LeadingAge: Medicare Doctors Go Digital; LTPAC Providers Should do the Same, Says HIT Expert

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana CareLTPAC providers aren’t eligible for federal EHR incentives. But Dr. Bill Russell, an HIT consultant speaking at June’s LTPAC HIT Summit in Baltimore, urged providers to pursue EHR adoption. Russell suggested that Stage 2 “meaningful use” requirements associated with the EHR incentive program will make it necessary for eligible hospitals to exchange electronic clinical summaries with LTPAC providers. Establishing interoperability now would help providers facilitate better transitions of care, he said. According to McKnight’s Long-Term Care News, Russell and other technology experts at the Summit maintained that EHRs can help LTPAC providers:
Source: leadingage.org

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

CMS Allows Medicare Providers to Submit Documents Electronically to CMS Contractors

If providers do want to participate in the esMD program, they must first find out if their review contractor accepst esMD transactions. Additionally, providers will have to obtain access to an esMD gateway. To obtain access to a gateway, providers can either build their own or hire a Health Information Handler (HIH) to construct the gateway system. To find out which HIHs offer esMD gateway services to providers, click here. To learn more about requirements for participating in the esMD program, click here.
Source: thehealthlawfirm.com

Getting Your Flu Shots with Medicare

The Medigap Plan’s Coverage of Flu Shots One other way to avoid paying extra for a flu shot or other Medicare-covered services is to purchase a Medigap policy that covers Medicare Part B excess charges. Medicare Supplement Plan F and Plan G both cover these excess charges, along with a number of other Medicare out-of-pocket costs. So even if your Medicare provider does not accept Medicare’s assigned rates, and he is one of the providers who charge extra, your Medicare supplement picks up that excess charge for you. Then you don’t have to pay anything out of pocket.
Source: mondaysorchids.com

Compliance with Conditions of Participation Necessary for Reinstatement of Terminated Medicare Billing Privileges or Revoked Medicare Provider Number and Participation Agreement

This entry was posted in Medicare and tagged appeal of decision to terminate, cap, Centers for Medicare and Medicaid Services (CMS), conditions for coverage (CFC), corrective action plan, Department of Health and Human Services, First Coast Service Options (FCSO), hhs, Medicare administrative contractor (MAC), Medicare conditions of participation (COP), Medicare contractors, National Government Service (NGS), Palmetto Government Benefits Administration (Palmetto GBA), reconsideration request, revocation of Medicare number, revocation of Medicare provider contract, termination of Medicare billing privileges. Bookmark the permalink.
Source: wordpress.com

Incentive for Medicare Providers

One such organization is Mount Sinai Hospital in New York.  In a statement from the Department of Health and Human Services, it was reported that about 2.4 million of Medicare’s 49 million participants receive care from this group.  There are still several publicly traded hospital chains, such as Community Health Systems Inc, who are not accepting Medicare patients, in addition to some of the nation’s high-profile nonprofit systems, such as the Cleveland Clinic and Kaiser Permanente.  According to the Congressional Budget Office, accountable-care groups will save Medicare nearly $5 billion through 2019, some of which will be given back to the organizations as incentive.  Kathleen Sebelius, Health and Human Services Secretary, stated that “Better coordinated care is good for patients and it saves money.” It’s a win-win situation.
Source: insuranceflash.org

57% of Medicare Doctors Used EHR System in 2011, GAO Says

It also found that 22% of the sampled Medicare physicians first began using an EHR system to document evaluation and management services in 2011, the year that CMS started issuing meaningful use incentive payments. Under the 2009 federal economic stimulus package, health care providers who demonstrate meaningful use of certified EHR systems can qualify for Medicaid and Medicare incentive payments.
Source: ihealthbeat.org

Medicare Provider Enrollment: Revalidation Required: Michigan Attorneys

Health care reform law requires that providers who enrolled in Medicare prior to March 25, 2011, submit enrollment revalidation information upon request by the Centers for Medicare and Medicaid Services ("CMS") or its contractors.  Any provider that fails to submit the requested revalidation information within 60 days of receiving such a request risks interruption or deactivation of Medicare billing privileges.  Revalidation for all providers who enrolled in Medicare prior to the above date will occur between now and March of 2015 on a steady basis.  Providers can check the lists provided at CMS’s website to determine if they were already sent a revalidation notice that was perhaps overlooked in the mail.
Source: healthlawyersblog.com

Medicare fraud suspensions and collections not being strongly enforced

STERLING HEIGHTS wnj.com Medicare fraud suspensions and collections not being strongly enforced 25. October 2011 By Jeanne Long Regulators fighting Medicare fraud frequently suspend the licenses of Medicare providers, only to quickly reinstate them after a short and uninvolved appeals process. The AP recently reported that the government’s private contractors tasked with inspecting Medicare providers and collecting payments often communicate poorly with the federal agency that runs Medicare, leading to gaps in the system that prevent efficient shutdown of fraudulent activity. Medicare providers accused of fraudulent activity often even continue to receive Medicare payments while they are under investigation. The government and its contractors often fail to even attend the appeals hearings, allowing suspended Medicare providers to coast to a default victory. In one notable case, Medicare contractors revoked a medical equipment company’s license after inspecting it and finding that the company had no employees and no customers. The owner of the company appealed, was reinstated the same day, and resumed fraudulently billing Medicare. One of the owner’s companies continued to bill Medicare for months after the owner eventually was indicted. The report also stated that almost 40% of the Medicare providers examined by the AP in six key fraud hot spots – South Florida, Los Angeles, Baton Rouge, Houston, Brooklyn, and Detroit – eventually regained their licenses.
Source: jdsupra.com

LeadingAge: The Online Community for Senior Care and Services Providers: Washington State Accountable Care Organization Named

The Centers for Medicare & Medicaid Services (CMS) announced today that Washington is among 40 states and Washington, D.C. where people with Medicare can receive health care from an Accountable Care Organization (ACO). ACOs are organizations formed by groups of doctors and other health care providers that have agreed to work together to coordinate care for people with Medicare. The ACO is Polyclinic Management Services Company in Seattle, Washington. It is comprised of ACO group practices, with 296 physicians. It will serve Medicare beneficiaries in Washington. The 89 new ACOs named today will be serving 1.2 million people with Medicare. All ACOs have entered into agreements with CMS, taking responsibility for the quality of care they provide to people with Medicare in return for the opportunity to share in savings realized through high-quality, well-coordinated care.
Source: blogspot.com

States Seek Medicare Data to Keep Fraudulent Providers Out of Medicaid

Glenn Prager used to be a Medicare fraud fighter for the federal government. Early this year he switched to Medicaid, taking a job as Arizona’s inspector general. His primary task is to keep crooked health-care providers out of the state’s $9 billion Medicaid system. If they slip in under the wire, he says, the goal is to catch them before any claims are paid. But six months into his new role, Prager is frustrated that he can’t get his hands on the Medicare data he used when he was a federal investigator. “The basic problem,” he says, “is a lack of coordination and communication between the two programs. There’s no other way to explain it.” Prager is not alone in his complaints. The National Association of Medicaid Directors released a report last month calling on the federal government to share Medicare data and improve collaboration with states in their mutual battle to reduce Medicaid fraud and abuse. Congress and the federal Government Accountability Office are also pushing the U.S. Department of Health and Human Services to provide better support for state fraud-busting efforts. The federal government says it has ambitious projects under way to make Medicare data more useful to states, and to help states share information about their respective Medicaid programs.  The problem, federal officials say, is that Medicare, which provides health coverage for seniors, is organized very differently from Medicaid. And each state organizes its Medicaid program in a different way, making data matches difficult. The scale of the programs is also daunting. Medicaid covers 60 million low-income people and costs more than $400 billion a year. Already growing faster than any other item on states’ budgets, it is slated to expand by 16 million more people if the Affordable Care Act is upheld. Medicare covers 48 million people and costs more than $470 billion. While only a small number of the health-care providers who participate in either program break the rules for financial gain, the result of the fraud that does take place is a substantial drain on the money available to provide legitimate health-care services.  A majority of providers serve both Medicaid and Medicare, and the dishonest ones often steal from both programs at the same time. The federal government alone lost $22 billion to what it calls “improper payments” in the Medicaid program last year. Although no uniform method of calculating state losses exists, a similar amount was likely lost by states since they pay for about half of the program. Medicare lost $43 billion, according to federal data.
Source: govtech.com

Cantwell Highlights Need for Medicare Payment Reform to Expand Access to Care, Build WA Primary Care Workforce

“Frankly, people in our region are very frustrated that we deliver care that way and get less reimbursement and less people want to go practice there. And somebody can go practice somewhere else where they can run up the bill to the American taxpayer,” Cantwell continued. “But just to assume that they are healthier and that someplace else is sicker and we should just pay more is not going to work. …So if you have any comment on that Dr. Stream? …And [also on] what we need to do for graduate medical education to really get that workforce plugged in.”
Source: gorgenewscenter.com

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

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

A hidden cost for Medicare Providers?

One of the problems with Medicare is the billions of dollars of fraud committed each year.  Some estimate as much as $50 billion annually is wasted by paying fraudulent claims. The Affordable Care Act attempts to address this, and included provisions to deter the “bad guys” from becoming Medicare providers, and beginning March 25, 2011,
Source: healthreformexplained.com

In Florida, Obama Attacks Romney On Medicare Plan

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ...More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Miami Herald: As Thrill Fades, President Barack Obama Fires Up Supporters On Medicare, Tax Cuts But Obama steered clear of attacks on Romney’s business record and instead tailored his message toward seniors and the middle class on the first day of a two-day campaign swing in the nation’s biggest battleground state. He stops in Fort Myers and Orlando on Friday. The president warned that Romney’s proposal to repackage Medicare as a fixed benefit is a “voucher” system “will end Medicare as we know it” as it forces seniors to purchase private health insurance. He said his health care reforms have helped seniors receive discounted prescription drugs and get access to free preventive care (Klas and Caputo, 7/19).
Source: kaiserhealthnews.org

Video: Florida Medicare Supplements

Obama talks Medicare in Florida

On Friday, he will stump in Fort Myers, a solid-red city in 2008 where he was rolled by 10 percentage points. But the area has fared much better since Obama took office: the housing market has leveled out while unemployment has decreased.
Source: thehill.com

Obama in Florida: Romney’s Medicare Plan Leaves Seniors ‘Out of Luck’

“Florida, that is wrong. It’s wrong to ask you to pay more for Medicare so that people who are doing well right now get even more,” the president added. “That’s no way to reduce the deficit. We shouldn’t be squeezing more money out of our seniors. My plan is to squeeze more money out of the health care system that is being wasted.”
Source: wbobradio.com

Will Medicare Pay for Your Florida Nursing Home?

Are you one of the many Florida residents relying on Medicare to pay your way if you ever need nursing home care? Depending on what you mean by “nursing home,” you, your family and your pocketbook could be in for a big shock. Many people fail to realize that Medicare does not cover long-term nursing care. Although it’s common to refer to facilities that provide this kind of care as “nursing homes,” these facilities really provide non-skilled, custodial care. Custodial care means help with the activities of daily life that a person cannot manage on his own, such as bathing, dressing, eating, toileting, etc. My office receives many calls each week from families who have just learned about the distinction Medicare makes between skilled care and long-term care, and find themselves facing  a staggering tide of long-term care costs.  Most of my clients tell me their goal is to never be a burden to their children. Yet, over the past 15 years, the number of Baby Boomer children providing hands-on and/or financial assistance to a parent has tripled (US Department of Health and Human Services). If a loved one enters a custodial care nursing home, the family’s tab will be $87,000 for a private room or $78,000 for a semi-private room (national averages according to the 2011 MetLife Market Survey of Long-Term Care Costs). Thus, it makes sense for you to plan ahead to deal with long-term care costs to protect yourself, your family and your assets! Your first step should be to contact our Florida Elder Law office. We can help you evaluate your situation and come up with a plan that may allow you to tap into Medicaid benefits for long-term care and/or Veterans benefits for home care, nursing home care, or assisted living. We can discuss long-term insurance policies with you, too. All of this planning must be discussed within the context of your overall estate planning goals and personal circumstances.   Even if someone is already in a facility receiving custodial care, our attorneys can often develop a plan that can still preserve a good portion of assets.  Now, let’t talk about what Medicare will cover. Currently, Medicare Part A pays for up to100 days of skilled nursing care, per health incident. To qualify, you must
Source: lexisnexis.com

In Florida, Obama criticizes Romney over Medicare

Wooing Florida voters, President Barack Obama warned Thursday that Republican challenger Mitt Romney would gut his health care reform law and turn Medicare into a voucher program, driving up costs for the elderly on fixed incomes. Romney, firing away near his Boston home base, accused Obama of caring only about saving his own job — not the jobs of Americans.
Source: hotspyer.com

Obama kicks off Phase II in Florida

As Jon Chait noted, “The Obama campaign’s attacks on Mitt Romney’s business record and personal finances will probably continue for a long time. But I think that, when the campaign is remembered in history, they will not be seen as the central element but rather as a prelude. The main event is going to be a fight over the priorities of the Paul Ryan budget.”
Source: msn.com

Florida Elder Law and Estate Planning: Will Medicare pay for your Florida nursing home?

Are you one of the many Florida residents relying on Medicare to pay your way if you ever need nursing home care? Depending on what you mean by “nursing home,” you, your family and your pocketbook could be in for a big shock. Many people fail to realize that Medicare does not cover long-term nursing care. Although it’s common to refer to facilities that provide this kind of care as “nursing homes,” these facilities really provide non-skilled, custodial care. Custodial care means help with the activities of daily life that a person cannot manage on his own, such as bathing, dressing, eating, toileting, etc. 
Source: blogspot.com

High Deductible Medicare Supplement Plan F

The 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

Arkansas Blue Cross and Blue Shield Extends Relationship with Healthways, Offers SilverSneakers Fitness Program …

Posted by:  :  Category: Medicare

Counter demonstration: wingnuts by tswedenHealthways (HWAY) is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities. We provide highly specific and personalized support for each individual and their team of experts to optimize each participant’s health and productivity and to reduce health-related costs. Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 40 million people on four continents. Learn more at www.healthways.com or www.silversneakers.com.
Source: gymrat-fitness.com

Video: Arkansas Medicare Advantage Plans and Supplement Insurance

Republican message massage still controls health care opinion

As long as Democrats pretend the Republican argument is the only one out there… the country will remain in last place for the highest price in the world because of Democrats fulfilling Republican dreams. Bob Dole, Mitt Romney now Obama Care. Brought to you by both parties, their highest campaign bribes… and bipartisan determination to ignore 37 other nations plans, all who far surpass us in health stats and lower costs. Where we are right now is due to Democrats. They had enough votes in both houses when Obama took office to simply drop “over 65″ from the 50 year old original Medicare bill. They intentionally waited until that was impossible before making a move because they wanted to keep us on the border of third world health status. All of them. The best thing one could possibly say about that is ACA will not work for long… both the inhumanity and the costs assure it. If only more voters would quit arguing over narcissism of small differences and demosrate a refusal to vote for either criminal party. They are all in the back rooms chomping at the bit with their lobbyists to chop up, further privatize, raise eligibility age – Medicare. Nobody is planning to improve upon the bill, but the exact opposite. Even the so-called left blogos ignore the monsters in the room for which they are entirely responsible… tens of millions without care, million or more per year who still go bankrupt even for playing the game as designed, beyond outrageous pharma prices, out of pocket expenses set by and for huge for profit insurance companies. Millions who can’t afford a doctors visit now compelled to buy double to triple the highest priced private health policies in the universe. Which will make so much of ACA as bad or worse for millions who try to play along as told. People will still wait too long to seek care or go bankrupt trying. By Democratic party design and intent…. just as much as Republicans. You Dems are not for care for all or competitive costs…. the fact you ignore the most egregious elephants in your own room while falsely pretending medicare is your saving grace is absurd. You just gave for profit insurance a huge gift, actual taxpayer subsidized private policies, millions of well to do college kids paid by parents policies which are nearly all profit for privateers – rather than giving them much more affordable access to medicare which is also what’s needed to let national health care begin to shine…. and you saved ins co’s from having to cover people anywhere near what costs private insurance does in Europe. This convoluted ponzi scheme of a bill deserves the confusion and or scorn so many have for it… the reason so many D vs R’s are so closely divided is because it’s the same plan pushed upon us by both parties for 20 years… and it’s a convoluted scam for most of us. Republicans aren’t dumb, they are mean, calculating, persistent and patient… they just waited until the D party pushed their original plan thru… and now watch you D idiots cheer your own demise from within your own ranks. The only promise is more moves in their direction… whether it’s lame duck O or Romney… we’ve been had.
Source: arktimes.com

Job Vacancy : Insurance Sales Agent

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Source: contemporest.com

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: yourpreferredchoice.com

Arkansasmedicare.net Estimated Value N/A

=-=-=-= Domain name: arkansasmedicare.net Registrant Contact: Iconserve, Inc. Fisher Smith () Fax: P.O. Box 381021 Birmingham, AL 35238-1021 US Administrative Contact: Iconserve, Inc. Fisher Smith (fisher@iconserve.com) +1.2058378787 Fax: P.O. Box 381021 Birmingham, AL 35238-1021 US Technical Contact: Iconserve, Inc. Fisher Smith (fisher@iconserve.com) +1.2058378787 Fax: P.O. Box 381021 Birmingham, AL 35238-1021 US Status: Locked Name Servers: ns1.medicareinformationsource.com ns2.medicareinformationsource.com Creation date: 01 Mar 2006 23:42:59 Expiration date: 01 Mar 2012 23:42:00 Get Noticed on the Internet! Increase visibility for this domain name by listing it at www.whoisbusinesslistings.com =-=-=-= The data in this whois database is provided to you for information purposes only, that is, to assist you in obtaining information about or related to a domain name registration record. We make this information available “as is,” and do not guarantee its accuracy. By submitting a whois query, you agree that you will use this data only for lawful purposes and that, under no circumstances will you use this data to: (1) enable high volume, automated, electronic processes that stress or load this whois database system providing you this information; or (2) allow, enable, or otherwise support the transmission of mass unsolicited, commercial advertising or solicitations via direct mail, electronic mail, or by telephone. The compilation, repackaging, dissemination or other use of this data is expressly prohibited without prior written consent from us. We reserve the right to modify these terms at any time. By submitting this query, you agree to abide by these terms. Version 6.3 4/3/2002
Source: widestat.com

Arkansas Medicare Part D Plans

When researching Arkansas Medicare Part D plans, take the time to visit plan websites for any plan that you are interested in and explore the formulary. Not only will you determine if your drugs are covered but which tiers your drugs are listed in as well. The drug tier will determine how much you will pay for copays and coinsurance. Follow these simple steps and you should have no problem finding the right Arkansas part D plan for 2012.
Source: partdplanfinder.com

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: coolhandle-customer.com

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: maiseymay.com

Upcoming CMS Jurisdiction H (JH) Medicare Contractor Change

The Centers for Medicare and Medicaid Services (CMS) has awarded the Medicare Administrative Contractor (MAC) Jurisdiction H (JH) contract to Novitas Solutions, Inc. The clearinghouse is currently working with Novitas Solutions, Inc. to obtain additional transition information and will send additional notifications as soon as they are available. Providers must be aware of the following: Transition dates to Novitas, Solutions, Inc.: CPID 2455 Arkansas Medicare Part B CPID 1460 Louisiana Medicare Part B Transition Date – 08/13/2012 Current MAC – Pinnacle Business Solutions, Inc. Enrollment information: -Provider claims re-enrollment is not required -Provider electronic remittance advice (ERA) re-enrollment is not required Providers should be aware of the transition and watch for future notifications regarding this transition. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Medicaid patients, you didn’t need to see a doctor, did you?

Posted by:  :  Category: Medicare

Kinky For Governor by Big Grey MareAcross broad categories of eligibility, Texas’ Medicaid caseload wouldn’t just expand, it would explode. The principal standard of determining eligibility for Medicaid is the Federal Poverty Line (FPL). Under the new law, in every category — from pregnant mothers to infant children right up to long-term care for low-income and disabled people— more people will be eligible for coverage. Meanwhile, new categories of coverage would be added, including: Parents and caretakers between 12 percent and 133 percent of the FPL; former foster care youths through age 25; children ages 6 to 18 between 100 percent and 133 percent of the FPL; and childless adults up to 133 percent of the FPL.
Source: givingcityaustin.com

Video: Obama Criticizes Romney, GOP on Medicare

Rep. Burgess Offers Bill To Extend Current Medicare Doc Pay Rates Another Year

Modern Healthcare: Legislation Offers One-Year Extension Of Medicare Doc Payment Rates Rep. Michael Burgess (R-Texas) has introduced legislation that would provide a one-year extension for Medicare physician payment rates. Called the Assuring Medicare Stability and Access for Seniors Act of 2012, the bill is intended to provide payment certainty throughout 2013 as lawmakers develop a long-term Medicare physician payment program that is different from the current sustainable growth-rate formula (Zigmond, 7/22).
Source: kaiserhealthnews.org

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

A couple in their nineties are both having problems remembering things. During a check-up, the doctor tells them that they’re physically okay, but they might want to start writing things down to help them remember… Later that night, while watching TV, the old man gets up from his chair. ‘Want anything while I’m in the kitchen?’ he asks. ‘Will you get me a bowl of ice cream?’ ‘Sure.. ”Don’t you think you should write it down so you can remember it?’ she asks. ‘No, I can remember it.’ ‘Well, I’d like some strawberries on top, too. Maybe you should write it down, so as not to forget it?’ He says, ‘I can remember that. You want a bowl of ice cream with strawberries.’ ‘I’d also like whipped cream. I’m certain you’ll forget that, write it down?’ she asks. Irritated, he says, ‘I don’t need to write it down, I can remember it! Ice cream with strawberries and whipped cream – I got it, for goodness sake!’ Then he toddles into the kitchen. After about 20 minutes, the old man returns from the kitchen and hands his wife a plate of bacon and eggs. She stares at the plate for a moment. ‘Where’s my toast?’
Source: elderoptionsoftexas.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

Fewer Texas Doctors Take Medicaid, Medicare Patients

A new survey shows fewer doctors in Texas are accepting Medicaid or Medicare patients. The Texas Medical Association polled its members.  Thirty-one percent will accept new Medicaid patients, down from 42 percent in 2010. Fifty-eight percent will accept new Medicare patients, down from 66 percent in 2010. …
Source: 14gram.com

Texas Firm To Pay Millions In Medicare Fraud Case

McKINNEY (AP) – The Justice Department says a Dallas-area medical manufacturer has agreed to pay $42 million in penalties to settle civil and criminal cases related to fraudulent claims it made to Medicare and other federal health care programs through the sale of its bone growth stimulator devices.
Source: cbslocal.com

Texas firm to pay millions in Medicare fraud case

“Orthofix is very pleased that it has reached formal agreements to resolve all issues associated with the government’s investigation of sales of its bone growth stimulator devices. The company has been in a lengthy period of full cooperation with the federal government and now can move forward in pursuit of its mission to serve patients,” Brien T. O’Connor, a Boston attorney for Orthofix said Thursday in a statement.
Source: columbiamissourian.com

Medicare Eligible? Resources at Mature Health Center Online

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2..Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481While you do not have to pay a premium for Part A if you meet one of those conditions, you must pay for Part B if you want it. In 2011 the monthly premium for Part B is $96.40 for most with incomes under $85,000 (single) and $170,000 (married). However, the monthly Part B premium for 2011 will be $115.40 for people enrolling in Medicare for the first time in 2011. It is deducted from your Social Security, Railroad Retirement, or Civil Service Retirement check. If you do not get any of the above payments, Medicare sends you a bill for your Part B premium every 3 months.
Source: stewardshipmatters.net

Video: Medicare Part D Coverage | Apply for Medicare Part D

How do I sign up for Medicare in Texas?

If you are not receiving Social Security benefits when you turn 65, you actually need to apply for Medicare Parts A and B. You can do this at the same time you file for your Social Security retirement benefits, or you can choose to postpone Social Security and just apply for Medicare. There are three ways to do this: • Sign up for Medicare online: This is very easy to do. Just visit the Social Security website at www.ssa.gov and click “Apply online for Medicare” on the left side of the page. • Sign up for Medicare by phone: You can also call Social Security at 800-772-1213 and tell them that you’re ready to apply for Medicare. They may be able to help you right away or, if their call volume is high, they may schedule a phone appointment where a representative can take your Medicare application by phone. • Sign up for Medicare in person: If you prefer to do business face-to-face, you have the option of applying for Medicare at your local Social Security office. This may be the best option if you are near age 65 and need your application processed quickly.
Source: insurancemedicaresupplementtexas.com

Dodging Medicare’s Hidden Traps

But the clock for the Part B deadline starts when you leave your job, not when benefits end. Mary Kesel, who founded Benefit Advocates, a Winston-Salem, N.C., firm that guides individuals and businesses through the Medicare maze, says this is a common mistake with costly consequences. She advised a banking executive who lost his job and thought he could wait until his Cobra ran out to enroll in Medicare.
Source: topipadfinanceapps.com

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

WildAlchemist: Ten Tips: When You Lose Your Health Insurance

Economic times are tough and many are facing layoffs. Even more are being told that their employer will be eliminating or reducing health benefits. As a result many people are losing their health insurance coverage. Legislation is currently being proposed that can help those without health insurance but sometimes your health cannot wait and you need help now. 1. Use COBRA if You Are Laid Off – If you get laid off from your job and need health insurance you can Use COBRA (Consolidated Omnibus Budget Reconciliation). COBRA is available for 18 months after loosing your employer health coverage. COBRA allows you to keep the health plan that your employer used to provide as long as that plan still exists. If your employer is still in business and offering some health insurance to current employees you can usually qualify. COBRA will be more expensive than the premiums deducted from your paycheck but this is sometimes necessary if you are unable to get health care elsewhere. COBRA is often cheaper than private and individual health insurance plans. 2. Continue Preventative Measures – Without health insurance it is now more important than ever to live a natural and healthy lifestyle. Use preventative measures such as regulating weight, exercising, eating healthy, lowering your cholesterol (http://www.naturalnews.com/025715.html), and reducing stress from your life. When possible you can resume other preventative measures such as regular checkups and diabetes & cancer screenings. 3. Ask Your Doctor for Help – Ask your doctor about reduced fees or treatment and drug options for those with lower income or no health insurance. Your doctor may also be able to recommend a health care discount card that they accept. 4. Decrease Stress – Stress has a terrible effect on your body and your health. Make sure to get enough sleep, exercise regularly, eat natural and healthy foods, and actively use relaxation techniques such as yoga or breathing exercises. 5. Not Smoking – By not smoking you increase your chances of being approved for another health insurance plan including private and individual health insurance plans. Non-smokers receive much lower health insurance premiums and have less risk of overall health problems. 6. Apply for Medicaid – Almost every state has a local Medicaid office and toll-free numbers. Visit the Centers for Medicare & Medicaid Services web site for information on how to apply: http://www.cms.hhs.gov/home/medicaid.asp. Each state is different but Medicaid allows low-income and eligible people to qualify to have their medical bills paid directly. Some still require co-payments. 7. Apply for Medicare – Medicare is available only for those 65 years of age or older who meet special criteria. You can contact your local Social Security office or the main office at 1-800-772-1213. You are allowed to apply 3 months before reaching 65. 8. Alternative Natural Treatments – Alternative Medicine is currently used by thirty eight percent of adults in the United States. http://www.naturalnews.com/News_000607_alternative_medicine_medical_m… Acupuncture and herbal remedies are often cheaper than expensive prescriptions or medical treatments and can provide similar results. 9. Get Health Insurance through Spouse or Partner – Your spouse or partner may have a health insurance plan where you can qualify as a dependent. Although the cost can be high this typically results in fewer coverage rejections than applying for private or independent health insurance coverage. 10. Take a Lower Paying Job For Better Health Insurance – Consider taking a lower paying job for better health benefits. How important is your health? What is money without your health? It may mean taking a large pay cut, extra searching for a job with good health benefits, or asking more questions during a job interview. There are some employers out there that pay very little but offer a good health insurance plan. Make sure to ask about waiting periods and how coverage begins. Source – www.naturalnews.com
Source: blogspot.com

National Rural Health Resource Center: Medicare Meaningful Use Incentives: A Confusing Minefield for Critical Access

Critical access hospitals (CAH) need to be aware of what is eligible for Medicare Meaningful Use incentives, and it can be confusing. Sure, we need to purchase a certified electronic health records (EHR), but the incentives for Medicare specify that CAHs can get a portion of the “reasonable costs” of acquiring certified technology. There are several catches (just read the FAQ 10163 and you will see what I mean). Here are some very important considerations when signing a contract for an EHR, whether from a vendor or a larger hospital system offering a great deal on their system. A Right To Use Agreement is the most common contract for an EHR, at least historically. This type of agreement is similar to what you get when you purchase office software, such as from Microsoft. Surprisingly, you do not technically “own” the software in this case (or any that I will talk about). You merely have a right to use the software. These agreements generally also state that you lose that right to use the software if you quit paying the annual support and maintenance fees. One of the secrets in the software industry (not just health care) is that vendors make money on the maintenance agreement, not necessarily the licensing agreement. This is why vendors will usually negotiate aggressively on the licensing fee, but not on the maintenance. Even though you don’t own the software, the right to use licensing agreement fees (not the maintenance fees – those are non-capital) are usually a capital expense and thus eligible for CAH Meaningful Use incentives from Medicare. If you choose to lease the software over a period of time, then things get a little more tricky. Thankfully, the Centers for Medicare and Medicaid Services (CMS) recently clarified what is a qualified expense in FAQ 10722. Leasing can make sense if the hospital can not afford the licensing fees up front. Many vendors offer leasing packages as an option when that final contract is delivered. However, an Operating Lease is not depreciable, and therefore not eligible for Meaningful Use incentives. Capital Leases are eligible expenses, and it is important that you understand the difference. One of the four following conditions must be met for the purchase to be a capital lease:
Source: blogspot.com

Knowing What Medicare and Medicaid Does For You

Medicare consists of four specific programs A, B, C and D. It provides medical insurance and money to pay for hospital expenses and medications. It is a medical insurance garnered from people’s tax. It provides medical benefits for those who are enrolled in this government program. Even though Medicare is primarily for persons who are 65 and above, there is an exemption to this. People under 65 years of age are qualified for Medicare if they are disabled and had permanent kidney failure that needs regular dialyses or is in the need of a kidney transplant. Aside from the age requirement, a person must be a U.S. citizen or is a legal resident of the United States of America for 5 years and has at least 10 years of payment contribution to the Social Security System.
Source: diabetesresourcespot.com

Solutions For Medicare Problems

Posted by:  :  Category: Medicare

Jessica Sundheim by On BeingIf you elect to delay your Medicare B enrollment past your 65th birthday because you have group health insurance through your employer, that is not a problem.  Just be aware that when you do retire or lose your group coverage for any reason, you do not have the full 7 month Initial Enrollment in which to secure a guaranteed issue Medigap plan.  You qualify for a Special Enrollment Period for only 63 days.  If you have a pre-existing health condition that would prevent you from medically qualifying for Medigap, you will need to submit your application within 63 days of the Medicare B effective date on your Medicare card.
Source: wordpress.com

Video: Submitting Your Medicare Enrollment Application

Homeless Veteran Adventures

….the quick move changed the residence address SS shall use to send the letter with further instructions. Starting another application,(The access number for the first application does not operate the application).(Orez) Orez Trying out the sunglasses NR wants me to wear. Dark , Daddy-o dig the dark
Source: livejournal.com

How do I sign up for Medicare in Texas?

If you are not receiving Social Security benefits when you turn 65, you actually need to apply for Medicare Parts A and B. You can do this at the same time you file for your Social Security retirement benefits, or you can choose to postpone Social Security and just apply for Medicare. There are three ways to do this: • Sign up for Medicare online: This is very easy to do. Just visit the Social Security website at www.ssa.gov and click “Apply online for Medicare” on the left side of the page. • Sign up for Medicare by phone: You can also call Social Security at 800-772-1213 and tell them that you’re ready to apply for Medicare. They may be able to help you right away or, if their call volume is high, they may schedule a phone appointment where a representative can take your Medicare application by phone. • Sign up for Medicare in person: If you prefer to do business face-to-face, you have the option of applying for Medicare at your local Social Security office. This may be the best option if you are near age 65 and need your application processed quickly.
Source: insurancemedicaresupplementtexas.com

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

The Medicare Part D “Doughnut Hole” & You: How Diplomat Can Help

At Diplomat, we know that no one wants to feel as though they need to choose between  health and money. Our dedicated funding assistance team works with Medicare Part D patients in order to fill out applications for any available and applicable 501c3 organizations; sometimes we can even complete the whole application for the patient. Stephanie Turnbull, one of our knowledgeable staff, says that “these grants are generally offered based on drug and/or disease and may have income limitations.  In the event that there is not a foundation able to assist the patient with their out of pocket costs, our staff would then pursue any available assistance programs offered by the manufacturer or other resources.”
Source: wordpress.com

Survey: Medicare Beneficiaries Happier With Coverage Than Younger People On Private Plans

Posted by:  :  Category: Medicare

SCOTUS Obamacare Decision Makes Individual Mandate A Fact & Universal Healthcare Coverage A Fiction by watchingfrogsboilNational Journal:  Seniors Prefer Medicare To Private Plans, Study Says Seniors enrolled in the traditional Medicare program were happier and spent less out-of-pocket than their peers who chose private Medicare Advantage plans, according to a study published in the journal Health Affairs.  The study found that traditional Medicare costs less not just for the government but for beneficiaries, data that is sure to emerge in the next discussions about whether Medicare should be converted from a government-run insurance program to a private voucher system, a proposal championed by congressional Republicans and GOP presidential hopeful Mitt Romney (Sanger-Katz, 7/18).
Source: kaiserhealthnews.org

Video: Medicare Coverage

Medicare Coverage Gap May Cause Seniors to Forgo Antidepressants

“If patients discontinue their appropriate medication therapy abruptly, they could be placing themselves at risk for medication withdrawal effects and for relapse or recurrence,” Zhang and colleagues wrote. “If they do not notice any effects, they might decide not to resume taking antidepressants. Thus, a gap in drug coverage could place older adults in harm’s way, as a result of disruptions in appropriate maintenance antidepressant pharmacotherapy.”
Source: ivillage.com

Medigap Vs. Advantage plans

All of this makes Medicare Advantage plans sound much more attractive than traditional Medicare, but the reality is lots of people don’t like the access to care they get from Medicare Advantage plans. Researchers from the Commonwealth Fund, a nonprofit foundation that promotes better health care, found that 15 percent of  people with Medicare Advantage policies rated their insurance as fair or poor. That is more than double the number of dissatisfied Medicare/Medigap plan participants — just 6 percent of those with traditional Medicare coverage and Medigap plans rated their coverage as fair or poor.
Source: bankrate.com

Medicare Eligible? Resources at Mature Health Center Online

While you do not have to pay a premium for Part A if you meet one of those conditions, you must pay for Part B if you want it. In 2011 the monthly premium for Part B is $96.40 for most with incomes under $85,000 (single) and $170,000 (married). However, the monthly Part B premium for 2011 will be $115.40 for people enrolling in Medicare for the first time in 2011. It is deducted from your Social Security, Railroad Retirement, or Civil Service Retirement check. If you do not get any of the above payments, Medicare sends you a bill for your Part B premium every 3 months.
Source: stewardshipmatters.net

Comparing Medical Insurance Quotes

When it comes to your well-being it is best to plan for the future as much as practicable. Although you could be in good shape right now, you never can tell what will happen in the future. Healthcare insurance is a way to help pay for hospital expenses, from preventative care to emergency room benefits. Medicare is one of the most popular programs, run by the US government for subjects over the age of Sixty five. Though the most basic kind of Medicare covers general outpatient and inpatient services, there may be other areas this does not cover.
Source: cuplessjoe.com

Medicare Coverage of Adult Daycare

alzheimer alzheimer’s Alzheimer’s Myths Alzheimer’s Trigger biosynthetic polyphenols Brain Cell Death Brain Scan caregiver caregivers care giving caregiving Creutzfeld-Jacob Disease (CJD) Deep Brain Stimulation dementia depression Dr. John Detre Dr. William Hu eli lilly father’s day gifts Frontotemporal Degeneration frontotemporal dementia FTD George Bloom Gordon Sun guidelines Gwenn Smith John Voss Living Alone with Alzheimer’s mci memantine microglia mild cognitive impairment molecule that blocks Alz moving to a community National Alzheimer’s Plan olfactory identification tests omega-3 Pasinetti Patricia Boyle Ph.D. PhD progressive supranuclear palsy PSP sadowsky Switch Off
Source: agelessdesign.com

Medicare coverage gap associated with reductions in antidepressant use in study

According to study results, being in the gap was associated with comparable reductions in the use of antidepressants, heart failure medications and antidiabetics. Relative to a comparison group that had full coverage in the gap because of Medicare coverage or low-income subsidies, the no-coverage group reduced their monthly antidepressant prescriptions by 12.1 percent and reduced their use of heart failure drugs by 12.9 percent and oral antidiabetics by 13.4 percent. Beneficiaries with generic drug coverage in the gap reduced their monthly antidepressant prescriptions by 6.9 percent, a reduction attributable to reduced use of brand-name antidepressants, researchers note.
Source: sciencecodex.com

health insurance coverage

The study data came from the Commonwealth Fund 2010 Health Insurance Survey, a nationally representative telephone survey of 4,005 adults, age nineteen or older, living in the continental United States. The survey was conducted by Princeton Survey Research Associates International from July 14 to November 30, 2010 using an overlapping dual-frame survey of land-line phones and cell phones. The survey oversampled adults from telephone exchanges in geographic areas with a high density of low-income households. The final sample consisted of 2,550 interviews conducted by landline phone and 1,455 interviews conducted by cell phone, including 637 in households with no land-line phone. The survey was a twenty-five- minute telephone interview administered in English or Spanish. In this study we restricted the analysis to a sample of 3,033 adults ages 19-64 and 940 adults age 65 and older.
Source: healthinsurancecoverage-individual.com

The Senior Insider: Will Medicare cover you when you travel outside the U.S.?

 If your circumstances do not match the limited exceptions, you are responsible to pay the full cost to the health care provider. If your situation matches one of the allowable exceptions, you still pay the coinsurance or copayments and deductibles you would normally pay if you received these services or supplies in the U.S. For information on allowable exceptions
Source: blogspot.com

What Services Doesn’t Basic Medicare Cover?

Basic Medicare benefits do not usually cover foreign health care centers. With some senior health plans, care for domestic travel may even be limited. Do you want to travel during your retirement years? You may want to check into supplements that will cover international health care. You can also purchase stand-alone coverage for your trips. Be sure that you really understand your own Medicare travel health insurance coverage. The basic plan does not cover international travel except in very specific instances. If you leave the US, you should not count on health coverage. You may even find that your network health insurance only covers you for medical services inside your local network. Many of these will cover emergencies, but only in the USA.
Source: millionaire-business-articles.com

The Medicare Part D “Doughnut Hole” & You: How Diplomat Can Help

Posted by:  :  Category: Medicare

Medicare Part D Press Conference (44) by Korean Resource Center 민족학교At Diplomat, we know that no one wants to feel as though they need to choose between  health and money. Our dedicated funding assistance team works with Medicare Part D patients in order to fill out applications for any available and applicable 501c3 organizations; sometimes we can even complete the whole application for the patient. Stephanie Turnbull, one of our knowledgeable staff, says that “these grants are generally offered based on drug and/or disease and may have income limitations.  In the event that there is not a foundation able to assist the patient with their out of pocket costs, our staff would then pursue any available assistance programs offered by the manufacturer or other resources.”
Source: wordpress.com

Video: Medicare Part D and Prescription Drugs

Medicare Part D’s Important Influence on Access and Adherence to Medicines

And look at what happens within Medicare when beneficiaries have access to medicines. A study in the Journal of the American Medical Association found that Part D saves Medicare about $1,200 per year in hospital, skilled nursing homes and other costs for each senior who previously lacked comprehensive prescription drug coverage. This resulted in an overall savings to Medicare of $13.4 billion in 2007, the second full year of Part D.
Source: phrma.org

Our Taxing Times: Medicare B and the Self

When you’re self-employed, filing a Schedule C or F with your 1040 or as partner in a partnership or qualified S-corporation employee, you have the ability to take health insurance premiums as an adjustment to income. Most taxpayers have to include their out of pocket health insurance premiums with their other medical expenses on the Schedule A. These expenses are first limited by 7.5% of the adjusted gross income and then what are above this “floor” are added to the other itemized deductions. The total of these deductions are compares to the return’s standard deduction and generally the taxpayer takes the higher amount. Medicare premiums have always qualified as a medical expense on the Schedule A.
Source: ourtaxingtimes.com

Why Did I Lose My Medicare Part D? »

handbook, the new Medicare rule was first explained and Social Security sent out letters informing Medicare beneficiaries that they would have additional premium including the Part D prescription drug premium.  The new IRMAA (Income Related Medicare Adjusted Amount) rule has never really been publicized and only if your income is higher can you be affected.  IRMAA states that if your income is above $85,000 for an individual or $170,000 for a couple, then, you may pay an income related adjustment amount (additional monthly premium), in addition to your Medicare prescription drug premium.  The IRMAA Part D premium can range from $11.40 to $66.40 which is based on your reported income.
Source: medicaretruths.com

Medicare Part D and Prescription Drug Helpline

MADISON—The Board on Aging and Long Term Care has launched its Medigap Part D and Prescription Drug Helpline. Counselors are available to assist callers age 60 and over who have questions related to prescription drug insurance, including Medicare Part D and SeniorCare. Counselors will also aid callers in exploring other coverage options for prescription drugs.
Source: cwagwisconsin.org

How Low Might Medicare’s Drug Payout Go?

This will absolutely make a ton of medical professionals angry. But the truth needs to be said and put in everyday terms. Common sense covered in medical terms makes the average person, afraid to ask questions and can be intimidating to some. So, in as plain a way as can be said, most all back pain is caused by two things, (with the exception of disease and a very few other things). Almost all back pain can be narrowed into two types of pain; the nerves are being pressed by something, like vertebrae, or a muscle strain, tear or sprain. Even now the establishment has listed degenerative disc disease, as a disease. One way to look at it in real world terms, you’re getting older and your back is not what it was. You can spin words on anything, to make it seem as though it is something worse, than it is or just a muse for “I don’t know what is wrong.” That’s it in all of its secrecy and mystery, you have a nerve being pinched, a disc being squished, or a muscle strain, sprain or tear. The pain involved goes from something like I hit finger with a hammer to I just got hit with lightening, and everywhere in between, this is a whole different subject. Medical professionals are paid lots of money to tell us what is wrong, I admire the ones humble enough to say, “I do not know what is wrong, but I will find out.” find out more here.,,,,http://www.thebackpainchoice.com
Source: wsj.com

Solutions For Medicare Problems

If you elect to delay your Medicare B enrollment past your 65th birthday because you have group health insurance through your employer, that is not a problem.  Just be aware that when you do retire or lose your group coverage for any reason, you do not have the full 7 month Initial Enrollment in which to secure a guaranteed issue Medigap plan.  You qualify for a Special Enrollment Period for only 63 days.  If you have a pre-existing health condition that would prevent you from medically qualifying for Medigap, you will need to submit your application within 63 days of the Medicare B effective date on your Medicare card.
Source: wordpress.com

How do I Quit Medicare Advantage?

The 5-star rating system is used by Medicare to monitor plans and ensure that they meet certain quality standards.  The ratings also make it easier for someone on Medicare to compare plans based on quality and customer service. “Low performer” icons are placed next to the names of plans that have received less than three stars for the past three years.  The star rating system considers 53 quality measures, such as success in providing preventive services, managing chronic illness, and keeping consumer complaints to a minimum.
Source: ehealthinsurance.com

What You Need to Know About Medicare, Supplements, Part D & Medicare Advantage

 is an HMO or PPO Medicare policy which provides the Medicare recipient with copays for services, no claims filing and may add services that are not covered by Medicare or Supplement policies such as eye exams, hearing aids, prescriptions or dental care.  Medicare Advantage HMO products require that you receive your medical services by a participating provider, with the exception of emergent treatment. A PPO Med Advantage plan has all the advantages of  the HMO provider network
Source: foglegroup.com

Facts & other stubborn things: Keynesians and Uncertainty IV

More from Brad DeLong that I think nails the genuine difference on uncertainty much better than Chidem did. That’s it for me today. More in the future, with potentially more actual analysis rather than sharing of past writing. Feel free to send me other examples. Expectations about the future are perhaps the most important determinant of macroeconomic behavior, after taking into account all the “real factors” that allow you to produce in the first place. And the defining feature of our expectations about the future is, of course, the uncertainty of those expectations. The “Uncertainty” Argument, Brad DeLong, September 30, 2011 (emphasis mine)
Source: blogspot.com

Medicare Part D Proves That Competition Lowers Health Care Spending

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

Only the First Step in Containing Health Costs

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ...More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524The law also promotes efficiency by generating information about cost effectiveness. A two-decade research project at Dartmouth College has shown that different parts of the country have vastly different costs for treating the same illness, without corresponding differences in outcomes. The holy grail of health economics is to figure out which treatments or ways of organizing care lead to lower costs and better results. The act sets up an institute to evaluate the effectiveness of different treatments, and includes funding for demonstration projects to tackle this question.
Source: jallencoblog.com

Video: How to Buy Good, Affordable Health insurance

Comparing Medical Insurance Quotes

When it comes to your well-being it is best to plan for the future as much as practicable. Although you could be in good shape right now, you never can tell what will happen in the future. Healthcare insurance is a way to help pay for hospital expenses, from preventative care to emergency room benefits. Medicare is one of the most popular programs, run by the US government for subjects over the age of Sixty five. Though the most basic kind of Medicare covers general outpatient and inpatient services, there may be other areas this does not cover.
Source: cuplessjoe.com

In Florida, Obama Attacks Romney On Medicare Plan

Miami Herald: As Thrill Fades, President Barack Obama Fires Up Supporters On Medicare, Tax Cuts But Obama steered clear of attacks on Romney’s business record and instead tailored his message toward seniors and the middle class on the first day of a two-day campaign swing in the nation’s biggest battleground state. He stops in Fort Myers and Orlando on Friday. The president warned that Romney’s proposal to repackage Medicare as a fixed benefit is a “voucher” system “will end Medicare as we know it” as it forces seniors to purchase private health insurance. He said his health care reforms have helped seniors receive discounted prescription drugs and get access to free preventive care (Klas and Caputo, 7/19).
Source: kaiserhealthnews.org

Medicare Changes May Hurt Hospitals for Poor

In a recent study, published in the Archives of Internal Medicine, researchers found that safety net hospitals tend to score lower overall than other hospitals. Being in less urban areas and with less funding, these hospitals tend to have less staff support per patient. The gap has widened between the scores that safety hospitals receive from their patients compared to other hospitals. Their patients are likely to have more health complications and have less trust in the health care system, according to the study.
Source: ehealthinsurance.com

Your Guide to “Ending Medicare As We Know It”

I work in healthcare as a registered nurse. I see the high cost of equipment, supplies and care. It’s offensive how expensive things are. However, we’re not cleaning swimming pools here. I watched last as government workers wages in one of our American cities cut wages to minimum wage. The mayor” we don’t have the money…..” A very large portion of hospital reimmbursment comes from who? The government. So, when will the fed. Make this same decision for healthcare workers. This is a problem. Who is going to fix it. Obama? His plan is so full of details and corruption that not even the people that voted for it know what’s in it. Why would we want that? Clearly it must be fixed. We need a plan to minimized political contamination to borrow medical terminology. Politicians may have good intentions are the best people tonnage healthcare. We need some regulation to keep the market on course. But political agenda and ideology and special interest will only complicate the system and more importantly destroy our society and our great country. Let the market work it doesn’t have an agenda. When big money is involved the evil in the hearts of men will rear its ugly head. In a free society when people cease to be moral the system will collapse. This is the course we are on. It cannot be changed with government . Our government already is immoral. A righteous king is the only thing that will save us.
Source: prospect.org

Medicare Beneficiaries Less Likely To Experience Cost And Access Problems Than Adults With Private Coverage

Did you notice that both groups are having problems? Did you notice the problems have increased for both groups? Did you know access to care for Medicare is difficult in my area? Did you notice that what you describe as a medical home is any small office just like mine? Did you notice that your description of a medical home is much better than the government description of the medical home? Did you notice that you mentioned nothing about the problems of dealing with private insurers or Medicare? Did you notice you did not mention the amount of physician time it takes to deal with these issues? Did you notice you mentioned nothing about the increase in time and the decreased patient access electronic records takes? Did you notice you only asked about two or more chronic problem? These patients have many more? Did you notice that until your really work with practicing physicians instead of healthcare scientists you will not have a true solution? Healthcare is not working because healthcare scientists have no clue but do have mandates!
Source: healthaffairs.org

Medicare Beneficiaries More Satisfied Than Privately Insured

The study found that 8% of Medicare beneficiaries rated their coverage as “fair” or “poor,” compared with 20% of individuals who have employer-based health insurance and 33% of those who purchase their own insurance coverage. Medicare beneficiaries felt that they have better access to medical care and were less likely to report problems paying their medical bills than privately insured individuals, according to the survey (Levey, Los Angeles Times, 7/18).
Source: californiahealthline.org

What Medical Services Are Not Handled By Basic Medicare?

International travel is rarely covered by the basic plan. With some senior health plans, care for domestic travel may even be limited. Do you want to travel during your retirement years? If so, you may want to choose a supplement with good overseas travel health insurance. You can also purchase stand-alone coverage for your trips. Just be certain that you understand that your basic Medicare health benefits only cover foreign health care in rare circumstances. If you leave the US, you should not count on health coverage. In fact, some Medicare health plans, like MA HMO plans, may only provide in-network coverage in your local area. Many of these will cover emergencies, but only in the USA.
Source: articlecupboard.net

Health Insurers & the Affordable Care Act: Extinction or Reinvention?

The Highmark WPAHS merger is an attempt to create “what health-care thought leader, Clayton Christensen, in The Innovator’s Prescription, describes as an integrated, fixed-fee provider system. As such, Highmark and West Penn Allegheny are undertaking a tremendous change agenda.” ()  Other observers are watching the merger with interest because such vertical mergers have not been extensively studied or investigated.  The Western Pennsylvania region clearly needs to try something new because the status quo is not working: the largest hospitals and health insurers are engaged in a legal battle; WPAHS, the second largest hospital system, is on the brink of failure; and health care costs in Pittsburgh are substantially higher than in similar markets, relative to the quality of care. 
Source: thehealthcareblog.com

• Annual wellness checkups and preventive care for Medicare recipients with no …

Though people say they hate Obamacare, polls consistently show they like most of the features of the new law. It maintains a private system that means more customers for the insurance companies, resulting in more employees (JOBS). Insurers are drafting basic plans that equal the amount of the annual penalty for not buying insurance (which is 1 percent of taxable income in 2014, with exemptions for financial hardship, etc.). In Massachusetts, which has mandated insurance, aka. Romneycare, only 1 percent of people actually pay the penalty. Extrapolations put the number nationwide at no more than 3 percent of the under 65 population. These are mainly people who can afford, but refuse, to buy insurance, putting themselves at risk and the rest of us paying their ER tab.
Source: meetmii.net

Medicare Beats Private Plans for Patient Satisfaction: Survey

As the U.S. government considers proposals to cut Medicare spending, researchers from the Commonwealth Fund, a private health-policy advocacy foundation, cautioned that the health and financial security of people on traditional Medicare plans could suffer if policy makers move them to private Medicare Advantage plans. They noted that those enrolled in these private plans are less satisfied with their insurance and have more problems receiving the care they need.
Source: ivillage.com

$60.5 Million Medicare Cut to Florida Nursing Homes

Posted by:  :  Category: Medicare

Redstone Village is a small, not for profit, nursing home with 40 beds based in Huntsville, AL. At last check, the facility had 39 residents indicating that it is 98% occupied which is more than average within the state of Alabama. The provider accepts only medicare, and provides resident and family counseling services. This nursing home and assisted living facility, is located in a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Redstone Village, was 5 stars. Only 18% of nursing homes have 5 stars in Alabama. Important to note that this facility has recently improved and has gone from 4 stars to 5 stars. We have compared the detailed Medicare data for Redstone Village with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is about average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is about average. The most recent health inspection was on 02/25/2011. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is more likely for residents to be given a pneumococcal vaccination and to be given influenza vaccination during the flu season and it is less likely for residents that the need for help with daily activities would increase over time, for residents to be more depressed or anxious, to have a catheter inserted and left, to have their ability to move around their room get worse, to lose too much weight, and to have a urinary tract infection for high-risk residents to have pressure sores for low-risk residents to lose control of their bowels. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to have moderate to severe pain. To view the full report for this facility, and to understand more about its Medicare rating, go to here Source: ourparents.com
Source: medicaresupplementalco.com

Video: Alabama Medicare Supplements

Highlands Health and Rehab Nursing Home

Nursing care facilities cater to several types of patients: some patients require short-term rehab while recovering from surgery; others require long-term nursing and medical supervision. In addition, some nursing homes offer specialized care programs for Alzheimer’s or other illnesses, or short-term respite care for frail or disabled persons when a family member requires a rest from providing care in the home. Please note that you can help compare nursing homes by looking at the Medicare ratings of a given facility (Medicare has a 5-star rating system for comparing nursing homes). There are various ways for paying for care in a nursing home. Make sure you know your loved one’s Medicare and Medicaid eligibility, and understand how you can use tools like long term care insurance to pay for nursing home care.
Source: ourparents.com

Bessemer employee’s complaint of “widespread, systematic” Medicare fraud results in $5.4 million settlement

“Carl Crawley was willing to jeopardize his career to safeguard the American health care system and the taxpayers’ trust,” Henry Frohsin, one of Crawley’s lawyers, said in a statement. “This country needs more heroes like Carl who are willing to sacrifice for what they believe. He deserves to be rewarded.”
Source: al.com

Orchard Healthcare Center Nursing Home

Orchard Healthcare Center is an average sized, for profit, nursing home with 72 beds based in Hayneville, AL. At last check, the facility had 56 residents indicating that it is 78% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident and family counseling services. This nursing home is not located in a hospital or a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Orchard Healthcare Center, was 5 stars. Only 18% of nursing homes have 5 stars in Alabama. We have compared the detailed Medicare data for Orchard Healthcare Center with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is lower than average; Certified nursing assistant (CNA) hours per resident per day is lower than average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is lower than average. The most recent health inspection was on 04/27/2011. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is less likely for residents that the need for help with daily activities would increase over time, for residents to be more depressed or anxious, to lose too much weight, and to have a urinary tract infection for high-risk residents to have pressure sores. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to be given influenza vaccination during the flu season and to be given a pneumococcal vaccination and it is less likely for residents to have pressure sores. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Moundville Health and Rehabili Nursing Home

Moundville Health and Rehabili is a small, for profit, nursing home with 68 beds based in Moundville, AL. At last check, the facility had 64 residents indicating that it is 94% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident counseling services. This nursing home is not located in a hospital or a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Moundville Health And Rehabili, was 4 stars, which is a better rating than 81% of nursing homes in Alabama. Important to note that this facility has recently detriorated and has gone from 5 stars to 4 stars. We have compared the detailed Medicare data for Moundville Health And Rehabili with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is about average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is about average. The most recent health inspection was on 04/07/2011. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is more likely for residents that the need for help with daily activities would increase over time and to be given influenza vaccination during the flu season and it is less likely for residents to have a catheter inserted and left, to lose too much weight, and to have a urinary tract infection for high-risk residents to have pressure sores. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to be given influenza vaccination during the flu season and to be given a pneumococcal vaccination and it is less likely for residents to have pressure sores. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Henry County Health and Rehabilitation Facility Nursing Home

Henry County Health and Rehabilitation Facility is an average sized, for profit, nursing home with 142 beds based in Abbeville, AL. At last check, the facility had 127 residents indicating that it is 89% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident and family counseling services. This nursing home is not located in a hospital or a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Henry County Health And Rehabilitation Facility, was 4 stars, which is a better rating than 81% of nursing homes in Alabama. Important to note that this facility has recently improved and has gone from 3 stars to 4 stars. We have compared the detailed Medicare data for Henry County Health And Rehabilitation Facility with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is higher than average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is higher than average. The most recent health inspection was on 04/07/2011. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is more likely for residents for residents to be more depressed or anxious and to have a urinary tract infection. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to have moderate to severe pain. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Fayette Medical Center Long Term Care Unit Nursing Home

Fayette Medical Center Long Term Care Unit is an average sized, for profit, nursing home with 122 beds based in Fayette, AL. At last check, the facility had 117 residents indicating that it is 96% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident and family counseling services. This nursing home is located in a hospital. As of July 2011, the medicare rating for Fayette Medical Center Long Term Care Unit, was 1 star, which is a lower rating than 87% of nursing homes in Alabama. We have compared the detailed Medicare data for Fayette Medical Center Long Term Care Unit with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is lower than average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is about average. The most recent health inspection was on 10/07/2010. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is more likely for residents for residents to spend most of their time in bed, to have their ability to move around their room get worse, to lose too much weight, and to have moderate to severe pain. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to have moderate to severe pain. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Alabama Medicare Fraud Results in $5.4 Million Settlement

A “qui tam” complaint, which is a lawsuit filed on behalf of the whistleblower and government alleging wrongdoing by a company in its performance of a government contract or regulation, was filed by Crawley back in 2009.  Crawley will receive a portion of the money recovered under the federal False Claims Act.  His share of the settlement should be approximately $1 million, from which he will pay lawyer fees.  Rural/Metro has also agreed to pay $215,000 towards Mr. Crawley’s lawyer fees.  The U.S. Attorney’s Offices for Northern Alabama and Western District of Kentucky will share the remainder of the reimbursed money as both offices assisted in the probe into the fraud.
Source: whitecollarcrimelaw.com

Alabama Residents Convicted of Medicare Fraud

Brill ran a patient advocacy business named Hemophilia Management Specialties near Theodore Alabama. Through her contact with patients Brill would convince them to tell doctors that they needed more medication than actually necessary. The patients would then order their medications from two local pharmacies involved in the scheme. Medicaid and private insurance would pay the pharmacies for the medication and the pharmacies would give Brill a percentage of the money from the insurers.
Source: parkmanlawfirm.com

East Alabama Medical Center Skilled Nursing Facili Nursing Home

East Alabama Medical Center Skilled Nursing Facili is a small, not for profit, nursing home with 26 beds based in Opelika, AL. At last check, the facility had 19 residents indicating that it is 73% occupied which is less than average within the state of Alabama. The provider accepts only medicare. This nursing home is located in a hospital. As of July 2011, the medicare rating for East Alabama Medical Center Skilled Nursing Facili, was 4 stars, which is a better rating than 81% of nursing homes in Alabama. We have compared the detailed Medicare data for East Alabama Medical Center Skilled Nursing Facili with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is higher than average; Certified nursing assistant (CNA) hours per resident per day is higher than average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is higher than average. The most recent health inspection was on 11/17/2010. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is more likely for residents to be given a pneumococcal vaccination and to be given influenza vaccination during the flu season and it is less likely for residents that the need for help with daily activities would increase over time, for residents to be more depressed or anxious, to have a catheter inserted and left, to have their ability to move around their room get worse, to lose too much weight, and to have a urinary tract infection for high-risk residents to have pressure sores for low-risk residents to lose control of their bowels. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to have moderate to severe pain and to have pressure sores. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Hartford Health Care Nursing Home

Hartford Health Care is an average sized, for profit, nursing home with 86 beds based in Hartford, AL. At last check, the facility had 81 residents indicating that it is 94% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident and family counseling services. This nursing home is not located in a hospital or a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Hartford Health Care, was 4 stars, which is a better rating than 81% of nursing homes in Alabama. We have compared the detailed Medicare data for Hartford Health Care with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is about average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is about average. The most recent health inspection was on 10/15/2010. When comparing the health condition of long stay residents to other nursing homes in Alabama, for high-risk residents to have pressure sores. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Cullman Long Term Care and Rehabilitation Center Nursing Home

Cullman Long Term Care and Rehabilitation Center is an average sized, for profit, nursing home with 102 beds based in Cullman, AL. At last check, the facility had 92 residents indicating that it is 90% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident and family counseling services. This nursing home is not located in a hospital or a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Cullman Long Term Care And Rehabilitation Center, was 4 stars, which is a better rating than 81% of nursing homes in Alabama. We have compared the detailed Medicare data for Cullman Long Term Care And Rehabilitation Center with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is about average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is about average. The most recent health inspection was on 06/24/2010. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is more likely for residents to have a catheter inserted and left, to have their ability to move around their room get worse, and to lose too much weight. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com

Luverne Health and Rehabilitation Nursing Home

Luverne Health and Rehabilitation is an average sized, for profit, nursing home with 151 beds based in Luverne, AL. At last check, the facility had 141 residents indicating that it is 93% occupied which is about average within the state of Alabama. The provider accepts both medicare and medicaid programs, and provides resident and family counseling services. This nursing home is not located in a hospital or a continuing care retirement community (CCRC). As of July 2011, the medicare rating for Luverne Health And Rehabilitation, was 5 stars. Only 18% of nursing homes have 5 stars in Alabama. We have compared the detailed Medicare data for Luverne Health And Rehabilitation with other senior care providers in Alabama. When compare to the state averages for staffing, the number of registered nurse (RN) hours per resident per day is about average; Certified nursing assistant (CNA) hours per resident per day is about average; The number of licensed practical (LPN) or vocational nurse hours per resident per day is about average. The most recent health inspection was on 01/27/2011. When comparing the health condition of long stay residents to other nursing homes in Alabama, it is less likely for residents that the need for help with daily activities would increase over time, for residents to be more depressed or anxious, to have their ability to move around their room get worse, and to lose too much weight for high-risk residents to have pressure sores for low-risk residents to lose control of their bowels. When comparing the health condition of short stay residents to other nursing homes in Alabama, it is more likely for residents to be given a pneumococcal vaccination. To view the full report for this facility, and to understand more about its Medicare rating, go to here
Source: ourparents.com