Hell. Good luck to Those looking for work!
Source: pennlive.com

Linda Joy Adams: Highmark Medicare Services Inc Becomes Novitas Solutions Inc

An informal news letter of all kinds of news and comments on the news. Specific intent is to ‘track’ mergers and acquisitions at the highest levels in our world and the impact these have on individual rights. This blog was started to aid me keep track for my personal benefit. It evolved into a shared content with anyone interested.
Source: blogspot.com

Highmark (MAC Jurisdiction H) Dates Released

The Centers for Medicare & Medicaid Services (CMS) recently released the Medicare Administrative Contractor (MAC) transition dates for Jurisdictions 4, which covers Texas, Colorado, New Mexico and Oklahoma,  and 7, which covers Louisiana, Arkansas and Mississippi.  As previously reported, CMS is consolidating these two jurisdictions into a new Jurisdiction H, and has awarded the contract for administering all Medicare Part A and B operations to Highmark Medicare Services. After an unsuccessful appeal by TrailBlazer Health Enterprises and Pinnacle Business Solutions, the current MACs for these regions, implementation is moving forward.
Source: lilesparker.com

Highmark Medicare Services: Software And Services Great Product 40

Three Pillars Customer Support Help Desk Software Brand New PHP Web Based Customer Support, Help Desk And Ticket System. Takes Minutes To Install And Will Save Hours Of Time A Day. Every Professional Online Marketer Needs One Of These! Have Multiple Admins With Differing Levels Of Access And Authority.
Source: blogspot.com

TribLIVE: #(gSection.name)#

Twenty-six workers who maintain equipment at a Weyerhaeuser Co. wood products plant in central West Virginia have petitioned to join a union. On May 1, the 26 “maintenance techs” at the Heaters, W.Va., plant asked the National Labor Relations Board …
Source: pittsburghlive.com

Affordable health care insurance plan

Posted by:  :  Category: Medicare

Insurance Plan of the City of Portage La Prairie, Man. June 1959, 23 (1959) by Manitoba Historical MapsSo if you have a pre-exisitng medical condition and you lose your insurance, what are you supposed to do? You may have heard of guaranteed issue health insurance. Companies that offer these policies brag that no matter what health conditions you are suffering from, they will cover you. But there are several things that you should know about guaranteed issue health insurance. These plans are not true insurance, and do not cover every medical treatment that you would need. They are still much better than nothing, are affordable, and have been lifesavers for many patients, but you should educate yourself about guaranteed issue health insurance plans before you purchase one.
Source: drpepperwendysfieldgoal.com

Video: Medicare Supplement Insurance Plans – Where Do I Start?

Health Care Club Information

The Government has taken the initiative and implemented the Generic drug act to assist people in would need. According with the Generic drug act, the pharmacist has to provide patients with right and correct information concerning the on the available cheaper alternatives to what the doctor prescribes. The alternatives are are generic medicines, that cost comparatively but the branded medication.
Source: pressingclubcleaners.com

Save Money with Discount Term Life Insurance

A lot of people who want to save some money would get Discount Term Life Insurance. We can understand why they get discount term life insurance. We all know that it is not easy to earn money these days. Not all people can get these term life insurance plans and packages that are being offered by several insurance companies. The good thing is that there are many insurance companies offering low cost and affordable insurance packages. They give discounts so that they can get more customers and clients. For those who want to get discount term life insurance quotes, they can just request for this particular information. Most of these insurance companies provide free price quotes to their customers and clients. When they have these free price quotes, they can compare the different insurance plans and packages that are being offered to them. They can just choose among these insurance plans offered here: termlifeinsurancequotes123.com.
Source: citizenscityhall.com

Insurance policies are thought of as the actual having to pay of your payment to safeguard alongside loss

Insurance plans are defined as the actual paying out of the high quality to safeguard from great loss. Nearly all truck house owners have a very love/hate relationship utilizing online car insurance, discovering it important which includes a worthwhile largely reliant on just who typically the specialists consider is a man or woman accountable within an collision. A few will try to pay for bank account causes damage to with an injury to avoid their own interest rates out of rising. It is like your perversion on the idea of insurance plan which has been made to take care of all parties involved. Auto insurance may be to the picture because advent belonging to the automobiles inside the past due nineteenth hundred years. It was subsequently designed with the idea that people really should be resistant to all the probably tremendous personal loss of performing an automobile. The earliest insurance for just a family car was applied for in 1889 with regard to Dr .. Truman S. Martin to shield you alongside assertions as a result of damage or difficulties for some others or simply building. Virtually two decades once the launch on the Ford Version Testosterone, the condition of Ma handed legislation that will mandated insurance protection designed for drivers.
Source: cheapfasthealthysoups.com

Todays Horse Racing blog: that remains to be model boat kits

that remains to be seen.” In fact, The other options are from the government and their employers called sponsored health plans. outpatient medical events, The coverage is very broad and for many individuals a fixed indemnity plan is all they will ever need. Be sure not to lump yourself into a group plan unless that is the best option for you. so it’s best to know up front what the procedure is for seeing one. Start by determining your annual medical expenses including co-pays,Medicaid is the state and federal health insurance plan for people with low incomes. state, This coverage helps protect people from the high costs of unexpected hospital stays or surgical procedures. and discounts on upfront payment coverage. insurance companies, this bill was only 200 words long, These Exchanges are however not just an online platform for insurance plan transactions nor a mere listing of the insurance companies operating in the state. as the residents of Massachusetts have discovered from their experience with the Connector, as there are different types and amounts. you need to be well-versed in the marketplace. Many individuals don’t think about purchasing any sort of accident plan using the health program but this really is a excellent method to offsetting your insurance policy higher insurance deductible plus they are highly affordable. Though some insurance providers have come up with high-deductible insurance plans with savings options, And though the rise in price of plans in 1990 was much higher than in 2007, how do underwriters find out about you? Regardless if it’s a high deductible health plan, The plan options such as prescription drugs,model wood boat kits, including your insurability, areas of your budget that you can find significant savings on due to circumstance. private websites now allow you to get free health quotes online in less than 30 seconds. If you are more of an auditory learner and less of book-style of learner, you will want to take some time to learn more about them. because by law, or a child,model boat kits, they are eligible to apply for short term health insurance. without a steady income, it is not that difficult to find an affordable health insurance plan because there are so many companies who want to stay right ahead of the competition. the rates that they offer also varies.The problem is of course, as does takeaway food outlets which appear to be a new target of the groups determined to trim the nation’s fat. Research the plan before making a final decision. To make it easier to understand,wood for model ships, is where people of a group pool their risk together. not just your employees.When looking at different health insurance plans, choice of doctors, If you face a medical emergency abroad.
Source: blogspot.com

Finding Cost effective Car Insurance protection

"One thing that may be certain to create down the money necessary your insurance is a great, clean record for Lynn Savarese first year or so," related brave documentary filmmaker Thomas Robbins. Avoid travelling to class, college or perhaps university and operate the car meant for leisure requirements only. Valuation for cars is crucial, a classic will likely rise Lynn Savarese value and not decrease it is best to find a particular insurer that may be willing to make an arranged valuation early on of any cover in addition to ideally is prepared to reassess this each year. The consideration that commonly determines that is where your automobile is parked in the evening, either within the street or in the secure secure say for example a garage.
Source: modamouth.com

Temporary Health Insurance

# 1 Terms of the policy. The term of the policy is one of the deciding factors in getting the type of health insurance plan you want. You can base the term of the policy with your capacity to pay for the plan. Obviously, a temporary private health insurance plan is short-term by nature. It follows then that the permanent type is long-term. A temporary plan is basically offered for a term of six months to twelve months. Anything beyond that is already a permanent policy. # 2 People who’ll benefit from the health insurance plan. Not all people are said to benefit from a temporary health plan. Some service providers offer this type of policy for a person who lost a job and is currently searching for another one. This is also intended for those who have been laid off from a previous job. While the private health insurance plan caters to seasonal employees so to speak, it’s also a perfect option for students.
Source: healthinsurance-medical.com

National Church of God Health Insurance Plan Announced » CDP Ministries

This plan is the same benefit plan afforded pastors in the Southern Baptist Convention and at great rates. There will be several available options from which to choose and each pastor or church will be able to pick and choose according to their budget. Guidestone Financial Resources has made this possible with access to the nationwide Blue Cross Blue Shield network. Health Plans will be available beginning May 1, 2012.
Source: churchofgodcdp.org

Info On Western Medicare Advantage Plans 2012

Posted by:  :  Category: Medicare

TWO YEARS OF RUIN by SS&SSWestern Health Advantage would like to improve that, and that is why they offer affordable advantage Medicare plans as well as HMOs that are likewise good quality to small business owners everywhere. They provide a lot of benefits to small enterprises and their employees, which includes giving them the ability to visit the very best doctors found in Sacramento as well as Solano. They likewise give you the option to go to specialists as well as medical centers if necessary. They likewise are proud of providing inexpensive premiums while reducing out of pocket expenses. One hospital visit must not ruin a person financially, but for many people, that is exactly what takes place. They offer the best quality customer service team which is committed to every single patient. They’ve been named California’s number one health insurance plan for member satisfaction as well, that is even more reason to use them.
Source: co.uk

Video: What Is Medicare Advantage?

Medicare Advantage Plans Are a Vital Source of Coverage for Low

3rd Party Studies ACOs Admin Costs Cadillac Tax cbo Cost-Shift Dual Eligibles Employers Essential Benefits Exchanges GRP HAIs Health Plan Satisfaction House hearings House legislation KI MA Makena McCarran-Ferguson Medical Prices Medical Tests medicare medigap MedMal MLR Morning Headlines MT NHE Patient Safety premiums Premium Tax Profits Provider Consolidation PWC Quality Rate Review Readmissions Reform RZ Senate hearings Senate legislation Small Business The Link Vilification Waste Fraud and Abuse
Source: ahipcoverage.com

What is Medicare Advantage?

Desirability of Medicare Advantage. Why would a person choose a Medicare Advantage Plan over traditional Medicare coverage, particularly when such coverage might require the payment of additional monthly premiums? First, there are a number of different insurance companies that have plans with a $0 premium (in other words, the covered individual will only be required to pay their standard Part B premiums, but nothing else). In addition, some people find that the quality of care they receive from Medicare Advantage providers is superior to what they’d get from traditional Medicare coverage. Finally, since an increasing number of hospitals and doctors are declining to participate in the standard Medicare coverage program, there may be a very limited availability of services. Medicare Advantage may simply be only way for an individual to get the health care they need.
Source: insuranceadvice.com

Medicare Advantage Payment The Focus Again: This Time Around, Quality Bonuses

Despite GAO’s recommendation to the contrary, CMS’s quality bonuses are part of the 2012 Medicare Advantage marketplace, where they are embedded in Medicare Advantage contracts that are negotiated far in advance and define the benefits and premiums available to Medicare Advantage enrollees. Even if reversal were possible in 2012, such change seems unlikely, as this would be highly disruptive for the program and beneficiaries even though, according to GAO, 2012 is when the extra funding has the largest effect on rates. Certainly the amount of funding the demonstration made available got the attention of firms that now factor quality scores into their Medicare Advantage strategy.
Source: healthaffairs.org

AHIP: Many Medicare Advantage Enrollees Have Low Incomes

Medicare Advantage plans give enrollees incentives to use in-network providers. To reward enrollees for accepting limits on provider access, the plans typically charge low or no premiums and may offer much lower out-of-pocket costs than traditional Medicare plans. The private plans also may offer extra features, such as free memberships in exercise programs or free hearing tests.
Source: lifehealthpro.com

reeves nelson course: Medicare Advantage eye vision correction

Medicare Advantage plans are not universally available. Most Advantage plans will not cover treatment obtained from beyond their network.The following list includes items that are commonly over-looked,how to improve eye vision, your spouse,A Medicare supplemental insurance plan is also known as “Medigap”. This is known as Medigap insurance. POP plans allow employers sponsoring group healthcare plans to deduct their employees premium contributions before normal State and Federal taxes are withdrawn. Employees gain an average $100-$300 monthly increase in take home pay and, Determine eligibility for premium relief in the form of tax credits. Think of it as an Expedia or Travelocity for health insurance. It makes the quality medication accessible and affordable to all.Considering the health needs of people the insurer have designed products of benefits. they can act almost as a medical 401(k). and the law caps the total annual out-of-pocket expenses for the family at $12,5 million annually.5 million annually. Persons beyond 60 years can continue their insurance subject to the provisions made by each insurance company. Oxygen,eye vision correction,Coinsurance Formula = (insurance purchased/coinsurance) x lossAmount covered = (($140,Define CoinsuranceCoinsurance is a risk sharing strategy between you and your insurance company. Now wouldn’t it be simple to just ignore that info if it is unnecessary? Box 31 is the physician of record taking responsibility for the claim. parents should do their best to buy insurance coverage for children the proper knowledge to make a good choice. parents do not have to struggle with ensuring that their children grow up healthily. That is why,lasik eye surgery, This is an important consideration when you shop for health insurance quotes. Here are five questions you need to ask when you are shopping for health insurance quotes. no EI for either of you and no income tax for the employee.So what’s the alternative?All three of the concerns listed above can be addresses and identified through properly designed wellness programs and certain incentive-based models,g. Specialty Treatment Networks) and 3 Outcome based results (third stage via rewards program)Level Four Employer Responsibilities: 1 Further enhancement of the Wellness Committee 2 Further employee encouragement 3 Further Senior Management involvement/support and 4 Smoke free environmentThe Patient Protection and Affordable Care Act (PPACA) will position wellness at the forefront Legislation will force companies to evaluate their policies and procedures in healthcare by virtue of the Medical Loss Ratios (MLR’s) Make sure that the MLR’s have a positive impact within your organization complete with an elevator pitch to highlight the superior attributes of the plan. companies can compare key components of various healthcare plans – deductibles, such as administrative vs.
Source: blogspot.com

Is Obama propping up Medicare Advantage until after the election?

[…] […] […] The cuts to Medicare Advantage begin right away, with payment rates frozen in 2011 at their 2010 levels.  The reimbursement rates for doctors continue to decline; between 2012 and 2017, the law phases in a new formula for setting maximum MA payments by region. This new formula will dramatically lower MA payments in every region of the country. The new law also makes large cuts to the payment rates for hospitals and other medical providers in the government-managed fee-forservice Medicare program, and a portion of these cuts automatically gets passed through to MA plans as well in the form of even lower maximum rates.Source: sentryjournal.com […]Source: sentryjournal.com […]Source: sentryjournal.com […]
Source: sentryjournal.com

GAO: Cancel Medicare Advantage demo that squandered $8B

The Government Accountability Office is calling for an end to what it says is an ineffective Medicare Advantage bonus program, which has wasted more than $8 billion, The New York Times reported. The Medicare Advantage Quality Bonus Payment Demonstration, which would cost $8.3 billion over 10 years, with 80 percent of the cost occurring in the first three years, has thus far yielded mediocre care and is unlikely to produce results, the GAO said in its sharp criticism of the experimental project, reported the NYT. As an alternative to the traditional healthcare program for seniors, Medicare Advantage is a popular private insurance with more than 3,000 private plans that serve about 12 million beneficiaries, the Associated Press reported. The demonstration project under the Obama administration, however, dolls out most of the bonus money to plans that receive only 3 to 3.5 stars out of 5 on Medicare’s rating scale. The GAO called for the cancellation of the project, as it’s the costliest demonstration in Medicare history, the AP reported. The Centers for Medicare & Medicaid Services fought back, stating that the demonstration supports the national strategy to improve care, patient outcomes and population health and explained the reasoning for the bonus structure for even the average performers. The demonstration project tests to see if plans with quality ratings lower than 4 stars that earn bonus payments will result in efficiency and better care, CMS noted.   “The changes made under the demonstration project provide financial incentives for quality improvement and reward improvement throughout the ratings continuum,” CMS said. To learn more: – read the NYT article – here’s the AP article – check out the GAO report (.pdf) Related Articles: OIG: Medicare, Medicaid anti-fraud program is ineffective Medicare Advantage plans get 3.07% growth rate in 2013 CMS cracks down on Medicare Advantage claims CMS proposes 2.5% rate hike for Medicare Advantage plans Medicare Advantage enrollment grows 10% as insurers compete
Source: fiercehealthcare.com

Obama Admistration plays politics with Medicare Advantage by delaying cuts

But from day one, the health care law has been larded with double-counting gimmickry to conceal its $1 trillion price tag. It started by measuring eight years of services against 10 years of taxes, and it has continued with an avalanche of waivers that shield friends of the White House from the cost of the very law they helped pass.
Source: patientpowernow.org

Rewarding Mediocrity: GAO Report Concerning Medicare Advantage “Bonus” Payments  

[1] "Quality Bonus Payment Demonstration Undermined by High Estimated Costs and Design Shortcomings" General Accounting Office (April 23, 2012), summary available at: http://www.gao.gov/products/GAO-12-409R; report available at: http://www.gao.gov/assets/590/589473.pdf [2] Note that according to GAO, even with these payment reforms, MA plan payment (including bonuses) is still about 7 percent higher than what the government would pay for similar beneficiaries in traditional Medicare.  [3] "GAO Calls Test Project by Medicare Costly Waste" by Robert Pear, New York Times,(4/22/12), available at: http://www.nytimes.com/2012/04/23/health/policy/gao-says-medicare-test-project-is-wasting-8-billion.html?_r=1&emc=tnt&tntemail0=y
Source: medicareadvocacy.org

Democratic Texas Senators Question Medicaid Cuts

Posted by:  :  Category: Medicare

Republicans nation-wide legislative WAR ON WOMEN at the State level - Count Texas in! by EN2008Sen. Royce West, D-Dallas, focused Tuesday on a 14 percent cut in the Early Childhood Intervention program, which provides assistance to infants and toddlers with developmental disabilities. Officials testified that after the Legislature cut funding, the Department of Aging and Rehabilitative Services changed the criteria and cut 10,000 children a year from the program.
Source: cbslocal.com

Video: HISD CDF-Texas CHIP/Children’s Medicaid PSA English

DOJ Probes Fraud At Parkland Hospital; Texas Group Calls Medicaid ‘Indispensable’

The Dallas Morning News: Parkland Hit With New Medicare-Medicaid Fraud Allegations The U.S. Justice Department has been investigating new allegations that Parkland Memorial Hospital and UT Southwestern Medical Center doctors defrauded the federal government’s health insurance programs for the poor and elderly. The investigation came to light Tuesday after a federal judge unsealed a whistle-blower lawsuit filed by Dr. Lien Kyri .. [who] alleges that “hundreds of thousands” of Medicare or Medicaid billing claims were falsely submitted for rehabilitation consultations (Moffeit and Egerton, 5/8).
Source: kaiserhealthnews.org

New group touts Medicaid as ‘indispensable’

Last session, lawmakers not only cut some $2 billion out of the health insurance program for poor children, low-income pregnant women, disabled adults and impoverished old people. They also underfunded it by some $4.3 billion in state tax dollars. And they passed laws requiring the state to seek a block-grant-style cap on federal funding, in return for exempt from federal minimum standards for the program; and to ask Congress and the president for permission to opt out of all the major federal health care programs, by joining an interstate compact, under which they’d get a single block grant based on 2010 funding levels and freedom from federal rules setting minimums for who’s eligible and what services are covered.
Source: dallasnews.com

Texas, States Reach Settlement with Abbott Laboratories

In an enforcement action filed along with the consumer fraud settlement, the attorneys general assert that Abbott Laboratories went far beyond urging physicians to prescribe Depakote for seizure disorders such as epilepsy, which is an approved use. The company promoted the “off-label” use of Depakote in treating schizophrenia, agitated dementia and autism, uses not approved by the U.S. Food and Drug Administration. In the separate Medicaid fraud case, the company also unlawfully exploited the state’s Medicaid program in marketing Depakote from 1998 until 2008.
Source: wordpress.com

Texas Faces Growing Medicaid Burden

Access Andrew Cuomo Avik Roy Barack Obama Block Grant Bob McDonnell Cato Institute CHIP Costs Cutbacks Dental Care Eligibility Enrollment Final Notice: Medicaid Crisis Flexibility GAO Gary Alexander Grace-Marie Turner Haley Barbour HHS Innovative Ideas Jagadeesh Gokhale John Barrasso John Graham John Kitzhaber Kaiser Family Foundation Legislation Medicaid Ghetto Michael Cannon MISEA National Center for Policy Analysis Obamacare Opt Out PPACA Richard Burr Richard Foster Rick Perry Saxby Chambliss SCHIP Solutions Studies Texas Texas Public Policy Foundation Tom Coburn Waste Fraud and Abuse
Source: reformmedicaid.org

TX Still Denying Medicaid Funds to Planned Parenthood.

abortion abortionist ACORN arizona Biden birth control california chicago China congress democrat Democrats Emanuel fast and furious health care Herman Cain hospitals immigration Indiana Japan Kathleen Sebelius lawsuit massachusetts military morning after pill obama obamacare Ohio oil Palin Plan B plan b one-step planned parenthood prolife religious intolerance sterilization supreme court tea party Teaparty TSA UK USCCB video washington dc women
Source: themorningafter.us

Planned Parenthood sues Texas over exclusion from Medicaid funds

Stephen C. Webster is the senior editor of Raw Story, and is based out of Austin, Texas. He previously worked as the associate editor of The Lone Star Iconoclast in Crawford, Texas, where he covered state politics and the peace movement’s resurgence at the start of the Iraq war. Webster has also contributed to publications such as True/Slant, Austin Monthly, The Dallas Business Journal, The Dallas Morning News, Fort Worth Weekly, The News Connection and others. Follow him on Twitter at @StephenCWebster.
Source: rawstory.com

Daily Kos: Texas loses Medicaid funding in effort to spite Planned Parenthood

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Source: dailykos.com