Get your hands off my Medicare

Posted by:  :  Category: Medicare

105/365 - July 2, 2008 - What's in My Bag by meddygarnetIf so many Americans had not been trained to think of Medicare as necessary and inevitable, and if they could imagine what types of private plans are possible from what they’ve paid into Medicare, they wouldn’t be so satisfied with Medicare, perhaps, and would begin demanding that Medicare be destroyed and replaced with nothing from government except an agreement to leave healthcare alone. Private assistance organizations can deal with those in old age who are in need of care and can’t help themselves — otherwise, young people could start paying into private plans early so they can retire early, with much, much greater benefits than the crumbs doled out by government. Plus, government is going broke, and many Americans. Left and Right, will soon demand that government keep its hands off benefits, but government won’t be able to follow through because it’s squandered the pay-ins and has borrowed too much, and then the truth will emerge as a giant re-set takes place and everyone has to accept what they’re given. Maybe government will come up with a statist solution, but I seriously doubt it. Just wait until the Left starts screaming about Medicare — we ain’t heard nothing yet.
Source: squarespace.com

Video: Obama Pokes Fun At ‘Don’t Touch My Medicare’ People

My Private Casbah: Meditation on Medicare: Making the Case for My Life

Today is a day of so many emotions. I don’t know how in the world to describe every aspect of it. However, I know that there was something that I needed to say today. What I’m trying to do here is make the case for why society should make sure that Medicare stays available for for Americans. It is incredibly hard to live in fear, real bone-chilling fear, that even with a cancer that has been manageable for nearly 10 years, it might not be enough. If the government withdrew Medicare, I could never afford to see the coordinating set of specialists who have–to every one’s surprise–been able to keep me alive this long. I’m not above begging for my life. I LOVE living. And maybe keeping me alive could help others, too. My case has been studied all around the USA. My cancer is so rare that there are only about 600 known cases of it in the world. If doctors and researchers can figure out how to deal with complex cases like mine, then it will be much easier for others in the future who find themselves facing a lupus or cancer diagnosis. Screw it all! I’ll be America’s guinea pig. It sure as hell beats being dead. I gladly participate in the long shot strategies. Maybe when you need it, it won’t be so risky, because they’ll have figured out how to perfect it by trying it on people like me. If society keeps me alive, I’ll do my part to return the favor. Please y’all, please remember to fight for Medicare and Medicaid as this society tries to move toward a more humane system of care for everyone.
Source: blogspot.com

Medicare Supplement Plan, Medigap Plans, Mymedicare, Supplemental Medicare.

Find right coverage Medigap Plans and Medicare Supplement Plan for insure your supplemental medicare after retirement. Mymedicare advisor helps you make a decision about how to choose a Medigap Plans, Medicare Supplement Plan, and Supplemental Medicare plan.
Source: ezyspot.com

Tricare Help – Should I tell my doctor I have Tricare or Medicare?

15 percent age appeal catastrophic cap child born out of wedlock claims continued care cost share death DEERS dental dependent disabled divorce doctor doctors FEHBP handbook health care reform hospital ID card marriage maternity care Medicare military treatment facilities other health insurance outside the U.S. parents Part A Part B pharmacy pre-existing condition pregnancy reserves secondary insurance social security spouse supplements surgery Tricare For Life Tricare Prime Tricare Standard Tricare Young Adult Program VA widow
Source: militarytimes.com

Capricious: Stuff and Nonsense

Interesting day today — in a way. In another way, if I can call this ‘interesting’ maybe I really do need to spice up my life a bit. The route to the dentist took me over the old ‘back way’ to the job I had for a couple of years in Rome, and I was shocked to realize just how much tension arose in me just by being near the place. I actually made a detour to avoid going past it. Used to get that tension every morning I drove over there, and I guess the memories are still strong. The dentist was different. Not a glitzy place, by any means. Kind of the opposite, really. Older, a bit shabby here and there, but people were friendly and seemed capable. Got a full set of x-rays and there was nothing — nada, zero, zilch — wrong. That’s good, but doesn’t explain the aching mouth. I’m beginning to wonder if it’s tension and anxiety — causing me to clench my teeth even when I don’t think I’m doing it. Have begun some serious awareness of this, working to release tension.  And yes, I have been tense and I’ve been aware of it.  Hard to miss — it’s pretty strong! I can’t say I actually liked the dentist from a personal point of view — but I’m not sure that really matters. The hygienist was nice, and she’s about the only one I’ll have much contact with. And they are one of the few in this area that take my medicare supplement health insurance, so I have to be grateful they are there. I need to return for cleaning, opted to schedule it for next Wednesday after my skin cancer excision. Might as well get it all over with in one morning, and that makes one less trip to Rome.
Source: blogspot.com

The American Spectator : Judges in Wonderland

The problem is that when you put the government in charge of your financial circumstances, you are no longer in charge of your own destiny. The Supreme Court ruled that Social Security was not guaranteed since it was NOT your money. Once the government confiscated the money from your paycheck, it was determined to be a tax. And what you received back was at the discretion of the government. Here is another example of your tax dollars at work: Medicaid takes up $10B of the New Jersey $33B budget. For one-third of our state revenues, we get a program that doctors will not accept. They net about thirteen dollars per one-hundred billed after fees and graft in the system and cost of care. So some doctors are already setting up free clinics and offer the poor charity care. For the $13 per one-hundred they forfeit, they gain in donations. And it takes them off the hook for liability lawsuits that typically cost $25K to settle even if there is no negligence. How many $13 office visits do you have to do to pay one settlement? (1,923 to be exact)
Source: spectator.org

CMS: Meeting of the Medicare Economic Index Technical Advisory Panel

Posted by:  :  Category: Medicare

CMS Director Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana CareDeadlines for Speaker Registration and Presentation Materials: The deadline to register to be a speaker and to submit PowerPoint presentation materials and any other written materials that will be used in support of an oral presentation is 5 p.m. EDT, Monday, June 18, 2012. Speakers may register by contacting Toya Via, HCD International, by phone at (301) 552-8803 or via email at MEITAP@hcdi.com. Materials that will be used in support of an oral presentation must be received at the mailing or email address specified in the
Source: thecre.com

Video: Medicare & You: Cataract Awareness

The CMS Auction: Experimental Studies of a Median

We report on the experimental results of simple auctions with (i) a median-bid pricing rule and (ii) nonbinding bids (winning bids can be withdrawn)—the two central pillars of the competitive bidding program designed by the Centers for Medicare and Medicaid Services (CMS). Comparisons between the performance of the CMS auction and the performance of the excluded-bid auction reveal the problematic nature of the CMS auction. The CMS auction fails to generate competitive prices of goods and fails to satisfy demand. In all proposed efficiency measures, we find the excluded-bid auction significantly outperforms the CMS auction. Read more
Source: medicareindex.com

Current Law Provides Unrealistically Low Medicare Spending Projections

The Trustees acknowledge in their own report that their projections are based on current law and that “future costs are highly uncertain and likely to exceed those shown by current law projections.”  This has happened in the past.  For instance, the 2012 actual expenditures are currently estimated to be $246.9 billion which is $26.4 billion or 12 percent higher than last year’s projection by the Medicare Trustees.  Much of this increase is attributable to Congress overriding the 29 percent reduction in physician reimbursement which was included in the Trustee’s projection, but did not actually occur.
Source: wolterskluwerlb.com

OIG catches PacifiCare red

PacifiCare did not have written policies and procedures for obtaining, processing, and submitting diagnoses to CMS. Furthermore, PacifiCare’s practices were not effective in ensuring that the diagnoses it submitted to CMS complied with the requirements of the 2006 Risk Adjustment Data Basic Training for Medicare Advantage Organizations Participant Guide (the 2006 Participant Guide) and the 2007 Risk Adjustment Data Training for Medicare Advantage Organizations Participant Guide (the 2007 Participant Guide). UnitedHealth Group officials stated that the providers were responsible for the accuracy of the diagnoses that PacifiCare submitted to CMS.
Source: pnhp.org

CMS releases April 2012 EHR Incentive Program statistics

Last month, 5% (12,374) of the 238,139 registrants signed on to participate in the program, as compared to 6% in March 2012. And registrations among eligible professionals (EPs) decreased across the board. In April, Medicaid EPs showed the largest increase in registrations, representing 5.8% (4,592) of 78,398 physicians, certified nurse midwives, dentists, nurse practitioners, and physician assistants. And registrations by hospitals showed a decline: Of the 3,569 hospitals registered YTD for the EHR Incentive Program, 86 (2.4%) enrolled in March versus 128 (3.6%) in March.
Source: ehrintelligence.com

CMS: Medicare Advantage, Part D To Get 3 Percent Boost In 2013 Reimbursements

Bloomberg: Nursing Homes Won’t Have To Hire Independent Pharmacists The U.S. Centers for Medicare and Medicaid Services backtracked on a plan that would have required nursing homes to hire independent pharmacists to assess residents’ prescriptions. Regulators “decided to further study the issue for future policy considerations,” Jonathan Blum, deputy director of the agency, said in a conference call with reporters late yesterday. The centers said in October it was considering stricter rules to oversee patients’ drug regimens, an announcement that sent the stocks of nursing home pharmacies, including Omnicare Inc. (OCR) and PharMerica Corp. (PMC), tumbling (Wayne, 4/3).
Source: kaiserhealthnews.org

CMS Creates New Office To Oversee Information Products, Data Analysis

OIPDA will take over management of the agency’s data portfolio. CMS currently processes more than 1.3 billion claims annually and collects data on the meaningful use incentive program. OIPDA also will oversee data related to the federal health reform law’s health insurance exchanges, which will launch in 2014 (Zigmond,
Source: californiahealthline.org

Ready for the 2012 SHIP Conference?

I’m looking forward to seeing my peers, friends and confidants, as they have proven to be a valuable asset—and even a source of comfort—over the past year.  At last year’s conference, I received a call from my office advising that two of my co-workers were killed in the line of duty.  As my staff and I gathered together to understand what was being told to us, the SHIP network extended their hearts, arms and prayers to comfort us when we needed it the most.  At this conference I hope to thank each one personally for their loving support and encouragement.
Source: cms.gov

MHA’s Executive Briefing: CMS may expand medical home demonstration under Medicare

The Centers for Medicare & Medicaid Services is evaluating whether the Multi-Payer Advanced Primary Care Practice demonstration should be expanded to other states under Medicare, according to a notice the agency published May 31. Eight states are participating in the three-year demonstration, which will evaluate the effectiveness of the patient-centered medical home model for Medicare, Medicaid and privately insured patients: Maine, Michigan, Minnesota, New York, North Carolina, Pennsylvania, Rhode Island and Vermont.
Source: typepad.com

Guide to Medicare – CIGNA Plans: Review of CIGNA Medicare, CIGNA Part D, and HMO CIGNA

Posted by:  :  Category: Medicare

Currently, this HMO Cigna plan is only available for Arizona residents. In addition, beneficiaries must be eligible for Original Medicare, and must apply in the open enrollment period between November 15 and December 31. (However, individuals may apply for special enrollment outside of this time frame and still be eligible for CIGNA plans.)
Source: suite101.com

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

Cigna Provides Medicare Advantage Plans For Senior Citizens

Cigna Medicare RX Basic would go in conjunction with most parts of Medicare and it’s obtainable in every state of the nation. The plan has a selection of valuable benefits. For instance, it does not include a deductable, that will keep you from having to pay with your own money. Furthermore, it would continue to pay for prescriptions even through the Medicare donut hole, which will cut off most healthcare coverage. Generally, generic medication through this plan would cost nothing out of pocket. Cigna Medicare Select Plus Rx is only included in the state of Arizona and it will work just with Medicare HMP plans. With this option, you will actually get some healthcare together with prescription medications. The plan doesn’t have any monthly cost and it has no deductibles to reach. Prescriptions are available at a discount and the plan would even help to pay on physician’s appointments.
Source: blogspot.com

Cigna Medicare Plans And Blue Cross Medicare Plans An Overview

HMO (Health Maintenance Organization) plans are the least expensive option. The effect of lower cost is reflected as restricted access to health care. Plans have a set monthly fee, covering doctors within the plan. If you visit a doctor outside of the plan, you are then responsible for the bill. Within a given plan, you have given the right to choose a Primary Care Physician (PCP) who will look after your care. The HMO CIGNA medicare plans cover regular and preventive care costs, referrals to a network specialist or facility when necessary, treatment for injuries and illness. There is no need of paying any additional fees in HMO plans as it has no fees for doctor visits. The CIGNA Part D plan is called CIGNA Medicare Rx offers coverage for 94% of available drugs, access to over 58,000 network pharmacies, no deductibles for select plans, no copayments for common drugs and diseases like diabetes and drug pressure. The CIGNA plan D in turn offers three types of plans namely, Plan 1, Plan 2 and Plan 3.
Source: arcadiamax.net

Texas Medicare Part D Plans

After reviewing all pertinent data for each plan, you should have a pretty good idea as to which plan is the most suitable with the lowest monthly premium. You have found your best plan. Even if you live in the most remote rural County, you should be able to find a winner among the 33 Part D plans available in Texas.
Source: partdplanfinder.com

Cigna Offers Medicare Advantage Plans For The Elderly

Cigna Medicare RX Basic would go side by side with most parts of Medicare and it is obtainable in every single state of the nation. The plan has a selection of helpful advantages. For example, it doesn’t include a deductable, which will keep you from having to spend with your own money. Additionally, it will continue to pay for prescription medications even through the Medicare donut hole, which will cut off the majority of healthcare coverage. Generally, generic medication through this plan would cost nothing out of pocket. Cigna Medicare Select Plus Rx is only included in the state of Arizona and it will work only with Medicare HMP plans. With this option, you will actually get some healthcare together with prescription medications. The plan doesn’t have any monthly expense and it has no deductibles to reach. Prescriptions are available at a discount and the plan would even help to pay on physician’s visits.
Source: org.uk

Cigna Makes $3.8 Billion Deal To Buy Medicare Carrier

Reuters: Cigna To buy Medicare Co HealthSpring For $3.8 Billion Health insurer Cigna Corp will buy HealthSpring Inc for $3.8 billion to jump-start its business selling Medicare plans as more elderly Americans become eligible for the U.S. government program. Medicare is an enticing market for U.S. health insurers, even as Congress weighs cuts to the program to rein in the country’s debt. In particular, the entry of the postwar baby boom generation into retirement is expected to swell the ranks of privately run Medicare Advantage plans, which now account for 25 percent of Medicare enrollment, compared with 75 percent for government-run plans (Krauskopf, 10/24). Market Watch: Cigna To Buy HealthSpring For $3.8 Billion Health-insurance giant Cigna Corp. said Monday it will pay $3.8 billion in cash to acquire the shares of HealthSpring Inc. The price, $55 a share, that Cigna is paying represents a 37% premium over Friday’s closing stock price for HealthSpring. The news catapulted HealthSpring shares by more than 33%, while Cigna was up about 1.5%. The companies said in a press release that HealthSpring Chairman and Chief Executive Herb Fritch will stay with the united companies, as Cigna will expand into senior and Medicare businesses (Britt, 10/24). Modern Healthcare: Cigna To Buy HealthSpring In $3.8 Billion Deal Cigna Corp. said it reached at definitive agreement to buy Medicare Advantage provider HealthSpring for $3.8 billion. Cigna said it would pay $55 per share in an all-cash deal for the Nashville-based HealthSpring, a publicly traded company. The deal, which is subject to regulatory approval, is expected to close in the first six months of 2012, according to an announcement by Cigna. Herb Fritch, chairman and CEO of HealthSpring will oversee a push by Cigna into senior and Medicare service lines, the announcement said (Evans, 10/24).
Source: kaiserhealthnews.org

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: wendellpotter.com

Will The Upcoming Supreme Court Decision On The Affordable Health Care Act Affect Cigna?

The upcoming Supreme Court decision on the Affordable Health Care Act in June could affect Cigna, and one way to trade Cigna’s upcoming volatility is using a non-directional strategy. For further information on previous non-directional strategies please click here and here. Non-directional strategies are generally used for earnings, since earnings can provide a volatility boost to the upside or downside. This upside or downside boost could make non-directional strategies profitable when playing both sides of the fence. Aside from earnings, legal cases, medical drug trials and other pending news in stocks can provide exciting opportunities for non-directional strategies.
Source: seekingalpha.com

Australian Health Care Benefits

Posted by:  :  Category: Medicare

Deal 3, Table 7: Initiation enter Trick A~ contract taker leads King of Risks by KevinHutchins314Individuals from New Zealand and Ireland do not get issued with a Medicare card and instead present their passport at public hospitals or pharmacies. Non-hospital care, such as attending a local GP doctor, is not covered. Other reciprocal agreements will pay Medicare benefits for out-of-pocket medical treatment provided by doctors through private surgeries and community health centres. All agreements cover subsidised medicines under the Pharmaceutical Benefits Scheme (PBS).
Source: com.au

Video: Medicare Fundamentals

Medicare Costs and Financial Retirement Planning: Preserve Retirement Savings with Medicare Education and Planning

It should be noted that private insurance policies under Medicare Advantage plans are sometime called "Medicare Part C." Though regulated by the federal government, these are not under Medicare but are the private insurance options for services typically covered under Medical Part A and B. Medicare benefits under Medicare Part A or Part B are no longer available if private medical insurance is secured by an otherwise eligible beneficiary. Additionally, Medigap is a term used to describe supplemental private medical insurance to cover "gap" services not covered by Part A, Part B, or Part D.
Source: suite101.com

Health First Introduces Medicare Supplement Policies

Policy holders of Health First Medicare supplement policies are not required to use Health First’s hospitals, medical or wellness services, or physicians, and prior authorizations for services are not required. If Medicare covers a service, then the Medicare supplement policy will too. Additionally, these policies include benefits that Original Medicare does not cover, such as the first three pints of blood, additional lifetime reserve days, and foreign travel emergencies. Plus, as an added service not covered by Medicare, all policy holders are entitled to a free fitness membership at the Health First Pro-Health & Fitness Centers in Melbourne, Merritt Island, Palm Bay and Viera, and Parrish Health & Fitness Center in Titusville. Additional fitness center locations throughout the state will be available soon.
Source: spacecoastlivinghealth.com

Does Medicare help with transportation costs?

Transportation costs are considered allowable expenses under Medicare Part B. Knowing the facts can be both a timesaver and money saver when it comes to meeting your medical needs. There are tips to help with transportation costs, things you should know about your coverage and the ways to find transportation that is covered under Medicare. It is important to know that Medicare does help with transportation costs if you know where and how to look for these resources.
Source: todaysseniors.com

With the Loss of Illinois Cares Rx, Where Can People Turn? : The Shriver Brief

The elimination of Illinois Cares RX is effective on July 1, if the Governor signs the bill as is. As you can tell from this blog, that leaves precious little time for seniors to make the complicated choices and actions necessary to rearrange their drug purchasing and transition to the new system. Advocates have asked that Governor Quinn amendatorily veto the bill to keep Illinois Cares Rx on the books, or, at a minimum, to delay the effective date to January 1, 2013, to allow for a smoother transition—let’s keep our fingers crossed. Of course, we will keep you updated on any developments.  
Source: theshriverbrief.org

Damn Gorgeous daily blog: Medicaid Myths and Truths

FACT: Due to the recent economic turmoil, a distinct rise in enrollment of low-income families to Medicaid has been observed resulting in an increase in Medicaid spending. However, the cost growth per one enrollee for Medicaid is still lower than coverage under Medicare, private health insurance providers and employee-sponsored insurance coverage. Additionally the rise in health care costs encompasses the whole American health care system, not just Medicaid.
Source: blogspot.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

Health Insurance Agents Riding The Wave Of Life

To break into this new market, health insurance agents also need life insurance and annuity training on the various products—not the run-of-the-mill 10-minute webinars offered by many carriers. They need the kind of in-depth, personalized training that puts them in command of the topic, which gives them the confidence needed to be successful. They need marketing materials that cover everything from product descriptions to the way loans work, as well as comprehensive educational materials that cover sales concepts from supplementing retirement to protecting the future of a business. It’s crucial that managing general agents partner with a life insurance and annuity carrier who can help them provide this kind of support and training to their agents.
Source: wordpress.com

CMS Launches Data Initiative

A few of the resources available under the initiative already includes Medicare geographic variation trend data, Medicare enrollment dashboard, Medicare & Medicaid research review, and a CMS data navigator. The geographic trends data leverages nearly five billion Medicare claims in an easy-to-use data format that provides key metrics at the state and hospital referral region levels. The data navigator is a web-based search tool that rapidly connects researchers, policy makers, and the general public to the CMS data resources they need. 
Source: healthcare-informatics.com

View and Compare Medicare Supplement Insurance Online

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSWhen it comes to taking the leap into gap insurance online advisors will guide you through what is available and help shop the Medigap market to find the best premiums that you qualify for. As rates change each year you will want to contact your online Medicare Supplement Insurance provider to get updates on lower rates from other Medigap Insurance providers. An online advisor is helpful in helping determine exactly what gap insurance program you should enroll in according to prior history and current lifestyle.
Source: internet-millionaire-articles.com

Video: Shop and Compare Medicare Insurance Plans

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

Compare and choose your treatment plans

Medicare Supplement Comparison could be done depending on the costs of the policies and the plans. It is easy to sign up for the first plan that comes along – there are definitely plenty of opportunities for that. However, it takes a little more work to compare supplement plans so that you can make a choice that gives you maximum coverage for a minimum price. The first step to examine that which type of Medicare insurance is currently present with the individual. Once you know which plan you have currently, you can compare apples to apples by looking at like plans, with the realization that the same letter plan will be equal coverage. The second step is to get the quotes from as many plans as possible. However you do it, make sure you are vigilant in getting quotes from as many (or all) companies as possible so you can make sure you will receive the lowest rates.
Source: bestarticlepost.com

Private health insurance quote comparison can be easily used to find the best medical plan

This will help you in obtaining maximum value offered to a health policyholder. There are numerous ways to research and compare various health insuranceplans and premium for one or many appropriate insurance strategies offered by different insurance companies. You can utilize the traditional method of contacting leading insurance companies and enquire about varied plans offered by different companies. This can be quite tiring and time consuming. Hence, it is wise to of a contemporary approach. The technique comprises of using the World Wide Web to research as well as compare varied medical plans. Here, you just require reaching out to the website of the insurance company and make note of the features of leading insurance products in conjunction with premium quoted. You then require repeating these steps at varied insurance company’s official website. Another easy method to find an affordable way to get individual medical policyor standard medicare planis to compare quotes. These quotes are easily available on the internet. Comparing the quotes carefully and precisely is the best way to ensure the reliability and affordability of the plan you purchase.
Source: healthbenefitstoday.com

Medicare Supplement Insurance From Top Providers #179323

Save Money – Compare Affordable Coverage Plans Search for a wide range of benefits and pricing and find more of what YOU want with Me dicare! – Find out if Me dicare can provide the support and flexibility you’re looking for! – Compare plans from a variety of providers and get a better idea of value – Explore details, perks, supplemental insurance, and more! Compare Plans http://ircbloggin.com/2160328p178j2960191 to leave: http://ircbloggin.com/?e=****@bubble.ro or post: Account management options are available here. Cancellations are handled promptly. Or Write Us: 11400 W. Olympic Blvd. Suite 200 Los Angeles, CA 90064 US.
Source: bubble.ro

The Importance of Comparing Medicare Supplemental Insurance Plans

Many Medigap customers think that comparing Medicare supplement insurance is a highly complicated process and that only insurance agents will know how to compare these supplement to Medicare policies. If you too are holding the same view about Medicare supplemental insurance, then you will be surprised to learn that comparing your Medigap plan options need not be a complicated or tedious process anymore. Today, the internet has empowered the customers so much that they can accomplish a lot of time consuming tasks in a matter of just few clicks. This applies to Medicare supplemental insurance price comparison too. You will be able to compare your Medicare supplement plans easily online. You will not have to visit several websites or spend several hours anymore to compare the various policies. You just need to find a reliable Medicare supplemental insurance website such as Lowcostmedigap.com that will allow you to compare Medigap plans online. Using such online services you will be able to make well-informed choices on your Medicare supplement. You will be able to save not only a lot of money but also a lot of time by comparing your Medicare supplement plans online.
Source: medicarequotefinderblog.com

Best Florida Medicare insurance plans; Compare free quotes on medicare insurance plans

I hope you have new knowledge about . Where you can put to utilization in your evryday life. And just remember. View Related articles associated with Medicare Supplement. I Roll below. I even have counseled my friends to assist share the Facebook Twitter Like Tweet. Can you share Best Florida Medicare insurance plans; Compare free quotes on medicare insurance plans.
Source: blogspot.com

What is the Status of the Medicare Part D Program After Six Years?

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 CareBefore Part D, Medicare beneficiaries eligible for Medicaid paid the Medicaid price (i.e., the best private price or 23.1 percent below the average manufacturer price (AMP)). With the advent of Part D, however, these dual eligibles fell under the newly-created Part D low-income subsidy (LIS) program, which charges the LIS-eligible beneficiary no premium and a very modest cost-sharing amount. As pointed out by KFF, under the Part D LIS program, the drug prices are much higher due to lower rebates than available in the Medicaid program. Since Part D LIS beneficiaries make up 36 percent of all Part D enrollees, this solution, if implemented, is estimated by CBO to potentially save $10 billion per year.
Source: wolterskluwerlb.com

Video: Medicare Part D – the Prescription Drug Plan – is Working for Seniors

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

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

COLUMN: Health care court ruling could paralyze Medicare

Last year, 3.6 million seniors hit the gap and saved a collective $2.1 billion due to the health care law, according to the U.S. Department of Health and Human Services. In the first four months of 2012, more than 416,000 people saved an average of $724 on prescription drugs bought after they hit the cap, for a total of $301.5 million. Last year, 3.6 million seniors entered the gap and saved $2.1 billion, the health department says.
Source: thedoctorschannel.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

Ending Medicare as we know it, again

[…] The Republican proposal itself transforms Medicare into a voucher program. Under the proposal, called “premium support,” starting in 2023, seniors and people with disabilities enrolling in Medicare would be allotted a set amount of money to purchase insurance, using their vouchers to pay for premiums for either private health insurance plans or traditional Medicare. The growth of these vouchers is capped and would likely not keep up with health care costs, leaving beneficiaries to make up the difference. The value of the voucher would decline each year relative to the value of current Medicare coverage. According to the Congressional Budget Office, by 2030, the voucher would be worth only 77 percent of current Medicare coverage, and the value would decline to 58 percent by 2050. Beneficiaries who wanted high-quality insurance would have to pay additional premiums out of their own pockets.Source: fiftyplusadvocate.com […]
Source: fiftyplusadvocate.com

A Democrat Reaches Across the Aisle on Medicare

mission is to advocate for Essential Liberty, the restoration of constitutional limits on government and the judiciary, and to promote free enterprise, national defense and traditional American values. Our objective is to provide Patriots across our nation with a touchstone of First Principles through brief, informative and entertaining analyses of relevant news, policy and opinion from reputable research, advocacy and media organizations, so they may better support and defend those Principles, and enlist others to join our ranks.” —Mark Alexander, Publisher
Source: patriotpost.us

What does Medicare REALLY cover?

Posted by:  :  Category: Medicare

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

Video: EHR: Medicare Incentive Program Attestation Webinar for Eligible Professionals

Tricare Help – Should I tell my doctor I have Tricare or Medicare?

15 percent age appeal catastrophic cap child born out of wedlock claims continued care cost share death DEERS dental dependent disabled divorce doctor doctors FEHBP handbook health care reform hospital ID card marriage maternity care Medicare military treatment facilities other health insurance outside the U.S. parents Part A Part B pharmacy pre-existing condition pregnancy reserves secondary insurance social security spouse supplements surgery Tricare For Life Tricare Prime Tricare Standard Tricare Young Adult Program VA widow
Source: militarytimes.com

Health Informatrix: Providers Paid Under the Medicare EHR Incentive Program

In compliance with the HITECH Act’s requirement, CMS has posted the names, business phone numbers, and business addresses of Medicare eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that have successfully demonstrated meaningful use and received a payment as of March 2012. Medicare EPs, eligible hospitals, and CAH’s were able to verify and edit their business phone numbers and addresses during the registration process. CMS has not posted information on group practices, as incentive payments are not provided at the group practice level.
Source: healthinformatrix.com

Significance of Medicare part “B”

For complete assistance and support check the frequently asked questions on the website of Medicare. Part “B” doesn’t support the annual checkups and other expensive treatments like cosmetic surgery. Routine eye and hearing checkups don’t come under this Part. You can check Medicare official website for more details.
Source: allaboutmedicares.com

GAO Calls for Improvements in CMS’ Oversight of EHR Program

CMS has room to improve its process for verifying that health care providers qualify for incentive payments through the meaningful use program, according to a new report by the Government Accountability Office, Health Data Management reports.
Source: ihealthbeat.org

Under pressure from Medicare, hospitals hold more seniors for observation

Posted by:  :  Category: Medicare

Providence RI Tax Day Teabagging event by kd1sBeing held for observation, especially for days, can appear to patients to be exactly the same experience as being admitted — until they get the bill. That’s because people held for observation are classified as outpatients. Under Medicare rules, outpatients may face higher co-pays for their in-hospital services and won’t be covered for subsequent care in skilled nursing facilities. Zhanlian Feng, assistant professor of health services, policy, and practice and first author on the paper, said he first thought to conduct the study when he read media reports of patients who were surprised by their higher costs after spending nights in the hospital.
Source: sciencecodex.com

Video: Sheldon Stands Up for RI Seniors Who Would be Hurt by GOP Medicare Plan

AS Daily News Roundup: Tuesday, June 5, 2012

The federal government’s role in public education is problematic, since local communities and states are closer to public schools and the issues they confront than Washing-ton. It may seem helpful to have the Feds step in when failure at the local level is protracted and demonstrable. But, as we have seen during the administrations of George W. Bush and Barack Obama, major reform is difficult. (The issue of federal financial aid for students and research at public universities is quite separate.)
Source: advocacysolutionsllc.com

Study: Hospital Observation Stays Increase 25 Percent In 3 Years

The researchers analyzed medical records and hospital claims for 29 million people in traditional Medicare from 2007 to 2009. They found that observation stays increased 25 percent to about one million in 2009.  They also found that observation patients remained in the hospital longer, with 45,000 patients in 2009 staying at least 72 hours– an 88 percent hike since 2007—and well past Medicare’s recommended 24 to 48 hours.
Source: kaiserhealthnews.org

Nothing found for Arkansas Medicare

2012 after Arizona Arkansas arrested Beach Case charged City county Court crash Estate fire found from Home Homes house Kansas killed Louisiana Mesa Missoula Missouri MLS® Montana Monthly News North over Park Police Real Rent/Lease Residential Sale School Shooting springs state Video West WICHITA woman
Source: realestatewonders.info

Informational Medicare Meeting

Blue Cross & Blue Shield of Rhode Island (BCBSRI) hosts informational Medicare meetings throughout the year for individuals who are about to be 65 years of age and eligible to enroll in Medicare, and for those individuals who are retiring and will no longer have health insurance coverage through an employer.  These meetings are ideal for individuals who want to learn more about initial election periods and/or the general Medicare process.  It also is an opportunity to learn about the range of options available from BCBSRI.  
Source: patch.com

RI Supreme Court denies expedited appeal in Providence Medicare case

[W]e are constrained to observe that this case involves significant legal issues, the judicious determination of which is of the utmost importance both to the parties and to the public. Therefore, in view of the accelerated nature of the trial court proceedings and the statutory precedence already provided to matters of this nature, we see no need to engage in a precipitate consideration of issues which are best resolved with the aid of a more complete record.
Source: wordpress.com

Changing How Health Care Is Paid for and Delivered

The Affordable Care Act is the most far-reaching health care legislation to date to tackle health care costs. On May 22 the Center for American Progress hosted an event looking at the Affordable Care Act’s different payment and delivery methods and at how the act has lowered health care costs in the United States. For instance, almost 4 million seniors paid more than $2.1 billion less on prescription drugs in 2011, and people on Medicare paid an average of $4,200 less on prescription drugs from 2011 to 2012.
Source: americanprogress.org

The Brian Lehrer Show: Your Insurance Is Costing More

Posted by:  :  Category: Medicare

The PPO insurance plans which provide access to providers both in and out of network are essentially fraudulent. They charge higher premiums and have higher deductibles so that you have the option to go out of network if necessary, and you agree up front that you will only receive 60% reimbursement (or 70% dep on the plan). HOWEVER, you don’t realize at the time that that is 60% not of the original bill, but of a lower "allowable amount," and then have to pay back the unreimbursed amount to the doctor. Why are we paying higher premiums and higher deductibles for this? I currently owe over $50,000 to a spinal surgeon who received a paltry reimbursement "because he was out of network." (After charging you more, they then blame you for going out of network.) In NYC, NONE of the major spinal surgeons are in-network. What is a patient to do?
Source: wnyc.org

Video: US healthcare reform and Medicare seminar

Weekly Update: Beginner’s Guide to Medicare Seminar

March 25, 2010 This seminar is intended for new providers or providers with new office staff and will provide an overview of Medicare. A variety of topics will be covered including the four parts of Medicare, how to determine eligibility and claim submission requirements.   For more in formation, click here.
Source: blogspot.com

BCBSFL Medicare Information Seminars

Blue Cross Blue Shield Medicare supplemental insurance is also discussed in these seminars and interested consumers can obtain pamphlets of information in addition to asking questions to a live representative.  One of the most recent events was held at The Courtyard Fort Lauderdale to educate those interested specifically in Medicare Advantage (HMO, PPO, PFFS), medicare supplements, and Medicare Part D plans for 2010.  This event was open to the public free of charge.  Understanding your Medicare health insurance quotes can prove very beneficial as you shop around in the very competitive market.
Source: healthinsurancesort.com

Burmese Community Activities and Events: No Family Left Behind Medicare Seminar, Dec 12, 2010

June 16, 2012 – Daw Aung San Suu Kyi’s 67th Birthday Celebration, Palo Alto June 17, 2012 – Fathers’ Day Celebration Workshop, San Jose June 30-July 7, 2012 – Khine Htoo and 3 Generations Tour, USA July 1, 2012 – Dhamma Yin Daw Group Buddhist Noviciation and Monkhood Ceremony, Fremont July 7, 2012 – Yan Aung, May Than Nu, May Sweet Concert, South San Francisco July 14-15, 2012 – Sae Taw Win II Dhamma Center Dhamma Camp, Sebastopol July 21, 2012 – Mary Chapman School for the Deaf Fundraiser Food Fair, Daly City July 28-Sep 22, 2012 – Iron Cross Tour 2012 with D Lun, USA
Source: blogspot.com

Group Activities in English for Oaxaca Retirees and Ex

With a Oaxacan climate foreign to many ex-pats, several years ago it seemed a no-brainer to form a garden club to assist recently transplanted northerners by teaching them about trees, plants and flowers indigenous to the central valleys of Oaxaca, including their nutritional and soil requirements, water and sun prerequisites, and infestations. Hence the club began. After a few years of monthly discussions on pruning, cactus and succulents, flowering plants, planter gardens, orchids, and more, the mission statement expanded, as did the name of the organization – Oaxaca Garden and Nature Club. Meetings now include topics such as birding, ecology and ecotourism, the issue of genetically modified foods (i.e. corn in Oaxaca). And their foci are ever-expanding to address interests, questions and concerns of the membership, keeping within the club’s broadened calling.
Source: suite101.com

HIPAA/COBRA/MEDICARE *Upcoming Seminars*

Kate Bardsley, Association Manager of MAIA’s sister association MassAHU, came to me this morning with some information for MAIA members. Actually, she must have been in early, because she tracked me down in the hallway while I still had my coat on. But that’s the way Kate is…she gets things done, no matter the time or place!
Source: wordpress.com

RAIL ROAD MEDICARE REQUESTS FOR PROVIDER’S PTAN#

Posted by:  :  Category: Medicare

Medical Billing Solution, Medical Billing Training Program, About Outsourcing Services, Medical Billing Process and Concept, Tips to Medical Biller, Specialist. Medical Insurance Billing Denial Guidelines. Medical Billing Training Articles and Software Review. Medicare Billing CPT code ,ICD-9 DX Code Update.
Source: whatismedicalinsurancebilling.org

Video: YouTube Videos matching query: medicare ptan lookup

Provider idenification Numbers 

NPI Number-National Provider Identifier Number was created in order to simplify all the different ID number for each insurance.  Effective May 23, 2007  all providers had to have an NPI number to bill insurance and also to identify themselves as referring physicians.  A new uniform billing form was created to accommodate these new NPI numbers.(see Uniform Billing Forms).  The doctor or group associated with the NPI will be the address in box 33 a of the CMS form/ or for a facility box   of the UB-04 form.  that is who will receive the insurance payment.
Source: survivinghealthinsurance.com

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Chest X

Denial Reason, Reason/Remark Code(s) M-80, CO-18 – Duplicate Service(s): Same service submitted for the same patient, same date of service by same doctor will be denied as a duplicate CPT codes: 93010, 71010, 71020 Resolution/Resources First: Verify the status of your claim before resubmitting. You can determine the status of a claim through the Palmetto GBA Online Provider Services (OPS) tool or by calling the Palmetto GBA Interactive Voice Response unit (IVR). Online Claim Status Verification through OPS
Source: medicarepaymentandreimbursement.com