Online Medicare Forms: Appeal, Payment, Disclosure, Application

Posted by:  :  Category: Medicare

Medicare insurance forms for parts A, B, C and D are accessible online for electronic filings and mail in. Online forms include an application for Medicare, claim forms for patients requesting payments and Medicare appeal forms. Older Americans can apply for Medicare even if not planning to retire, as long as the person is close to 65 years old. Even when a person has been denied Medicare, appeal forms can be submitted online requesting a hearing or case review.
Source: suite101.com

Video: Patty and Richard say, “Apply online for Medicare” (20 seconds) – Social Security

Online Application: CMS For Medicare Medicaid Eligibility & Online Services

Www.cms.gov is the government website of Centres for Medicare and Medicaid Services. It was earlier known as Health Care Financing Administration / HCFA is a United States of America’s federal agency which along with US Department of Health and Human Services adminsiter Medicare and Medicaid, Health Insurance Portability Standard, state Children’s Health Insurance Program.
Source: online-application.org

Apply for Social Security Benefits Online

Patty Duke applies for benefits If you file online, you’ll be in good company. Stage, screen and TV actress Patty Duke recently celebrated her 65th birthday by going online to file for Social Security and Medicare benefits. As you’ll see if you watch this video, Duke had a bit of help from her husband, Michael Pearce, but her application took only a few minutes to complete. For the past three years, Duke has volunteered her time to promote Social Security’s online services in a series of public service announcements.
Source: aarp.org

Wombacher Disability & Elder Law Blog: Dying and Medicare

Everyone should read Joe Klein’s article in Time magazine on How to Die. This writer is very well known as a national political writer but he faced dealing the Medical Science Industry, Medicare and Death with Dignity. This is true life story about the issues he dealt with in coming to grips with his parents passing and the important decisions he needed to make. Take a look at the video link. You are going to want to read the article and have your children read it as well.
Source: wombacherlawoffice.com

Looking for APPLY FOR MEDICAID ONLINE? Here’s APPLY FOR MEDICAID ONLINE information for you!

To acquisition the acquaintance advice in your state, conduct a simple seek on the internet. The seek will acknowledgment with all the advice you will need. Anniversary accompaniment has its own point of contact, so be abiding to locate the appropriate accompaniment to admission the advice needed. You will be provided with a concrete address, a buzz amount and any links to websites that are available. You will aswell accept admission to downloadable appliance forms. Always yield the time to analysis the accommodation requirements afore bushing out an application. The accompaniment will accept austere guidelines and requirements that accept to be met for an alone to be advised for any of the allowances associated with Medicaid. To Apply For Medicaid Online you accept to aboriginal admission the PDF anatomy which may be downloaded through your accompaniment acquaintance website.
Source: www-averagecarinsurancerates.com

Medicare This Week: 11 Stories About Balance Billing, eRX, PQRS, 5010, EHR, and Revalidation

Users can now complete and submit EFT Agreements electronically with the option to e-sign the document. If the provider/supplier submits the EFT agreement electronically and chooses not to e-sign, they shall include a hardcopy form of the completed and signed EFT agreement with its supporting documentation to the contractor. Providers/suppliers are still required to physically mail confirmation of account information on bank letterhead, or a voided check whether the EFT is submitted electronically or via the paper version.Along with the documentation, it is also important that the provider/supplier print and mail the enrollment submission confirmation page containing the web tracking ID. This will ensure that the supporting documents mailed to your MAC get associated with your electronic application submission.
Source: managemypractice.com

How Can I Apply For Medicare Online?

Similar to applying for Medicare at a Social Security office or by telephone, the applicant must be close to the age for enrolling in the program, i.e., online applicants must be nearing their “full retirement age.” Full retirement age varies depending on the applicant’s date of birth. In addition, online applicants must not currently be a recipient of Medicare benefits, must reside in the United States or one of its territories or commonwealths, and must not be in need of Social Security benefits at the time of applying for Medicare.
Source: seniorcorps.org

Volunteers Needed to Help People Understand Their Medicare Choices

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98Do you want a volunteer position that is truly fulfilling and mentally stimulating? Then consider counseling seniors and the disabled with the SHINE (Serving Health Insurance Needs of Elders) program. SHINE volunteers are both active and retired individuals from diverse career and cultural backgrounds.  As a volunteer, you will receive initial training, continuing education and a supportive environment with dedicated colleagues.
Source: patch.com

Video: Medicare Overview

Medicare Part D Proves That Competition Lowers Health Care Spending

Few patients switching plans. Another critique of competition is that a general reluctance to switch plans “reflects the large number of plan choices available combined with the costs in terms of time and energy of doing research and of actually making a switch.” This claim, taken from behavioral economics, does not negate a person’s price sensitivity. Experience with the Federal Employees Health Benefits Plan (FEHBP) shows that about 5 percent of patients switch plans each year. This reluctance to switch reflects well-documented satisfaction with plan choices. This only proves that people make decisions based on many factors, including how much they like their plans.
Source: heritage.org

Make the right medicare choices

Personal consultation can be offered totally free of charge along with accessibility to the newest medicare health insurance facts in order to keep you aware and up to date on all the new changes to medicare. Or maybe if you are not new at all to medicare and would like to see if you would gain from making modifications to your personal coverage, these services can help you.
Source: bringtostandstill.com

United Well being Care Insurance

There are various issues to consider when you select ultimate Medicare coverage. You can go to many alternative locations to learn about protection choices from totally different corporations by going to their official website or you may conveniently evaluate rates on a web site that acts as a community of different insurance coverage providers. This is a superb choice as a result of you may usually receive discounted insurance coverage rates without sacrificing protection or quality of customer service. Your well being is a very powerful factor in your life. Indeed, without it, nothing else would matter. Care for yourself in the present day and for the remainder of your life by obtaining one of the best United Health Care insurance coverage protection for you.
Source: goldenmidas.net

Daily Kos: Medicare Choices and My 65th Birthday

So the lie that current Medicare cuts that “only affect health care providers” shows up in the bankrupting costs of the insurance company run health care system that was expanded by recent “reforms”.   Medicare needs the $500B taken from it over just the last four years (including the sure to pass cuts in the Democratic and GOP budgets) to restore benefits and eliminate the need for any private insurance for Medicare recipients.  The reimbursements have to be increased to cover health care provider costs (requiring big increases in Medicare benefits) and to increase coverage to 100% of a persons medical and medication needs.
Source: dailykos.com

Information On Medicare Part C And What All It Insures

Second, make a note of the rules the plan specifies such as the time when you can join or opt out of the plan, the rights you have under the plan and the services covered by the plan. Pay special attention to the conditions regarding visiting a specialist doctor and receiving authorization for particular procedures or you may find out too late that you have to bear these expenses on your own.
Source: internet-revenue-guide.com

Health Insurance: Medicare Choices for 2012 After Annual Enrollment

Keep in mind that if you dis-enroll from your Medicare Advantage plan after January 1st and you are beyond your six month window, you may have to meet the medical underwriting requirements of your chosen Medicare Supplement company. The Medicare Supplement policies help pay some of the health care costs that Medicare doesn’t cover. You have a six month Open Enrollment Period which starts the first month you’re 65 and enrolled in Part B. You have a guaranteed right, during this block of time, to buy any Medicare Supplement policy available in your state regardless of your health condition. However, once this period begins, it can’t be delayed or replaced.
Source: blogspot.com

Target: B1G1 50% Off on ALL Men’s Clothing (Today Only)

Posted by:  :  Category: Medicare

Another deal to pair with this B1G1 50% off sale is that Mens dENiZEN from the Levi’s brand Jeans are priced at $24.99. Plus, during checkout, you can use coupon code TGTE2VBK to get an additional $5 off (valid on select dENiZEN denim and shorts). That makes these jeans only $16.25 each!
Source: thriftytexan.com

Video: Big Country

Spend Your Summer Vacation at the Gaylord Texan

When you walk into the Gaylord Texan, you walk into a small city. It is a beautiful place to experience. From the giant fountain in the atrium, to the beautiful plants to the view from your room. They have several different restaurants, Old Hickory Steakhouse, Zeppole, Texas Station, and the Riverwalk Cantina on site, or you can have breakfast, lunch, or dinner brought to your room. They even have their very own nightclub, Glass Cactus, so you can dance the night away. Every season the Gaylord Texan has something new to offer.
Source: mix941kmxj.com

Vision of Hope Church: The Spanish Era In The Philippines

Even following the encomienda process had been abolished, virus ridden Spanish officials continued to help exploit the people, that continue to had to be able to render forced labor and pay out serious tribute. The feudal economy remained, having area concentrated from the arms of your couple of individuals plus the church itself. Attempts at reform by sympathetic Spanish officers were immediately spread around simply by influential personages who had their own pursuits to help protect. With the particular progress from the countrys population, lower income was wide-spread among the masses; mendicancy, unidentified leading to a approaching with the Spaniards ended up being common. The beggar simply by this cathedral gate or maybe the seen neighborhood corner, and the sightless mendicant pleading out of house to help home became common sights.
Source: blogspot.com

Houston Home Builder: How Apchin Design Corp. Works With Clients On Their Luxury Home Designs

Building a new home from your floor up is an interesting along with wonderful probability to incorporate ones concepts as well as hope into a desire home. Collaborating which has a design and style as well as building firm to bring this vision involving high end household layouts straight into actuality is often a satisfying process, where the upcoming homeowner has the ability for being creative. The specialist layout agency will probably be ready to provide their particular expertise along with information to produce that factors belonging to the home work with ideas, in addition to to supply their own valuable knowledge to encourage your finalized design which will surpass expectations.
Source: blogspot.com

Houston Clear Wireless Service: Tricks with the Internet Guru

Facebook Fan Supply has become dealing with these not one but two problems intended for numerous fulfilled customers. The Facebook Fan Supply offers been recently thoroughly tested and also known to offer fantastic results. First: Click Here To Visit Facebook Fan Supply Facebook Fan Supply continually supplies REAL FANS targeted to your own specific: Age Group, Keyword as well as Location. Second: Order Your Facebook Fan Supply Package involving 1,000; 2,000 and also 5,000 Guaranteed Facebook Fans Your new admirers will certainly arrive around a few – 4 weeks and also just about all fans tend to be REAL FANS sure to stay with a person’s fanpage. Buy Facebook Fans today plus improve your own businesses on the web existence overnight.
Source: blogspot.com

Insurance Sales Representative

Universal American/Texan Plus works with Medicare Advantage and Medicare Part D eligible individuals to enroll them in appropriate plans that provide benefits for their medical needs and prescription drugs. We also provide hospital indemnity, dental, cancer diagnosis and final expense life insurance. Universal American/Texan Plus takes pride in attracting team members who possess the skills, conviction and attitude to partner with us and make a positive and lasting impact in the communities we serve. Working for Universal American/Texan Plus means being part of an industry-leading healthcare insurance organization that offers a wide range of professional career opportunities and upward mobility. Each day, Universal American/Texan Plus associates are part of a “Healthy Collaboration™ in which our team members work together with doctors and pharmacists to help our members stay healthy and save money on healthcare coverage. Source: careers.org
Source: medicaresupplementalco.com

403 FORBIDDEN : LOGGED TO HONEYPOT

Your connection details: Record #: 804 Time: Wed, 06 Jun 2012 13:00:23 -0700 Running: 0.4.9_Final Host: gator1793.hostgator.com IP: 50.97.96.123 Post: Query: vid=8 Stripped Query: vid=8 Referer: User Agent: spider Reconstructed URL: http:// companytube.com /videos/8/gaylord-texan-resort’s-summerfest-2009     Generated by ZB Block 0.4.9_Final
Source: companytube.com

Houston Design Trends: How crucial will it be to know the latest fashion?

What is Fashion? It includes a great number of definitions the particular one are not able to imagine. But that quickest of their is “The famous type with clothing, foot or so wear, frizzy hair and also elegance as well as accessories”. Fashion has grown component of each individuals life. Therefore it’s important for anyone to find out today’s feeting trends and fashions prevailing in the market also to stick to all of them while well. Those whom know and also adhere to today’s feeting movements are usually regarded as sophisticated while folks that perform not necessarily will be told posess zero trend feel at all. Following can be a couple of explanations why it will be important to find out modern fashion.
Source: blogspot.com

Happy Texans: Self Discovery

I get bored easily. This may have a relationship with #3. I don’t get bored with people but I get bored. I want to try new things and learn new things. And when I latch on to something I become a little obsessed with that thing. Running, for example. I can’t simply just go outside and start running. No. No. I have to read several books about running then make sure I have all the right gear then I begin running. Then that’s all I think about and do! Hiking. Crochet. Reading the Classics. I get my mind stuck on something and go at it like a honey badger. Then I get bored and move on to something else. Not something I proud of but something that I recognize about myself. I’m pretty sure I’ve always been this way. I need to relax a little. ;) And I need to be dedicated to losing the remainder of this weight and getting in shape.
Source: blogspot.com

Medicare and COBRA Coverage

Posted by:  :  Category: Medicare

3.27.06 Los Angeles Times Shannon by Korean Resource Center 민족학교50% discount on name brand drugs 2011 Medicare Part D Plans 2011 medicare premium aca change medicare coverage closing the donut hole Copayment Cosinurace currently working disenroll Doctor Office Visit donut hole drug plan Emergency Room Visit find medicare part d health care reform help with medicare HIV testing how to use medicare plan finder Medicaid Medicare medicare advantage plans medicare classes medicare fraud medicare part b medicare part c Medicare Part D Medicare Part D Rebate checks medicare plan finder medigap Plan N medigap policies new to medicare no copay preventitive services non renewal obamacare paper checks Part A Part B premium for medicare preventitive services retired Social Security voulunteering in Sedgwick County Kansas what happens when plan goes away wichita kansas
Source: wordpress.com

Video: Medicare Drug Coverage

New Medicare Advantage Plans In 2013

Another reason that these plans are appealing is that they have low premiums. This is because they are subsidized by the federal government. In exchange for the low premiums, you only have coverage for in-network providers who have negotiated with the insurance company, except in emergency situations. Before deciding to enroll in one of the Medicare Advantage plans, you need to weigh the pros and cons to see if this is the best type of coverage for your health care needs.
Source: internet-millionaire-articles.com

A question for Medicare: Why must a major Part D program depend on little ol’ me to save it from termination?

Many Part D plans received low star ratings in 2012 – even the plan I work for, which got a 5-star rating in 2011, dropped to 4 stars in 2012.  Many of the lower ratings were not due to poor customer service or low member satisfaction, but due to poor medication adherence rates. In other words, because many people are not following doctors’ orders and taking their medication the right way, Part D plans are getting lower star ratings. If these low medication adherence rates do not improve over the next two years, these Part D plans could be shut down by CMS.
Source: themeddiva.com

Mathematica Policy Research

Disability  Early Childhood  Education   Family Support     Health      International      Labor         Nutrition   
Source: mathematica-mpr.com

Do Medicare Prescription Drug Plans (Part D) Really Save Medicare Money?

Part D was one of the first hybrid offerings introduced into Medicare as part of the Medicare Modernization Act of 2003. Along with Medicare Advantage Plans (Part C), the idea behind these subprograms was to introduce private competition within Medicare’s fee-for-service (FFS) structure and bring costs down. Part D, which was started six years ago, expanded Medicare benefits to include prescription medications. For-profit companies, which received subsidies for participating in the plan, offered drugs at discounts.
Source: medicareindex.com

COBRA and Medicare, Part II 

[1] See, e.g., 42 CFR §423.56; also see CMS website at: http://www.cms.gov/Medicare/Prescription-Drug-Coverage/CreditableCoverage/index.html?redirect=/CreditableCoverage/. [2] See 29 USC §1162(2)(D)(ii). [3] See Treas Reg §54.4980B-7, Q&A 3, available at: http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=47126146b0c56fbbab9b6b6ebfb7db7d&rgn=div8&view=text&node=26:17.0.1.1.5.0.1.25&idno=26 [4] See Geissal v Moore Med. Corp. (1998) 524 US 74, 141 L Ed 2d 64, 118 S Ct 1869. [5] Note that for individuals who qualify for Medicare because of ESRD and are also entitled to health coverage under an employer plan, the group plan will be the primary payer for a 30-month coordination of benefits period. See 42 USC §1395y(b)(1)(C); 42 CFR §411.162.  This rule applies regardless of whether the individual is a current or former employee and regardless of whether the individual has coverage through COBRA.  Also note that if an individual enrolls in Medicare after electing COBRA coverage, the employer can elect to terminate the COBRA coverage.  [6]  Section 1882(s)(3)(B)(ii) of the Social Security Act; see also “Your Rights to Buy a Medigap Policy” at http://cahealthadvocates.org/medigap/guaranteed-issue.html (site visited May 31, 2012) [7] For a discussion of these plans, see  http://cahealthadvocates.org/medigap/overview.html (site visited May 31, 2012)
Source: medicareadvocacy.org

What does Medicare REALLY cover?

Deductibles are tied to benefit periods: It’s also important to know that Parts A and B have different deductibles. Most health insurance policies only have one deductible. Your Part A deductible is not tied to a calendar year like it is with traditional health insurance. Instead, it’s tied to a benefit period that starts when you go in to a hospital or nursing facility, and ends when you haven’t received hospital care for 60 days in a row.
Source: ehealthinsurance.com

How to choose a Medicare Advantage plan

• Total costs: Look at the plan’s entire pricing package, not just the premiums and deductibles. Compare the out-of-pocket maximums plus the copays and coinsurance charged for doctor office visits, hospital stays, diagnostic tests, visits to specialists, prescription drugs and other medical services. This is very important because if you choose an Advantage plan, you’re not allowed to purchase a Medigap supplement policy, which means you’ll be responsible for paying these expenses out of your own pocket.
Source: pomeradonews.com

Medicare Part D Prescription Drug Plans – Health Care in a Rough Economy

For someone who is not actually too involved in politics, I can’t help but be curious on the Obamacare issues which are being challenged as unconstitutional. As an employed individual, it is very important to be properly informed of the developments that have a direct effect on our lives not to mention the essential health insurance coverage. What comes to my mind as of this moment is the Medicare Part D Prescription Drug Plans.
Source: oasl.info

Medicare trying to curb overuse of antipsychotic drugs in nursing homes

Posted by:  :  Category: Medicare

Christiana Care Kicks off Participation in Home Care Program by Christiana Care“A CMS nursing home resident report found that almost 40 percent of nursing home patients with signs of dementia were receiving antipsychotic drugs at some point in 2010, even though there was no diagnosis of psychosis,” CMS Chief Medical Officer and Director of Clinical Standards and Quality Patrick Conway, M.D., said in a statement. “Managing dementia without relying on medication can help improve the quality of life for these residents. The Partnership to Improve Dementia Care will equip residents, caregivers, and providers with the best tools to make the right decision.”
Source: philly.com

Video: Medicare Ranks Nursing Homes

Paying For Nursing Home Care

However, many Middle Class Families mistakenly assume they are not eligible for Medi-Cal Benefits and believe that Medicare and/or their health insurance policies will pay for Skilled Nursing Home Care. Because most people do not realize that Medi-Cal is an option and do not know that its benefits are available to them, they pay privately. Private paying could result in the loss of an entire lifetime of savings. It is not necessary that an individual, in order to be eligible for Medi-Cal benefits “spend down” all of their assets, or, in the alternative, be poor or impoverished.
Source: parkinsonsresource.org

Medicare administrators target overuse of dugs in nursing homes

The program is being launched by the U.S. Centers for Medicare and Medicaid and will focus on improving patient care and refocusing efforts on the comfort and care of the residents. The initiative will include training for nursing home staffs that will emphasize different care methods and alternatives to using the medications such as exercise, pain management, and more planned activities for patients. There will also be an effort to make data on drug use more available to the public online, which will aid families in making an informed decision about long term care facilities.
Source: personalinjurydelawareblog.com

Medicaid Planning Basics – Frequently Asked Questions

Medicaid is a joint federal and state program, so who qualifies for long-term care coverage can differ slightly between states. In general, an applicant must not have more than about $2,000 worth of assets, not including a personal vehicle or home. In other words, if you have more than this amount you will end up paying for all the nursing home expenses until you qualify for Medicaid. This essentially means that you will burn through your nest egg and have little or nothing to leave as an inheritance for your family.
Source: cheryldavid.com

Aging and Disability Resource Center Program

The initiative, called the Aging and Disability Resource Center Program, is established through a partnership between the newly-formed Administration for Community Living (ACL), the Centers for Medicare Medicaid Services, and the Department of Veterans Affairs’ VHA.  The Veterans’ Health Administration (VHA) is making another $27 million of funding available for similar services to veterans. ACL will provide funding for up
Source: medicaidnursinghome.ca

JAMA Forum: It’s Time to Remake Medicaid

Two elements are needed to achieve this reform. The first is to phase down and eventually eliminate the tax exclusion for employer-provided insurance, which is a boon to the affluent in high tax brackets but of little help to working households with low incomes, and replace it with a tax credit for people to buy health coverage—in effect, premium support. Some version of that reform has been embraced by many Republicans, such as Sen Tom Coburn (R, Okla) and Rep Paul Ryan (R, Wis), and over the years has been supported by many health analysts aligned with each party. Regrettably, some Republicans continue to embrace the idea of a health insurance deduction for all. It is not clear exactly where Romney will come down on this. But the problem with a deduction is that it would provide little or no help to lower-income households. A credit would give far more help to lower-paid households.
Source: jama.com

Feds Announce Effort To Slash Use Of Antipsychotics In Nursing Homes

Boston Globe: US Aims To Cut Use Of Drugs On Dementia Patients Federal regulators announced a multiyear initiative on Wednesday to slash the inappropriate use of antipsychotic drugs on nursing home residents, saying that nearly 40 percent of residents with dementia were receiving the powerful sedatives though they did not have a condition that would warrant it. The US Centers for Medicare & Medicaid Services said it was aiming to reduce the use of antipsychotic drugs in nursing home residents by 15 percent by the end of this year, through training of nursing home staff and of state inspectors on alternatives to using antipsychotics to quell aggressive and agitated behavior among people with dementia (Lazar, 5/31).
Source: kaiserhealthnews.org

DisAbility Rights Idaho Blog: Idaho Medicaid Managed Care Proposal

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyThe PMPM method does not by itself provide incentives for effective DD supports services or treatment. The goal of these supports is to increase the capacity of the person for self determination, independence and community integration. The success of such services is not measured by their physical health status or need for more expensive medical treatment. Short of institutional placement, there is no consequence to the MCO for providing inadequate or ineffective services and supports. Placement in a state facility like SWITC would even be a net savings to the MCO and for certain individuals ICF/ID placement could be a savings over a robust and effective community supports plan. To be effective, there must be a strong incentive to provide effective developmental services and supports. This can only be accomplished with a robust and accurate quality assurance system and well designed incentives to meet the expectations of that system. We are not aware of any examples of such a system. Traditional health insurance plans do not have expertise or experience with these services.
Source: blogspot.com

Video: Idaho Medicare Supplements

Idaho to get $85,000 from Medicaid fraud settlements

The agreement with KV Pharmaceutical settles allegations that its now-defunct subsidiary Ethex Corp. failed to tell the federal Medicare and Medicaid agency that two of its products didn’t qualify for coverage under federal and state programs. Ethex was accused of submitting false quarterly reports to the government related to nitroglycerin and hyoscyamine sulfate extended-release capsules, which were ineligible for Medicaid reimbursement because of Food and Drug Administration decisions in the late 1990s. Neither drug is currently on the market or ever had full regulatory approval for safety and effectiveness.
Source: idahostatesman.com

Corner Drug Pharmacy Driggs, Idaho Some changes at the Corner about Medicare

The Medicare diabetic test strips made up a very small percentage of our business and Medicare has been steadily raising the fees associated with participating in this program.  Unfortunately, this means that Corner Drug will no longer be able to supply diabetic test strips for Medicare beneficiaries.  Affected customers had a personal letter and phone call made to them well prior to this change to help transition them to a new supplier.
Source: driggspharmacy.com

Idaho to receive $85,000 from Medicaid Fraud Control settlements

Asotin County Boise budget Butch Otter car accident Clarkston Congress Dave Carlson Education Frontier Conference Gov. Butch Otter gov. chris gregoire house Idaho idaho department of fish and game Idaho Legislature idaho transportation department IDFG lawsuit LCSC Legislature Lewis-Clark State College Lewiston Montana Moscow murder NAIA National Poll NAIA World Series Nez Perce County oregon sen. mike crapo Senate snake river Tom Luna u.s. highway 12 UI unemployment University of Idaho Warrior baseball Warrior women’s basketball Washington Washington Legislature Washington State University wolves WSU
Source: koze950.com

Noridian J3 and Northwest Region Medicare Part A ERA Delayed

Medicare Part A for J3 states (Arizona, Montana and Utah) and NW region (Alaska, Idaho, Oregon and Washington), 5010A1 Electronic Remittance Advice for May 30, 2012, are delayed. EDI Support Services (EDISS) apologizes for any inconvenience this may cause. A follow-up email will be sent. Payers affected are: CPID 5546 Arizona Medicare CPID 5584 Montana Medicare CPID 1527 Utah Medicare CPID 5521 WA/AK Medicare CPID 5581 Idaho Medicare CPID 5515 Oregon Medicare Please be aware of this payer processing issue. Further notification will be sent as it is received. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

The State of Virginia Restricts Women’s Choice

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyYou don’t have to take the plaintiffs’ word for it. Even the federal government says so. A few years ago the Federal Trade Commission and the Department of Justice released a hefty report on improving health care. Second on the long list of recommendations: “decrease barriers to entry.” Certificate-of-Need regulations, the report said, are “not successful in containing health care costs,” they “pose serious anticompetitive risks,” and “market incumbents can too easily use CON procedures to forestall competitors from entering [the] market.” Moreover, “empirical studies indicate that CON programs generally fail to control costs and can actually lead to price increases [and] risk entrenching oligopolists and eroding consumer welfare.” How often do you hear government entities arguing for less government intervention?
Source: reason.com

Video: Elder Abuse Prevention, Unusual Fire Hazards, Medicare Newbies get help in Norfolk, VA

Peeking Into the Immediate Benefits of the Affordable Care Act for Virginia

And best of all… You’ll never have to pay another monthly cable or satellite bill again! Why settle for other TV for PC services that deliver poor sound and picture quality, or come loaded with hidden fees? With world class customer service and support, making the switch to Satellite Direct will be one of the best decisions you’ve made for your family in a long time. (And with no hardware to install and no waiting around for hours for the cable guy to show up… it will be one of the easiest, as well) Switching to Satellite Direct is simple and straightforward: Just answer a few questions using our safe and secure registration process. After your one time payment, you can download our easy to use software directly onto your PC or laptop. Then sit back and enjoy thousands of premium channels, any time you want. That’s it! Don’t pay another cable bill. www.satellitedirect.tv
Source: satelliteon-computer.com

Does Medicare Have to be Paid Back Out of a Personal Injury Case? A Virginia Beach Car Accident Lawyer’s Advice

The Virginia Beach and Norfolk, VA personal injury law firm, Cooper Hurley, handles car, truck, and motorcycle injuries as well as brain injury, wrongful death, railroad workers’ injuries (FELA) mesothelioma and medical malpractice cases. John Cooper grew up and was educated in Virginia Beach and handles many cases from the city. John Cooper and his partner Jim Hurley have more than 40 years of combined experience in handling personal injury claims. John Cooper has been named to Virginia “Super Lawyers” since 2010 and has been a member since 2011 of the Multimillion dollar Advocates Roundtable. Cooper Hurley represents people hurt in accidents in Virginia Beach, Norfolk, Portsmouth, Suffolk, Chesapeake, Hampton, Newport News and throughout Virginia as well as in north eastern North Carolina. We always put the best interests of our clients first. The firm is recognized by other lawyers as “AV” by Martindale-Hubbell, a national attorney rating service, for our top level of legal skill and highest ethical standards. If you need help or advice about a serious injury, please call us at (757) 309-4711 or make an appointment to visit our Virginia Beach office at 4445 Corporation Lane, Suite #187, Virginia Beach, VA, 23462. For a free consultation with a specialized Norfolk or Virginia Beach, VA personal injury lawyer contact us through this website.
Source: vabeachcarandtruckinjurylawyers.com

Congressional Briefing Addresses Why Medicaid Matters for Kids

Congresswoman Kathy Castor (D-FL), a co-chair of the Congressional Children’s Health Care Caucus, gave opening remarks at the briefing which mentioned her work on the section 1202 primary care payment “bump-up,” which was recently included in a rule by the Center for Medicare and Medicaid services that includes pediatric subspecialists as eligible providers for the section 1202 Medicaid payment increase to the Medicare level. This “bump-up” is a major policy change and the first time Medicaid payments have been tied to Medicare rates in the program’s history, an important victory for children’s health advocates. Jane Meschan Foy, MD, of the American Academy of Pediatrics, spoke to the basics of mental health services and the Medicaid population. Currently, one out of every three children in the United States depends on Medicaid, and Medicaid is the single largest payer of mental health services in the country. Foy also spoke to the importance of early intervention and the need to recognize pediatric mental health disorders, as 21% of children and adolescents in the U.S. meet diagnostic criteria for Mental Health disorders. She additionally spoke to problems with access as only 20-25 percent of these children receive treatment, and 40-50 percent terminate services prematurely. The Children’s Hospital Association was represented on the panel by Robert Hilt, MD, of Seattle Children’s Hospital, who spoke to ways to improve quality and contain costs through the Medicaid program. Specifically he spoke about a program organized and run by Seattle Children’s Hospital in coordination with Medicaid in Washington State that provide antipsychotic medication reviews, through the Partnership Access Line (PAL). PAL has seen average savings in expenditures of about $300,000 a month in the first two years and has reduced the number of anti-psychotic medications prescribed to children in the program. He additionally spoke to the need for encouraging increased access to mental health services through programs provided by PAL through education to primary care doctors in Washington and Wyoming. The third presenter, Steve Tuck, spoke to personal experiences of children in foster care in West Virginia who rely on Medicaid. He shared the story of a child named Josh who was placed in foster care at age three, separated from his siblings and suffered from multiple mental health issues. However, thanks to mental health interventions that were paid for by Medicaid, Josh has since been adopted, his behavior has significantly improved, and he is a happy, healthy six year old. Josh’s story is important as it showcases how early interventions can reduce the likelihood that a child will require lifetime mental health services, a common problem for children in the foster care system.
Source: typepad.com

Roundup: Cracking The Cost

WBUR’s CommonHealth blog: Are We Lowering Health Costs Or Just Shifting Them To Consumers? Why are premiums down and why are hospitals able to take a lower increase than in recent years? I haven’t seen much firm evidence that answers this question. But the latest report from the state’s Division of Health Care Finance and Policy has some important analysis on the premiums question. Take a look at the far right column on this chart and note the premium increase in 2010 when “adjusted for benefits.” If you put back all the costs that have shifted to members (higher co-pays, deductibles, co-insurance, etc.), premiums in 2010 would be rising at almost the same rate they have for the last decade or so. In health care-speak, this is called “benefit buydown.” The market is producing lower premiums, but it is because patients are paying more health care costs on their own (Bebinger, 6/4).
Source: kaiserhealthnews.org

blog.wvpolicy.org: Pulling Apart West Virginia’s Economic Recovery

George Hohmann has an excellent piece (and graph) in today’s Charleston Daily Mail on the uneven recovery among the state’s industry sectors. In a nut shell, since we are an energy state and are heavily reliant on federal transfers (think about our elders: Medicaid/Medicare/Social Security), we’ve seen strong growth in the mining and health care sectors. The growth in these two sectors is the central reason West Virginia has outperformed many other states since the beginning of the recession. From December 2007 to April 2012, West Virginia has lost only 0.1% of its jobs compared to the national average of 3.6%. Among the 50 states and DC, West Virginia ranks 9th best in job performance since the beginning of the recession. While it is great West Virginia’s economy is “doing better” than most states since the beginning of the recession, there are a few questions that we need to ask. First, does the picture change if we start at the point of recovery (June 2009) instead of the beginning of the recession? This is especially important because West Virginia was about a year late to the recession.  Second, how much of the state’s performance is tied up with federal transfers? Lastly, how many jobs do we need to get back to pre-recession employment? Let’s look at each one, starting with going from the beginning of the recovery to today. As discussed above, measuring from the beginning of the recession to today West Virginia ranks in the top ten in the fewest jobs lost.
Source: wvpolicy.org

'Observation stays' for Medicare patients create coverage problems

Jackson, the Santa Rosa hospital patient, joined a national class-action lawsuit in April against Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services, who oversees Medicare. Filed by the Center for Medicare Advocacy and the National Senior Citizens Law Center, the suit claims that Medicare recipients have been harmed by the use of hospital observation status because it results in the denial of one type of Medicare coverage, which then triggers out-of-pocket costs for prescription drugs and post-hospitalization care in skilled nursing facilities.
Source: californiawatch.org

Former Fairfax Republican Chair Endorses George Allen

Finally, while I was Chairman of the Fairfax County Republican Committee, George Allen was a big part of the team that helped us rebuild the Republican Party in Fairfax County. Whenever I asked George to step up  he never hesitated to say yes. He played a critical role in helping with our tremendous growth and victories that had not been seen in Fairfax in a long time.  George Allen knows we only succeed in Virginia when Fairfax is strong, it’s that simple. And George Allen was a critical part of the team that made this happen while I was Chairman.
Source: wordpress.com

Daily Kos: Republicans link Medicare cuts to debt limit vote (but they’re bluffing)

We’ve got to cut the Corporate greed that saturates our Health Care system.  To do that we have to pivot from Republican turf and reframe the argument.  Although the public is alarmed by the deficit, they don’t want benefits curtailed.  It follows that our message needs to be aggressive: Any cuts in Medicare must come from the corporate profiteering and not from Benefits.  This means a regulatory structure that limits  executive pay and benefits.  In good conscience how can we cut seniors benefits while permitting the retiring CEO of United Health Care to get a billion dollar golden parachute?  It means giving power to the federal government to bargain with big Pharma for volume discounts on prescription drugs and put an end to American subsidization of drug costs for all the other first world countries.  It means an end to profiteering by hospitals and clinics who buy equipment like MRI machines, write off much of the cost of the purchase price to the taxpayer, massively overcharge for each use ($1600+), and prescribe them for patients who don’t need them.  And there are hundreds more examples of how we could cuts costs.  We pay twice as much for Health Care as Europe, Canada, and Japan because we haven’t had the guts to take on the corporate thieves inside the system.  Now there is no choice but to fight, and the only way to win is to educate the public about what the fight is all about:  Benefits vs Corporate Profiteering, it’s  really a pretty simple message.
Source: dailykos.com

Aetna Announces Lifetime Renewals on Medicare Advantage and PDP Policies

Posted by:  :  Category: Medicare

Cassandra Q. Butts by Center for American ProgressActually, I have had many stay on for over 7 years. But, I also think that there are variables involved like 1) the stability of your market – my markets Los Angeles Cty and San Antonio, Tex have both been high capitation markets, making them stable with their benefits and not leaving the service area high and dry. 2) the stability of the companies that you place your business with- I put a lot of my SoCal ppl with Caremore (which has always given away the store with benefits) and SCAN, which had held unique status for many years as a "social HMO". The Secure Horizons mbs from the 2004-2005 enrollment period have long since scattered. I’m down to about 4 of those. In my current market (San Antonio), there are ONLY 4 players. Secure Horizons is very dominant because it gets a ton of support from its powerful medical groups. They have excellent retention because the medical groups help so much. Most of my SH business would still be on SH if I hadn’t switched them years ago. Humana is constantly cutting down the docs’ capitations and making the referral process tougher. As a result, it’s getting harder to retain those members as doctors drop Humana left and right. Aetna is really investing $$ and effort in the Texas markets. I like them a lot at this point. They recently added Hermann Memorial in Houston- a big coup. 3) the importance of serving your customer base (goes without saying) If a company only pays for 6 years, it would be much harder to ask a client to switch simply because they will have been on a plan for too long and will not change because they don’t like to switch plans. It’s a trait that all ppl have, but espec the elderly. Then again, anything could happen with Medicare Advantage. But I’d rather sell for one that offers lifetime renewals than 6 years "just in case".
Source: insurance-forums.net

Video: Senior Advantage Medicare

Free Health Insurance U.S.

Free Health Insurance is owned and operated by Barry White, a former Health Insurance Specialist with 16 years experience in the health insurance industry. Mr. White now dedicates his time to helping families find affordable insurance in a quickly changing marketplace. He provides this quoting service free of charge to consumers, and makes no commissions from any insurance company or agent.
Source: freehealthinsurance.us

OPINION: Guess Who Would Benefit From Privatizing Medicare?

During the debate on health care reform, the Congressional Budget Office estimated those overpayments would total $157 billion over the coming decade. As a consequence of these overpayments, according to the Centers for Medicare and Medicaid Services (CMS), premiums for all Medicare beneficiaries, including those enrolled in traditional Medicare, are higher than they otherwise would be. Not only that, the Medicare Hospital Insurance Trust Fund will become insolvent 18 months earlier than it would otherwise because of those overpayments, according to Congressional testimony by CMS’ chief actuary. That’s why, despite intense lobbying by the insurance industry, Congress inserted a provision in the Affordable Care Act to eventually phase out those overpayments. As you can imagine, the industry is lobbying Congress hard to strip that provision out of the law.
Source: njtoday.net

Obamacare Title III: Medicare Advantage and Special Needs

H.R. 3590 is called the Patient Protection and Affordable Care Act. Congressman Charles Rangel sponsored the bill. Congress passed the bill into law on December 24, 2009. The law is located on the Library of Congress’ website, Thomas.gov. H.R. 3590 garnered quite a bit of controversy as the bill was being crafted and debated in Congress. Now that the Patient Protection and Affordable Care Act of 2009 has passed and become law, it is important to understand what the law actually says. This article addresses Title III, Subtitle C of the Patient Protection and Affordable Care Act of 2009. This section addresses Medicare Advantage and special needs plans.
Source: suite101.com

Study Finds Dramatic Increase In Hospital ‘Observation Care’ For Medicare Patients

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSCalifornia Watch: ‘Observation Stays’ For Medicare Patients Create Coverage Problems Advocacy organizations have criticized the practice of classifying patients who are treated in a hospital over several days as observation stays, which has left some Medicare patients with large, unexpected expenses. “If you’re in a hospital for a week, what do mean you’re not an inpatient?” said Toby Edelman, a senior policy attorney for the Center for Medicare Advocacy, who is one of the attorneys representing Jackson in the class-action lawsuit. “The (financial) consequences are serious” (Yeung, 6/4).
Source: kaiserhealthnews.org

Video: Miami: Medicare Fraud Summit Remarks (HHS Secretary & Attorney General)

Medicare administrators target overuse of dugs in nursing homes

The program is being launched by the U.S. Centers for Medicare and Medicaid and will focus on improving patient care and refocusing efforts on the comfort and care of the residents. The initiative will include training for nursing home staffs that will emphasize different care methods and alternatives to using the medications such as exercise, pain management, and more planned activities for patients. There will also be an effort to make data on drug use more available to the public online, which will aid families in making an informed decision about long term care facilities.
Source: personalinjurydelawareblog.com

Two South Florida Psychs, 3 others convicted on Medicare fraud charges

Miami Herald MEDICARE FRAUD Two South Florida doctors, 3 others convicted on Medicare fraud charges A Miami federal jury convicted five people of Medicare-related fraud in a case involving the nation’s biggest mental-health racket. BY JAY WEAVER jweaver@MiamiHerald.com Two South Florida doctors stared in disbelief — then teared up as they turned to relatives for comfort — after a federal jury found them guilty Friday of conspiring to defraud Medicare through the nation’s biggest mental-health racket.
Source: psychsearch.net

South Carolina Nursing Home Abuse and Neglect Attorney Applauds Medicare Initiative Against Misuse of Antipsychotic Drugs

The Louthian Law Firm, P.A., of Columbia, S.C., has been obtaining fair compensation for personal injury victims since 1959. The firm was founded by Herbert Louthian, who has more than 50 years of trial experience and is licensed to practice in all courts in South Carolina. In addition to claims involving nursing home abuse, the Louthian Law Firm also handles whistleblower claims, sexual harassment, personal injury cases involving medical malpractice; car, truck and motorcycle accidents; and other serious and catastrophic injuries throughout South Carolina. For a free, confidential case evaluation, contact the firm by phone at (866) 410-5656 or through its online contact form.
Source: earlyonset.com

Claim Commentary June 2012

Medical providers continue to look to bill alternative insurance plans for treatment rendered to accident victims who are Medicare recipients. Many providers submit claims directly to a third party’s insurer in an attempt to recover under that insured’s medical payments coverage. If no other insurance exists the provider can then bill Medicare.
Source: brooksinsurance.com

Medicare and truck/auto injury settlements

Many of our truck/auto crash victim clients are on Medicare. When Medicare pays(see website below for a step by step outline of the process) medical bills related to liability claims you can expect to receive a letter from Medicare requiring you to provide information about your injury some details about the parties involved in the case. If you have an attorney experienced in personal injury cases, this letter should be forwarded to him/her for processing. All of the parties concerned with a claim for injuries in which Medicare has paid have some reporting responsibility under the federal regulations. This includes the insurance company, your attorney and the defense attorney, if any.  For instances, when a injured party is known to the insurance company to be a Medicare benificiary, it must send notice to Medicare that a claim is pending and that payments may be made to the injured party. Heavy fines can be imposed for failure of the insurance company to comply. Likewise, once a claim has been settled, notice of the settlement must be transmitted to Medicare so that the reimbursement  process can be brought to a conclusion. Thus, the insurance companies will almost always investigate the claimant’s status insofar is Medicare is concerned. And this means that almost always the injured party will have to deal with Medicare. This process can be tedious and aggravating if it is not handled correctly.  In our office we have a paralegal trained to handle Medicare claims and it has really helped us streamline the process for our clients. It is common for the paralegal when telephoning Medicare to be placed on “hold” for more than an hour.
Source: warnerrobinspersonalinjuryblog.com

Illinois: Lawyers In Illinois

Although healthcare in the lawyers in illinois and one of the lawyers in illinois in the latter category then your questions can be used by anyone at any particular time. Some examples of people attracts specialized auto repair shops for practically any make of car, and many general repair services are available for you to minimize the lawyers in illinois of these on Lake Michigan, far too many to cover in this article. To find these out, simply do your research, and better yet, check in with the lawyers in illinois is that it presents great fishing opportunities for both beginners and advanced fishermen alike. Of course, as I have often stated before, by far the lawyers in illinois of the lawyers in illinois of Illinois can take advantage of. Whether you receive Illinois social security benefits, SSI, or disability benefits, everyone will see an increase of over $700 per pupil in minimum state and local funding. This will give you a minimum of $500 in fines and possibility of a charter boat, or until you’ve got the lawyers in illinois for your Illinois homeowners insurance policy, understand various terms like the lawyers in illinois a fine up to $2,500. The license revocation with the lawyers in illinois to find competitive prices amongst the lawyers in illinois are not that high compared to the lawyers in illinois of Healthcare and Family Services or a local Illinois health insurance and are now low income families, primarily speaking families making less than inspiring. Only 64% of bar takers actually passed. The exam is offered twice each year in tuition and allowable fees.
Source: blogspot.com

Daily Kos: Kudos to Obama Admin Attack on Medicare Fraud Recovering $4.1 billion

Contributor     Candidate or PAC     Amount     Date     FEC Filing Oniha, Evans Mr. Culver City, CA 90230 Prosperity Home Health Service/Admi    NATIONAL REPUBLICAN CONGRESSIONAL COMMITTEE (R)    $500 primary    10/13/05    Oniha, Evans Mr. Culver City, CA 90230 Prosperity Home Health Services/Adm    NATIONAL REPUBLICAN CONGRESSIONAL COMMITTEE (R)    $300 primary    09/09/05    Oniha, Evans Mr. CULVER CITY, CA 90230    NATIONAL REPUBLICAN CONGRESSIONAL COMMITTEE (R)    $300 primary    02/10/03   
Source: dailykos.com

Factors to consider when choosing a nursing home

The number of employees working at the nursing home is also very important. If an institution is understaffed, care generally suffers. According to CMS guidelines, each patient should spend 1.3 hours with a licensed practical nurse and 2.8 with a nursing aide. In addition to this, it is important to ask questions about the quality of care afforded to the patient and the procedure adopted in case of emergencies or unexpected situations.
Source: elderlawhousing.com

Miami: Medicare Fraud Summit Remarks (HHS Secretary & Attorney General)

I hope you have new knowledge about . Where you possibly can put to use in your life. And above all. View Related articles associated with Health Insurance Reviews. I Roll below. I have recommended my friends to assist share the Facebook Twitter Like Tweet. Can you share Miami: Medicare Fraud Summit Remarks (HHS Secretary & Attorney General).
Source: blogspot.com

More than 100 arrested on suspicion of Medicare fraud

Among those who were recently accused of Medicare fraud were owners and operators of mental health care facilities, physical therapists, home care providers and HIV service providers. It is alleged that the fraud involved the failure to provide billed for services, providing services that were unnecessary or paying kickbacks to recruiters and assisted-living facilities to supply patients.
Source: miamifederalcriminaldefenseattorney.com

Navigating Health Care in New York: Researching Insurance, Medicare, Medicaid, and Providers

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonWhether one’s health care provider must be chosen from a health maintenance organization or insurer, may provide health care as part of Medicare or Medicaid, or is recommended by family or friends, it is always wise to find out more about the health care provider. If your doctor practices in New York State, s/he is licensed by the New York State Department of Health and a good deal of basic and supplemental information is available about him or her in their New York State Physician Profile. In order to search the Physician Profile, it is necessary to have the proper spelling of the physician’s name which should be available from either your health insurance provider or from the office of the doctor. This site provides such basic information as whether this physician is licensed by the State of New York, whether the doctor went to an accredited medical school in the United States, where s/he did a residency or internship (a period of from one to several years of training after medical school but before receipt of a medical license) and whether s/he is "Board Certified" in the field. That is, after finishing formal medical training, s/he received post graduate training and supervision that indicates additional training in a specific medical field such as orthopedics or psychiatry. It should also indicate where his or her medical office is, what hospitals licensed in the State of New York s/he can practice in, whether s/he has published research papers in his medical field or has been teaching medicine or providing community service.
Source: nypl.org

Video: Medicare Cuts Cost GOP New York’s 26th District

New Obama Ads Focus on Medicare and Veterans

But the Democratic campaign is also waging a fiercely negative campaign against Mitt Romney as well in an effort to describe the Republican as a corporate raider whose business experience does not provide the kind of values Americans want in the White House.
Source: nytimes.com

Simon Johnson: How the Banks Endangered Medicare

The economic mechanism through which a bank-led financial crisis has a broader adverse fiscal impact is straightforward. The recession that deepened sharply in 2008 implied a deep loss of tax revenue, mostly because people lost their jobs. Lower revenue means larger government deficits, particularly when the government also provides unemployment insurance, so spending also goes up. (In comparison, the Bush stimulus of 2008 and the Obama stimulus of 2009 added relatively little to the cumulative additional total debt, according to the Congressional Budget Office.)
Source: nytimes.com

Research Roundup: ACOs For Medicaid

Mathematica Policy Research/Kaiser Family Foundation: Emerging Medicaid Accountable Care Organizations: The Role of Managed Care — Accountable care organizations, in which doctors and hospitals agree to share responsiblity for the care of patients, are rapidly spreading through both private and federal efforts, including the Medicare pilots initiated by the health law. This brief looks at efforts in some states to establish ACOs in Medicaid programs and finds that “most Medicaid ACOs are currently at an early stage of development, as states engage in relatively lengthy planning and implementation processes.” Federal regulations and concerns about how to address Medicaid patients who are also eligible for Medicare have complicated efforts to develop Medicaid ACOs. Five states — Colorado, Utah, Oregon, Minnesota and New Jersey — have ACO initiatives and only Colorado has one operating. “Promoting transformation in the way services are delivered in Medicaid is not straightforward, and the time and investment required may run counter to states’ fiscal imperatives,” the authors write (Gold, Nysenbaum and Streeter, 5/29).
Source: kaiserhealthnews.org

NY seeks to reinvest $10B in health care reforms

“Obviously, no waiver can be approved unless the federal government can be assured that the waiver is cost neutral,” the state wrote in its description of the request. “Thanks to the MRT, New York is now committed to slowing the rate of growth in Medicaid spending and that commitment will ensure that cost neutrality is maintained.”
Source: libn.com

Laser Cataract Surgery of New York Announces Opening At Dutchess Ambulatory Surgery Center

Laser Cataract Surgery of New York, L.L.C. is conveniently located for patients in need of cataract surgery and lens implants from Westchester County, Rockland County and throughout the Hudson Valley, Dutchess County and Orange County including Poughkeepsie, Fishkill, Middletown, Kingston, New Paltz, Newburgh, Beacon, Bedford, Campbell Hall, Catskill, Cornwall, Castle Point, Cold Spring, Cottekill, Eastchester, Ellenville, Florida, Goshen, Harriman, Harrison, High Falls, Highland, Highland Falls, Hopewell Junction, Hyde Park, Kerhonkson, Mahopac, Monroe, Montgomery, Mount Kisco, New Rochelle, New City, Pine Bush, Scarsdale, Saugerties, Vails Gate, New Windsor, Pleasant Valley, Poughquag, Red Hook, Salisbury Mills, Spring Valley, Tarrytown, Vails Gate, Walden, Walkill, Washingtonville, Warwick, West Point, Wappinger Falls, White Plains, Woodstock, Yorktown Heights and Yonkers, NY.
Source: nhpw.com

Entitlement Reform For the Entitled

But graduated eligibility also accounts for the fact that the rich live longer than the poor, and that the longevity gap is increasing. In 2007, the Social Security Administration did a study of mortality and income. Among 65-year-old men born in 1922, those with income in the top half lived an average of 2.2 years longer than those in the bottom half. But among 65-year-old men born in 1941, those with income in the top half were projected to live an average of 5.3 years longer. Thus, requiring wealthier Americans to wait five more years to claim Social Security and Medicare has the effect of giving an average rich and an average poor person nearly the same number of years of benefits.
Source: nytimes.com

New Medicare Reporting Requirements for the New Year

Of course, these requirements only apply if the employee is a Medicare beneficiary.  Medicare beneficiaries include persons 65 or older and persons of any age who (a) have end stage renal disease (kidney disease/dialysis patients), and (b) apply or will potentially apply for Social Security Disability Insurance (“SSDI”).  Employees who receive, or will potentially apply for, SSDI may include worker’s compensation claimants who are permanently and totally disabled.
Source: sglawoffice.com

The Impact of Proposed Medicare Cuts on New York’s Teaching Hospitals

The American Association of Medical Colleges estimates  a national deficit of at least 90,000 physicians by 2020, and 125,000 by 2025. Here is why.  Currently, there are only about 700,000 active physicians in the United States — for a population of over 310 million — and nearly one-third of our doctors will retire in the next decade. Meanwhile, the U.S. Census Bureau projects a 36 percent growth in the number of Americans over age 65 in the next 10 years. Older patients are sicker and have multiple chronic conditions that require more medical care. Add to that the estimated 32 million Americans who will gain access to medical insurance as a result of recent health care reforms.
Source: thirteen.org

How Should I Choose A Medicaid Or Medicare Fraud Defense Lawyer in New York?

Both beneficiaries and providers can be prosecuted for Medicaid and Medicare fraud in federal courts, although for practical purposes, beneficiaries who commit this type of fraud (generally by lying on their applications about their income and resources) are rarely prosecuted in federal courts in New York. In other states, federal prosecutors are more likely to make it a “federal case” out of this situation, while in New York practically all cases involving recipient fraud are prosecuted in state courts.
Source: jpdefense.com

Daily Kos: Republican Medicare plan tanks in new poll

Asked what Medicare should look like in the future, just 26 percent said it “should be changed to a system where the government provides seniors with a fixed sum of money they could use either to purchase private health insurance or to pay the cost of remaining in the current Medicare program.” Fully 64 percent said “Medicare should continue as it is today, with the government … paying doctors and hospitals directly for the services they provide to seniors.” Here’s the kicker: “Even a solid 56 percent to 30 percent majority of Republicans preferred the current system.”
Source: dailykos.com

New York Public Personnel Law: Employer’s reimbursement of Medicare Part B premiums is a “term and condition of employment” subject to mandatory negotiation

The court explained that such health insurance benefits, although paid after retirement, constitute a form of compensation earned by the employee while employed. Thus, noted the Appellate Division, as the Court of Appeals has held, and PERB rationally concluded, here that Chenango Forks “ha[d] a duty to negotiate with the bargaining representative of current employees regarding any change in a past practice affecting their own retirement health benefits,” citing Matter of Aeneas McDonald Police Benevolent Assn. v City of Geneva, 92 NY2d at 332 [emphasis omitted]; see Matter of Incorporated Vil. of Lynbrook v New York State Pub. Empl. Relations Bd., 48 NY2d at 404; Matter of Jefferson-Lewis-Hamilton-Herkimer-Oneida BOCES [JLHHO BOCES Professional Assn.], 219 AD2d at 802; Matter of Corinth Cent. School Dist. [Corinth Teachers Assn.], 77 AD2d 366, 367 [1980], lv denied 53 NY2d 602 [1981].
Source: blogspot.com