Brad DeLong: Raising the Medicare Eligibility Age Is a Really Bad Idea Blogging: Is This a Problem with the Media or with the Congressional Budget Office?

Posted by:  :  Category: Medicare

Director’s Blog: Raising the Ages of Eligibility for Medicare and Social Security: If the eligibility age was raised above 65, fewer people would be eligible for Medicare, and outlays for the program would decline relative to those projected under current law. CBO expects that most people affected by the change would obtain health insurance from other sources, primarily employers or other government programs, although some would have no health insurance. Federal spending on those other programs would increase, partially offsetting the Medicare savings. Many of the people who would otherwise have enrolled in Medicare would face higher premiums for health insurance, higher out-of-pocket costs for health care, or both.
Source: typepad.com

Video: Mitt Romney Embraces Privatizing Medicare and Social Security and Raising Eligibility Ages

Romney Proposes Raising Medicare Eligibility Age in 2022

A cogent example is the value of colonoscopies. The NE Journal of Medicine study shows that the procedure reduces the incidence of colorectal cancer and saves lives, cutting the death rate in half.   The procedure can cost thousands of dollars. The GAO found that only a quarter of all Medicare beneficiaries ages 65 to 75 had been so screened, and about 59 percent of men and women between the ages of 50 and 74  were tested.  While not the most pleasant procedure, it is important for all over 50.  Implementation would not be without new cost, certainly in the shorter term.
Source: talkleft.com

Romney Offers Proposal To Gradually Increase Medicare Eligibility Age

Romney said that his proposal would begin in 2022. Under the proposals, the Medicare eligibility age would increase by one month annually. “In the long run, the eligibility ages for [Medicare and Social Security] will be indexed to longevity so they increase only as fast as life expectancy,” Romney said (Espo, AP/Contra Costa Times, 2/24).
Source: californiahealthline.org

Daily Kos: Old Waitress says, “Don’t Raise Medicare Eligibility Age!”

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Source: dailykos.com

KFF Report Estimates Impacts of Raising Medicare Eligibility Age

A new report from the Kaiser Family Foundation analyzes the expected impact of raising Medicare’s eligibility age to 67 on the federal budget, seniors, employers and others in light of health reform. It is the first in a series examining the potential impact of Medicare changes.
Source: kff.org

Homelessness Resource Center

Conclusions: Greateruse of primary care and specialty care visits by disability-eligibleveterans is most likely related to greater health needs not captured bythe patient characteristics we employed and eligibility for VA care atno cost. Outpatient care patterns of disability-eligible veterans mayforeshadow care patterns of veterans returning from Afghanistan and Iraqwars, who are entering the system in growing numbers. This studyprovides an important baseline for future research assessingutilizations among returning veterans who use both VA and Medicaresystems. Establishing effective care coordination protocols between VAand Medicare providers can help ensure efficient use of taxpayerresources and high quality care for disabled veterans. (Authors)
Source: samhsa.gov

Daily Kos: Why is Raising Medicare Eligibility to Age 67 a Bad Idea? Here’s Why.

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Source: dailykos.com

3 Reasons Why We Should Raise Medicare’s Eligibility Age

In attempting to address the problems of Medicare and medical expenses on the whole, members of Congress should look to the history of the program. The House Ways and Means Committee, when charged with assessing the costs of the program, projected that total costs for the first year would run no more than $1.3 billion when total spending in the first year actually was $4.6 billion. The committee did not improve its accuracy over time, projecting that hospital spending would amount to just $3.1 billion in 1970 when it was actually $7.1 billion. John Goodman, president of the National Center for Policy Analysis, explains that these chronic projection mistakes are because analysts failed to account for increased demand as 19 million people were given free access to unlimited health care. Today, Congress makes the same mistakes in different ways, failing to account for a dynamic market that undermines direct controls and ignores price-controlling efforts.
Source: reason.com

Candace Reistrom, Top Medicare Advisor for UnitedHealthcare Solutions; serving Pinellas County including St.    Petersburg, St Pete Beach, Clearwater Beach, Pasadena, Gulfport and Pass

Posted by:  :  Category: Medicare

Candace Reistrom, Top Medicare Advisor for UnitedHealthcare Solutions; serving Pinellas County including St.    Petersburg, St Pete Beach, Clearwater Beach, Pasadena, Gulfport and Pass-a-grille
Source: boomarking.com

Video: Medicare Basic Overview by United Healthcare Medicare Solutions

United Healthcare Medicare Solutions

Jobs in Portland OR: Due to market expansion, we have immediate openings in our Senior Health Insurance Products Division. This is a career agent position, and requires a State Health Insurance License. United Healthcare is a 55 Billion Dollar company, with over 73,000 employees, and over 70 million customers. Named by Fortune Magazine as the most admired Health Insurance Company in the World, United Healthcare truly has a lot to offer. We provide year round marketing and training support, specific to your market. We provide personalized lead support, dedicated training, and ongoing coaching. We also offer a full agent contract, no assignment of commissions, no separate contract to sign, you would be directly appointed with United Healthcare. This means that you own your own book of business. Our exclusive and proprietary marketing campaign is ongoing, and generates leads throughout the year. We do not charge for leads, and we do not charge for supplies. We are exclusive to United Healthcare for Medicare Products. In order to receive our leads, you would need to be exclusive to United Healthcare for these products also. If you are contracted with a competitor, we can still work with you, but we cannot provide leads to you. We are looking for either career agents, who are interested in a year round career opportunity, with leads and ongoing support and resources, or those who are interested in helping their current clients, on a very part time/occasional basis, and who would not want/need lead support as a result. We are open to any reasonable combination of these opportunities as well. Full training is provided, as well as personalized coaching, individual strategy planning, etc. If you don’t currently have e&o insurance, ask us about our complimentary e&o program (no cost). Here are some highlights of the products we offer: – 0 Premium Product – $400 average first year commissions per sale – 12 month advance – 10 year payment cycle (1st year + 9 yr renewals) – No cost lead support – Local training and resources – Local & National Support – Direct Company Appointment – Commissions paid twice weekly – Year Round Opportunity – Ongoing Marketing Support – No Assignment of Commissions – You Own Your Own Book – Agency Opportunities – General Agent Opportunities – Ask us about our Complimentary E&O program This means that if you average 5 sales per week, you can earn up to $100,000 first year in commissions, and $48,000 per year in renewals. At 7 sales per week, you can earn up to $140,000 first year commissions, and $70,000 per year in renewals. After a few years, your renewals could easily exceed your first year commissions, and the good news is that there is no time frame requirement to become vested, and you own your own book of business. We are in the midst of a major marketing campaign, including a variety of ongoing strategic efforts. This is an exciting time for us, and the good news is that if you would like to be part of our success, there is still time to contract. This contract would include AARP Medicare Complete, AARP RX Saver, Secure Horizons, and Evercare Products, as well as the AARP Medicare Supplement Products (including the new modernized plans). This is for a direct appointment, with a full agent contract, and is intended as a career opportunity. Please let us know if you are interested, by email, and we can discuss the opportunity further. Time is of the essence, since contracting and becoming certified to offer these great products takes approximately two weeks, and the busiest season of the year is fast approaching. We are busy year round as well, but we are currently in immediate need of dedicated agents to help us service opportunities during this exceptionally busy time. We are filing limited slots. For immediate consideration, reply to this posting and please include your phone number, and a summary of your experience. We will respond to qualified candidates promptly. If you are primarily interested in marketing to your current clients, and/or professional networking, we can provide ongoing support for your efforts as well. For highly qualified candidates, General Agent opportunities may be available in specific markets. Thank you for your interest in United Healthcare Medicare Solutions, and Secure Horizons. Location: Statewide Compensation: 50,000 to 130,000 First Year Commissions + Renewals Principals only. Recruiters, please don’t contact this job poster. Please, no phone calls about this job! Please do not contact job poster about other services, products or commercial interests.
Source: inportland.info

Authorized to Offer AARP Medicare Solutions

Dear Friends: Our Agency is now Authorized to offer AARP Medicare Solutions through the United Health Care System. This can be a great way to go for some people. AARP also offers a Medigap Policy and the separate PDP Drug Plan. We are having Seminars on these products and others right here in our office at the end of January and beginning of February. People who are signing up for Medicare need good instructions on the whole process and we give great classes on the procedure wihtout pushing anyone to buy our product. Our goal remains to make sure that people are happy with their insurance choices! Please call me at 386-860-0001 X7 for more information. It is truly my pleasure to meet with you at my Seminar or in person. Thanks — and a very Happy New Year to all! Ron Silverman, Agent.
Source: silvermanagency.com

United Healthcare Gets Blue Button, PHR Capability

ONC created the Direct – Laboratory Reporting Workgroup to address the Clinical Laboratory Improvement Amendments (CLIA) requirements for the reporting of clinical laboratory results using Direct Project standards and specifications. The workgroup determined that any electronic reporting method must provide accurate, reliable, confidential and timely delivery of laboratory results from the performing laboratory to the final report destination to meet CLIA requirements. To accomplish this, implementations of Direct specifications must provide the sending laboratory with positive notification of delivery success or failure in a manner consistent with other methods of electronic result delivery currently in use by accredited clinical laboratories.
Source: healthcare-informatics.com

Uhc.com Estimated Value $79,322.40 USD

On average, uhc.com is ranked #36,131 across major traffic ranking services such as Alexa. This metric shows the popularity of this site compared to other sites around the web. This domain registered on 1994-08-30. It reaches roughly 11,017 unique users each day. Visitors to the site view an average of 1.8 unique pages per day. Estimated daily time on site 01:14 seconds. It has an average of 4,970 pages indexed in major search engines like Google™. There are an average of 2,932 links pointing back to uhc.com from other websites. The estimated daily revenue is $220 USD. If the site was up for sale, it would be worth approximately $79,322 USD. Out of the 30 unique keywords found on uhc.com, “united healthcare” was the most dense. The site is currently hosted in Minneapolis MN in United States on a server with the IP 168.183.130.235 which is hosted by United HealthCare Corporation. This site has Google PageRank™ 0 of 10.
Source: widestat.com

Medicare Explained In Enfield

It will also look at ConnPace and the Medicare Savings Program, which provide those who qualify with additional financial assistance to cover prescription drugs and Part B premiums. Nancy Petronio, of United Healthcare Medicare Solutions, will present the overview and will also be available for questions.
Source: courant.com

Outsource Marketing Solutions blog: UHC Single brand for Medicare Advantage

While most popular attention over Medicare this year has focused on new plans that cover prescription drugs, analysts view Medicare Advantage plans as critical profit opportunities for health insurance companies. Read on….
Source: typepad.com

UHC 2012 Certification begins July 25, 2011 

· State specific 2012 Dual Special Needs Plan (SNP) certification has been removed. This means you will only be required to take the 2012 Dual Special Needs Plan certification module and will no longer have to be certified in each state you plan to sell. This suggestion came from you. We understand the importance of your time and we are committed to making your experience with UnitedHealthcare the best. Keep in mind we will still offer state specific Dual SNP information during our AEP Readiness Training in your area.
Source: osbornassoc.com

A look at healthcare reform in R.I.

The Patient Protection and Affordable Care Act (PPACA) requires states to set up a Health Insurance Exchange by 2014 with the goal of providing access to quality, affordable health insurance. By 2014, the health insurance exchange will facilitate the purchase of health insurance for individuals and small businesses using government subsidies for eligible consumers. In addition, the structure of the exchange will allow small business to purchase health insurance in a more open and transparent market.  If a state does not complete the process of establishing an exchange by January 1, 2013, then the state will have to use the default federal exchange.
Source: advocacysolutionsllc.com

UnitedHealthcare Receives 2012 CX Innovation Award

UnitedHealthcare is dedicated to helping people nationwide live healthier lives by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. The company offers the full spectrum of health benefit programs for individuals, employers and Medicare and Medicaid beneficiaries, and contracts directly with more than 650,000 physicians and care professionals and 5,000 hospitals nationwide. UnitedHealthcare serves more than 38 million people and is one of the businesses of UnitedHealth Group
Source: sayworks.com

The Rapidly Approaching Medicare Investment Tax Coming in 2013

Posted by:  :  Category: Medicare

"SO, THE HEALTHCARE 'TAX' PASSED THE SUPREME COURT." by roberthuffstutterExample 3.  Rob and Cheryl are a married couple.  In 2013 their income consisted of wages of $100,000 for Rob and $75,000 from Cheryl received from their S corporation.  The corporation engages in a capital intensive business with numerous other employees.  The wages paid to Rob and Cheryl are reasonable payments for the services provided.  The S corporation reported $100,000 of additional income that was reported to Rob and Cheryl on their K-1.  They received no distributions from the S corporation as the organization retained the earnings to reinvest in additional equipment.  Both Rob and Cheryl spend more than 500 hours actively working in the business.  The couple has $60,000 of dividend income from investments.
Source: wordpress.com

Video: AUFC TV ad: Paul Ryan voted to end Medicare, Give the Rich Another Tax Break

Tips for Students With a Summer Job

1. When you first start a new job you must fill out a Form W-4, Employee’s Withholding Allowance Certificate. This form is used by employers to determine the amount of tax that will be withheld from your paycheck. If you have multiple summer jobs, make sure all your employers are withholding an adequate amount of taxes to cover your total income tax liability. To make sure your withholding is correct, visit the W-4 Calculator on taxbrain.com.
Source: taxbrain.com

New Additional Medicare Tax

The following questions and answers provide employers and payroll service providers information that will help them as they prepare to implement the Additional Medicare Tax which goes into effect in 2013. The Additional Medicare Tax applies to individuals’ wages, other compensation, and self-employment income over certain thresholds; employers are responsible for withholding the tax on wages and other compensation in certain circumstances. The IRS has prepared these questions and answers to assist employers and payroll service providers in adapting systems and processes that may be impacted.BASIC FAQs
Source: wordpress.com

Will the new Medicare tax on investment income affect you?

Generally, net investment income is income from interest, dividends, annuities, royalties and rents, and capital gains, as well as income from a business that is considered a passive activity or a business that trades financial instruments or commodities.  It does not include interest on tax-exempt bonds, social security or other pension benefits, IRA distributions or any earned income (including stock option or other incentive compensation).  Also note that it does not include any capital gain exclusion from the sale of a principal residence or income from a business in which you materially participate (e.g., S-corp distributions).
Source: sperosmith.com

Why The New Medicare Tax May Cost You More Money

Tags: 401(k), Affordable Care Act, annuities, Capital Gains, Dividends, Employee, Employer, Form W-2, Health Care Reform, Income Tax, income tax withholding, Interest, ira, Married Filing Jointly, Medicare Tax, Municipal Bonds, Passive Income, Pension, primary residence, Principal Residence, Profit Sharing Plan, Royalties, Self-Employed, Single, Sub S, Subchapter S, Subchapter S Corporation, tax-free bonds, Unearned Income Medicare Contribution Tax, Withholding
Source: borgidacpas.com

Tax Shelters for the Rest of Us

In each case, you contribute after-tax dollars. In a 529 plan, withdrawals are tax-free if spent on qualified education expenses. In a variable annuity, gains will be taxed as ordinary income when you withdraw them. But both will shelter investments from annual tax liabilities along the way. That can be a powerful ally, especially for investments—such as bonds and high-yielding stocks—that generate a lot of income.
Source: foplodge4.org

Real Estate Investor's Forum

“I can make a firm pledge.  Under my plan, no family making less than $250,000 a year will see any form of tax increase.  Not your income tax, not your payroll tax, not your capital gains taxes, not any of your taxes,” President Obama, September 12, 2008 Beginning January 1, 2013, ObamaCare imposes a 3.8% Medicare tax on unearned income of “high-income” taxpayers which could apply to proceeds from the sale of single family homes, townhouses, co-ops, condominiums, and even rental income,…See More
Source: ning.com

Additional Medicare Tax Guidance For Employers from the IRS

If a former employee receives group-term life insurance coverage in excess of $50,000 and the resulting income is in excess of $200,000, how does an employer report Additional Medicare Tax on this? The imputed cost of coverage in excess of $50,000 is subject to social security and Medicare taxes, and to the extent that in combination with other wages it exceeds $200,000, it is also subject to Additional Medicare Tax. When group-term life insurance over $50,000 is provided to an employee (including retirees) after his or her termination, the employee share of social security and Medicare taxes and Additional Medicare Tax on that period of coverage is paid by the former employee with his or her tax return and is not collected by the employer. An employer should report this income as wages on Form 941, Employer’s QUARTERLY Federal Tax Return (or the employer’s applicable employment tax return), and make a current period adjustment to reflect any uncollected employee social security, Medicare, or Additional Medicare Tax on group-term life insurance. However, unlike the uncollected portion of the regular (1.45%) Medicare tax, an employer may not report the uncollected Additional Medicare Tax in box 12 of Form W-2 with code N.
Source: somersetblogs.com

Fiscal Hawks Tell Lawmakers To Reform Medicare, Tax Code

For individuals, taxation based on both net wealth and income (in equal measure) is the middle ground of the political ideologies of the extreme left (supporting progressive wealth taxation) and the extreme right (supporting a regressive flat tax on income). The combination of 2% net wealth tax (excluding $15,000 cash and retirement funds) and 8% individual income creates a mathematically progressive rate structure. It is similar to the tax credits and escalating tax brackets of the current code except that it uses net wealth rather than hundreds of other types of tax expenditures (i.e. deductions, credits and “loopholes”) to raise or lower one’s tax liability.
Source: talkradionews.com

High Deductible Medicare Supplement Plan F

Posted by:  :  Category: Medicare

DAMN!! -- I THINK WE'RE F*%KED by SS&SSThe Medicare supplemental insurance policy labeled high deductible Plan F is a standard plan F plan with a $2070 dollar yearly deductible and a significantly less monthly premium.  When choosing a form of Medicare insurance there are two common alternatives, they are:  Medicare A and B with a Medigap insurance policy or a Medicare Advantage plan.  A Medigap policy is the most popular alternative of these choices.  Once you have decided that a supplemental insurance policy is the best option for your health care needs the choice of which supplement policy comes next.  The Medicare Supplement Plan F is the Medigap policy with the most benefits and provides the best protection from medical bills.  A sometimes forgotten alternative to the plan F is the High Deductible Plan F.  The high F provides the exact same benefits as a standard F plan except it has a $2076 dollar yearly deductible.  The High F plan can be a less costly alternative for individuals that are in good health.
Source: medicare-supplement-advisor.org

Video: Switching To Medicare Supplement Plan F

5 Questions you should Ask Before Purchasing a Medigap (Medicare) Policy

The first step in purchasing a Medigap Policy is to review a government published guide, such as Choosing a Medigap Policy, and decide which of the 11 standardized plans fits your lifestyle and needs. If you want a policy that covers all the “gaps” that Original Medicare does not cover choose Plan F. However, if you are more concerned about a lower monthly premium, then consider a High Deductible Plan F or plans like K or L, which only provide partial payment for your doctor visits.
Source: inzinearticles.com

AHIP Medicare Survey: F Gets an A

Plan 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

Medicare Supplement Plan F – Should you buy it?

The easiest way to get quotes for Medicare Supplement Plan F and other plans isq to contact a national Medicare supplement insurance broker.   Every company offers the same exact plans with the same benefits, which is why it is extremely important to shop all companies.  Saving money in this economy is necessary, especially for seniors who are on a fixed income.   An expert will recommend you purchase Plan F from the company who offers you the lowest price, providing they also have good customer service.
Source: auto-insurance-data.info

Plan C or Plan F For Your Medigap Coverage?

[…] Today, by law, a provider can charge up to 15% higher than the standard Medicare rate and still be considered participating.  This is a big deal for two reasons:   First, you do not want to pay 15% of a $100K hospital bill ($15,000). Secondly, as the Medicare program finds itself under more financial pressure, reimbursement to providers will be under pressure. This means that more providers will likely charge the excess in the future. This is the sole reason we recommend the F plan over the C plan. The C plan does not cover Excess where the F plan does cover Excess. For the small monthly premium difference between C or F, it makes sense to cover this potential amount.Source: americaninsuranceforexpats.com […]
Source: americaninsuranceforexpats.com

50% of Seniors Prefer Group vs. Medicare Supplemental Insurance

Hass Mohammed, Director of Sales for www.MedicareMedics.com, claimed the survey showed most individuals are confused and not aware of what is available in the market. They feel comfortable with their Employer group plans as they may be afraid of change. However, in reality, they are missing out. In some cases they can qualify for a plan that doesn’t have any monthly premiums, and which also has very minimum out of pocket costs. If you are unsure of what is best in your situation, go online and visit sites or speak to a licensed broker for assistance. Medicare Medics is an online company designed to help seniors and their families understand Medicare, and find Medicare Supplemental insurance plans at the best price available to meet their individual needs.
Source: andhranews.net

tufts medical center: Meditation on Medicare: Making the Case for My Life

Posted by:  :  Category: Medicare

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

Video: How it Works – Tufts Medicare Preferred

Tufts Medicare Preferred 2012 Step Therapy Criteria

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Source: starhi.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

ICSI and Nine Health Care Partners Receive Three

Michigan Center for Clinical Systems Improvement is an innovative, multi-stakeholder organization made up of physicians, payers, employers and patients to address variation in clinical practice, administrative and payment policies in the health care system. Its objectives are to: create an environment for collaboration among health care stakeholders, promote systems and practices that improve patient experience and population health while lowering cost, focus on system problems that no one party can solve on its own, reduce health care disparities, and ensure that regional communities lead the effort toward health system reform.
Source: healthcareglobal.com

Frequently Asked Questions about The Affordable Care Act: Medicare Part 2 » Elder Options of Texas

Posted by:  :  Category: Medicare

Covenant Place of Burleson Assisted Living, a Capital Senior Living Community, offers exceptional assisted living. Our assisted living community is designed to offer a lifestyle that promotes and assists in maintaining independence. One of the best things about us as your new home is that we cater to you, and your personal needs, by providing transportation to doctor appointments, assistance with activies of daily living (ADL’s), medication reminders, nutritious meals, and so much more. Just minutes from major hospitals, clinics, and other health care providers. MORE DETAILS >>
Source: elderoptionsoftexas.com

Video: Two Useful (but frustrating) Websites: MyMedicare.gov and Missouri Case.net

Medicare Supplement Plans

Start by adding your zip code on the senior Medicare supplements page and compare free quotes from a list of  carefully selected insurance companies.  We aren’t talking small companies you’ve never heard of …… we are talking AARP Anthem Blue Cross just to name a couple.  
Source: peanutbutterandwhine.com

www.MyMedicare.com vs www.MyMedicare.gov

MyMedicare.gov is part of the Medicare.gov web site and is updated whenever a change is made to Medicare.   It is an optional, free, and secure site designed to help check the status of eligibility, enrollment, and other Medicare benefits. It also allows users to access their claims information almost immediately after it is processed by Medicare and provides you with preventive health information 24 hours a day, seven days a week.
Source: elderauthority.com

Blue Button helps you manage your health care better

Blue Button provides easy access to your Medicare information, giving you the power to take a more active role in managing your health care. Sharing that information with your doctors and caregivers helps them treat you more effectively and safely. It can help eliminate redundant lab tests, spot dangerous medical interactions before they become a problem, and improve communication between you and your health care providers. All of which helps to ensure you get the health care that you need.
Source: extendconnections.com

DoctorSH thoughts on the practice transition away from third parties: Stats at day 12 of Opt out

Many have asked me for stats on my Medicare transition. As an intro, I am asking my regular Medicare patients to come in for a no obligation Medicare opt out meet n greet to review their options for continuing their care with me. Three options are available. 1- payment at each time of service 2- prepaid yearly wellness plan for $649 or $55/month for individuals or $1099 or $90/month for couples. 3- for patients on low income, social security only, and who have been a part of my practice for many years, they are being offered the prepaid yearly wellness plan for only $25/month. As of today, I have had 23 patients choose to remain. 7 qualified for the $25/month plan- option 3 10 joined the prepaid yearly fee/monthly fee option 2 6 chose option 1, payment at time of service. As of today 19 have chosen not to remain, or they are undecided. I have counted undecideds as leaving the practice. I have many more patients yet to come in to discuss their intentions. I hope to get through all of them by the end of August.
Source: blogspot.com

Why Medicare Gets A Boost From Obamacare, As Told By Andy Griffith

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilWe encourage users to engage in a respectful discussion of this post, below. Comments are not necessarily representative of MoveOn.org’s views or beliefs, nor are commenters necessarily MoveOn members. This is a community-moderated forum: If you see something offensive, please flag it. If a comment receives enough flags, it will be removed.
Source: moveon.org

Video: Chief Medicare Actuary Foster Gets Myers Award

Food Stamps: A Crucial Safety Net for Women and Families

The YWCA serves all types of women and families, including the elderly, the disabled and working women. These are the same people who get the most benefit out of programs like Food Stamps.  Contrary to what some people believe, the majority of households who get entitlement benefits including Medicare, Medicaid and Food Stamps are households who are elderly, disabled or working.  Nearly 75% of the people who receive Food Stamps are in families with children; more than one-quarter are in households with seniors or people with disabilities. The number of people on Food Stamps has increased since the recession a few years ago.  Not because all of a sudden people are scamming the system, but because that is what the program is intended to do: help people during economic downturns.  Specifically, when the economy tanks, Food Stamps kick in to help people from going hungry. This also helps put money into local communities because people use them to purchase food being sold by businesses. Then when the economy gets better, the number of people on Food Stamps tends to decline.
Source: ywcablog.com

AHIP Medicare Survey: F Gets an A

Plan 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

Rosetta Gets Medicare Coverage for mets2 Assay; Stock Soars

Thellungiella salsuginea Genome Offers Insights into Salt Tolerance Wu, Zhang et al., PNAS Arabidopsis relative Thellungiella salsuginea is an extremophile model for abiotic stress tolerance. Here, researchers from the Chinese Academy of Sciences, BGI, and elsewhere present a draft sequence of the T. salsuginea genome, which they “assembled based on [approximately] 134-fold coverage to seven chromosomes with a coding capacity of at least 28,457 genes.” Overall, the authors say that “this genome provides resources and evidence about the nature of defense mechanisms constituting the genetic basis underlying plant abiotic stress tolerance.”
Source: genomeweb.com

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

Accountable care delivery and payment structures: Medicare Advantage with physicians at risk

Posted by:  :  Category: Medicare

Critical success factors: The key to Medicare Advantage success is the ability and willingness of physicians to serve as gatekeepers responsible for directing and coordinating patient care across the continuum. Primary care physicians and specialists alike will be successful in this role only if they thoroughly understand and support the care model, and have the tools and information necessary for informed decision-making. Additional success factors for Medicare Advantage include successful management of chronic conditions; coordination of care, particularly during high-risk transitions; and the ability to implement effective contracts, particularly with specialists, hospitals, and outpatient care facilities. 
Source: adsinstitute.org

Video: Jed Weissberg, MD, Talks About Medicare Advantage Health Plans and the Special Enrollment Period

Medicare Advantage Star Ratings: Detaching Pay from Performance

Because criteria for evaluation are not published until after the period for which performance will be evaluated, there is no possibility that MA plans will be able to improve their performance to achieve the goals CMS intends to incentivize. Any adjustment plans will be able to make to their bids or plan offerings would have to be aimed at increasing enrollment in counties with the highest bonuses and rebates based on data from performance in previous years, possibly at the expense of improving their performance in the future.
Source: thehealthcareblog.com

Will The GAO Doom Medicare Star Ratings?

This blog (formerly The Patient Advocate) contains my thoughts about healthcare. It is generally focused on marketing related issues from a patient perspective. After working in healthcare, my opinion is that most companies today think of patients as claims. I advocate that healthcare needs to be more like consumer products and think differently about how they interact…both for their own personal benefits and for the patients.
Source: georgevanantwerp.com

Medicare Star Ratings for Medicare Advantage Programs

In terms of measuring the quality of the Medicare Advantage plans alone, Medicare has created five different categories for quality measurements and spread out within these categories is 36 different and specific topics and areas of measurement. When it comes to calculating the quality of the Medicare prescription drug services, commonly referred to as the Medicare Part D plan, there are four different categories and 17 different areas or topics that are measured. By using information that is collected through member surveys, the providers of the care as well as a number of other sources, Medicare analyzes information by topic in order to create an overall rating. These ratings are accessed each year in order to have a database that is updated and accurate for members to be able to make their decisions. Five star ratings are hard to come by and the majority of plans are rated between one and four stars.
Source: cerecons.com

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, Inc. Software Boosts Medicare Star Ratings

About CSS: Founded in 1999 by pharmacists and technologists, CSS is staffed by experienced clinicians, software developers and operations personnel. At the heart is Medication PathfinderTM – built in S-O-A-P (Subjective-Objective-Assessment-Plan) Note structure to help pharmacists move quickly through complex patient Medication Therapy Management (MTM) assessment procedures. Structured data storage is a main differentiating feature of the MTMPath system. Additional CSS software solutions include iDeal TherapyTM and TMR BoosterTM. Currently, more than 20 percent of the 5-star Medicare MA-PDP plans are CSS clients CSS for MTM program support/documentation.
Source: bddms.com

Clinical Support Services, Inc. Software Boosts Medicare Star Ratings

About CSS: Founded in 1999 by pharmacists and technologists, CSS is staffed by experienced clinicians, software developers and processes personnel. The hub is Medication PathfinderTM built in S-O-A-P (Subjective-Objective-Assessment-Plan) Note structure to help you pharmacists take appropriate steps swiftly through complex patient Medication Therapy Management (MTM) assessment procedures. Structured data storage is a main differentiating feature in the MTMPath system. Additional CSS programs include iDeal TherapyTM and TMR BoosterTM. Currently, over 20 percent in the 5-star Medicare MA-PDP plans are CSS clients CSS for MTM program support/documentation.
Source: hugohosting.com

February 23 Webinar: Two Medicare Executives Detail New Strategies to Improve Star Ratings

Medicares star quality ratings are rapidly becoming a crucial strategy for any Medicare plan and its providers and in todays shifting landscape, these strategies must constantly evolve. CMS now is weighting measures to emphasize outcomes, introducing new measures and giving plans under sanctions lower ratings. In 2012, Part D services became a heavily weighted component of the overall rating for Medicare plans that offer drug benefits. And those plans that routinely score below three out of five stars could lose their Medicare contract altogether.
Source: myerscomplex.com

Knoxville Veterans’ Home Receives Five Star Rating

Tennessee Department of Veterans Affairs Commissioner Many-Bears Grinder and Tennessee State Veterans’ Homes Director Ed Harries have announced the Ben Atchley Tennessee State Veterans Home, Knoxville has received a Five Star Rating from the Centers for Medicare & Medicaid Services (CMS).
Source: theknoxvillejournal.com

Benefits of Implementing the Medicare Advantage Program

Posted by:  :  Category: Medicare

San Diego, CA by Oggie DogBeneficiaries must be eligible to register in a Medicare Advantage (MA) plan. That means that there are several requirements that must be met by the beneficiary when registering in a MA plan during the registration period, and generally they agree to settle for a year, this is done to receive coverage through Medicare Advantage program. After the registration applies, the beneficiary must receive all care in accordance with the rules that have been planned, respecting network operator, and other restrictions that can be used to control expenses.
Source: birthyearnetwork.org

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

What You Must Learn About Medicare? 

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Source: massachusettsinsurancecoverage.com

NACCHO MEDICARE LOCAL PRESS RELEASE:Recognition of Aboriginal health as ‘core business’ for Medicare Locals.

Our sector stands ready to work with Medicare Locals in a genuine partnership as they begin their long but ultimately rewarding journey in addressing  and improving comprehensive primary healthcare for all Australians. Working in a spirit of cooperation and collaboration, we can ensure Medicare Locals  bring about the necessary reforms to clinical and support systems within mainstream services that will bring benefits to the entire community, not just to Aboriginal and Torres Strait Islander peoples.
Source: nacchocommunique.com

No. of Providers Registering for EHR Incentive Program Goes Down

“Navigating the maze required to determine and demonstrate eligibility, understand the requirements, and register for participation is a daunting task, perhaps too daunting for some eligible participants,” said Handler. “Those already in a position to readily meet meaningful use measures, those who already have a certified EHR in place, may have been the first to register, and we may be seeing a slowdown if those yet to register have a bigger gap to fill to meet meaningful use.”  
Source: physicianspractice.com

Medicare Leaves Me Scratching My Head

Before you even get started on the whole Medicare process, make sure you start researching early. Most of us are eligible to start receiving these benefits at age 65. When you sign-up to receive Social Security benefits, you are essentially also registering for Medicare and will automatically start getting Part A and Part B on the first day of the month that you turn 65. That’s why you want to take care of the process BEFORE you turn 65. Three months before you turn 65, you should contact Social Security even if you are still employed.
Source: pittsburghhealthcarereport.com

indigenouschildatthecentre

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Source: indigenouschildatthecentre.org

Flash of Genius: The Adjustment Times: URGENT: WPS J8 MAC Medicare change starts at 2:00 Thursday 7/12/2012

. WPS officially starts payor id 08202 on Monday July 16, however they have announced “Dark Days” of Friday July 13 through Tuesday July 17. A dark day is a business day during the cut-over period when the Medicare claims processing system is not available for normal business operations. System dark days may occur between the time the outgoing claims administration contractor ends its regular claims processing activities and the incoming claims administrative contractor begins its first day of normal business operations. Genius is not certain what would happen if you sent Medicare claims with the new payor id between 2:01pm Thursday through 12:00am Monday.It is possible that BCBSM or WPS might hold them until they finish their dark days and process them normally, but we do not have any confirmation from BCBSM or WPS that this actually will happen. Therefore Genius recommends you do all of your Medicare billing before 2pm on Thursday July 12.Then do no Medicare billing until July 16 or later.On July 16 go to your Insurance Code Files and change payor id 00953 to 08202. Don’t change anything else and don’t change it before July 16. Click here for step-by-step instructions for changing the payor id in THOMAS. After you have changed your payor id on July 16 or later you should be able to resume sending your Medicare claims.
Source: blogspot.com

Are You Aware Of Medicare Limitations? : Lawyer Directory

Without question, potential future medical expenses are something to take quite seriously when you are making preparations for your active retirement years and the twilight years that will follow. To gain an understanding of how to address these costs given your unique situation take a moment to arrange for an informative consultation with a licensed and experienced Indianapolis elder law attorney
Source: targetlaw.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

Our View: Medicaid Needs Reform, Not Expansion

Posted by:  :  Category: Medicare

Budget experts from both sides of the aisle tend to concede that expanded Medicaid eligibility is the 800 pound gorilla in Colorado’s budget living room. With many colleges and universities around Colorado hiking tuition in the double digits each year to offset cuts in general fund appropriations, we wonder how exactly Governor Hickenlooper plans to pay for the state’s share of this massive entitlement expansion without further eroding access to higher education for Coloradans.
Source: thecoloradoobserver.com

Video: Exploding Medicaid Costs in Colorado

Colorado AG predicts billion

Under last week’s Supreme Court ruling that upheld the ACA, the justices gave states the freedom to opt out of a requirement that all states would need to cover an additional group of poor patients. Since the ruling on Thursday, several Republican governors have vowed not to cover additional poor people. The ACA had required states to cover people with incomes less than 133 percent of the poverty level (or about $30,000 for a family of four). But the justices said that the federal government could not take away Medicaid funding for states that refused to enact this expansion. That, in essence, gives states the choice whether to opt out of the expansion.
Source: healthpolicysolutions.org

Colorado: Settlement with Glaxosmithkline

Colorado Attorney General John W. Suthers today announced that the State of Colorado will receive more than $4.5 million as part of a settlement with pharmaceutical manufacturer GlaxoSmithKline (NYSE: GSK) in the largest health care fraud settlement in history. The settlement, involving the federal government and a majority of states, requires GlaxoSmithKline to pay a total of $2 billion in settlement money plus an additional $1 billion in fines.  In addition, GlaxoSmithKline will plead guilty to federal criminal charges relating to drug labeling and U.S. Food and Drug Administration (FDA) reporting.
Source: ushispanics.com

Paratransit Watch: Poor Medicaid NEMT Service Hurting Colorado Mental Health Out

MEDICAID TRANSPORTATION – In a recent guest commentary from the Denver Post: Rides to a Mental Health Clinic Should be Dependable; psychiatrist in training, Rupinder K. Legha relates some of the frustration she and her clients have had with the First Transit operated Colorado NEMT Brokerage for Medicaid. Since taking over the state contract to provide management and coordination of Medicaid transportation in January of 2012, many of her clients who rely on Medicaid NEMT have experienced numerous times when their ride failed to show. Dr. Legha provides multiple examples of how this had detrimental effects upon these individuals. In most cases, these trips are to be provided by taxi companies who are sub-contracted to First Transit to provide the service for Colorado Medicaid. Dr. Legha concluded by suggesting First Transit could improve the service by developing an integrated system that includes input from hospitals, clinics and insurance companies; along with driver education, financial incentives for quality standards, and improved scheduling and coordination. VIDEO: Does Medicaid Cover Mental Health Care?
Source: blogspot.com

Colorado’s tab for Medicaid expansion still a troubling mystery

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Source: wordpress.com

The Durango Herald
07/06/2012

Expanding Medicaid coverage is one of the key provisions of the federal health-care law upheld by the Supreme Court. But last week