Boost Your Health along with Immune System Natural Techniques

Posted by:  :  Category: Medicare

Foxx wins Guardian of Seniors' Rights Award by Rep. Virginia FoxxSo why not include this magnificence read my review into your diet? Inside the seasons it is not available, lychee berry extract may do the well done. In most cases, this kind of results in a lower premium. Some people who are usually healthy choose these kinds of so they have got coverage for major factors if they materialize. Otherwise, they may be willing to pay for the occasional compact service out of pocket. Certain great deductible health options are capable of be associated with a pre-tax Health Checking account (HSA). You can use this account to cover allowable, co-pay, and coinsurance volumes when you use the check out my review. There is certainly more in order to caring for a pet dog than just nourishing and tearing it every single day. You need to make it groomed too. A new healthy coat likewise promotes healthy skin tone. Giving your puppy love plus affection causes it to be feel safe and sound and at your inner levels stable. Hence make sure to spend loving occasions with your pet too. Likewise pay attention to your puppy getting more than enough exercise daily. This makes for the overall much healthier body. Work out allows canine to build formidable muscles whilst its coronary heart healthier. These are generally 10 excellent strategies to begin your trip in the new year but can likewise serve as the guiding ideas to create plus manifest , health plus well-being on a daily basis all year round and above. There is a lot of equipment featured about this. This is because this specific style of training focuses much more upon fixing the roles of critical muscle locations. The particular machines devised for Stott Pilates are designed so that the back bone, the ribcage as well as scapular are put in a position wherever they can include the surrounding muscle tissues, improving training techniques plus fitness gained by these exercises. There are also numerous forms of Stott Yoga fitness regimes, which could differ involving companies, or even individual course instructors. Well it might just plunge to this. As an illustration, the Center for Medicare plus Medicaid Products and services (CMS) has recently proposed to commence allowing excessive weight as a insured diagnosis, inside attempt to lower the excessive weight rate. Our obligation is to safeguard our clients from by themselves and give these individuals a better idea of reality. Yes, we need to adjust to market makes, but within reason. Probably the most successful trainers will have the top clients, clients who pay attention to them and are learn more information by them. Productive personal trainers are not bossed around by their clients none do they adjust to their impractical expectations. There initially were a few bad posts concerning the Horizon Fitness T101 home trainer having difficulty getting the belt to trace straight. A adjustment fasteners are very vulnerable and it can be near on impossible to get these individuals set flawlessly so the strip stays centered. This problem is additionally made worse in case the treadmill is setup when using uneven work surface. One writer did are convinced that a Horizon representative performed help wander him through the adjustments over the telephone and eventually might get the strip centered properly. A relatively similar technique may involve using the original USDA Food Pyramid for a guide for eating. In accordance with Jane Kirby (an authorized dietitian) and the Ada, one can take advantage of the food chart to plan some sort of weight-loss diet.
Source: blogspot.com

Video: Dental Insurance Commercial for Folks on Medicare

Nothing found for Opinions Capitalism%25E2%2580%2594socialism

2 year old boy Accidental Drowning accidental shooting BasketBall Bobcat Basketball bond levy boys basketball Burley Basketball Burley Bobcats Burley Fire Burley Fire Department Burley Man Drowns Burley News Burley The Voice Burley vs. Minico Cassia County century high school Child dies in shooting Declo Basketball diamondbacks District Basketball District Tournament fatal shooting Filer Wildcats Glenns Ferry Pilots Gooding Basketball High School Basketball high school bsketball hunting accident Lady Cats lady cats basketball Minidoka County Oakley Hornets Rupert Rupert Shooting School District slider sllider The Voice The Voice Rupert shooting Twin Falls Bruins two year old boy dies from shooting update Wood River Wood River Wolverines
Source: minicassiavoice.com

New to Medicare? Beware of penalties

Penalties?  If you are new to Medicare, make sure you act within your Initial Enrollment Period (IEP).  Usually if you are not still working and do not have employer coverage, you sign up as soon as you are allowed.  Medicare coverage is so much more comprehensive and cost-effective than any individual coverage you might have.  Just like with life insurance, the older you are when you enroll, the higher the premium—or in this case, penalty.  So sign up when eligible to avoid that penalty.
Source: retirementeducationplus.com

Medicare supplement insurance company gets fined for overcharging for a Medicare supplement policy.

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSOne of the items that is reviewed is the medical claims as compared to incoming revenue from premiums paid by clients. This helps the department understand if the insurance company is requesting excessive increases.  Should it be determined that the insurance company is requesting excessive rate increases the DoI can reject the request and/or let them know what they feel is a more satisfactory percentage increase.
Source: gomedigap.com

Video: Choosing a Medicare Supplement Policy in 2011

Is It Time for an Update?

Newly Graduated or On Your Own When you set out on your own, you may need to buy auto and home insurance for the first time. If you’re renting, consider renter’s insurance to protect what you own. Health insurance may be available through your workplace, or if you’re unemployed and under age 26, you can still be included in a health plan carried by a parent. An individual policy is another alternative. As you develop your budget, consider the costs associated with your auto, home and health insurance as part of your essential expenses.You may also want to research your options for disability income protection if you’re dependent on a single income to maintain your lifestyle.
Source: dentonlifestyles.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

Best Medicare Supplement Insurance

Arts Services Teens Kids Internet Software Estate Design Home Education Directory Sports Entertainment Health Blogs Travel & News Science Web Technology Shopping Websites Christian Business Financial Computers Recreation Real Society
Source: bestseowebdirectory.com

Central States Indemnity Medicare Insurance

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSBerkshire 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

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

MedicareSupplementPlans.com Connects Consumers With the Best Medicare Supplement Insurance Plan Offers

With the ever-increasing costs of medical care, even Medicare coverage can leave too many unpaid medical bills for the typical consumer to afford. Although Medicare was once considered an effective way to meet the medical care costs of older Americans and people with disabilities, today it simply isn’t enough, which leaves consumers seeking Medicare supplement insurance plans to cover additional costs. MedicareSupplementPlans.com recently launched its redesigned website to provide greater support, in-depth information and quotes for the best Medicare supplement insurance plans available. Also known as Medigap, Medicare supplement insurance plans are private health insurance plans designed to pay some of the health care costs not covered by Medicare, such as co-payments, co-insurance and deductibles. Visitors to MedicareSupplementPlans.com can simply fill out the form available on the site’s landing page to find and compare the best Medicare supplement insurance plans and rates from all of the top insurance companies. After filling out the form and clicking Get Quote, a licensed Medicare supplement insurance agent follows-up with a no pressure, free insurance quote with detailed information about plan options and benefits to meet individualized needs. “The advantage of choosing a supplemental Medicare insurance plan over Medicare Select or Medicare Advantage is that with a Medigap plan you have absolutely no network restrictions; in other words you can go anywhere for your health care as long as the provider accepts Medicare,” explained a MedicareSupplementPlans.com spokesperson. The site connects consumers with highly trained licensed agents. The agents help consumers cut through the jargon so they can select the plan that is most appropriate for them at the best possible price. The site offers a whole host of reference material with brochures, rates and applications for the top suppliers available to download. To assist consumers in choosing the correct plan the site offers a detailed but simple to follow Medicare supplement insurance plan benefit comparison chart. The chart details the benefits of different Medigap policies so consumers can quickly identify which plan is appropriate for their circumstances. Editorialized content accompanies the chart guiding consumers through the technicalities of the policies. About MedicareSupplementPlans.com MedicareSupplementPlans.com is Health and Life Insurance Services, LLC, one of California’s largest independent insurance agencies specializing in the best Medicare supplement insurance plans from leading brands. Visitors to the site can easily access comparison quotes, full customer service and detailed information about Medicare supplement insurance plans, as well as in-depth editorial content to guide them through the decision-making process. Learn more at http://www.medicaresupplementplans.com
Source: sbwire.com

Don’t Permit The Hospital To Get Your Financial savings; Get Supplement Medicare Insurance coverage

Senior citizen will have a percentage of their healthcare needs covered under the Medicare health insurance plan. This is why 4 of every 5 invest in supplemental Insurance also referred to as Medigap Insurance policy. This insurance is meant to pay co-payments, coinsurance, and deductibles. If an individual is traveling outside of the country and should requires hospital care then the insurance policy will activate. As with all insurance the Medigap fees are paid monthly and it is not part of the Medicare system. The private insurance companies are the service provider for this insurance. An individuals statement will be mailed monthly along with any and all procedures that have been covered on the seniors behalf.
Source: melavemalka.net

Medicare supplement insurance company gets fined for overcharging for a Medicare supplement policy.

One of the items that is reviewed is the medical claims as compared to incoming revenue from premiums paid by clients. This helps the department understand if the insurance company is requesting excessive increases.  Should it be determined that the insurance company is requesting excessive rate increases the DoI can reject the request and/or let them know what they feel is a more satisfactory percentage increase.
Source: gomedigap.com

Medicare Supplement Quotes, When Should You Get Them?

If you think you are healthy enough to not require more coverage than Medicare Part A, you should know that not gettting your Medicare Supplement Quotes now will mean paying a penalty later. For instance, lets say you choose to not but any Medicare Supplement Plan until you are 70. Then when you do get your Medicare Supplement Quotes, you will need to pay 50% more premium (10% per year since you turned 65) than your peers. 
Source: benepath.com

AHIP Medicare Survey: F Gets an A

Posted by:  :  Category: Medicare

William D. Novelli by Center for American ProgressPlan F will pay for the first 3 pints of blod, for example, and it also will pay the Part A hospice care coinsurance or copayment amount. Part F also will pay skilled nursing facility care coinsurance bills, Part A and Part B deductibes, some foreign travel emergency bills, and physician fees that Medicare Part B classifies as “excess charges.”
Source: lifehealthpro.com

Video: Understanding Medicare Advantage Plans

How to find help paying for your hearing aid

Lions Affordable Hearing Aid Project: Offered through some Lions clubs throughout the U.S., this program provides the opportunity to purchase new, digital hearing aids manufactured by Rexton for $200 per aid, plus shipping. To be eligible, most clubs will require your income to be somewhere below 200 percent of the federal poverty level which is $22,340 for singles, or $30,260 for couples. Contact your local Lions club (see lionsclubs.org for contact information) to see if they participate in this project.
Source: downriversundaytimes.com

Clinical Support Services Platform Helps Boost Medicare Star Ratings

CSSs web-based module enables pharmacy claims and other available clinical data to be uploaded to the clients patient profiles. Using claims data and clinical source information, CSSs MTMPath module allows CSS clinicians to identify patients who are non-compliant on certain Part C/D measures. CSS reaches out to the respective patient and his/her physician to bring the measure into compliance giving CSS the potential to improve Star Ratings over time.
Source: agriinfotv.com

5 Medigap Myths You Don’t Want To Fall For

Myth #2: Like other Medicare plans, you can only change Medigap plans during the annual enrollment period. Fact: Many people are fooled by this myth because it seems very believable. There are only certain times when Medicare enrollees can select or drop Advantage or Prescription Drug plans, so wouldn’t it make sense that Medigap plans are the same way. In reality, Medigap plans do not have this same constraint. A Medigap beneficiary may change their coverage at any time for any reason during the year. However, it is important to note that there are specific periods of time where you can avoid answering medical questions that could exclude you from a Medigap plan. Open enrollment is the most known of these time periods and it occurs in the six month span after you turn sixty five and receive part B of Medicare. There are also “guaranteed issue” periods that come into play after specific events, like losing coverage from an employer or moving to another state. You can still change Medigap coverage at any point in time during the year, but if you are looking to avoid answering any medical questions, stick to open enrollment.
Source: medicaresolutions.com

Private Medicare Advantage plans being paid for phantom care of VA patients

Results: Among individuals who were eligible to enroll in the VA and in an MA plan, the number of persons dually enrolled increased from 485 651 in 2004 to 924 792 in 2009. In 2009, 8.3% of the MA population was enrolled in the VA and 5.0% of MA beneficiaries were VA users. The estimated VA health care costs for MA enrollees totaled $13.0 billion over 6 years, increasing from $1.3 billion in 2004 to $3.2 billion in 2009. Among dual enrollees, 10% exclusively used the VA for outpatient and acute inpatient services, 35% exclusively used the MA plan, 50% used both the VA and MA, and 4% received no services during the calendar year. The VA financed 44% of all outpatient visits (n = 21 353 841), 15% of all acute medical and surgical admissions (n = 177 663), and 18% of all acute medical and surgical inpatient days (n = 1 106 284) for this dually enrolled population. In 2009, the VA billed private insurers $52.3 million to reimburse care provided to MA enrollees and collected $9.4 million (18% of the billed amount; 0.3% of the total cost of care).
Source: pnhp.org

Medicare Quality Ratings Questioned

Earlier this year, the U.S. Government Accountability Office (GAO) issued a report stating that the Medicare Advantage Quality Bonus Payment Demonstration will spend over $8 billion over the next ten years. Given the scale of the bonus payment program and the fact that bonus payments do not consistently offer better incentives (plans with 4, 4.5, and 5 stars all receive the same percent bonus) to achieve higher ratings, the GAO recommended the Medicare Advantage quality bonus payments be canceled and instead, allow a bonus payment system more aligned with what was originally created by the Patient Protect and Affordable Act (PPACA) to take effect.
Source: ehealthinsurance.com

Medicare Part C And Its Coverage Options

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

vitamin d overdose: Florida Medicare Plans

Medicare Part A covers in-patient hospital services. Includes semi-private room, food, general nursing, medications as part of your inpatient treatment, as well as other medical services and supplies. You generally do not pay a monthly premium for Part A Medicare coverage in Florida if you or your spouse paid Medicare taxes while employed. Other coverage includes: Home Health Services: restricted to medically necessary skilled nursing care, physical therapy, speech-language-pathology, or a continuing need for occupational therapy. You must receive a doctor order for care from a Florida medicare certified home health agency. Also includes medical social services, medical equipment and supplies for home use. Hospice Care: For people with a terminal illness. Medicare provides coverage for pain relief and medical services. Respite care is provided for up to 5 days each time you get respite care.
Source: blogspot.com

Medicare vs. Medicaid EHR incentives: What’s best for your practice?

Posted by:  :  Category: Medicare

San Diego, CA by Oggie DogBeyond the fact that Medicare EHR programs are federally-run and Medicaid is handled through each state, there are different incentive opportunities and meaningful use criteria that need to be met. Remember that practices can’t use both, but do have the opportunity to switch from one to the other before 2015. With that in mind, both EHR novices and those already in either of the programs should browse through requirements for each and decide which is the best fit for their practice. InformationWeek’s white paper titled “Medicare or Medicaid: Getting on the right path to Federal EHR incentives” outlines a few of the major differences.
Source: ehrintelligence.com

Video: EHR: Medicare and Medicaid Incentive Program Registration Webinar for Eligible Hospitals

Student Visa (572)> Lodged Partner Visa (820) = Medicare?

Hi guys, I currently holding student visa TU 572, and had lodged my partner visa application (820 & 801) last week and been issued with receipt and acknowledge letter. Just wondering if I may be able to apply for a medicare? anyone hav done this and hav experiencsed about this before? I hav private insurance with medibank as per required my student visa to have health insurance. but my partner would like us to get a same medicare card with both us name in one card. I rang the immigration, the lady from melb picked up my phone and was so rude. I asked her and she said its not their problem. I have to ask medicare office for that. I mean to go to medicare office to ask them, but I worry they gonna treat me so rude as many times when I deal with government body they are always so rude. why is that?
Source: australiaforum.com

Australian Health Information Technology: Well

This blog has only three major objectives. The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide. The second is to provide commentary on how things are progressing in e-Health in Australia and to foster improvement where I can. The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.
Source: blogspot.com

Federal Register: Advanced Notice of Proposed Rulemaking for Liability Medicare Set

This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.
Source: wordpress.com

Medicare fraud and the Castro connection: Cuba’s banking ‘black hole’

FBI agents and prosecutors are trying to figure out who received the money in Cuba — Medicare fraud fugitives, other criminals, government officials or all of the above? Or was the money moved offshore again to other countries? As authorities try to trace the money, they’re putting the squeeze on Sánchez to flip on other possible co-conspirators who collaborated with him in South Florida, Canada, Trinidad and Cuba.
Source: babalublog.com

If You Oppose Single Payer Insurance, Take Your Parents Off Medicare and Pay for Their Medical Bills Yourself

And we ask that you inform your insurance company that you don’t care how much they spend on administrative salaries as compared to actual healthcare (because patient care must be 85% of premiums under the new healthcare reform law); we ask that if you lose your job, you accept that you have no health insurance and incur massive debt if you need coverage; we ask that if you are an employer who will now be getting a tax credit for providing healthcare insurance to employees that you refuse to take the tax credit under the new law; and we ask that you if become extremely sick and are tossed off your insurance that you accept your fate and abide by your principles and pay for your care and your growing debt.
Source: buzzflash.com

CMS Releases Advance Notice of Proposed Rulemaking in "Future Medical" Situations

For example, the proposed general rule provides that “individual[s] or Medicare beneficiar[ies]” must “satisfy Medicare’s interest.” CMS’ reference to an “individual” being obligated to “satisfy” Medicare’s interests, without including any other qualifying criteria, raises interesting considerations when contrasted with CMS’ current policy related to non-Medicare beneficiaries. Specifically, under current CMS policy, individuals who are non-Medicare beneficiaries, but have a “reasonable expectation of Medicare enrollment within 30 months of the settlement date,” have a policy-driven obligation to consider, and potentially protect, Medicare’s interest in certain situations. (See e.g., CMS’ 4/22/03 WC MSA Policy memo). Under current policy, the agency has listed five specific factors in terms of determining whether a non-Medicare beneficiary is considered to have a “reasonable expectation of Medicare enrollment.”[fn3]
Source: lexisnexis.com

Medicare This Week: June 22nd, 2012, Only 8 days Left For 2013 eRx Exemption, National Provider Call on Certified EHR Programs, New CME Modules

Join CMS and the Office of the National Coordinator for Health Information Technology (ONC) for a National Provider Call providing an overview of the use of certified EHR technology to meet meaningful use. Learn about the different types of certification and what certification actually tests. As of April 30, over $5 billion has been paid in EHR incentives under both programs. This is the last year Medicare eligible professionals can begin to participate to earn the full Medicare Electronic Health Record (EHR) incentive payments.
Source: managemypractice.com

Tuftsmedicarepreferred.org Estimated Value $10,058.40 USD

Access to .ORG WHOIS information is provided to assist persons in determining the contents of a domain name registration record in the Public Interest Registry registry database. The data in this record is provided by Public Interest Registry for informational purposes only, and Public Interest Registry does not guarantee its accuracy. This service is intended only for query-based access. You agree that you will use this data only for lawful purposes and that, under no circumstances will you use this data to: (a) allow, enable, or otherwise support the transmission by e-mail, telephone, or facsimile of mass unsolicited, commercial advertising or solicitations to entities other than the data recipient’s own existing customers; or (b) enable high volume, automated, electronic processes that send queries or data to the systems of Registry Operator, a Registrar, or Afilias except as reasonably necessary to register domain names or modify existing registrations. All rights reserved. Public Interest Registry reserves the right to modify these terms at any time. By submitting this query, you agree to abide by this policy. Domain ID:D149109743-LROR Domain Name:TUFTSMEDICAREPREFERRED.ORG Created On:12-Sep-2007 18:22:42 UTC Last Updated On:13-Apr-2010 18:10:47 UTC Expiration Date:12-Sep-2015 18:22:42 UTC Sponsoring Registrar:Network Solutions, LLC (R63-LROR) Status:CLIENT TRANSFER PROHIBITED Registrant ID:38560172-NSI Registrant Name:Tufts Health Plan Registrant Organization:Tufts Health Plan Registrant Street1:705 Mt Auburn Street Registrant Street2: Registrant Street3: Registrant City:Watertown, Registrant State/Province:MA Registrant Postal Code:05676 Registrant Country:US Registrant Phone:+617.97294003467 Registrant Phone Ext.: Registrant FAX: Registrant FAX Ext.: Registrant Email:ed_geraghty@tufts-health.com Admin ID:38560172-NSI Admin Name:Tufts Health Plan Admin Organization:Tufts Health Plan Admin Street1:705 Mt Auburn Street Admin Street2: Admin Street3: Admin City:Watertown, Admin State/Province:MA Admin Postal Code:05676 Admin Country:US Admin Phone:+617.97294003467 Admin Phone Ext.: Admin FAX: Admin FAX Ext.: Admin Email:ed_geraghty@tufts-health.com Tech ID:38560172-NSI Tech Name:Tufts Health Plan Tech Organization:Tufts Health Plan Tech Street1:705 Mt Auburn Street Tech Street2: Tech Street3: Tech City:Watertown, Tech State/Province:MA Tech Postal Code:05676 Tech Country:US Tech Phone:+617.97294003467 Tech Phone Ext.: Tech FAX: Tech FAX Ext.: Tech Email:ed_geraghty@tufts-health.com Name Server:DBRU.BR.NS.ELS-GMS.ATT.NET Name Server:DMTU.MT.NS.ELS-GMS.ATT.NET Name Server: Name Server: Name Server: Name Server: Name Server: Name Server: Name Server: Name Server: Name Server: Name Server: Name Server: DNSSEC:Unsigned
Source: widestat.com

Medicare Commission Raises Questions about Care Coordination

Posted by:  :  Category: Medicare

1st Medicare Iveco Daily by EssexTechIt is the hope of the administrators in both Baltimore, Maryland (home of CMS) and Springfield, Illinois (home of Illinois Department of Health and Family Services – HFS) that the implementation of integrated care will improve care and reduce costs for the dual-eligible (Medicare and Medicaid enrollees) population . Keep in mind, that approximately 340,000 Illinois residents (3 percent of the state’s population) are dual-eligible beneficiaries and as a percentage of population, it is identical to the national percentage. On average, these dual-eligible beneficiaries have greater health and long term services and supports (LTSS) needs than beneficiaries who have only Medicare or Medicaid coverage, due to greater prevalence of chronic conditions (e.g. CHF, COPD, Diabetes, Heart Disease, etc.) in this population.
Source: chicagonow.com

Video: American Sign Language (ASL) – Medicare Basics

Welch: How about Medicare for all instead?

Barack Obama Bernie Sanders Bill Sorrell Bob Kiss Brian Dubie Burlington Burlington City Council Challenges for Change Chris Roy Deb Markowitz Doug Racine gay marriage governor Green Mountain Power Corp. health care reform Howard Dean Jason Gibbs Jim Condos Jim Douglas John Campbell Kurt Wright Len Britton Mark Snelling Martha Abbott Matt Dunne Miro Weinberger Patrick Leahy Peter Shumlin Peter Welch Phil Scott Progressives Randy Brock Shap Smith state budget Steve Howard Susan Bartlett T.J. Donovan Tim Ashe Tom Salmon Vermont Vermont Democratic Party vermont legislature Vermont Republican Party Vermont State Employees Association Vermont Yankee
Source: burlingtonfreepress.com

Study answers Medicare concerns about paying for CT colonography

“Our study answers several of the questions Medicare asked about this procedure,” said Brooks Cash, MD, one of the authors of the study. The study found that the percentage of patients that would have been referred to colonoscopy as a result of CT colonography was 14%, which is similar to what other studies have found in the younger population, said Dr. Cash. “The prevalence of neoplasia (abnormal growths of cells) detected by CT colonography was 9.3% in patients over the age of 65,” which is also similar to the results of other studies involving younger patients,” he said.
Source: sciencecodex.com

Medicare fraud and the Castro connection: Cuba’s banking ‘black hole’

FBI agents and prosecutors are trying to figure out who received the money in Cuba — Medicare fraud fugitives, other criminals, government officials or all of the above? Or was the money moved offshore again to other countries? As authorities try to trace the money, they’re putting the squeeze on Sánchez to flip on other possible co-conspirators who collaborated with him in South Florida, Canada, Trinidad and Cuba.
Source: babalublog.com

Romney Lies About Medicare/Medicaid Change Of Address Form

There were periods during my government service when the business-does-it-this-way was fashionable.  Public private partnership (acronym PPP) became popular.  At some point what tended to happen or be realized was the understanding that the public service does not have, cannot have the same “bottom line” as a for-profit organization.  Wall Street exemplifies the outsize for-profit situation these days…I do not think most people want the government to emulate that value system when it comes to exercising government authority.  And, frankly, when you look at it, the basic myth at bottom of the business school takeaway about efficiency has a lot of flaws…not the least of which is that large, major corporations with their overpayment of failing executives and with their taking-care-of-the-top first motif are the opposite of even the the narrowest definition of “efficiency.”  
Source: talkleft.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

Understand Much More Regarding Medicare Donut Hole In 2012

The Medicare Donut Hole has caused a lot of misunderstandings for many of us and it has actually surprised seniors when they suddenly have to pay the higher price of their prescription drugs. Chances are if you’ve been reading anything about Medicare or you actually already have Medicare benefits, then you’ve heard about the donut hole. This donut hole, which is actually a gap in coverage has been regarded as probably the most frustrating thing about Medicare benefits. This only applies to Medicare Part D, which is the prescription plan in 2012 that is offered through the services. Nevertheless it is incredibly important that you know very well what it is so that you will not find yourself getting huge expenses when you need to get prescription drugs. Here is what you should know. The donut hole is a gap in services that comes along after the patient has used a certain amount of their Medicare benefits. In this gap in coverage, patients are going to be accountable for 100% of their prescription drug costs. That can add up to a lot of cash in a short amount of time. Here is when the gap can come along. If you have Medicare Part D for 2012, you’ll be accountable for paying something called a co-payment more often than not. This co-payment will amount to a really small amount of the prescription cost and it works just like any kind of insurance would. However, when Medicare has paid for a total of $2,840 in prescriptions in your case within a given year, then you will have reached the donut hole. During this period, you’ll have to pay full price. The policy won’t come back into effect till you have spent $4,500 up front for the prescriptions. That’s a good deal of money that you’ll be liable for. Can there be any way to avoid paying so much money and dealing with the Medicare donut hole? The good thing is that there is. To start with, Medicare reform laws are now being worked on currently in order to make this expense less of a blow in 2012/2013. In addition, you can choose to get supplemental insurance. Usually, supplemental insurance won’t cost that much and it will continue providing coverage through the dreaded Medicare donut hole. The 2012 Medicare donut hole is one thing that you really need to grasp should you have Medicare Part D coverage. Should you not know that a gap in coverage is on its way, then you could end up facing big money in expense when you simply do not need the cash in your budget. Nevertheless there are ways to make the donut hole less frustrating and detrimental to you. The elimination of the donut hole will not make drugs free. Drugs belonging to the plan’s formulary will require enrollees to pay 25% of the costs. Off formulary drugs will still be paid for 100% by the enrollee. Then again those who hit the donut hole will get a 50% discount on covered brand-name drugs and may receive a 14% government subsidy on generic drugs covered by the plan in 2012.
Source: blogspot.com

ABOUT MEDICARE: 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: times-standard.com

Daily Kos: Medicare for all

A Medicare for all platform allows the Democrats to run against the activist Supreme Court, to run against the horribly unpopular Romney-Ryan Medicare plan, to provide the real contrast between the parties that many voters have struggled to see. And it would excite the hell out of the Democratic base; it would give us something to fight for. What’s the worse that could happen? Republicans calling Medicare socialism? For a true Democrat, it’s also the only policy solution left. If Democrats are to be the party of the people, the party of the 99 percent, then they can no longer leave the people of this country to the mercy of unfettered and barely regulated health insurance companies. If Democrats are really the party of the people, then they have to continue this fight for all the reasons they started it: because the wealthiest nation in the world should not have nearly 50 million citizens who don’t have affordable health care; because it is wrong for people to lose everything because of illness; because it is wrong, morally, strategically and in every way, to condemn millions of Americans to death for the simple fact that they don’t have money.
Source: dailykos.com

What the Supreme Court Health Care Ruling Means for Older Adults

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

LACEY: Forum on Social Security, Medicare to be held today

The program includes survey results showing what Washingtonians want from lawmakers and the Medicare and Social Security programs. AARP state director Doug Shadel is expected to make a presentation on the group’s “Ad-Watch” program, which includes a report showing voters are “sick and tired of negative and misleading political ads, and most are misinformed or unaware of what’s behind the spin,” AARP said.
Source: theolympian.com

My Article Submission Directory: How to Choose Medicare Supplemental Health Insurance

Posted by:  :  Category: Medicare

Many insurance companies offer additional benefits known as Medicare supplemental health insurance plans. All of these plans are to provide coverage for health insurance costs that are not covered by Medical. When Medicare changed the way of coverage and payment that was in place for a number of years, Medicare supplemental health insurance plans were created. Some of the differences between the old insurance and the new are the new Medicare insurance does not cover as much of the costs for prescription drugs as the old. It also does not cover many of the preventive health measures required for older Americans. Medicare insurance can be considered a “back up” insurance policy for any item that Medicare will not pay for. Currently, Medicare has 12 standard Medicare supplemental health coverage plans that are available to senior citizens. Each of these plans must cover the same areas of healthcare for seniors and the plans are strictly regulated by the government. If you are planning to buy a Medicare insurance plan, the best time to purchase is within six months of applying for Medicare. Oftentimes, insurance companies will tell individuals that their company’s Medicare insurance plan is better than all the others and they will attempt to charge a higher price. It is imperative to remember that each one of these plans offer the same services. So, when looking for a Medicare supplemental health insurance plan, it is best to shop around for the lowest price because the services the plan covers stay the same and all of the plans are not different from one another. Once you qualify for Medicare, many insurance companies have a Medicare supplemental health plan if you have a health policy with your retirement benefits. You generally will not even recognize any changes to your insurance benefits. Unfortunately, many Americans do not have any health coverage. If you are one of these people, then you will need to search for a Medicare supplemental health insurance plan on your own upon qualifying for Medicare benefits. Most of the major health insurance agencies offer a Medicare supplemental health plan. To calculate premiums for Medicare supplemental health insurance, you must consider: Age at the time of issuance; Attained age; and Community rate. And keep in mind that inflation will always increase insurance rates throughout your lifetime. As you search for the right Medicare supplemental health insurance plan, take into account the fact that the services provided by the plan will not be modified. All plans are government regulated and provide the same healthcare services to everyone. So, if you find a great price that is affordable for you your main focus should be on the cost of the Medicare insurance and what the rate of increase will be during your lifetime. If you find that some plans seem to be more expensive in the beginning, you should remember that there will be a slow or nonexistent increase in the plan’s rate over the life of your policy.
Source: blogspot.com

Video: Learn About Medigap Plans

Medicare supplement insurance company gets fined for overcharging for a Medicare supplement policy.

One of the items that is reviewed is the medical claims as compared to incoming revenue from premiums paid by clients. This helps the department understand if the insurance company is requesting excessive increases.  Should it be determined that the insurance company is requesting excessive rate increases the DoI can reject the request and/or let them know what they feel is a more satisfactory percentage increase.
Source: gomedigap.com

MedicareSupplementPlans.com Connects Consumers With the Best Medicare Supplement Insurance Plan Offers

With the ever-increasing costs of medical care, even Medicare coverage can leave too many unpaid medical bills for the typical consumer to afford. Although Medicare was once considered an effective way to meet the medical care costs of older Americans and people with disabilities, today it simply isn’t enough, which leaves consumers seeking Medicare supplement insurance plans to cover additional costs. MedicareSupplementPlans.com recently launched its redesigned website to provide greater support, in-depth information and quotes for the best Medicare supplement insurance plans available. Also known as Medigap, Medicare supplement insurance plans are private health insurance plans designed to pay some of the health care costs not covered by Medicare, such as co-payments, co-insurance and deductibles. Visitors to MedicareSupplementPlans.com can simply fill out the form available on the site’s landing page to find and compare the best Medicare supplement insurance plans and rates from all of the top insurance companies. After filling out the form and clicking Get Quote, a licensed Medicare supplement insurance agent follows-up with a no pressure, free insurance quote with detailed information about plan options and benefits to meet individualized needs. “The advantage of choosing a supplemental Medicare insurance plan over Medicare Select or Medicare Advantage is that with a Medigap plan you have absolutely no network restrictions; in other words you can go anywhere for your health care as long as the provider accepts Medicare,” explained a MedicareSupplementPlans.com spokesperson. The site connects consumers with highly trained licensed agents. The agents help consumers cut through the jargon so they can select the plan that is most appropriate for them at the best possible price. The site offers a whole host of reference material with brochures, rates and applications for the top suppliers available to download. To assist consumers in choosing the correct plan the site offers a detailed but simple to follow Medicare supplement insurance plan benefit comparison chart. The chart details the benefits of different Medigap policies so consumers can quickly identify which plan is appropriate for their circumstances. Editorialized content accompanies the chart guiding consumers through the technicalities of the policies. About MedicareSupplementPlans.com MedicareSupplementPlans.com is Health and Life Insurance Services, LLC, one of California’s largest independent insurance agencies specializing in the best Medicare supplement insurance plans from leading brands. Visitors to the site can easily access comparison quotes, full customer service and detailed information about Medicare supplement insurance plans, as well as in-depth editorial content to guide them through the decision-making process. Learn more at http://www.medicaresupplementplans.com
Source: sbwire.com

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

About Plus Medical: Should You Choose Medicare Supplemental Insurance?

    Plenty of people assume that when you approach the magic age of 65, everything will be easy. You will receive an impressive huge check from Social Security and all of your medical treatment requirements will be achieved at no cost. Nevertheless, that is normally not the case. There are few people who could live on Social Security alone and when it comes to healthcare, Medicare can only include so much. Therefore, in case you are turning sixty five and you have no other health insurance than Medicare, then you need to put some thought into getting Medicare Supplemental Insurance.     Sad to say, there is a limitation to what Medicare will pay for and it will just cover up to a certain amount, so in case you do not have Medicare Supplemental Insurance, you can find yourself out of pocket for some big costs. Specifically if you end up in the medical center or maybe have a huge health condition (i.e. cancer, heart surgical treatment, etc.), without having this sort of insurance plan means you end up spending the rest of your life with nothing but your Social Security check.     Medicare Supplemental Insurance is simply what it sounds like – it’s a supplemental insurance plan that picks up where Medicare leaves off. This is much more beneficial than you feel it will be, even if you are in good condition at this point, and in many cases the earlier you sign up with this form of insurance coverage, the cheaper your rates will be in the end. When you have a hospital stay, the medical center delivers the bill to Medicare and they choose what they are going to cover depending on a pre-existing table of highest charges. No matter what is left goes to you if you do not have some kind of insurance policy. For anyone who has ever spotted a hospital bill after a long stay, you could visualize just how serious of a bill this could be and you do not want to be tied to it. A number of people still assume that they do not need this type of insurance plan or that it’s too costly to get. The fact is that you cannot afford not to have it. It is really a lot more inexpensive as opposed to health care insurance you may have had before you reached sixty five (since Medicare is picking up most of the expenses) and you may obtain a variety of benefits that could save you money each time you go to the physician, have tests, or are confined to the medical center.     Buying Medicare Supplemental Insurance is sometimes a problem for people since they don’t fully understand where to go. In case you have had medical insurance by means of another provider in the past, then you may need to inquire them what kind of programs they have, but you also need to shop around. If you have an insurance broker, they can support you with this, or you can find some good very good information and facts on the internet. It is also important to bear in mind that there are ways of making the insurance a lot less costly, such as elevating your tax deductible or co-pay amounts, and that could make a very big difference.     This is certainly the type of insurance that you shouldn’t have to wait to purchase. Obtain it while you are younger and in good health and you may save money down the road. Also, because you know you are insured, you will be more apt to touch base for medical care when you need it instead of waiting until a little issue becomes a major one.
Source: blogspot.com

Insurance Agents Look to Dataman Group for New Prospects in their Areas — hot news

Dataman Group helps Insurance Agents find the right prospects for the Medicare Supplement Plans they offer. Most Agents simply select prospects in the zip-codes/counties closest to their location and select those individuals that recently turned 65 or are Turning 65 in the next few months.  These individuals must sign up for a program no later than December 31st and smart marketers will contact prospects in their area as soon as possible.
Source: blogspages.com

Medicare C/D Medical Coverage Policy Penile Implants

Posted by:  :  Category: Medicare

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Source: starhi.com

Video: Understanding Medicare Advantage Plans

MedPAC Head Testifies on Medicare Payment Biannual Report

House Minority Leader Nancy Pelosi (D-CA) meets with members of the media to discuss legislation in Congress and answer questions from the media. She discussed student loans, health care bill, jobs legislation, transportation legislation and the agenda by House Democrats.
Source: c-span.org

Medicare Quality Ratings Questioned

Earlier this year, the U.S. Government Accountability Office (GAO) issued a report stating that the Medicare Advantage Quality Bonus Payment Demonstration will spend over $8 billion over the next ten years. Given the scale of the bonus payment program and the fact that bonus payments do not consistently offer better incentives (plans with 4, 4.5, and 5 stars all receive the same percent bonus) to achieve higher ratings, the GAO recommended the Medicare Advantage quality bonus payments be canceled and instead, allow a bonus payment system more aligned with what was originally created by the Patient Protect and Affordable Act (PPACA) to take effect.
Source: ehealthinsurance.com

Clinical Support Services Platform Helps Boost Medicare Star Ratings

CSSs web-based module enables pharmacy claims and other available clinical data to be uploaded to the clients patient profiles. Using claims data and clinical source information, CSSs MTMPath module allows CSS clinicians to identify patients who are non-compliant on certain Part C/D measures. CSS reaches out to the respective patient and his/her physician to bring the measure into compliance giving CSS the potential to improve Star Ratings over time.
Source: agriinfotv.com

Is Obama Cooking the Medicare Books?

• The Congressional Budget Office has studied the demonstration projects on three separate occasions (here, here and here) and each time has concluded that they are producing no serious savings and are unlikely to do so in the future. • Medicare’s Actuary has determined that reductions in payments to Medicare Advantage plans will not only result in lower benefits for the one in four seniors who are in these plans, but that about 7 ½ million enrollees will actually lose their coverage and have to seek more expensive Medigap insurance elsewhere. • Medicare’s Office of the Actuary also has concluded that the projected savings are unrealistic and will not materialize — since they will result in hospital closings and seniors’ inability to find accessible health care — a judgment reaffirmed in the Chief Actuary’s own statement in the latest Trustees report. • Even if the $200 billion in savings did materialize, it would not be a saving to taxpayers; instead, these savings have already been pledged to create a new health insurance entitlement for young people — leaving taxpayers just as burdened as they were before. • The administration’s report also claimed that health reform has created $60 billion in new benefits for seniors, without mentioning that for every $1 of new spending beneficiaries will lose $10 of spending somewhere else.
Source: townhall.com

Horizon Blues chooses family friend for non

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a not-for-profit health services corporation, providing medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving 3.6 million members with offices in Wall, Mt. Laurel, and West Trenton, N.J.
Source: ifawebnews.com

How to find help paying for your hearing aid

Lions Affordable Hearing Aid Project: Offered through some Lions clubs throughout the U.S., this program provides the opportunity to purchase new, digital hearing aids manufactured by Rexton for $200 per aid, plus shipping. To be eligible, most clubs will require your income to be somewhere below 200 percent of the federal poverty level which is $22,340 for singles, or $30,260 for couples. Contact your local Lions club (see lionsclubs.org for contact information) to see if they participate in this project.
Source: downriversundaytimes.com

Internet Pureplay: The state of texas Medicare supplemental health insurance Designs

Posted by:  :  Category: Medicare

Age when an individual gets to be entitled to Treatment can often be mixed up together with the grow old which is why a person qualifies pertaining to Communal Secureness. You shouldn’t misinformed — designed for certified many people making grow old 65, Treatment commonly commences in the earliest working day from the calendar month that you’re created. For many who own certified regarding Medicare insurance smaller when compared with era 65, eligibility commences just after two years connected with experiencing community protection disability benefits. Nonetheless, talk about regulations differ on what medicare health insurance supplementations they gain access to. Eligibility for just a Florida Medicare supplement options alters based upon how old you are.   FSA Eligible Expenses   Prior to most of us slip into the very principles, you need to be aware that whenever a man or women primary invokes Portion M, there is certainly a open up sign up phase meant for deciding on a Medicare supplement program where time frame your specific lacks to look through all wellness underwriting. These are warranted entry to an insurance plan for an estimated six months time over and above their own Area D helpful night out. Absolutely everyone becomes this particular exceptional eyeport to dab, no matter the years of which some people initial acquire Medicare insurance. From where the eligibility principles begin working usually are regarding whichplans the several categories provides having access to. That ideas accessible to individuals that in era 65 tend to be restrained.   Here is precisely how eligibility tips regarding many programs get the job done inside Florida, in accordance with how old you are:   With regard to individuals that can be switching 65 or perhaps old, what the law states permits entry to all of augment strategies, including Approach An important thru Strategy D. Another highlight is a person high-deductible selection. Program F ree p just might be the best as it addresses many deductibles in addition to co-insurance you’ll commonly shell out. On the other hand, Blueprints H plus In can also be increasing program by simply delivering just a little lessen monthly payments as a swap for any tiny cost-sharing for your portion.   For individuals in Medicare insurance underneath grow older 65 within The state of texas, an important caveat is present: the majority of folks have simply Approach Your. Listed below is how come: every single insurance company will opt for the dietary supplement blueprints they would like to deliver recommended to their candidates. The sole medicare supplement method that they are needed to provide you with that will allbeneficiaries is usually Method Any. Due to the fact insurance plan companies realize that men and women below 65 acquired Treatment from the outset because of significant health, some people prepare for most of these particular person to work with health benefits with greater frequency, which will not surprisingly will set you back any tote a higher price. That’s the reason, a lot of insurance firms deliver merely Schedule A good to help you men and women sixty four in addition to young, given that your plan possesses much less features and much more cost-sharing for the actual named beneficiary. They may at the same time fixed whichever quality people for instance regarding Prepare Any dependant on get older, often we all observe this course of action will probably be much more costly to your young beneficiaries.   To be positive, a thought The medicare insurance health supplement even now gives benefits. Even though it will not take care of deductibles and also expert nurses co-insurance, and also handle the most essential moves: your 20% co-insurance with regard to Section D outpatient treatment this beneficiaries would certainly often need to fork out. This is certainly widely necessary considering Portion N insures in excess of simply just general practitioner visitors — in addition, it discusses higher-ticket solutions which include chemotherapy, rays and also dialysis. Not having added insurance coverage, remedy for the important health could expense plenty.   Given that an average medicare supplement prepare permits this enrollee to determine any kind of health practitioner that will will accept initial Treatment, consequently System A new might remain a good in shape those who would like admittance to a range of general practitioners and even dining establishments and may even sense miserable by using a network-based Appeal strategy. Nonetheless, seeing that all of dietary supplement ideas currently have level heightens every so often, perhaps it is really hard for your more radiant human being in Medicare insurance to be able to endure all these heightens on the Schedule An important through very many years. The fact is that, their particular health issues usually stop these folks coming from to be able to go away underwriting in an effort to shift into a lower-priced bag.   Fortunately any time a successor actually gets to time 65, the affected individual can get a next opened application screen and then swap to help you virtually any nutritional supplement of their total preference in that windowpane. The policies with regard to eligibility in order to distinct programs can be almost impossible to your regular shopper to be familiar with, which means that talking to a completely independent agent designed for guide comprehension your current eligibility as well as your skills with regard to sign up windows 7 will be able to conserve enough time searching for opportunities.   fsa covered expenses
Source: internetpureplay.com

Video: Inova LifeChoice Portable Oxygen Concentrator Featured on Good Morning Texas

USDOJ: Second Owner of Houston

The former co-owner of a Houston-area home health care company was sentenced in Houston to 108 months in prison for his participation in a $5.2 million Medicare fraud scheme, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).   Princewill Njoku, a former co-owner and administrator at Family Healthcare Group, was sentenced yesterday by United States District Judge Nancy Atlas in the Southern District of Texas to 108 months in prison, followed by three years of supervised release.   Njoku was ordered to pay $5.1 million in restitution jointly and severally with his co-defendants.   In January 2011, Njoku pleaded guilty to one count of conspiracy to commit health care fraud, one count of conspiracy to pay illegal kickbacks to patient recruiters and sixteen counts of paying such illegal kickbacks.   According to court documents and other evidence presented to the court, Family Healthcare Group, a Houston home health care company, purported to provide skilled nursing to Medicare beneficiaries.  According to the evidence, Princewill Njoku paid co-conspirators to recruit Medicare beneficiaries for the purpose of Family Healthcare Group filing claims with Medicare for skilled nursing that was medically unnecessary or not provided.  Njoku and his co-conspirators then falsified documents to support the fraudulent payments from Medicare. Njoku is the ninth defendant sentenced in connection with this scheme, including Njoku’s co-owner, Clifford Ubani, who also received a 108 month sentence earlier this month.   One remaining defendant awaits sentencing. The sentence was announced by Assistant Attorney General Lanny A. Breuer of the Justice Department’s Criminal Division; United States Attorney Kenneth Magidson of the Southern District of Texas; Special Agent-In-Charge Stephen L. Morris of the FBI’s Houston Field Office; Special Agent-in-Charge Mike Fields of the Dallas Regional Office of HHS’s Office of the Inspector General (HHS-OIG) and the Texas Attorney General’s Medicaid Fraud Control Unit (MFCU). This case is being prosecuted by Trial Attorney Charles D. Reed and Deputy Chief Sam S. Sheldon of the Criminal Division’s Fraud Section. The case was investigated by the FBI, HHS-OIG, Texas OAG-MFCU and the Federal Railroad Retirement Board-OIG, and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the United States Attorney’s Office for the Southern District of Texas. Since their inception in March 2007, Medicare Fraud Strike Force operations in nine locations have charged more than 1,330 defendants who collectively have falsely billed the Medicare program for more than $4.4 billion. In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to: www.stopmedicarefraud.gov . Contact: Department of Justice Main Switchboard – 202-514-2000 Reported by: US Department of Justice
Source: 7thspace.com

Texas Medical Providers Get More than $500 million For Use of Electronic Program

“The West Texas Health Information Technology Regional Extension Center has played a major role in helping transform health care through the use of EHRs, ultimately leading to improved patient health care for West Texas, said Travis Hanson, executive director of that particular center.
Source: kfyo.com

Cigna Acquires Medicare Advantage Plans From Humana Covering 3,500 in Texas

The federal government required Humana to sell the Medicare Advantage plans as part of approval for buying Arcadian Management Services. Cigna will offer the new customers Medicare Advantage plans through its subsidiary HealthSpring, which the Bloomfield-based health insurer acquired in January for $3.8 billion.
Source: courant.com

FREEDOMISMIST: TEXAS COMPANY BILKED MEDICARE OUT OF MILLIONS

TEXAS COMPANY BILKED MEDICARE OUT OF MILLIONS June 28, 2012 + CHICAGO TRIBUNE MCALLEN, Texas (Reuters) – Federal agents on Thursday arrested four employees of a now-defunct Texas medical equipment supplier who are accused of bilking Medicare and Medicaid out of millions of dollars via fake claims, including some made on behalf of dead people, according to court documents. The owner and three employees of RGV DME, a onetime medical supplier near the U.S.-Mexican border in Pharr, Texas, each face allegations of 22 counts of health care and wire fraud, conspiracy and aggravated identity theft, according to a federal indictment unsealed on Thursday. The durable medical equipment supplier received about $7.1 million in reimbursements from the Medicare and Texas Medicaid programs for power wheelchairs, mattresses, incontinence supplies and other products, U.S. Attorney Kenneth Magidson, who heads the Southern District of Texas, said in a statement. The defendants billed the government for medical equipment never prescribed by doctors or delivered to customers â some of whom were dead when the claims were filed, Magidson said. Of the approximately 25,000 claims the company filed with the state and federal health care programs between 2004 and 2010, as many as 90 percent were fraudulent, Magidson said. Arrested Thursday were Marcello Herrera, 39, the medical equipment company’s owner, his wife, Carla Cantu Herrera, 31, who served as its marketing director, and former employees Ramon de la Garza, 51, and Beatriz Ramos, 27, court records showed. All four are accused of working together to forge patients’ and doctors’ names on forms filed with the federal Medicare program for the elderly and the federal-state Medicaid program for low-income people, Magidson said. If convicted of wire fraud â the most severe charge lodged Thursday â each defendant faces up to 20 years in prison and a $250,000 fine. Penalties for the other charges range from two to 10 years in prison. Federal court records listed no defense attorneys retained by any of the defendants. In Washington, the U.S. Supreme Court on Thursday upheld President Barack Obama’s healthcare law, the most sweeping overhaul since the 1960s of the unwieldy U.S. healthcare system. In a 5-4 ruling based on the power of Congress to impose taxes, the nation’s highest court preserved the law’s “individual mandate” requiring that most Americans obtain health insurance by 2014 or pay a tax. (Editing by Corrie MacLaggan and Tim Gaynor)
Source: blogspot.com

Response To Business Concerns On Single Payer

Posted by:  :  Category: Medicare

The Real Romney by elycefelizMOST BUSINESSES ARE GOING TO A HIGH-DEDUCTIBLE INSURANCE BENEFIT WITH HEALTH SAVINGS ACCOUNTS. For many years businesses have been concerned about the rise in health care costs. Some have tried the high-deductible plans and found that such plans did not serve them or their employees well. If employees are young and healthy, this is cost-effective. If not, the costs are just as great or greater than in a traditional health insurance plan. These plans are just an attempt to avoid having the healthy 85% majority pay for the care of the expensive 15% minority—this ratio holds in all age demographics, though younger groups are cheaper. This undermines the entire point of a shared risk pool, in which the healthy are forced to pay for the care of the sick. This is perfectly fair, as you have no way of knowing whether or not you will ever be part of the unlucky 15%. There is simply no way around this—we pay anyway, and at far higher rates. There was a very well known case of a child with an infected tooth in Maryland a few years ago. His mother could not afford $85 to have the tooth pulled, so he got blood poisoning. The emergency room spent $250,000 trying to keep him alive, but he died anyway. Is promoting high deductible plans really worth $249,915 to business?
Source: blogforiowa.com

Video: Iowa Medicare Supplement Insurance | Call: 515-994-0471

Politics News: Iowa Republicans Risk Medicare Funding By Trying To Halt Funding For Abortion Care In Case Of Rape Or Incest

While Rep. Dawn Pettengill (R), who initiated the petition, said the state will only lose about $4 million in Medicaid funding if the rule changes, abortion rights activists contend that the state is risking $1.8 billion in annual federal Medicaid funding. This is not the first times Iowa Republicans attempted to restrict spending on abortions. In 2011, Republicans risked federal Medicaid funding by adding an amendment to a $6 billion budget bill that would have eliminated government funding on abortions in the case of rape or incest.
Source: blogspot.com

IA: Implications of court ruling in Iowa unclear

“By and large, when you look at the data, it’s a good thing to provide people with health care and insurance at a price they can afford,” Mueller said. “Overall, the law seems headed in a good direction and at least now we have legal clarity. Now the battle is on during the election. Politically, do people want to move on? Legally, we are good to go.”
Source: watchdog.org

Iowa Legislators, Vying for "Most Mean

Current law already imposes unfair restrictions on abortion coverage. Since the passage of the Hyde Amendment in 1976, millions of women have been left without coverage for the care they need just because they have government-funded health insurance. Medical coverage for abortion care is withheld from women enrolled in Medicaid or the military, federal employees, women with disabilities in the Medicare program, Peace Corp volunteers, women in federal prisons, and women who receive coverage under Indian Health Services. Many women have to delay getting the care they need because their insurance does not cover a legal medical procedure. Other women and their families are pushed into greater poverty as they struggle to scrape together the funds to secure medical care.
Source: rhrealitycheck.org

Iowa Republicans Risk Medicare Funding By Trying To Halt Funding For Abortion Care In Case Of Ra… http://t.co/3nApQrsg [ThinkProgress]

2011 2012 about after Against Bill Campaign DailyKos debt fearandvoting From Gingrich health House HuffPost jobs Jones Maddow Marriage Mitt more Morning Mother Obama open Over Paul Perry Plan President Rachel Republican Republicans ReutersPolitics Rick Romney Santorum Says Senate State TalkingPointsMemo TheNation ThinkProgress Thread U.S.
Source: fearandvoting.com

Iowa’s reaction to SupCo’s health care ruling

AMES – Following the Supreme Court’s decision on health care today, Christie Vilsack called on Congress to reform the Affordable Care Act:   “I feel strongly that health care must be accessible, affordable, and high quality for all Americans. The Affordable Care Act took important steps toward that goal, like allowing young people to stay on their parent’s health insurance, closing the donut hole in Medicare, and eliminating discrimination based on pre-existing conditions. Now that the Supreme Court has made their decision, Congress must reform the Affordable Care Act to control the skyrocketing costs of health care in America,” said Christie Vilsack.   “This law did little to address the rapidly increasing cost of health care. I believe we must control costs and provide stability to families and small businesses in Iowa. To address this, I am introducing seven common sense ideas for reform that directly benefit families in my district by making health care more affordable.”                                                      “With the legal battle over health care reform behind us, Democrats and Republicans must focus on having a real conversation about how we can create jobs and economic opportunity in this country. This is what the American people deserve and it’s the reason I’m running for Congress.”    Making Health Care More Affordable   1. Control soaring premiums: The Affordable Care Act does not do enough to protect Iowans from unreasonable premium increases. Health care costs will continue to soar if insurance companies increase premiums as they see fit. Christie Vilsack believes that we must protect families and small businesses from these outrageous increases and keep rates affordable for everyone.   2. Protect seniors from increased out-of-pocket expenses: Any reform to our health care system must not jeopardize quality and affordable care for seniors. For this reason, Congress must protect Medicare from drastic cuts, like those in the Ryan Budget, which would force seniors to pay more out-of-pocket for health care.  Christie Vilsack will also work with Democrats and Republicans to protect Medicare, Medicaid, and Social Security from benefit cuts.   3. Lower prescription drug costs by allowing Medicare to negotiate drug prices: Prohibiting Medicare from negotiating prescription drug prices is unnecessary and increases the costs to America’s seniors. By removing this prohibition, as the Veterans Administration has, we can lower the cost of prescription drugs. This is a common sense idea that should have bipartisan support.  As a member of Congress, Christie will work to keep health care affordable for seniors, while protecting Medicare, Medicaid, and Social Security.   4. Decrease the burden on small businesses by providing additional tax credits: The tax credits for small businesses in the Affordable Care Act do not do enough to encourage small businesses to offer employee health insurance coverage. In order to make health care affordable for small business owners, the tax credit should be enhanced.   5. Cut administrative costs with electronic records: The United States spends approximately $360 billion on administrative health care costs each year. Much more can be done to bring these costs down. We can save as much as $40 billion a year by taking simple steps to reform administrative procedures, such as using electronic eligibility, claims processing, and payment systems.
Source: okhenderson.com

Iowa: GOP Presidential Debate Turns Up Campaign Heat

Des Moines Register: Mitt Romney Touches On Difference With Gingrich Romney, who has fallen behind Gingrich in polls in Iowa and elsewhere, noted that the former House speaker had criticized a plan to give Medicare recipients vouchers to buy private insurance. “This is a place where Speaker Gingrich and I disagree,” he said, noting that he generally supports Medicare reform ideas from Wisconsin Congressman Paul Ryan. Under Ryan’s plan, people now younger than 55 would receive vouchers to buy private insurance when they reach retirement age. Romney noted that his plan is a bit different, because his vouchers also could be used to buy into traditional Medicare (Leys, 12/9).
Source: kaiserhealthnews.org

Iowa Medicare Part D Plans

The above list is relevant if you choose to receive your health coverage from original Medicare or if you have purchased a Medigap policy. But you may choose to enroll in a Medicare Advantage plan. Many Medicare Advantage plans include Part D coverage. If you have decided to enroll in an Advantage plan be sure to review the Part D formulary for that plan as it may vary from a stand-alone plan offered by the same company.
Source: partdplanfinder.com

Bleeding Heartland:: Iowa reaction to Supreme Court upholding health care reform law

And there is much more. But we know this decision is far from the last word in the health care debate. Suddenly, there are political concerns that somehow Obamacare will be the largest tax increase in history.  The reality is the tax only kicks in for those who choose not to have health insurance, and our goal is to have no Iowan ever have to pay that tax. The Medicaid provisions of the decision have less impact on Iowa because of a forward thinking program called IowaCare which allows childless adults to get health care up to 200 percent of the poverty level.  We are ahead of the federal government.  And I don’t believe we are going to move backward on that.     There apparently is an effort in the U.S. House to repeal the law entirely.  I am confident that repeal will not get 60 votes in the Senate and that President Obama won’t sign it, so that bill is DOA. Those who want to play out the politics of this issue are free to do so.  I believe it is now more urgent than ever that state leaders step in and provide bipartisan direction to implement the Affordable Care Act.  I am more interested in implementing Obamacare.   Make no mistake, there remains room for mischief in the implementation of the ACA.  But in Iowa, our work on health care has been marked by cooperation, not sabotage, and I remain very confident we can work out a bipartisan implementation plan. Two weeks ago, I called on Governor Branstad and legislative leaders to convene an Iowa health care “summit” to chart a path forward for Iowa and fully implement the ACA.  Yesterday, I met with the Governor’s Chief of Staff and was encouraged by what I heard about the summit.  I proposed that a non-partisan third parties host the event and invite the stakeholders. My hope is to convene Iowa’s health care summit within a matter of weeks. The summit is important because the health reform process is too important to be left to just the politicians, industry and the usual stakeholders.  We need to hear what’s best for Iowans. And when it comes to getting Iowans the health care they need in the highest-quality, most affordable way, there is no room for delay. We must seize this opportunity to build on the bipartisan success of the past five years in health care reform and truly become “The Healthiest State.”
Source: bleedingheartland.com