Statesboro medical center makes Quality Honor Roll

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHotey“It is our mission to ensure that each of our patients receives the right care at the right time and this recognition validates this,” said Bob Bigley, chief executive officer of East Georgia Regional, in a press release. “This honor is a tribute to the hard work and dedication of our staff who are constantly working to make excellent care even better.”
Source: wtoc.com

Video: Georgia Health Insurance Medicare

Happy birthday Medicare! post 1

Johnson: My reason though is not because of the economy. . . . my reason would be the same as I agreed to go $400 million on health. I’ve never seen an anti-trust suit lie against an old-age pensioner for monopoly or concentration of power or closely-held wealth. I’ve never seen it apply it to the average worker. And I’ve never seen one have too much health benefits. So when they come in to me and say we’ve got to have $400 million more so we can take care of some doctors bills, I’m for it on health. I’m pretty much for it on education. I’m for it anywhere it’s practicable. . . . My inclination would be . . . that it ought to retroactive as far back as you can get . . . because none of them ever get enough. That they are entitled to it. That’s an obligation of ours. It’s just like your mother writing you and saying she wants $20, and I’d always sent mine a $100 when she did. I never did it because I thought it was going to be good for the economy of Austin. I always did it because I thought she was entitled to it. And I think that’s a much better reason and a much better cause and I think it can be defended on a hell of a better basis. . . . We do know that it affects the economy. . . . it helps us in that respect. But that’s not the basis to go to the Hill, or the justification. We’ve just got to say that by God you can’t treat grandma this way. She’s entitled to it and we promised it to her.”
Source: correntewire.com

Happy Anniversary, Medicare!

Visit earnedsasay.com to see the pros and cons of some of the options to change being debated in Washington, DC, explained in simple terms by bipartisan experts. Be assured, AARP is committed to preserving and strengthening this essential program for generations to come.
Source: aarp.org

FBI — Doctor Pleads Guilty to Billing Medicare and Medicaid for Counseling Sessions with Dead Patients

According to United States Attorney Yates, the charges, and other information presented in court: WILLIAMS was a licensed physician, practicing in the Atlanta area. From approximately July 2007 through October 2009, he contracted with a medical services company to provide group psychological therapy to nursing home patients in a variety of nursing homes. Under his signature, thousands of claims were submitted to Medicare and Georgia Medicaid seeking reimbursement for group psychological therapy that WILLIAMS purportedly provided to beneficiaries at several nursing homes in the Atlanta area. In many instances, however, WILLIAMS did not actually provide the therapy.
Source: fbi.gov

Medicaid News: Conn. Proposal To Restrict Eligibility Rankles Lawmakers

California Healthline: Timeline Delineates Duals Project Tasks The state Department of Health Care Services has released a timeline of deadlines and target dates for its Coordinated Care Initiative, also known as the duals demonstration project. Eventually, the duals project hopes to move about one million Californians dually eligible for Medi-Cal and Medicare benefits into Medi-Cal managed care plans. The idea, state officials have said, is to provide better, more integrated care by pooling the funding sources from two disparate programs. Coordinated care could provide stronger case management, offer needed services and save state and federal dollars. The pilot program in eight counties, beginning in March, 2013, will serve about 700,000 of the state’s dual eligible (Gorn, 7/24).
Source: kaiserhealthnews.org

Georgia Medicare Fee Schedule

Medicare can be confusing, let us help. Our team of experts has the training and tools needed to help you make important decisions about your Medicare Advantage, supplement and Medigap policies from the best Medicare insurance carrier so that you can rest assured that you will get the best possible coverage at a competitive price. Simply fill out our contact us form or click the link to go to our fast free quote engine. The service is free and there is no obligation to you. Protect your financial future with the right insurance plan for your needs, today.
Source: gamedicareplans.com

Arizona Attorney General, Tom Horne

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSPHOENIX (Monday, July 30, 2012) — Attorney General Tom Horne today announced that 30-year old Tucson resident Megan Monroe Racz has been indicted by the State Grand Jury on charges related to insurance fraud involving senior citizens. All 37 of Racz’s alleged victims are aged 65 or older. “Insurance fraud, especially when it involves the most vulnerable in society is a terrible crime,” Horne said. “The state Department of Insurance is to be commended for its investigation of these alleged offenses, and my office will work very hard to vigorously prosecute this case.” The State alleges that Racz, acting in her capacity as an insurance agent, during the Medicare open enrollment period from November 2011 through December 2011 transferred the Health Net Medicare supplemental policies of 37 people, four who were deceased at the time, to United Health Care supplemental polices without the consent of the policyholders. These unauthorized transfers were brought to the attention of the Arizona Department of Insurance by United Health Care, Health Net, and policyholders, who were notified their Health Net Medicare supplemental policies were being cancelled or who received information about new United Health Care policies that they never requested. United Health Care and Health Net worked together to see that none of the policyholders’ Medicare coverage lapsed. The State alleges Racz received over $25,000.00 in commissions for transferring the Medicare supplemental policies. Racz was formally indicted on one count of Fraudulent Schemes and Artifices, a class 2 felony; one count of Theft, a class 2 felony; six counts of Aggravated Identity Theft, class 3 felonies; two counts of Identity Theft, class 4 felonies; and four counts of Forgery, class 4 felonies. These charges are merely allegations, and the defendant is presumed innocent until and unless proven guilty. This matter was handled by Assistant Attorney General Beverly Rudnick. The case was investigated by the Arizona Department of Insurance Fraud Unit.
Source: azag.gov

Video: Medicare Supplemental Insurance Comparison

Where you should Look for Medicare Supplement Quotations?

Medicare supplemental insurance plans can be purchased through personal insurance firms and therefore are created to populate the particular holes ignored through initial Medicare insurance plans. These types of plans support write about the prices associated with Medicare-covered expert services for instance co-insurance, deductibles and also co-payments. Many of the revealed area through initial Medicare insurance can be obtained treatment through Medicare supplemental insurance plans. Those people who are opted in for your initial Medicare insurance and Medicare supplemental insurance insurance policy, Medicare insurance insures a good authorized level of the medical treatment price there after the particular Medicare supplemental insurance insurance policy pays it’s write about. Medicare insurance benefit strategies such as a PPO and also HMO are techniques to receive advantages from Medicare insurance as opposed to Medicare supplemental insurance plans solely nutritional supplement some great benefits of Medicare insurance insurance policy. Though, distributed and sold through personal organizations, Medicare supplemental insurance plans have to follow legislation manufactured by Federal and state administration. Circumstances to Learn When you’re getting Medigap Estimates: Prior to someone seek out Medigap insurance quotes, he or she need to make sure potentially they are by now opted in for Medicare insurance Component Some sort of and Component H. People today, who are about to swap out of Medicare insurance benefit will initial Medicare insurance, have to apply for Medicare supplemental insurance before the conclusion in the insurance. Blueprints Age, , I and L are certainly not distributed anymore, although men and women is able to keep these people when they are by now opted in for it. One man or woman may be taken care of in a Medicare supplemental insurance insurance policy, hence in the instance of husband and wife your wife and husband need to acquire impartial insurance policy. An covered person is forced to pay back separate payments intended for Medicare insurance Component H and Medicare supplemental insurance insurance policy. Medicare supplement quality goes toward the individual firm you’re signed up using. Greatest time and energy to find Medigap Estimates: Plumbing service looking for insurance quotes is proper before the open up subscription interval intended for Medicare supplemental insurance. Each year personal insurance firms change their particular Medigap quotation, therefore it is wise to seek when you’re going to buy it, since then you’ll receive the modern insurance quotes. Insurance agencies are certainly not capable to employ professional medical underwriting do your best which means they won’t do any in the right after: Won’t sign on someone within Medicare supplemental insurance insurance policy in good reason associated with health problems. Impose someone a lot more than someone who has simply no health problems. Creates a man or woman delay before the insurance may start. Precisely why seek Medigap insurance quotes when you’re first qualified? People that sign up for join Medicare insurance insurance policy following open up subscription interval should undergo professional medical assessment out of medical professionals chosen because of the insurance carrier. The person may also be energized a lot more than ordinary charges appropriate in the course of open up subscription interval. beauty quotes As well as the most severe, criminal background will also be turned down the coverage because of the insurance carrier if it’s not pleased with the medical upshot of criminal background. So begin hunting for insurance quotes equally you are about to develop into qualified as well as open up subscription interval will be in.
Source: blogspot.com

United American Medicare Supplement Insurance Quotes

Fortunately, United American is one of those companies.  At present, they offer some of the lowest priced High Deductible F Plans across the state.  That is great for seniors who want a low priced Medicare insurance plan with a reasonable deductible.  (As of 2012, the HD Plan F deductible is $2,070 yearly.)
Source: ohioinsureplan.com

Health First Introduces Medicare Supplement Policies

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

Basics You Should Know About Medicare Health Insurance

Health insurance is a maze. It is often hard to maneuver and completely understand the ins and outs. With Medicare and available supplemental plans there are many online comparisons available to help individuals select a plan that will work with their situation. Many times people want information on paper and then seek out assistance from an advisor who is able to help them compare the plans and rates with real life examples and situations. These advisors have one sole purpose and that is to match the right Medicare supplement policy at the right price with Medicare eligible participants. To them the company that the individual purchase the policy from is not as big of an issue and they can help you see through the glitz of private insurance companies and keep the focus on coverage and rates.
Source: online-success-articles.com

Medicare Supplement Plans

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

Compare Medicare Supplement Plans Side By Side

As you can see, comparing plan benefits from one company to the next is mostly a non-issue. Although some companies such as United Healthcare seem to offer small benefits such as vision and prescription drug discounts, this is actually a benefit of being an AARP member.
Source: alabamamedicaresupplement.com

Happy Anniversary, Medicare!

Posted by:  :  Category: Medicare

Dr. Donald Berwick by Talk Radio News ServiceVisit earnedsasay.com to see the pros and cons of some of the options to change being debated in Washington, DC, explained in simple terms by bipartisan experts. Be assured, AARP is committed to preserving and strengthening this essential program for generations to come.
Source: aarp.org

Video: Medicare Fraud – Coming of Age TV

Happy birthday Medicare! post 1

Johnson: My reason though is not because of the economy. . . . my reason would be the same as I agreed to go $400 million on health. I’ve never seen an anti-trust suit lie against an old-age pensioner for monopoly or concentration of power or closely-held wealth. I’ve never seen it apply it to the average worker. And I’ve never seen one have too much health benefits. So when they come in to me and say we’ve got to have $400 million more so we can take care of some doctors bills, I’m for it on health. I’m pretty much for it on education. I’m for it anywhere it’s practicable. . . . My inclination would be . . . that it ought to retroactive as far back as you can get . . . because none of them ever get enough. That they are entitled to it. That’s an obligation of ours. It’s just like your mother writing you and saying she wants $20, and I’d always sent mine a $100 when she did. I never did it because I thought it was going to be good for the economy of Austin. I always did it because I thought she was entitled to it. And I think that’s a much better reason and a much better cause and I think it can be defended on a hell of a better basis. . . . We do know that it affects the economy. . . . it helps us in that respect. But that’s not the basis to go to the Hill, or the justification. We’ve just got to say that by God you can’t treat grandma this way. She’s entitled to it and we promised it to her.”
Source: correntewire.com

Medicare Signed into Law ~ July 30, 1965

9/11 Afghanistan Allen Ginsberg Andre Dubus III baseball Boarding House Park Bob Dylan Boston Cambodia Charles Cowley Chris Doherty Civil War creative economy Egypt Eileen Donoghue Franco American Haverhill Iraq Jack Neary Jane Brox John Lennon Kerouac Lawrence Leymah Gbowee Lowell Lowell Cemetery Lowell Folk Festival Lowell National Historical Park Lowell Public Art Collection Massachusetts Merrimack valley Micky Ward Middlesex Community College Nancye Tuttle Nobel Peace Prize On the Road philanthropy President Barack Obama Red Sox Richard Marion The Beatles The Fighter Tom Sexton Tony Sampas Umass Lowell
Source: richardhowe.com

What is Medicare and Do I Need it?

If you’re approaching age 65, you’re probably getting lots of advice from lots of people.  Some may be saying that it’s time to retire, while others might be advising you to work as long as you can. Some may be recommending that you sign up for Social Security benefits, but others might think this is a bad decision since your income checks could be higher if you put it off a year or two. And you’re probably getting plenty of advice about Medicare as well, but if you’re like most people, you may not even know what Medicare does. Don’t worry—while there’s a lot to learn, we can help get you up to speed.
Source: mondaysorchids.com

What the Supreme Court Health Care Ruling Means for Older Adults

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

Home Health Care: Medicaid Eligibility Requirements

There are many benefits that go along with the Medicaid program. As long as you meet eligibility guidelines and requirements, you will have access to these benefits. It is executed state to state but the funding is made through reimbursements from the federal government. Currently, there are 25 categories of eligibility which can be classified into five coverage groups. These groups include children, individuals over the age of 65, individuals with disabilities and adults with dependent children. The eligibility will differ from state to state, but all states are required to cover mandatory groups. However, the state can decide whether to cover groups that are categorized as optionally eligible. Most states have forms online that you can download and print out, however no states currently allow you to submit an online application. These groups include pregnant women, children and low-income families who have dependent children. The income level of these groups must be lower than the poverty level. Some Medicare beneficiaries may also be eligible for additional coverage by Medicaid. These beneficiaries will vary from one state to another. Each state is allowed to use their own discretion to provide benefits to these groups. Always be sure to check the eligibility requirements for your state when planning an application. If you believe you have met the requirements and have been denied coverage, you have the right to appeal the decision. Any appeal information will be printed on your eligibility notice that will be received in the mail. To apply, you can obtain an application at an office run by your state government. You cannot yet apply for it online. If you fill out an application at an office, the office is responsible for processing the application. While the application process does take some time, most states are required to complete the application within 45 days. If the application is based on a disability, the state has up to 90 days. The most common reason for denial is an incomplete application, so make sure all parts of the forms are completed when filling out the application. Also be sure to have all required documentation available to include with the application. In some cases, if you are receiving Medicare, it may pay for some of the premiums, coinsurances and deductibles. You could also be eligible for Medicare related expense payment if your income is more than 100% or less than 120% of the poverty level. If you are disabled, it will pay for Medicare Part A premiums if you have lost your Medicare coverage due to employment. Your income must be below 200% of the poverty level. For state run programs to be eligible for funding there are certain services that must be provided to certain populations. The health care help must include services including hospital services, payment for physician services, nursing facilities for people over 21 years of age, surgical dental services, family planning, midwife services, x-rays, laboratory services, pediatric services, rural health clinic costs and federally-qualified health center services. An optionally eligible program will cover clinical services, prescription drugs, dental, prosthetics, optometry, nursing facilities and intermediate care for the mentally retarded. Each state will determine the duration of all its benefits. Federal guidelines must be followed and they require that the amount and duration of service is reasonable. Each state is responsible for placing a limit on benefits thereafter. In most cases, those on it are allowed to choose between health care providers. The state may also elect to run the program through an HMO. Always check with the state laws and guidelines for it to know what benefits are available. Payments are made directly to the health care providers. Providers are required to accept all its reimbursements in full. However, the state is allowed to change the copayments and deductibles for certain recipients. For emergency care and family planning services, the state cannot make these changes. Pregnant women, children under 18 and individuals in nursing homes are exempt from copayments. Currently, there is no limit or cap on the services received under it. The federal government is required to match what each state provides. The reimbursement rates must be sufficient so that providers will be attracted. This allows Medicaid benefits and services to be available to the qualifying population in the state.
Source: blogspot.com

Two North Carolina physicians share opinions on Obamacare

Posted by:  :  Category: Medicare

Harry Reid, Health Care narrow by Truthout.orgDr. H: I think Obamacare is primarily focused on money and how we can provide what certain people consider adequate health care within the budget we’ve been given. A lot of different specialty groups have their own opinions on how health care should be run. For instance, we spend a lot of money on mammograms, we spend a lot of money on unnecessary biopsies, but we also pick up some cancer early and save some lives. If you look at it from a statistical point of view, we probably do spend a lot of money for each cancer that we find, but for the person that we save, that’s pretty valuable to them. And so, it comes down to how much are we willing to spend to pick up that cancer and cure them when we know we’re having to do 5,000 mammograms to find that person. The insurance companies will now debate that question, not the physicians.
Source: whichwaync.com

Video: Medicare Advantage & Supplement Plans Durham Greensboro Burlington NC

Two NC Medical Groups Win ACO Designation

As created under the federal health reform law, ACOs are networks formed by groups of doctors, hospitals and other health care providers to receive financial incentives for coordinating care for people with Medicare, the federal health insurance program for seniors and people with disabilities. Triad Healthcare Network and Cornerstone Health Care, made agreements with CMS to monitor the quality of care for Medicare patients in exchange for a share in savings they realize.
Source: northcarolinahealthnews.org

Study: Individuals with Public Insurance Nearly 90% More Likely to Receive Needed Treatment for Drug Addiction

The study, funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), with authors from SAMHSA, Mathematica Policy Research and the National Association of State Alcohol and Drug Abuse Directors (NASADAD), concluded that populations with different types of public health insurance have rates of receiving treatment for an SUD that range from two to four times greater than the privately insured.  The study concluded that those who need substance abuse treatment but hold private health insurance plans appear to have the lowest rates of receiving any or specialty treatment services (6.9% and 3.9%, respectively).
Source: sa4docs.org

NC Resident Pleads Guilty to Participating in Over $60M Medicare Fraud Scheme

According to an indictment unsealed on May 2, 2012, HCSN obtained Medicare beneficiaries to attend HCSN for purported PHP treatment that was unnecessary and, in many instances, not provided. HCSN obtained those beneficiaries by paying kickbacks to owners and operators of assisted living facilities (ALFs) or by otherwise recruiting them from ALFs and nursing homes. According to court documents, Joslin admitted that she was aware that HCSN recruited patients who were inappropriate for PHP treatment. Nevertheless, Joslin agreed with other HCSN employees to, among other things, fabricate therapy notes and other medical records, and to direct therapists to fabricate therapy notes and other medical records, all to make it appear as if HCSN patients received appropriate PHP services. Joslin was aware that fraudulent claims to Medicare would be submitted on behalf of these patients.
Source: loansafe.org

Help Protect Medicaid and Medicare

Reports from our friends at Faithful Reform in Health Care indicate that Medicaid and Medicare are at risk in the ongoing budget and debt negotiations in Washington. Decisions are believed to be imminent, and the voice of the faith community is needed to help protect these programs which serve our most vulnerable citizens.
Source: ncchurches.org

Medicare Benefits & Retirement in North Carolina

People that qualify for medical insurance known as part B get doctor service and outpatient care coverage. They also typically pay a monthly premium. Part C is known as the Medicare Advantage. They typically insure the same care as A and B do, with extra benefits for additional cost. Medicare Part D helps with covering the prescription costs. There are many facts that most people do not know about Medicare. Many people think that Medicare is a typical health insurance policy, but it is not. It does not cover a hospital stay that is over 150 days. Medicare also does not help pay for the cost of nursing home care, unless it comes with a relation to an urgent medical problem or hospitalization.
Source: fallcreekland.com

Where you should Look for Medicare Supplement Quotations?

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSMedicare supplemental insurance plans can be purchased through personal insurance firms and therefore are created to populate the particular holes ignored through initial Medicare insurance plans. These types of plans support write about the prices associated with Medicare-covered expert services for instance co-insurance, deductibles and also co-payments. Many of the revealed area through initial Medicare insurance can be obtained treatment through Medicare supplemental insurance plans. Those people who are opted in for your initial Medicare insurance and Medicare supplemental insurance insurance policy, Medicare insurance insures a good authorized level of the medical treatment price there after the particular Medicare supplemental insurance insurance policy pays it’s write about. Medicare insurance benefit strategies such as a PPO and also HMO are techniques to receive advantages from Medicare insurance as opposed to Medicare supplemental insurance plans solely nutritional supplement some great benefits of Medicare insurance insurance policy. Though, distributed and sold through personal organizations, Medicare supplemental insurance plans have to follow legislation manufactured by Federal and state administration. Circumstances to Learn When you’re getting Medigap Estimates: Prior to someone seek out Medigap insurance quotes, he or she need to make sure potentially they are by now opted in for Medicare insurance Component Some sort of and Component H. People today, who are about to swap out of Medicare insurance benefit will initial Medicare insurance, have to apply for Medicare supplemental insurance before the conclusion in the insurance. Blueprints Age, , I and L are certainly not distributed anymore, although men and women is able to keep these people when they are by now opted in for it. One man or woman may be taken care of in a Medicare supplemental insurance insurance policy, hence in the instance of husband and wife your wife and husband need to acquire impartial insurance policy. An covered person is forced to pay back separate payments intended for Medicare insurance Component H and Medicare supplemental insurance insurance policy. Medicare supplement quality goes toward the individual firm you’re signed up using. Greatest time and energy to find Medigap Estimates: Plumbing service looking for insurance quotes is proper before the open up subscription interval intended for Medicare supplemental insurance. Each year personal insurance firms change their particular Medigap quotation, therefore it is wise to seek when you’re going to buy it, since then you’ll receive the modern insurance quotes. Insurance agencies are certainly not capable to employ professional medical underwriting do your best which means they won’t do any in the right after: Won’t sign on someone within Medicare supplemental insurance insurance policy in good reason associated with health problems. Impose someone a lot more than someone who has simply no health problems. Creates a man or woman delay before the insurance may start. Precisely why seek Medigap insurance quotes when you’re first qualified? People that sign up for join Medicare insurance insurance policy following open up subscription interval should undergo professional medical assessment out of medical professionals chosen because of the insurance carrier. The person may also be energized a lot more than ordinary charges appropriate in the course of open up subscription interval. beauty quotes As well as the most severe, criminal background will also be turned down the coverage because of the insurance carrier if it’s not pleased with the medical upshot of criminal background. So begin hunting for insurance quotes equally you are about to develop into qualified as well as open up subscription interval will be in.
Source: blogspot.com

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

United American Medicare Supplement Insurance Quotes

Fortunately, United American is one of those companies.  At present, they offer some of the lowest priced High Deductible F Plans across the state.  That is great for seniors who want a low priced Medicare insurance plan with a reasonable deductible.  (As of 2012, the HD Plan F deductible is $2,070 yearly.)
Source: ohioinsureplan.com

Medicare Part D Resource for you by Mature Health Center

Some categories of beneficiaries are not bound by the lock-in rules and may enroll or disenroll from a PDP plan in other than the AEP. An individual may at any time, during a designated Special Election Period (SEP), discontinue the election of a PDP plan offered by an PDP organization and change his or her election to original Medicare or to a different PDP plan. Examples of situations which may entitle an individual to an SEP include the termination or discontinuation of a plan, a change in residency out of the service area, the organization violating a provision of a contract or misrepresenting the plan’s provisions, or the individual meeting other exceptional conditions as CMS may provide. CMS has also designated an SEP for individuals entitled to Medicare A and B and who receive any type of assistance from Title XIX (Medicaid), including full-benefit dual eligible individuals, as well as those eligible only for the Medicare Savings Programs. This SEP lasts from the time the individual becomes dually eligible until such time as they no longer receive Medicaid benefits. Individuals who are eligible for an SEP under the guidance for Part D enrollment and disenrollment may use that SEP to also make an election into or out of an MA-PD plan. from Medicare.gov, Prescription Drug Coverage (2012), Prescription Drug Coverage: Basic Information (2012) Return to top Source: stewardshipmatters.net
Source: medicaresupplementalco.com

THE BENEFITS OF MEDICARE SUPPLEMENT QUOTE

Nobody should be told the need and benefit of having a good medical insurance. But having a medical insurance has not been easy especially in this financial troubled times. This is why everyone will appreciate any help they can get. That is, any means that will assist them in getting the best healthcare insurance that will fit their life and budget. It is very stressful for one to be going through all the insurance sites one by one. This is why there are today goodMedicare supplement quotesites that will help you easily have access to healthcare insurance quotes. They will provide you with the options that best suits your life starting of course from the affordable ones. The benefit of using these sites that offer medicare supplement quote is first that you will save yourself a lot of stress and you will find the best options for you.
Source: cincodata.com

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

MASA Assist offered by Veteran Owned Business, Centaur Medicare Solutions that Helps Baby Boomers with Medigap

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /Centaur Medicare Solutions LLC., an independent insurance agency started by a retired Army veteran, has added MASA Assist into the arsenal of products it will be offering retiring Baby Boomers. MASA Assist is provided by the Medical Air Services Association, an international organization with over 500,000 members. “MASA Assist is a good fit for retiring Baby Boomers as they will be traveling more and often with grandchildren and pets in tow. It just makes sense to offer this lifesaving service which is much more robust than typical emergency travel insurance to our customers. Most seniors who travel will be very prone to wanting the peace of mind that this type of coverage brings,” says owner Joel Moyer. One of the great features of MASA Assist is that anyone can be covered. There are no health questions, age limits, and even pre-existing medical conditions are covered after 90 days. In addition to covering both air and ground Medical evacuation, MASA Assist has some unique features such as covering the return of minor children, pets, and even recreational vehicles should the policy holder have a medical crisis. A video and information about MASA Assist can be found on Centaur Medicare Solutions’ websites under the travel insurance tab. Centaur Medicare Solutions has expanded rapidly from offering Georgia Medicare supplemental insurance to now targeting 29 states including selling Medicare supplements in California, Florida, and Texas. As an independent agency, Centaur Medicare Solutions is better able to help people turning 65 and older find low-cost Medicare supplemental insurance by providing comparisons from all the leading insurance companies. About Centaur Medicare Solutions LLC Centaur Medicare Solutions LLC is a veteran-owned business, located south of Atlanta, Georgia and is on the internet at http://centaurmedicaresolutions.com and http://medicare-supplement.biz
Source: sbwire.com

Video: Medicare Solutions

Free EMR Solutions by Medicare

The healthcare system is extremely fragmented, with thousands upon thousands of practices all practicing differently, using different billing systems, with different levels of computer proficiency, and different workflows. Building a one-size-fits-all system has failed in the past and will likely continue to fail. The fact that over 300 different vendors currently develop and market EMR software attests to the need for customization. The need for pre- and post-sale customization is a reality in every practice since every practice operates differently. Even practicing physicians within the exact same specialty do things differently and run their practices differently.
Source: religiousfreedommootcourt.org

Secure Medicare Solutions Launches New National Web Presence, Medicare

The agency, which specializes exclusively in Medicare insurance, has worked with South Carolina clientele in the past but is now expanding their reach into 35 other states. Selling primarily Medigap insurance, which is nationally-standardized, has allowed Secure Medicare Solutions (SMS) to reach many new people with this financially-important product.
Source: swampfox.ws

Authorized to Offer AARP Medicare Solutions

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

Highmark Medicare Solutions

When the traffic accident happens to your rental car, the car rental company will require you not only to compensate the cost of repairing the rental car, but also to take responsibility for all the revenue loss because the rental car is still out of service after repairs. And if the car rental company sells the damaged car at a reduced price, you should pay the diminution of value. Therefore, it will be necessary for you to purchase more coverage than what is mandated by law when you rent a car. After a traffic accident takes place, you should make a claim in order to protect your interest. But the claim process is usually not a smooth process, because it involves you, your insurance company, the other party in the accident and his insurance company. These tips may be helpful to you when you file claims. Read more
Source: insurance-how-to.com

Video Release: How to Win With Medicare Supplemental Insurance

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Source: insurancenewsindex.com

Veteran Owned Business, Centaur Medicare Solutions LLC offers MASA Assist

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Source: medigap4seniors.com

Ametros Financial and Ringler Medicare Solutions Announce Partnership to …

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Source: stop-panic-attacksnow.com

AS News Roundup: July 30, 2012

Will health insurance premium rates increase more than 4% in Rhode Island next year? We’ll know soon. The Office of the Health Insurance Commissioner (OHIC) has set a clear expectation with the state’s group insurers that they submit a medical trend less than 4%.  And the state’s three carriers doing business here have responded with initial rate filings closer to that number – the lowest in five years.
Source: advocacysolutionsllc.com

Health Net Medicare Supplement Rates

Posted by:  :  Category: Medicare

Your Medicare Supplement resource. Looking for a new plan, want to compare rates, you’ve come to the right place. Please use this website to search and review information. Compare rates, apply, find a doctor or hospital, you can do it all right here. Or better yet simply contact me anytime, I’ll be happy to answer all of your questions. Thanks … John
Source: wordpress.com

Video: Health Net Medicare Part D Insurance – Compare to 180+ Comp

Medicare Advantage Medicare Supplement Long Term Care Insurance in Phoenix Arizona by Western Asset Protection

is a family owned and operated insurance brokerage firm specializing in Long-Term Care insurance and Medicare Products. We are able to assist independent insurance professionals by providing a portfolio of strong Long-Term Care insurance and Medicare Advantage or Medicare Supplement products.
Source: westernasset-us.com

Health Net Medicare Part D Insurance

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Source: healthinsurance-comparisons.org

Health fitness Health net Oklahoma observe psychological health investment wellness

A choices government bodies condition it will require a concerted, coordinated campaign by way of legislators, legislation enforcers, local community treatment ideas plus non-public insurance firms and also employers in order to tackle some persons additionally economic expenses of substance abuse as well as craving. some sort of Oklahoma split along with psychological health and ingredients mistreatment organizations, which has a seed Complete gross annual spending budget together with 290 Million, statements it may demand yet another 144 Million for each year To be able to help a good sufficient reaction to a issues This confronts. specialists express insurance providers should take on accounts shelling out more time keeps Inside inpatient therapy programs, a process which could help save them all funds In the end via increasing the price together with favorable final final results. Lawmakers are really thinking about adjusts which may improve oversight with all the circulation with prescription medicines plus the diversion along with over-the-counter decongestants To be able to manufacture meth.
Source: co.cc

More on Proposed Cuts to Medicare Advantage: Seniors Would Save Far More Than They Lose

“It turns out that the additional benefits and flexibility created by recent increases in MA payment rates simply weren’t worth very much to seniors,” Frakt writes. “Consumer surplus loss associated with cuts in payments to MA plans will be only 14 cents per dollar saved. . . the truth is that under Obama’s plan a small fraction of Medicare beneficiaries will lose their MA benefits and/or face higher costs. However, the potential savings are enormous and research shows that the benefit cuts needed to achieve them will not be terribly missed.”
Source: healthbeatblog.com

Health Net selling Medicare Part D business to CVS Caremark

Health Net Inc. announced last week that it will sell its Medicare Part D stand-alone prescription drug business to CVS Caremark for $160 million. Health Net said the business has about 400,000 members nationwide, and brings in about $490 million in annual revenue. The deal is scheduled to close during the second quarter, but must be approved by antitrust regulators, the company said.
Source: son-graceinc.org

Flash of Genius: Medical Matters: URGENT: WPS J8 MAC Medicare change starts at 2:00 Thursday 7/12/2012

Posted by:  :  Category: Medicare

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

Video: Medicare Advantage Plans

Change in specialty designation for physicians

Primary specialty will come from the CAQH UPD application Beginning July 1, 2012, the BCBSM online provider search will display both primary and secondary specialties, if applicable. The specialty listed will be taken from the CAQH UPD application, regardless of board certification status, provided credentialing requirements are met.
Source: mi-osteopathic.org

Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan, a nonprofit organization, provides and administers health benefits to 4.7 million members residing in Michigan in addition to members of Michigan-headquartered groups who reside outside the state. The company offers a broad variety of plans including: Traditional Blue Cross Blue Shield; Blue Preferred, Community Blue and Healthy Blue Incentives PPOs; Blue Care Network HMO; BCN Healthy Blue Living; Flexible Blue plans compatible with health savings accounts; Medicare Advantage; Part D Prescription Drug plans, and MyBlue products in the under-age-65 individual market. BCBSM also offers dental, vision and hearing plans. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. For more company information, visit
Source: bcbsm.com

Claims: Multiple Payers: Reports may contain invalid provider name

Payer Batch Totals Reports (SB) for the following CPID’s may have included an incorrect provider name due to a payer processing issue. No other claim information has been affected by this issue. The issue began on January 1, 2012 and was resolved by January 31, 2012. The payers affected are listed below: CPID 1421 Michigan Blue Shield CPID 1913 Medicare Plus Blue – Medicare Advantage Plan CPID 2145 Medicare Advantage DME (DMEnsion) CPID 2287 Medicare Plus Blue – Medicare Advantage Plan CPID 2426 Blue Care Network HMO CPID 3514 Michigan Blue Cross CPID 3531 Michigan Blue Cross – FEP CPID 3532 Blue Care Network HMO Please be aware of the incorrect provider name returned on payer reports. The payer will not be sending corrected reports. If you have any further questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Blue Cross Blue Shield of Michigan Offers New Medicare Plans

HMO’s (health maintenance Organizations) let you select a primary care physician from the BCBS provider network and this PCP manages your overall care. He or she will refer you to a specialist or to a selected hospital for care should you need additional services beyond his scope of practice. Referring yourself to an outside provider will cause a forfeit of benefits and out-of-pocket costs. The four BCBSM HMO products, formerly known as Options 1, 2, and 3, will now be known as BCN Advantage Elements, Classic , and Prestige. The Blues Care Network will also continue to offer the BCN Advantage Basic Plan.
Source: emaxhealth.com

Ann Arbor CIL › Ann Arbor CIL Hosts Flu Shot Clinic

Shots are priced at $33.  The University of Michigan Visiting Care accepts the following insurances:  Blue Care Network (including UM Premier Care), BCBSM Community Blue PPO, BCBSM Blue Preferred PPO, BlueCaid, HAP (except HAP Senior Plus), Priority Health PPO and HMO, Traditional Medicare, any Medicare Advantage PFFS Plan, BCBSM Medicare Plus Blue PPO, and BCN Advantage.  Insurance cards must be presented to clinic staff.  Those who are not covered by an insurance that Michigan Visting Care accepts may pay for the flu shot by cash, check or credit card.
Source: annarborcil.org

'New Era Medigap Plan N Rates

The same is true for many hospitals. Some major hospitals in Atlanta and other parts of the state have not contracted with Medicare Advantage carriers which means if you have a Medicare Advantage plan and have to go to the hospital you could wind up paying thousands of dollars in OUT OF NETWORK charges!
Source: georgia-medicareplans.com

Daily Kos: Romney and Bain profited from massive Medicare Fraud

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Source: dailykos.com

Hospitals’ Readmissions Rates Not Budging

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSMedicare calculates readmission rates over three years. The most recent rates are based on readmissions spanning July 2008 through the end of June 2011. The Medicare data published Thursday on its Hospital Compare website showed that 19.7 percent of heart attack patients were readmitted within 30 days of discharge, a drop of only 0.1 percentage point from the previous year’s figures, which were based on the years 2007 through 2010. The data show that 24.7 percent of heart failure patients were readmitted, also a 0.1 point decrease. Pneumonia readmissions actually increased by 0.1 percentage points, to 18.5 percent of all Medicare pneumonia patients.
Source: kaiserhealthnews.org

Video: Medicare Open Enrollment 2011 … Compare Medigap Insurance Rates

Medicare Premiums, Deductibles & Coinsurance: Rates for 2011

Because of the zero COLA increase in 2011, some Medicare beneficiaries will not pay more for coverage. If your premium is deducted from your Social Security check and your income is $85,000 or less ($170,000 if you file a joint tax return), then you won’t have to pay more. Your monthly premium will stay at either $96.40 or $110.50.
Source: suite101.com

August 2012 CCMS Newsletter

A recent trends report from the Centers for Medicare & Medicaid Services shows that fewer than 200,000 physicians, out of the more than 600,000 who were eligible for the incentive program, reported PQRS measures in 2010. More than 125,000 physicians reporting as individuals met enough of the requirements to share a total of nearly $400 million in bonuses, but hundreds of thousands of eligible doctors did not attempt to meet the pay-for-reporting criteria. More than 50,000 tried for the bonuses but did not report enough quality measures to hit the minimum.
Source: charlottecountydoctors.com

Stimulus dollars: Medicare Vs Medicaid » Meet New People Online

The Medicare EHR Incentive Program will begin in 2011 and is about 2016.The Medicaid EHR incentive program can as early as 2011 and lasts until 2021. The last year begin to participate in the Medicaid incentive program is 2016.To qualify for the Medicaid incentive program have 30 percent of the eligible provider patient encounters to be Medicaid. The threshold is 20 percent for pediatricians.Eligible professionals, the meaningful use of certified EHR technology demonstrate up to a maximum of $ 44,000 over 5 years under the Medicare EHR Incentive Program. To obtain this maximum, however, Medicare eligible starting professionals need participation 2012.Medicare payments to eligible professionals are 75 percent of the physician allowed annual costs to the maximum annual bonus.For each year bound about 2012 that Medicare eligible professionals appropriate use of a certified product demonstration , the maximum incentive bonus will be reduced. When implemented in 2013, the maximum incentive payment is $ 39 000 over three years. When implemented in 2014, the maximum incentive payment of $ 24,000 over two years.For 2015 and later, is Medicare eligible professionals who demonstrate unsuccessful wise use have a payment adjustment to their Medicare reimbursement.Medicaid Eligible Professionals Up to $ 63,750 over 6 years, when they begin participating at any time between now and 2016. There is no reduction of the maximum potential incentive payment no matter when a Medicaid Eligible professionals will begin to participate in required on the net cost of purchasing, implementing and maintaining an EPA-based and when they do so no later than 2016.The incentive payments for Medicaid a flat fee refunded. The Medicaid incentive calculation is not on the reimbursement rates or any claims in the Medicaid EHR way.States do not offer incentive programs tied. You make the area capable of this decision on a voluntary basis. Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee and Texas: From January 2011 was opened together with the entry in the following states. It is expected that other states follow suite in the spring and summer of 2011. Click here for more information regarding the anticipated Medicaid EHR programs in your state. www.cms.gov / apps / files / Medicaid HIT sites / There are no penalties for the adoption is not connected to the Medicaid program. Professionals who are eligible for both Medicare and Medicaid EHR incentive programs are, you will need one or the other. An eligible professional can switch between the Medicare and Medicaid programs, a professional in order time.An Medicare program can also participate in the PQRI system, but is not entitled to incentive payments through the ePrescribing incentive program.Eligible professionals in Medicaid program are eligible to receive incentive payments from both the PQRI program and get the ePrescribing incentive program provided they meet the eligibility requirements of each.Eligible within the same practice may choose to participate with various EHR incentive program. For example: In a two-doctor practice, an opt-in to the Medicare program and the Medicaid program.
Source: mi2ave.com

Social Security goes up, but so do Medicare premiums

To P. D’Antonio, NOT EVERY PENSION PLAN IS THE SAME. MINE WAS FREE WITH THE AIRLINE THROUGH THE UNION. I also suffer with many Esophagus problems and I truly believe all the chemicals I worked with and ulcer in Esophagus from stress from the “Good Old Boys in the Union”. My husband gets a great PENSION as he made very little which co-incided with the city plan as all figured out to a tee as he paid in big monies for his Pension pretty much $200.00 to $400.00 in later years as made more but when he worked overtime and slept all wknd there and removed snow they took $600.00 of his overtime including the reg. month payments for his Pension. You young people know nothing or some older. Every pension plan is different!!! My friend hates it too but her company gives BONUS checks each year which she got a lump sum of $15,000 and others at that same company up to $34,000 per year. I worked for not much for 46 yrs. my hubby got NO Bonuses for Viet Nam. He will not get any Social Security for 30 yrs with City as part of the Pension Plan as he did not pay in unless worked other jobs. He has worked other jobs now for 16 yrs plus his 30 for city. Plus his 4 yrs Marine service plus 6 yrs reserves. He is 65 and still working for Health Ins. Him and I never saw Bonuses!!!!! I don’t get low free flying as quit early because of ulcer and many other throat problems working with so very many chemicals. Get your facts straight about Pensions!!!! I never heard of a 401K plan til 1991 in my whole life and neither did my husband. If they were around earlier must have been for the rich or high up people at jobs! Republicans wanted all the Soc. Sec. to INVEST, remember then we had the stockmarket fall with the Godlman Sacs and Wallstreet. My husband’s Pension almost went broke and had to be transferred to another pension which were still not sure of! If Republicans would of had their way all the Social Security would have been gone then. LOL Stockbroker’s would have taken a big share of soc. sec. How soon we forget Republicans went on and on about people invest their own and let stock people take over Soc. Sec. to invest and they would have lost all of it a long time ago!!! Every company has their perks and some are more generous than others!!!!! LOL
Source: nbcnews.com

Hospital Readmissions Fall Slightly, Medicare Data Show

Hospital readmissions rates in the U.S. have dropped only slightly despite CMS-led campaigns and the threat of financial penalties, according to Medicare data released last week. Twenty percent of Medicare patients were readmitted to a hospital within one month of discharge from 2008 to 2011, according to data posted on CMS’ Hospital Compare website. On Oct. 1, CMS will implement penalties for hospitals with above-average readmissions rates.
Source: californiahealthline.org

Medicare EHR Incentive Report Reveals Gap in Payments

Posted by:  :  Category: Medicare

Running Amok Again by elycefelizApproximately half (50 percent) were specialty practice physicians and over one-third (38 percent) were general practice physicians. Overall, though, general practice physicians were 1.8 times more likely than specialty practice physicians to have been awarded an incentive payment. Professionals who had previously participated in CMS’s electronic prescribing program were almost four times more likely to have been awarded an incentive payment than those who had not participated in the electronic prescribing program. Professionals who had signed an agreement to receive technical assistance from a Regional Extension Center were more than twice as likely to have been awarded an incentive payment.
Source: healthcare-informatics.com

Video: 2009 Medicare TV spot for Priority Health Medicare plans – couple RV’ing

Global Health Weekly News Round

This entry was posted in News and tagged Abortion law, Adult mortality rates, Anti-scarring drugs, Antiretroviral treatment, Bipolar disease, cholera, Chronic Obstructive Pulmonary Disease (COPD), Community based strategies, e-health record system, Earthquake, Ebola virus, Epidemic, exercise, F-Flourocholine, FDA, Genetic predisposition, Glaucoma, health care, Health care billings, Health care law, Inactivity, Innovative grant, International Labor Organization, mental illnesses, Nodding disease, obesity, Occupational health and safety, Painkillers, pandemic, PET/ CT imaging, Policy makers, prostate cancer, schizophrenia, TB drugs, TB/HIV co-infection, the Center for Medicare and Medicaid services, The Centers for Disease Control and Prevention (CDC), Tobacco Products Control Act, Typhoid, vitamin D, whooping cough, World Health Organization. Bookmark the permalink.
Source: wordpress.com

First Edition: June 30, 2012

Kaiser Health News: Capsules: Gold Medal Mention For U.K. National Health Service; New Funds Could Shorten AIDS Drug Waiting Lists Now on Kaiser Health News’ blog, Lexie Verdon reports on how health care played into the Olympics’ opening ceremony: “The opening ceremony for the London Olympics Friday night was full of surprises: The ‘queen’ parachuting with James Bond into the Olympic stadium, an appearance by the evil Voldemort of Harry Potter fame. But maybe the most surprising for health wonks was the tribute to the National Health Service (NHS). That last salute came in a whimsical segment that organizers said honored ‘two of Britain’s greatest achievements: its amazing body of children’s literature and its National Health Service.’ It was part of the highly choreographed section of the program that explored British history and achievements” (Verdon, 7/29).
Source: kaiserhealthnews.org

South Leads U.S. in Receiving Medicare EHR Incentive Pay

The South leads the rest of the U.S. in the number of health care providers who received Medicare meaningful use incentive payments in 2011, according to a new report from the Government Accountability Office, Modern Healthcare reports.
Source: ihealthbeat.org

Priority Health Earns NCQA “Excellent” Accreditation 

All plans with NCQA accreditation are evaluated in five categories: quality management and improvement; utilization management; credentialing; members’ rights and responsibilities; and member connections. In addition, plans are rated on their performance on process and outcomes in clinical care and member experience of care based on the Healthcare Effectiveness Data and Information Set (HEDIS®). To receive the score of “Excellent,” a plan must exceed requirements for consumer protection and quality improvement, and HEDIS results must be in the highest range of national performance. Priority Health has achieved “Excellent” accreditation from the NCQA since the rating was established in 1999.
Source: visionaryglassarts.net

Community Forum: What’s Happening with Medicare and Medicaid

Following the election of Obama in 2008 and the yearlong effort to reform health care in our country, the Manhattan Alliance for Peace and Justice held the first community forum about the new law in 2010. The forum featured Judith Baker, Regional Director, Region 7 Office, U.S. Department of Health and Human Services; Suzanne Cleveland, Senior Policy Analyst of the Kansas Health Institute; and Dr. Tom Kluzak, pathologist from Wichita. Then in 2011 the forum took up the topic of access to health and dental care at the local level which panelists from Konza Prairie Dental, Flint Hills Community Clinic, Pawnee Mental Health and Mercy Regional Health Center.
Source: kansasfreepress.com

Priority Health now offers free dental cleaning to Medicare patients!

Medicare age people that have Priority Health Insurance now have Delta Dental coverage for one periodic exam and one prophy (cleaning) per year paid at 100%.  They also cover one set of bitewings x-rays per year paid at 50%.
Source: wilderndental.com

How to Make Changes in Your Healthcare Organization

How do you go about adopting these changes on a daily basis? This is probably the hardest part. Because humans learn in a variety of ways, it will take a variety of ways to implement the changes. The implementation of the changes should be based upon the learning styles of the individuals involved. Let me provide an example using the Medicare program. A patient who enters the Medicare program is entitled to a paid initial physical. A primary care physician should take advantage of this. Many don’t. If I were the manager of such an office, I would remind my staff who set up appointments to be aware of this fact. I would remind them at regular staff meetings. I would post visible reminders in the office. I might even have a message flashed on the computer screen once in a while. Then I would review the appointments of patients who have become Medicare qualified and see how many had their initial physical or were booked for it. I would adjust my methods to remind staff of the need for such examinations and continue to improve on this until the office achieves 100% compliance with the goal.
Source: brightermindspublishing.com

The Need for Oral Health Care at Safety Net Clinics

Michelle Noblet-Vacha RDH, BS, is the founder & executive director of Senior Mobile Dental, a nonprofit charity based in Colorado Springs, and focused on providing senior citizens with access to professional oral hygiene care. Michelle founded Senior Mobile Dental in 2006 after experiencing firsthand the nation’s “oral health crisis” among a growing-yet-neglected population of senior citizens. Since founding the organization, she has received 13 national awards and recognition in paving a pathway to increase access to care for the vulnerable elderly citizens of our nation.
Source: govdelivery.com

The Importance Of Quality Healthcare

Providers and other eligible professionals can participate in the Physician Quality Reporting System. The process entails reporting information about services provided to Medicare patients with specific medical conditions. This information helps measure the quality of care provided as well as the accuracy of the billing code, payment and follow-up care. Data of quality measures is collected or reported in a variety of ways, such as claims, assessment instruments, chart abstraction, and registries. Testing of the Quality Reporting System is currently taking place for physicians and other health care professionals. Records and statistic information from hospitals will begin testing in the very near future.
Source: galleryadd.com