Today’s news update

Posted by:  :  Category: Medicare

"Citizenship is a tough occupation which obliges the citizen to make his own informed opinion and stand by it." ~ Martha Gellhorn  by eyewashdesign: A. Goldenthe solicitor then goes on to steal money from the beneficiary’s bank account. The caller initially explains that the beneficiary will be receiving updated Medicare cards within the “next three to five days”, but first, the beneficiary must verify over the phone, personal information, such as name, address and other information. As a lure to get the banking account number, the caller then reads the root number of the person’s bank (the first series of numbers on a check), then asks the beneficiary to complete the sequence by providing the numbers of their actual banking account. The caller’s tone is particularly authoritative, and if the beneficiary does not readily comply, an alleged “supervisor” is put on the line to exert additional pressure.
Source: kymnradio.net

Video: Scott Brown on Ending Medicare: Thank God!

aetna medicare phone number

. are the Medicare prescription drug plan customer service (toll free) phone numbers. . 800) 882-3822 AdvantraRx Premier Plus Aetna Medicare Author: college scholarship app template bad hair transplant files get onto facebook phonebook
Source: posterous.com

Daily Kos: Mitt Romney: Let’s make it easier to commit Medicare fraud than to register to vote

who will point this out? We do it all the time here, because we are among tens-hundreds?-of thousands of careful, literate readers who want to know the truth. The mainstream media? Not so much. Politicians will not call each other out, apparently, given their use of the terms “misspoke” and “misrepresented” instead of “lied” when discussing even their opponents. The sheer number of them from Republicans makes it nearly impossible for us make any of them “stick” in the voters minds–and of course, most get hit with the “both sides do it anyway” stance by everyone–so there is little to no downside to lying when slandering one’s opponent, other than to one’s conscience. And this is where most Dems (well, most liberals, at any rate) get hurt; we have consciences, so we feel bad if we lie, we try to avoid it, and we apologize or atone for misdeeds when caught, at the very latest. Paradoxically, that makes us weaker in the eyes of the voting public, instead of more reliable and honest.
Source: dailykos.com

Bankersconseco.com Estimated Value $1,036.80 USD

Domain Name………. bankersconseco.com Creation Date…….. 2006-02-15 Registration Date…. 2011-09-19 Expiry Date………. 2013-02-16 Organisation Name…. CNO Services LLC. Organisation Address. 11825 N. Pennsylvania Street Organisation Address. Organisation Address. Carmel Organisation Address. 46032 Organisation Address. IN Organisation Address. UNITED STATES Admin Name……….. Team . Admin Address…….. 11825 N. Pennsylvania Street Admin Address…….. Admin Address…….. Carmel Admin Address…….. 46032 Admin Address…….. IN Admin Address…….. UNITED STATES Admin Email………. cnt@cnoinc.com Admin Phone………. +1.31781761 Admin Fax………… Tech Name………… Team . Tech Address……… 11825 N. Pennsylvania Street Tech Address……… Tech Address……… Carmel Tech Address……… 46032 Tech Address……… IN Tech Address……… UNITED STATES Tech Email……….. cnt@cnoinc.com Tech Phone……….. +1.31781761 Tech Fax…………. Name Server………. EXTDNS1.BANKLIFE.COM Name Server………. NS2.CONSECO.COM Name Server………. NS1.CONSECO.COM
Source: widestat.com

Medicare covers kidney disease

ESRD is treated by dialysis, a process which cleans your blood when your kidneys don’t work. It gets rid of harmful waste, extra salt, and fluids that build up in your body. It also helps control blood pressure and helps your body keep the right amount of fluids.
Source: thisisreno.com

April 12, 2012 Column 558 “Medicare Fraud 2″

            We recently completed taping our April radio show and this is exactly what we were talking about—fraud. And, for your information and amusement, the radio show is entitled “A Senior Moment”, and is done on KMUN public radio. If you miss these spots when aired, you can access them at http://www.coastradio.org/index7.html. End of ad.
Source: wordpress.com

Stop Fraud As A Medicare Consumer And Watch dog

Virtually all Healthcare vendors are trustworthy and honest. Nonetheless, as with anything else some are not. Medicare is certainly a large government organization that it becomes an effortless target for scams. Many Government agencies are working with Medicare to prevent these fraudulent activities. How does fraud usually happen? Its actually easy to do and merely requires that the Healthcare provider charges Medicare for products and services that have not been provided. Of course many of us have no idea exactly what services were carried out anyway. This costs Medicare an incredible sum of money and as we all know Medicare is under a great deal of financial stress. The fraudulence results in higher premiums for everyone.
Source: mylucky777.com

PHYLLIS CARTER’S JOURNAL: WHAT IS CANADA BUT THE RAILROAD, MEDICARE AND THE CBC ?

Posted by:  :  Category: Medicare

See, it doesn’t matter if CBC’s funding is cut by 5 per cent or 10 per cent today. The CBC must take a hit because CBC represents the Canada that is “a northern European welfare state in the worst sense of the term,” as OGL famously described Canada in a 1997 speech. Fifteen years later, a reduced CBC will be presented, like a head on a bayonet, another small but viciously achieved victory in the war against all that northern-European-welfare-state stuff. More important, there will be cheering among government supporters, those braying for the crushing of the CBC for years. The braying mob will get what it wants.
Source: blogspot.com

Video: GBMC Primary Care – Debbie Jones, CRNP

Medicare And California Sales Tax: An Analysis

There’s a rumor going around that a 3.8 percent sales tax will be applied to home sales in order to fund Medicare under the Affordable Care Act. Although that rumor is patently false, there has always been sales tax associated with certain Medicare-covered transactions. Specifically, if your firm sells medical supplies and has been treating sales under Medicare Part B (Medicare B) as exempt from California sales tax, it is sitting on a fiscal time bomb. Since the program began, the California State Board of Equalization (Board) has been regularly assessing sales tax on Medicare B transactions in its audits. Even businesses reporting correctly are generally confused about why sales under Medicare B are treated differently from sales under Part A. This article will discuss the different treatments and explain how sales tax applies to Medicare receipts in general. Some sales under Medicare are always exempt, simply because the products involved fall under the general California exemption for prescription medicines. However, such transactions are outside the scope of this article, which solely addresses products ordinarily considered taxable when sold to patients. (Medical services are exempt from sales taxes in general, in California and nearly everywhere else.) In order for an otherwise taxable product to be exempted from sales tax under Medicare, the product must be considered sold to the United States government rather than to the patient. Sales to the U.S. government are exempt from sales tax for Constitutional reasons. This exemption has been codified in California Revenue and Taxation Code Section 6381 and is further delineated by Sales and Use Tax Regulation 1614. Whether a Medicare transaction is considered an exempt sale to the U.S. government or a taxable sale to an individual patient depends on whether the sale falls under Medicare Part A or Part B. All sales under Part A are regarded as exempt sales to the U.S. government. Sales under Part B are considered made directly to the patient, and they are taxable unless some other exemption applies (such as the exemption for sales for resale or sales in interstate commerce). Differences between Parts A and B that give rise to this distinction are discussed below. Financing and Participation: Medicare A is financed through payroll withholding and self-employment taxes. Participation is mandatory for anyone within the Social Security system. Most people who pay the taxes that fund Medicare A are under retirement age and not yet eligible for Medicare coverage. Medicare B is financed partly through monthly premiums paid by those covered under the program. The rest of the financing comes from general funds of the federal government. Anyone covered by Part A is eligible for Part B, but participation in Part B is optional. Once participants enroll in the Medicare B program, they are required to pay the monthly premiums, generally through withholding from their Social Security checks. Cost to Participants: Medicare A is funded entirely through self-employment taxes and the Medicare percentage withheld from employee paychecks and matched by employers. There are no costs specific to participants. Medicare B is charged directly to each participant, generally by a monthly deduction from the participant’s Social Security check. The monthly costs are considered medical insurance premiums and may be claimed as an itemized deduction on the participant’s income tax return. Payment of Claims: Medicare A payments are made directly to providers of medical products or services under a procedure mandated by federal law. Since the law requires direct payment by the U.S. government to providers, medical supplies sold by providers under Medicare A are considered sold to the U.S. Government. Medicare B payments may be made either to providers or patients. If a provider has agreed to accept assignment of Medicare benefits (which essentially constitutes agreement to accept Medicare’s version of “reasonable charges”), the provider prepares and submits a claim form and is reimbursed directly by the insurer acting on behalf of the U.S. government. The patient pays only the deductible, co-insurance or non-allowable costs. If the patient uses a provider who has not agreed to accept assignment of benefits, the patient pays the entire charge and then files a claim for reimbursement. Any such reimbursement goes directly to the patient. Under Medicare B, payments are considered reimbursements of charges to the patient, whether the payments go directly to the patient or to the provider on the patient’s behalf. The U.S. Government’s Position: Medicare A does not allow reimbursement for sales taxes charged on medical supplies, based on the theory that providers are selling to the U.S. government and the sales are therefore exempt. Medicare B has built sales taxes into its calculations of “reasonable charges,” as stated in Medicare Carriers Manual section 5213. In accepting sales taxes as allowable charges under Medicare B, the U.S. Department of Health and Human Services has taken the position that sales under the program are not sales to the U.S. government. Sales Tax Effect: Medicare A payments are made directly by the U.S. government to providers under federal law, which theoretically results in sales to the United States as discussed above. Medicare B payments may be made either directly to patients or to providers for the benefit of patients, depending on each patient’s choice of provider. The patient’s ability to make this choice has been interpreted to mean that payments under Medicare B are simply reimbursements to patients. Under this “patient reimbursement” theory, any sale by the provider under Medicare B is made to the patient rather than the United States, regardless of which party prepares the claim form or receives the reimbursement check. Both the U.S. Department of Health and Human Services and the State Board of Equalization have accepted these legal interpretations, and it appears unlikely that an effort to re-characterize sales under Medicare B as sales to the U.S. government would prevail. If the law is ever changed to make direct payments to providers mandatory under Part B, the application of sales tax could well change with it. Although subject to tax, amounts claimed for 80 percent reimbursement under Medicare B are considered to include applicable sales taxes, because the Medicare Carriers Manual defines “reasonable charges” as including such taxes. Accordingly, when providers report their taxable sales to the Board, they are entitled to claim a deduction for sales taxes included in Medicare B reimbursements. Conclusion: The theoretical justification for distinguishing sales under Medicare A from sales under Medicare B may not be entirely logical, but compliance with the Board of Equalization’s interpretation is the only prudent approach. If you have been treating all sales under Medicare B as exempt, you should now begin reporting those sales as you would report sales to any private party. But what about earlier periods? If your firm is selected for a Board audit, you undoubtedly will be billed for additional taxes for those periods. However, the amount of additional taxes may be subject to adjustment. This is true not only for Medicare sales but for any area where tax changes are recommended by Board auditors. Audits incorporate assumptions and tests that often can be modified and occasionally can be overcome. Always remember that you have the right to review any tax auditor’s working papers or have a sales tax expert review the audit on your behalf. Exercising that right will at least bring you peace of mind. It might also result in significant tax savings.
Source: articlesnatch.com

What is the difference between Railroad Medicare and regular Medicare?

About advice Aetna best care Centre Child Definitions Diagnosis Dictionary Elderly Equipment Find Free from GOOD guide health Insurance Know Life Marijuana Medical Medicare Mental Minnesota Need NEWS Online Part people Plan Quotes School Should symptoms Term Terminology Terms There they Universal Women women’s Work
Source: medicalover.com

Audit Proof Income: New Fax Service for RailRoad Medicare to Submit Documentation

The University of North Carolina at Greensboro is accepting proposals for a Construction Manager at Risk firm for construction of its Railroad Pedestrian Underpass project located on campus. The selected Construction Manager at Risk firm will work closely with the architects (Wagner Murray Architects, Charlotte, NC) bringing a construction perspective and expertise to the design process by providing constructability reviews, market-based cost estimates and realistic schedule development. At the appropriate point in the design process, the Construction Manager at Risk will provide a guaranteed maximum price (GMP) for the project, ensuring that the work can be accomplished within the budget. Source: rfpdb.com
Source: medicaresupplementalco.com

Daily Kos: Mitt Romney and Paul Ryan campaign on the freedom of living without Medicare

important and that’s “not following global or national news”.  I have two older sisters, one in her early 70s and the other late 60s.  Both know how to use a computer BUT when it comes to news, they still either rely on the local newspaper (which is a Republican mouthpiece) or one of the local tv stations which can never give adequate coverage to complex issues in the 10 minutes or so allowed for nightly news.  When I tell them about the wealth of good information that can be found on the internet, their eyes glaze over.  They get it that what they’re hearing or reading via newspaper and local tv is already old news when they get to it and that they’re not being given anywhere near enough in-depth information to really understand today’s issues.  But they won’t change.  Sometimes when I talk with them I feel like I’m talking to people from another century.  They’re mostly out of the loop.  I can’t imagine not keeping up with what’s happening in the world around us but they can’t be bothered.  I’m 5 years younger than my oldest sister and 2 1/2 years younger than the one closest in age to me and I feel like there is a chasm between us.
Source: dailykos.com

Nothing found for 2012 06 Medical

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Source: todaysreolist.com

Multiple CPIDs 5010 Report Generation Delays/Issues

These payers are having processing issues affecting Professional and Institutional 5010 277CA processing and report generation. Payers affected are: CPID 1440 Texas Medicare Part B CPID 1449 Colorado Medicare Part B CPID 1458 Oklahoma Medicare Part B CPID 1464 North Carolina Medicare Part B CPID 1547 Colorado Medicare Part A CPID 2462 Kentucky Medicare Part B CPID 3508 California Medicare Part A CPID 3579 Louisiana Medicare Part A CPID 3597 Home Health Medicare Region IV Gulf Coast CPID 5502 Texas Medicare Part A CPID 5566 New Mexico Medicare Part A CPID 5567 Hawaii Medicare Part A CPID 1443 Retired Railroad Medicare Part B CPID 1444 Southern California Medicare Part B CPID 1560 South Carolina Medicare Part A CPID 3507 Ohio Medicare Part A CPID 5502 Texas Medicare Part A CPID 5533 Kentucky Medicare Part A CPID 5556 Mississippi Medicare Part A These issues and delays occurred on March 29, 2012, and are due to a payer processing issue. The clearinghouse is working diligently with the payer to resolve these issues and to ensure all claims are processed. Further notification will be provided as additional information becomes available. Please be aware of this payer processing delay. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Utah Academy of Family Physicians: Medicare Fee

Posted by:  :  Category: Medicare

OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SSSpecial Note Regarding Claims for Ambulance Services:  The ASC has not previously required that diagnosis codes be reported on claims for ambulance services.  However, as CMS has previously advised, with the implementation of version 5010, diagnosis codes will be required on all claims, including ambulance claims. Therefore, this message serves as a reminder that, with the implementation of version 5010, entities billing ambulance services are required to submit diagnosis codes on all claims for such services.
Source: blogspot.com

Video: Medicare Utah

Professional Healthcare Is Approved for Medicare Licenses at Additional Offices in California and Utah

Professional HealthCare is comprised of three divisions that offer both medical and non-medical home care to families throughout Northern California and Utah. Its Professional HealthCare at Home division has served the San Francisco Bay Area for over 20 years, serving San Francisco as well as cities throughout Alameda County, Contra Costa County, San Mateo County, Santa Clara County, and Solano County. Its Victorian Home Care division serves Monterey and Santa Cruz Counties, and its Haven HealthCare division serves counties within the Salt Lake City, Utah region. Services include nursing care, physical and occupational therapy, post-hospital rehabilitation, extended nursing care, wound care, home health aides, medical social workers, medication management, senior care and hospice care. Home caregivers and personal care assistants provide help with activities of daily living, eldercare, transportation and companionship. Information is available at professionalhc.com, havenhh.com and victorianhc.com.
Source: ut-real-estate.com

Daily Kos: Is This a New ALEC SCHEME: The Health Care Compact to Replace Medicare? Try It!

Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

Utah Medicare Part D Plans

Whereas you can compare stand-alone plans to each other, you must compare the entire Advantage plan package to other Advantage plans. This complicates things a little. For instance, a plan with great drug benefits may be less than desirable for its medical benefits or provider network.
Source: partdplanfinder.com

Fiscal Hawks Tell Lawmakers To Reform Medicare, Tax Code

Another challenge that would emerge should the sequestration not be addressed are the effects of funding cuts to non-governmental agencies. Since federal employees cannot have their salaries cut, according to the PCDRTF, federal agencies would be forced to layoff workers. These layoffs would actually have to come ahead of the automatic sequester since federal employees must receive notice of termination 60 days beforehand. As a result, the PCDRTF explained that Congress must act well before the November elections.
Source: talkradionews.com

Popular Medicare drug program targeted in Utah GOP primary battle

But the drug benefit has become extremely popular with seniors. And the healthcare law that President Obama signed in 2010 expands the benefit by closing a hole in the Part D coverage known as the “doughnut hole,” (although Obama’s law, unlike the original legislation, offsets the cost of the expansion with other spending cuts and new taxes).
Source: us-senators.com

Utah plays politics with Medicaid, Medicare

Another unintended consequence is that as benefits dwindle, people who are underinsured or uninsured and can’t get medical care could flood emergency rooms, as often happens now. Meantime, the number of caregivers who simply can’t afford to give care under Medicaid and Medicare coverage are simply not taking those patients anymore.
Source: utahseniorservices.com

Health News Med: OIG Posts 6 Reports, Updates CIA List, and Provides News about Enforcement Actions

For the period October 1, 2008, to March 31, 2009, we estimated that New Mexico paid Clovis Homecare, Inc. (Clovis), at least $405,000 for personal care services claims that did not always comply with certain Federal and State requirements. Of the 100 claims in our random sample, 24 did not comply with these requirements. The deficiencies included inadequate attendant certifications, no documentation of supervisory visits, unsupported units of service claimed, no documentation of physician authorization, and lack of State agency approval for personal care services provided by the recipient’s legal guardian or attorney-in-fact.
Source: blogspot.com

Hospital audits reveal more Medicare overpayments

Using Electronic Medical Records (EMR) instead of paper files has the potential to improve care for patients by boosting communication. Despite positive results related to EMR usage, questions remain. How can physician practices best use EMRs to focus business and clinical operations, improve outcomes and engage patients in healthcare decision making? Learn more.
Source: fiercehealthcare.com

The Case for Medicaid Audits to Prevent Fraud

I got involved in this issue in February, after whistleblowers contacted my office to report details in the Minnesota Medicaid program that just didn’t add up. I was appalled to learn what could be going on in my home state. So I joined with State Senators Sean Nienow (District 17) and Michelle Benson (District 49) for a press conference on these allegations, and I have been involved publically in the issue ever since.
Source: redstate.com

Money Laundering Scheme Sent Medicare Money to Cuba

Money laundering involves moving illegally obtained funds into legitimate economic channels. It is used to help hide the fact that the money was gained through criminal activity and it is precisely that deception that makes money laundering illegal. The funds here are alleged to be part of Medicare fraud and were put into banks to fool authorities as the money was transferred to Cuba.
Source: criminallawnewsnow.com

Waiting For Ohio Medicare Benefits To Begin

Posted by:  :  Category: Medicare

Double-Parked by elycefelizIf you feel you are unable to medically qualify for a new health insurance plan, you should definitely keep your current contract in effect until you reach age 65. This may mean that you must continue on COBRA or a HIPAA plan. Although expensive, these two federally-backed options will continue to provide benefits for the specific conditions that keep you from obtaining private medical coverage. And if you develop new health issues, they will not be excluded from your current health care policy.
Source: ohioquotes.com

Video: Ohio Medicare Advantage Vs Ohio Medicare Supplement Plans

Ohio Medicare Supplement Vs Ohio Medicare Advantage Plans

I hope you will get new knowledge about . Where you possibly can offer easy use in your daily life. And most significantly. View Related articles related to Medicare Supplement . I Roll below. I even have suggested my friends to assist share the Facebook Twitter Like Tweet. Can you share Ohio Medicare Supplement Vs Ohio Medicare Advantage Plans.
Source: blogspot.com

Bachmann Calls For Federal Audit Of Minnesota Medicaid Program

Minnesota Public Radio: Bachmann Wants Independent Audit Of State’s Medicaid Program Michele Bachmann is stepping up her campaign for federal officials to take a deeper look at how Minnesota’s Medicaid managed care plans operate. Later today, the Minnesota Republican congresswoman will send a letter to Marilyn Tavenner, the head of the Center for Medicare and Medicaid Services, asking that the federal government conduct an independent, third-party audit of Minnesota’s management of the federal-state health care program for the poor. Bachmann’s request comes after a House hearing in April that paid particular attention to Minnesota’s contracts with nonprofit managed care organizations and UCare’s $30 million payment to the state in 2011 (Neely, 6/7).
Source: kaiserhealthnews.org

Central States Indemnity Medicare Insurance

Berkshire Hathaway is of course the large investment conglomerate run by none other than Warren Buffett.  In 1992, Berkshire acquired Central States and due to the immense resources behind such a well respect holding company, CSI is afforded an extremely high rating for a midsize Medicare supplement provider.
Source: ohioinsureplan.com

Just Want to Check This Result …

Genome-Wide Approach IDs Fasting Glycemic Trait-Associated Variants Manning, Hivert et al., Nature Genetics An international team presents a genome-wide approach for the identification of genetic variants that influence fasting glycemic traits and insulin resistance. Using a joint meta-analysis approach to test associations between fasting insulin and glucose levels while accounting for body mass index, the team identified six previously unknown loci associated with fasting insulin levels. “Risk variants were associated with higher triglyceride and lower high-density lipoprotein cholesterol levels, suggesting a role for these loci in insulin resistance pathways,” the authors write.
Source: genomeweb.com

Changes in Ohio Medicaid Coming Next January

reports that dual-eligible patients are seen as a $300 billion opportunity for managed care firms. Because Ohio is pushing to start better coordinating care for dual-eligible patients, dropped insurers will likely lose a piece of that pie. Streamlining the selection of managed care organizations available should help, in turn, streamline processes for dual-eligible patients, who often encounter difficultly in coordinating coverage with both Medicaid and Medicare services, says Jim Ashmore, performance improvement section chief for Hamilton County Department of Job and Family Services (HCJFS). ODJFS reports that the new providers were selected using a fair, through and open application process that was “based on applicants’ past performance in coordinating care and providing high-quality health outcomes.” Although the changes are generally perceived as a positive move forward, service providers, including doctors and health centers, acknowledge that the disruption in services could cause serious confusion when recipients are forced to find new providers and obtain new Medicaid cards. In Kentucky, the three private managed care companies which provided Medicaid services to more than 500,000 patients have received an influx of care-related complaints, including inefficiency in authorizing services and payment issues.  Ashmore challenges the notion that the transition will be a bumpy one, noting patients have little to worry about: When the transition is made, everyone will likely receive an enrollment package in the mail that will outline steps to switch over new care providers.
Source: citybeat.com

Will Labor Learn Recall's Lessons in Battleground States?

But when asked specifically about the lessons learned from the failed effort to recall Wisconsin governor Scott Walker–where all of these same issues, and a ground effort that took on big rightwing money came into play–neither Davis nor Eliseo Medina, the union’s secretary-treasurer, had a very satisfactory response.
Source: progressive.org

Daily Kos: UPDATED: O’Keefe ACORNs Ohio Medicaid (ACTION ALERT)

beltane, Something the Dog Said, kestrel9000, Gooserock, Otteray Scribe, mama jo, MKSinSA, Crashing Vor, jimstaro, Kristina40, Actbriniel, dougymi, googie, JTinDC, marina, AnnieR, qannabbos, G2geek, Pinto Pony, zerelda, DebtorsPrison, anagram, Ashaman, Dr Squid, Turbonerd, bythesea, MadRuth, cville townie, zeke7237, coquiero, Gordon20024, annieli, GeorgeXVIII, bleeding heart, banjolele, vets74, Marjmar, jennyp, wyvern, DiegoUK, congenitalefty, sc kitty, MartyM, boran2, shopkeeper, KenBee, envwq, eddieb061345, darkrogue, WarrenS, nklein, Mother Mags, IndieGuy, Gowrie Gal, OrganizedCrime, BruinKid, MinistryOfTruth, Floande, Nebraskablue, elwior, Philpm, Catte Nappe, gooderservice, Broke And Unemployed, thehoch, Snud, raptavio, No one gets out alive, Unit Zero, bnasley, anyname, DaleA, luckydog, Dave925, Andrew M, Regina in a Sears Kit House, Empower Ink, Sinnach, mamamedusa, wader, Debbie in ME, trueblueliberal, Betty Pinson, defluxion10, GrogInOhio, Keone Michaels, Eddie L, JayBat, avsp, shenderson, psnyder, wilderness voice, ajr111240, Curt Matlock, Rejoinder, means are the ends, MA Liberal, lol chikinburd, darthstar, niteskolar, OldDragon, BarackStarObama, boofdah, CamillesDad1, SneakySnu, petulans, here4tehbeer, Railfan, jan4insight, Habitat Vic, regis, Carlo, Vatexia, Brooke In Seattle, freeport beach PA, Forward is D not R, Tonedevil, eigenlambda, PeterHug, frisbee, suzq, Showman, filby, mungley, ask, Cinnamon Rollover, buckstop, CA Nana, eru, ccasas, importer, Temmoku, tgypsy, HeartlandLiberal, Byron from Denver, Libby Shaw, Egalitare, davehouck, gloriana, jethrock, falina, kid funkadelic, missliberties, Son of a Cat, PBen, joe shikspack, S C B, ClutchCargo, happymisanthropy, Karl Rover, kjoftherock, tiredofcrap, science nerd, trumpeter, sb, SCFrog, legendmn, dmhlt 66, Babsnc, Matt Esler, greenbird, begone, ER Doc, NMRed, Cenobyte, Mathazar, skrekk, Involuntary Exile, mconvente, lcs, JVolvo, brentbent, Xapulin
Source: dailykos.com

Initiative Focuses on Improving Transparency and Access to CMS Data

Posted by:  :  Category: Medicare

OBAMACARE WATCH: MORE DARKNESS THAN LIGHT AND OF COURSE TAXES AND PENALTYS by SS&SSMedicare Geographic Variation Trend Data: This unique data set leverages almost five billion Medicare claims over a four-year period (2007-2010) into an easy-to-use data resource at the state and Hospital Referral Region (HRR) levels and includes numerous variables, such as demographics, spending, utilization and quality of care.  Users with varying levels of experience with Medicare data will be able to quickly understand and adapt the data to specific projects and assess and compare their state’s or HRR’s Medicare performance against other areas or the national average.  The data is on the Institute of Medicine website and will be available in the Health Indicators Warehouse by mid-summer 2012.   
Source: wolterskluwerlb.com

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

Medicare Initial Enrollment Period IEP

birthday, make sure you know what your deadlines are.  For Parts A, B, C and D, your personal initial enrollment period is the 3 months before your birth month, the month of your birthday, and the 3 months after your birth month.  For example, if your birthday is July 15, you can sign up from April 1 to October 31.  BUT if you want your coverage to start on the first day of your birth month, the earliest date possible and when most employer and individual insurance becomes secondary, (July 1 for this example), enroll by the end of the month before your birth month (June 30 for this example).  If you don’t sign up until sometime in July (birth month), your coverage will not start until August.  Signing up during the three months after your birth month leads to even more months between enrollment and effective dates, but no penalties.
Source: retirementeducationplus.com

Medicare Advantage Enrollment Grows by 10 Percent

Kaiser Family Foundation just released a Data Spotlight on 2012 Medicare Advantage Enrollment. The report shows that 2012 MA enrollment increased 10 percent from 2011 levels with the addition of 1 million new enrollees. The report also noted that MA enrollment has doubled since 2005. Given the payment cuts in the Medicare Modernization Act and Affordable Care Act, this market penetration is surprising. And MA is poised for even more growth in the next several years with the shift of retirees from employer drug coverage due to the loss of the Retiree Drug Subsidy tax benefits, state initiatives that are shifting dual eligibles into managed care, and the arrival of the baby boomers who are familiar with PPO products. It not unrealistic to imagine that MA plans could cover one-third of all Medicare beneficiaries. Some of the 2012 growth is probably due to the fact that premiums in all plans except Regional PPOs decined in 2012. This trend cannot continues since the ACA payment cuts are still being phased in and the quality demonstration providing higher bonuses will end after 2014. Plans are expected to increase premiums and reduce benefits beginning next year. As long as MA remains a better value than Medigap, we should expect to see enrollment continue to increase.
Source: gormanhealthgroup.com

Medicare Advantage Enrollment Goes Up As Premium Costs Decline

The Hill: Report: Enrollment Up, Premiums Down For Medicare Advantage The 2010 healthcare law contained cuts to Medicare Advantage that were strongly opposed by Republicans and insurance companies. The program offers care to seniors through private insurers that contract with the Medicare agency. … The program now covers more than 13 million beneficiaries, or 27 percent of the Medicare population, the report stated. … The law’s cuts to the program are expected to save $136 billion over 10 years (Viebeck, 6/12).
Source: kaiserhealthnews.org

Were You Sent a Request to Revalidate Your Medicare Enrollment?

5010 ABC Home Health Care Inc. accountable care organizations Agency for Health Care Administration Barack Obama Bill Nelson Centers for Medicare & Medicaid Services Cliff Stearns companionship services exemption Copays Department of Health and Human Services Department of Justice Department of Labor Donald Berwick Elizabeth Hogue F2F Fair Labor Standards Act Federal Bureau of Investigation Florida Home Health Care Providers Inc. Gentiva Health Services Health Care Fraud Prevention and Enforcement Action Team (HEAT) HH CAHPS Hilda Solis HIPAA ICD-10 In-Home Aides-Partners in Quality Care Independence at Home Demonstration Kathleen Sebelius Lisa Remington Marco Rubio Marilyn Tavenner Max Baucus Medicare Fraud Strike Force MedPAC National Association for Home Care & Hospice National Private Duty Association Office of the Inspector General Open Door Forum Palmetto GBA Pam Bondi Patient Protection and Affordable Care Act PECOS Rick Scott Super Committee Supreme Court
Source: hcafnews.com

Report: Enrollment up, premiums down for Medicare Advantage

The Kaiser Family Foundation found that this year, enrollment in the program grew by 10 percent — jumps were seen in all but two states — and that the average premium paid by enrollees dropped by $4. The program now covers more than 13 million beneficiaries, or 27 percent of the Medicare population, the report stated.  In 2010, after the healthcare reform law passed, the Obama administration predicted that Medicare Advantage premiums would fall for enrollees as a result of officials’ negotiations with insurers. This ran contrary to the opinions of lawmakers and some policy experts, according to The New York Times. The law’s cuts to the program are expected to save $136 billion over 10 years. A related project, aimed at moderating pain from the cuts with quality bonuses to MA insurers, has received criticism from federal investigators as being wasteful.
Source: thehill.com

Medicare Advantage 2012 Data Spotlight: Enrollment Market Update

This data spotlight examines the growth in private Medicare Advantage plan enrollment in 2012, with a record 13 million Medicare beneficiaries enrolled as of March, representing 27 percent of all Medicare beneficiaries.  Enrollment jumped by more than 1 million enrollees from the previous year and increased in every state except Alaska and New Hampshire.
Source: kff.org

Practical Insights: Dealing with Medicare Part B and COBRA Coverage

Generally, the Socal Security Act provides that individuals may enroll in Medicare Part B (which covers doctors visits and other outpatient services) when they reach age 65. If they fail to do so during a seven-month initial enrollment period surrounding their 65th birthday, they can enroll during an annual “general enrollment” period that occurs each January 1- March 31, with coverage becoming effective the following July1, though they will incur a penalty in the form of permanently higher Part B premiums (10% increase for each year of available coverage that is foregone). However, actively employed individuals who have employer-provided health coverage can postpone signing up for Medicare Part B until after age 65. When they lose the employer-provided coverage or terminate employment, whichever happens first, they are then provided an eight-month “special enrollment period” (“SEP”) during which they can sign up for Medicare effective immediately and without penalty.
Source: fordharrison.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

Ypsilanti, Michigan Medicare Supplement Plan G

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSIn an earlier post on this blog, we looked at Medicare supplement plan F, and how it is the most popular supplement plan on the market.  With this post, we are going to look at Michigan Medicare supplement plan G, and how it might be the available product on the market.
Source: cheapinsuranceinmichigan.com

Video: Learn About Medigap Plans

Do not Enable The Hospital To Take Your Financial savings; Find Supplement Medicare Insurance protection

Medicare health insurance programs never pay for all your healthcare needs a senior has. That is why 4 of every 5 buy supplemental Insurance plans also known as Medigap Insurance coverage. This insurance is meant to pay co-payments, coinsurance, and also deductibles. Most of the policies will offer unexpected emergency health care coverage if someone is traveling outside the USA. This program operates as with any other insurance policy in that a monthly premium is paid directly to a private insurance carrier and never Medicare. The private insurance companies are the service provider for this insurance coverage. A persons statement is going to be mailed monthly together with any and all procedures which have been covered on the seniors behalf.
Source: ericluden.com

View and Compare Medicare Supplement Insurance Online

When 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: millionaire-business-articles.com

Senior Health Direct Offers Help Online With Medicare Supplement Insurance Plans and Rates

Why is Senior Health Direct essential to making a Medicare supplement insurance plan decision? The insurance plan that you choose to Medicare will be responsible for helping you with your medical bills and medication costs. As an elderly member of society, you are more likely to have higher medical bills and higher medication costs. Senior citizens usually consume more pills on average than someone younger. So not only will your medications cost more, but you probably take more medications as well. As someone who has a great need for a medical insurance plan, you want to make an informed decision when you decide on the plan you are going to choose. If you were to choose the wrong plan, it could cost you hundreds or potentially even thousands of dollars. Choosing the plan that fits your situation better will save you money and be beneficial to your health in the long run.
Source: submissionsvalley.com

Knowing Senior Insurance Options is Essential for Saving Money and Being Well Insured

Paying for many different types of senior health insurance may seem like a very expensive process, and something that you might not be able to afford month-to-month. However, most senior citizens purchase a large amount of medicine and are prone to going on disability. Additionally, this is a time in your life where you will need to consider the different varieties of Medicare options. Medicare is something provided in the United States that is for senior citizens to get health insurance. In order to make sure that the types of illnesses and conditions that you have, and the medicine that you are on is covered, you have to investigate into the different varieties of Medicare like their advantage, prescription, and regular insurance plans. Doing enough research to fully understand these plans could take ages, that is why the services of senior option companies are there, to help you and guide you through the process.
Source: ezinemark.com

Arizona Medicare Supplement Plans

The medical needs of senior citizens are often continual and increasingly more expensive to keep up with on a regular basis. There are many instances where people are unable to keep up with the risings costs of health care which makes them avoid treatment or simply undergo minor forms of care that are within budget which can cause significant health risks and concerns. Anyone currently enrolled in this program and looking for added assistance should be capable of choosing from Arizona Medicare supplement plans to help offset their expenses.
Source: annuitycampus.com

Policy Speakout: Legislators earned an ‘E’ for effort in 2012

Posted by:  :  Category: Medicare

CENTRAL CITY, COLORADO 1968 by roberthuffstutterExperimentation with existing programs and services – Legislators approved a number of proposals to change how health care is paid for and delivered in Colorado. Among them: The legislature approved a recommendation from the Department of Health Care Policy and Financing to pay health care providers a share of any financial savings from improved care coordination. It also passed a three-year pilot project that moves individuals eligible for both Medicaid and Medicare from nursing homes to alternative care facilities in their communities.
Source: typepad.com

Video: Survey: Two-thirds of Colorado doctors refuse or limit basic Medicare patients

Hospital audits reveal more Medicare overpayments

Using Electronic Medical Records (EMR) instead of paper files has the potential to improve care for patients by boosting communication. Despite positive results related to EMR usage, questions remain. How can physician practices best use EMRs to focus business and clinical operations, improve outcomes and engage patients in healthcare decision making? Learn more.
Source: fiercehealthcare.com

Medicaid: More Federal Scrutiny For Minn. Program; Colo. Reforms Become Law

(St. Paul) Pioneer Press: Minnesota’s Medicaid Program Under Investigation By Yet Another Federal Agency  Add the Centers for Medicare and Medicaid Services to the list of federal agencies investigating the Medicaid program in Minnesota. In a May 16 letter, the agency that runs the federal government’s two key health insurance programs asks Human Services Commissioner Lucinda Jesson to answer a series of questions about how Minnesota sets payment rates for managed care organizations in the state’s Medicaid program. … Questions about whether Minnesota officials have manipulated the Medicaid rate-setting process to wrongly pull down extra federal funding have swirled since February when Jesson confirmed the federal government was investigating the issue (Snowbeck, 6/6). 
Source: kaiserhealthnews.org

Southeast Mental Health Services awarded $1.4 million Healthcare Innovation Grant

“This grant is an opportunity for us to focus on the healthcare needs of our community by strengthening our workforce. Through our collaboration with Otero Junior College and the curriculum they are developing, southeastern Colorado will become a magnet for integrated rural healthcare training,” said Becky Otteman, CEO/Executive Director of Southeast Mental Health Services. “Our primary healthcare partners—High Plains Community Health Center, Prowers Medical Center and Prowers County Public Health—have supported us in this endeavor to make sure the citizens of Prowers County receive the right care at the right time for the right cost.”
Source: secolo-media.com

CMS Finalizes Agreements with Multi

Medicare will pay risk-stratified care management fees to participating primary care practices in all of the participating locations on a per beneficiary per month basis, about $20 per month on average, with opportunities for practices to earn a share of the Medicare savings that they achieve beginning in the second year of the four year demonstration project.
Source: publicconsultinggroup.com

Colorado should let Medicaid recipients supplement Medicaid payments with their own money

Take a look at the table below. It compares the prices charged by MinuteClinic to the rates Medicaid pays in Dallas. In general, Medicaid pays less than half. That’s why MinuteClinics usually don’t accept Medicaid. If low-income families were allowed to add from $30 to $50 of their own money to the Medicaid rate, however, in one fell swoop we could make high-quality, very accessible primary care available to millions of people.
Source: patientpowernow.org

Colorado Medicare Now Covering CyberKnife Cancer Treatment

The change was made by a ruling in January and since then CyberKnife treatments at Denver CyberKnife in Lone Tree have gone from three to five prostate cancer patients a month to more than 20 to 30 patients a month.
Source: danisfoundation.org

South Fla man accused of laundering Medicare money

Prosecutors said in a motion filed Monday in federal court in Miami that 46-year-old Oscar Sanchez provided cash to the masterminds behind the fraud for a fee. They also alleged that Sanchez conspired to send money from Medicare fraud first to shell companies in Canada before it was passed through a Trinidad bank and eventually on to Cuba.
Source: 8newsnow.com

Medicare on Main Street: Rocky Medicare Access for Coloradans

In yet another example of the failed policies of the Obama Administration including the president’s decision to cut more than $500 billion to fund his takeover of healthcare, a recent article in the Colorado Public News highlights the problems that Coloradans are having with access to Medicare.  This should not be surprising to anyone who has followed the growing problem of Medicare access across the country which the president’s government takeover of health care law only exacerbates. 
Source: gop.gov

CMS, Sebelius Tout Medicare Benefits in Health Reform Law

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2..Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481During the first five months of 2012, 14.3 million Medicare beneficiaries took advantage of a federal health reform law provision that ensures access to preventive health care services without a copayment or deductible, according to a recent announcement by CMS. Meanwhile, HHS Secretary Kathleen Sebelius recently promoted the law’s role in strengthening Medicare and criticized GOP proposals that would privatize the program.
Source: californiahealthline.org

Video: Medicare Benefits Made Clear: News, Reform & Obamacare Exposed!

MedPAC Urges Changes In Medicare Beneficiaries’ Co

Medpage Today: MedPAC Proposes Payment Change Congress should pass a bill that would restructure the “outdated” fee-for-service payment mechanism, the nonpartisan MedPAC recommended. MedPAC’s plan would charge an additional fee for the 90% of Medicare beneficiaries who have fee-for-service supplemental insurance. Under the plan, beneficiaries would have to pay 20% of the supplemental policy’s premium to Medicare. In its report released Friday, MedPAC offered a number of other recommendations aimed at improving Medicare’s fee-for-service model, which has remained essentially unchanged since the creation of the program in 1965 (Walker, 6/16).
Source: kaiserhealthnews.org

MEDICARE – Hospital Traps to Avoid

Denied ambulance claims are one recurring problem. People frequently pay the charges for an ambulance transport when they are billed, without even appealing. Often those charges can be successfully appealed, although it can be a lengthy process and may take more than one level of appeal. As long as you can provide proof that you are continuing to appeal, the service provider will typically wait for an extended period. Ambulance charges can be substantial and are almost always unexpected, because most people assume Medicare will pay. It seems logical that if you are in an emergency situation and you call 911 and are taken by ambulance to the hospital, Medicare would pay. Not necessarily! If they transport you but don’t admit you- you will be responsible for those charges. Medicare will not pay for the ambulance hospital transport if you are not admitted. That being said, even if you are admitted you can still be charged but you will be able to appeal and often the denial can be overturned by providing the necessary information. Additionally, don’t be surprised if you get a bill for being transported to a rehab facility from the hospital. If you could have gone by wheel-chair van and they instead sent you by ambulance, and the receiving facility doesn’t pay—you will!
Source: apluslongevity.com

The Best Retirement Dental Plan?

Some Medicare Advantage (MA) plans provide some dental coverage, or at least, access to a discount network which helps control costs. Again, these are not part of a traditional plan, but may be added by a private insurer in order to attract members. These plans vary a lot by location and insurer, so it is impossible for me to mention any specifically. You can visit Medicare.gov to search for plans in your are, though I cannot see a way to specifically search for dental benefits. It may be easier to just get Medicare health plan quotes from local agents who can assist you.
Source: budgetcarinsurance.co

Payroll Taxes Cover About a Third of Medicare Costs

But 94% of seniors pay a considerable extra increment above these numbers for their health care. In addition to the Part B premium noted in the article and out of pocket costs primarily for annual physicals, vision and dental services (which are mostly not covered by Medicare), many seniors pay for an employer sponsored retiree healthcare insurance plan, a large group pay extra for a Part C Medicare plan, about 15%-20% buy a private Medicare supplement policy (commonly called Medigap), a small percentage are in the VA system, and about 10%-20% of us have to apply for welfare.
Source: dmarron.com

COURT RULES THAT REIMBURSEMENT OF MEDICARE BENEFITS WAS NOT PROHIBITED BY THE NEW JERSEY COLLATERAL SOURCE STATUTE

The court recognized that the purposes of the NJCSS are: (1) to prevent double recovery by a tort plaintiff from both a collateral source of benefits (such as a health insurer) and a tort defendant; and (2) to shift the burden of medical costs related to tort injuries, wherever possible, from liability insurers to health insurers, to keep liability insurance premiums down.  Neither the New Jersey Supreme Court nor the appellate courts have addressed the issue of whether the reimbursement of Medicare benefits was prohibited by the NJCSS.  However, a New Jersey appellate court had previously found that the NJCSS did not apply to conditional Medicaid benefits that were subject to reimbursement. The court found that the New Jersey Supreme Court would likely hold, as it has in the Medicaid context, that the NJCSS does not apply to exclude conditional Medicare benefits from a tort settlement. Therefore, the court held that the reimbursement of Medicare benefits was authorized by the MSP Act and not prohibited by the NJCSS.
Source: themedicarespa.com

Waiting For Ohio Medicare Benefits To Begin

If you feel you are unable to medically qualify for a new health insurance plan, you should definitely keep your current contract in effect until you reach age 65. This may mean that you must continue on COBRA or a HIPAA plan. Although expensive, these two federally-backed options will continue to provide benefits for the specific conditions that keep you from obtaining private medical coverage. And if you develop new health issues, they will not be excluded from your current health care policy.
Source: ohioquotes.com

InsureBlog: Medicare Equal Access Options Act

That is much more stringent than any private disability plan. In addition to the above, you must have been totally and permanently disabled for 5 consecutive months before you can even apply for Medicare benefits. Evem if you qualify for SSDI, you have to wait 29 months (5 month elimination + 24 months of SSDI eligibility) before you can qualify for Medicare. There are exceptions, such as those with ESRD or ALS. People (including children) who have not accumulated enough work credits do not qualify for SSDI which will also disqualify them from Medicare benefits. So what does Sen. Kerry want to do to make Medicare more accessible and affordable? Nothing actually. His proposal outlined here is to change the law with regard to access to Medicare supplement plans and Medicare Advantage plans. Kerry-Heinz believes those who live long enough to qualify for SSDI are discriminated against by Medicare supplement carriers because of their health status. If Kerry-Heinz get’s his way those on SSDI and Medicare will see the following changes.
Source: blogspot.com

Hospital Fees And Private Health Care

Should you be admitted with a public hospital as being a public patient nationwide, the us government meets the price of hospital treatment and also you do not have to spend on anything. This can be provided under Medicare. Medicare provides a great start to public medical care nationwide. Australians can access world-class facilities with world-class doctors. However, it is important to observe that Medicare could be a elementary of cover plus some things a lot of people take for granted are not covered. For instance, lots of Australians thinks visits to the dentist are addressed by Medicare. Just those on really low incomes can access government-funded dental work and in many cases then there are extremely long waiting lists.
Source: thebrendonburchardexpertsacademy.com

MedPAC Recommends Higher Upfront Costs for Medicare Beneficiaries

Posted by:  :  Category: Medicare

Congressman Kendrick B. Meek by cliff1066â„¢The article says that 90% of Medicare beneficiaries have “Medigap and other supplemental insurance policies”. This is incorrect because 25% of Medicare beneficiaries are enrolled in Medicare Advantage which are “Medicare replacement plans” and not supplements. Medicare Advantage plans would seem to be the future of Medicare because every plan includes co-pays for each service received. These co-pays certainly make people think twice about expensive tests or things like physical therapy. Advantage plans are required by Medicare to set a cap on out-of-pocket expenses. These caps currently range from $2,000 to $6,700 per year. The only problem I see with Medicare Advantage is that these are “for profit” businesses run by insurance companies. Profits (and administrative costs like marketing) add up to billions of dollars each year – and this is money that should be staying in the Medicare coffers.
Source: californiahealthline.org

Video: Medicare Supplement Insurance, Medicare Advantage Plans

What’s At Stake For Medicare Beneficiaries In Supreme Court Decision

If the health law goes, so will the funding and authorization for a handful of Medicare experiments aimed at reducing health care costs by better organizing and improving the quality of care. The law includes a pilot project to bundle payments to medical providers so that a single check would cover an episode of care, such as a hip replacement. Other programs are set to test value-based purchasing for medical providers and accountable care organizations.
Source: kaiserhealthnews.org

Medicare Advantage Plans in Arizona

You qualify for a Medicare Plans in Arizona if you reside in the service area of the Medicare Plan you would wish to join. You should also have Medicare Part A and B so as to acquire Part C. Finally, for you to have this Medicare Plan, you cannot be suffering from End Stage Renal Disease. Make sure that you plan accordingly because you are only allowed to change plans yearly. However, depending on the situation, you can switch the plan at other different times.
Source: annuitycampus.com

CMS Announces Medicare Advantage Demonstration Project; Also Issues New Proposed Rules to Medicare Advantage Plans

The Centers for Medicare and Medicaid Services announces a three-year demonstration project with financial incentives to improve quality. The project, which begins in 2012, will award Medicare Advantage plans earning the highest performance rating “the largest bonuses equal to 5 percent. Additionally, all Medicare Advantage plans that have a score of three stars and higher will qualify for a bonus payment in 2012.” CMS also issued proposed changes to the Medicare Advantage and the Medicare Prescription Benefit programs (Medicare Part C and D) that codify “clarifications to CMS authority to negotiate plan bids, [expand] restrictions on charging higher cost-sharing than traditional Medicare for certain services, and [limit] long-term care pharmacy waste by specifying efficient dispensing practices.” One of the pharmacy proposals includes a plan to require Part D sponsors to return unused medications for credit and reuse.
Source: kff.org

Nothing found for Health

The page you are looking for no longer exists. Perhaps you can return back to the site’s homepage and see if you can find what you are looking for. Or, you can try finding it with the information below.
Source: healthtipsblogspot.com

Do not Enable The Hospital To Take Your Financial savings; Find Supplement Medicare Insurance protection

Medicare health insurance programs never pay for all your healthcare needs a senior has. That is why 4 of every 5 buy supplemental Insurance plans also known as Medigap Insurance coverage. This insurance is meant to pay co-payments, coinsurance, and also deductibles. Most of the policies will offer unexpected emergency health care coverage if someone is traveling outside the USA. This program operates as with any other insurance policy in that a monthly premium is paid directly to a private insurance carrier and never Medicare. The private insurance companies are the service provider for this insurance coverage. A persons statement is going to be mailed monthly together with any and all procedures which have been covered on the seniors behalf.
Source: ericluden.com

Feds in Miami: Millions stolen from Medicare wound up in Cuban banking system

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 CareWhile Sanchez was a target of the ongoing investigation, prosecutors say dozens of crooked Medicare providers — who offered HIV and medical equipment services — all took part in the laundering scheme set up for one reason: To hide the money.
Source: allstardirect.com

Video: Electronic Prescriptions: Is Medicare Slapping You With An E-Prescribing Penalty?

Medicare pays outpatient providers twice, leading to $6M overpayments

Using Electronic Medical Records (EMR) instead of paper files has the potential to improve care for patients by boosting communication. Despite positive results related to EMR usage, questions remain. How can physician practices best use EMRs to focus business and clinical operations, improve outcomes and engage patients in healthcare decision making? Learn more.
Source: fiercehealthcare.com

Reed Tinsley, CPA: Physicians and the new Medicare “Resource Use” Reports

According to CMS, making providers routinely pay attention to cost and quality is widely viewed as crucial if the country is going to rein in its health-care spending, which amounts to more than $2.5 trillion a year. It’s also key to keeping Medicare solvent. Efforts have begun to change the way Medicare pays hospitals, doctors and other providers who agree to work together in new alliances known as “accountable care organizations.” This fall, the federal health program for 47 million seniors and disabled people also is adjusting hospital payments based on quality of care, and it plans to take cost into account as early as next year.
Source: blogs.com

Wyoming offers free medical informatics systems to Medicare providers

"Initially, we had a limited EHR adoption rate in Wyoming because many of our physicians come from small to mid-sized practices and were unable to find a cost effective and efficient EHR solution that wouldn’t disrupt workflow," James Bush, medical director of the Wyoming Department of Health, said in a statement. "Many of our physicians also believed that there was no point in having an EHR if it didn’t connect with a health information exchange (HIE), hospitals, labs, pharmacies and/or other physician specialists."
Source: uic.edu

Daily Kos: Mitt Romney: Let’s make it easier to commit Medicare fraud than to register to vote

who will point this out? We do it all the time here, because we are among tens-hundreds?-of thousands of careful, literate readers who want to know the truth. The mainstream media? Not so much. Politicians will not call each other out, apparently, given their use of the terms “misspoke” and “misrepresented” instead of “lied” when discussing even their opponents. The sheer number of them from Republicans makes it nearly impossible for us make any of them “stick” in the voters minds–and of course, most get hit with the “both sides do it anyway” stance by everyone–so there is little to no downside to lying when slandering one’s opponent, other than to one’s conscience. And this is where most Dems (well, most liberals, at any rate) get hurt; we have consciences, so we feel bad if we lie, we try to avoid it, and we apologize or atone for misdeeds when caught, at the very latest. Paradoxically, that makes us weaker in the eyes of the voting public, instead of more reliable and honest.
Source: dailykos.com

Fraud Costs All Of Us When Discussing About Medicare insurance

Virtually all Healthcare vendors are legitimate and honest. Nonetheless, as with anything else some are not. Medicare is definitely a large government organization that it becomes an easy target for fraud. Many Government agencies are working with Medicare to halt these fraudulent activities. How does fraud normally happen? Its basically very easy to do and just requires that the Healthcare provider charges Medicare for products and services that have not been supplied. Naturally most of us have no clue exactly what services were carried out anyway. This costs Medicare an incredible amount of money and as you know Medicare is under a good deal of financial pressure. The deception winds up costing the Medicare recipient additional money in premiums.
Source: birdwatchingblog.net

U.S. healthcare fraud scheme funneled money to Cuba

advice business credit currency trading economy education Finance financial Forex forex trading Gold Investing Investment investments market money money and finance mutual funds Personal Finance Real Estate retirement planning saving money silver stock stock market stocks stocks and bonds trading wealth building wealth management
Source: avidinvestorgroup.com

What’s At Stake For Medicare Beneficiaries In Supreme Court Decision

If the health law goes, so will the funding and authorization for a handful of Medicare experiments aimed at reducing health care costs by better organizing and improving the quality of care. The law includes a pilot project to bundle payments to medical providers so that a single check would cover an episode of care, such as a hip replacement. Other programs are set to test value-based purchasing for medical providers and accountable care organizations.
Source: kaiserhealthnews.org

GOP Doctors Caucus Releases “A Doctors’ Note on Medicare”

5.   During His Entire Presidency, President Obama Has Not Offered a Plan to Save Medicare. For the sixth consecutive year (2007 through 2012), the Medicare Trustees were required by the Social Security Act to issue a Medicare funding warning in their an nual report. While a funding warning has been issued or in place every year the President has been in office, the administration continues to defy its obligation under the law to submit a legislative proposal to Congress in response to warnings issued by the Trustees. The President points to the new health care law as his response to the Medicare trigger, but the Trustees have issued funding warnings in all three reports since the health care law was enacted (2010 through 2012). In the summary of the report the Trustees clearly explain: “The warning directs the President to submit proposed legislation within 15 days of the next budget submission to respond to the warning and requires Congress t o consider the proposal on an expedited basis. To date, elected officials have not enacted legislation responding to these funding warnings which have been included in the five previous reports.”
Source: amac.us