GAO Questions Legality Of Medicare Advantage Bonuses

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 marsmet524CQ HealthBeat: Congressional Watchdog Continues To Criticize Medicare Advantage Demonstration The General Accountability Office is continuing to hammer away at the Obama administration’s $8.35 billion Medicare Advantage demonstration program, this time in a 10-page letter Wednesday to Health and Human Services Secretary Kathleen Sebelius that questions her authority to create the pilot effort. Under the health care overhaul, the best-performing private Medicare health plans, called Medicare Advantage plans, were to receive bonuses. The idea was that these plans would have an incentive to get the highest performance rating: five stars. But administration officials decided that instead of relying on the health care law language, they would use their authority under Social Security to create a demonstration program that would give bonuses starting with average-performing plans that were rated at three stars (Bunis, 7/11).
Source: kaiserhealthnews.org

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

GAO Says Time to Call it Quits on Medicare Advantage Program

AAHomecare AARP Alliance for Home Health Quality and Innovation Almost Family American Association for Homecare Apria Healthcare Group Bank of America Brookdale Senior Living CareLinx Centers for Medicare & Medicaid Services CMS Emeritus Senior Living Employee Benefit Research Institute Ensign Group featured Fidelis Care First Care Home Health Care Gentiva Gentiva Health Services Griffin Home Health HCR Home Care HHS Home Health Depot Home Health International Home Health International Inc. Houston Compassionate Care Jordan Health Services LHC Group Inc LSU Medical Staffing Network Healthcare Medicare Medistar Home Health MedPAC Microsoft National Association for Home Care & Hospice National Association for Home Care and Hospice PACE Paraprofessional Healthcare Institute Partnership for Quality Home Health Care Partnership for Quality Home Healthcare PeopleFirst Homecare PHI Res-Care Inc. Stephenson Entrepreneurship Institute VA
Source: homehealthcarenews.com

Medicare Advantage bonus program illegal?

The Government Accountability Office this week took issue with the legality of the $8.3 billion Medicare Advantage Quality Bonus Payment Demonstration, The Washington Post reported. The GAO on Wednesday sent a letter to the U.S. Department of Health & Human Services, questioning the demonstration project in which the Centers for Medicare & Medicaid Services provides incentives to promote quality. The GAO in April released a report, criticizing what it saw as an ineffective program and called for its cancellation. Article
Source: fiercehealthcare.com

Medicare Advantage: ObamaCare Casualty?

Finding seniors and a group near you just got eaiesr and much, much quicker. We have good news for Super Seniors who want to find other Seniors near to them. A brand new feature on this site “Find a Group” at the top of the home page will help us to connect directly with each other.Please go to the top of the page and click on “Find a Group”. Then register your first name, your last name (or just an INITIAL you do NOT have to give your last name), plus your city and state. You can choose your state from the “Select forum” list then look for your city in your state.If no one has yet entered your city you can do so. Just enter your city’s name as a new topic. If your city is already there you can post that you have found them! Also, you can send the Seniors there a PM or private message by clicking on their name to the left of the post.That will take you to the person’s profile where you can read what they have written about themselves. Just below their profile is a link to “Send PM” or Private Message where you can email them directly.
Source: medicarewire.com

How to choose a Medicare Advantage plan

• Total costs: Look at the plan’s entire pricing package, not just the premiums and deductibles. Compare the out-of-pocket maximums plus the copays and coinsurance charged for doctor office visits, hospital stays, diagnostic tests, visits to specialists, prescription drugs and other medical services. This is very important because if you choose an Advantage plan, you’re not allowed to purchase a Medigap supplement policy, which means you’ll be responsible for paying these expenses out of your own pocket.
Source: pomeradonews.com

Obamacare Robs Medicare of $716 Billion to Fund Itself

In addition, as MA deteriorates under Obamacare’s cuts, many of those who are enrolled in MA (27 percent of total Medicare beneficiaries) will lose their current health coverage and be forced back into traditional Medicare, where Medicare providers will be subject to further cuts. The Centers for Medicare and Medicaid Services chief actuary predicted in 2010 that enrollment in MA would decrease 50 percent by 2017, when Obamacare’s cuts were estimated at only $145 billion. Now that the cuts have been increased to $156 billion (or possibly $308 billion, as the Ways and Means Committee estimates), MA enrollment will surely decrease even further.
Source: heritage.org

Advantage Medicare Plans « Insurance News from Crowe & Associates

A Medicare Advantage plan is offered by a private insurance company.  The plan takes over for Medicare A and B and is your primary insurance.  When you have an advantage plan, you show the advantage plan card.  The provider you see will then bill the advantage plan instead of billing traditional Medicare.  This is not a good or bad thing.  It is simply a different way to obtain you health and drug coverage.   Your own unique health care needs will determine if you should go with a Medicare Advantage plan or a Medicare Supplement with a drug card.  Here is a quick overview of the strengths and weaknesses of an Advantage plan.   Read our Medicare Guide for more information CLICK HERE FOR MEDICARE GUIDE
Source: croweandassociates.com

3rd Annual Medical Management In Medicare Advantage: Payer/Provider Collaborative Care Summit, 13

With over 200 attendees at our launch event, our Collaborative Care Summit has established itself as one of the premier Medical Management conferences. This August in San Diego, CA our 2012 program will continue to provide the “next generation” medical management tactics that Health Plans, Hospitals and Physician Group’s require in the current economic climate. As the chronically ill make up more of the Medicare Advantage population, hospital readmissions have become a significant financial challenge…
Source: hhealthh.com

sevis id number: lost medicare card replacement The stones symbolize community, groups of people gathering, conviviality.each is different, with hea

Posted by:  :  Category: Medicare

Deal 3, Table 7: Initiation enter Trick A~ contract taker leads King of Risks by KevinHutchins314Hallstatt s TI can almost always find you a room (either in town or at B&Bs and small hotels outside of town which are more likely to have rooms available and come with easy parking). Drivers, remember to ask if your hotel has in-town parking when you book your room. The stones symbolize community, groups of people gathering, conviviality.each is different, with heads nodding and talking. It s granite on granite. The movingheads are not connected, and nod only with waterpower. Whilefrozen in winter, it s a popular and splashy play zone for kids on hot summer days.
Source: blogspot.com

Video: shallowly snown last night, sunny afternoon

Celebrate Medicare’s anniversary – extend it to everyone!

Harry Truman’s first Medicare card. Compared to our broken and dysfunctional private system for people under 65, Medicare is far more efficient with less bureaucracy and administrative waste. It is genuinely universal, not based on ability to pay. It assures choice of provider with no restrictions or huge cost hikes for going out of network. And it controls costs — people on Medicare are the one age bracket not facing bankruptcy due to un-payable medical bills. And, it is wildly popular, even among the most vociferous opponents of the Obama healthcare law. Yet it also remains under repeated attack. Republicans in Congress have passed budget proposals to turn Medicare into a privatized voucher program. And many Democrats have proposed slicing and dicing Medicare through cuts in benefits, higher out of pocket costs, or raising the eligibility age to qualify. How do we defend one of the crown jewels of our nation? By improving it and expanding it to cover everyone. Here’s a few ways how: •    End the creeping privatization, through the various sub parts of Medicare, including the privatized Bush Medicare drug plan and other Medicare supplement programs that rely on private insurance companies •    Expand the benefits under Medicare to include vision, dental, and long term care (as is provided in Medicaid, though at too low reimbursement rates). •    Full and proper funding to enable the program to eliminate co-pays and deductibles. •    Extend Medicare to cover everyone, which makes for an expanded risk pool that would help lower costs, and create jobs through the ripple effects documented in a 2009 CNA/NNU study which found Medicare for all/single payer would create 2.6 million, desperately needed, new jobs.
Source: nationalnursesunited.org

Docudharma:: On This Day In History July 30

The Medicare program, providing hospital and medical insurance for Americans age 65 or older, was signed into law as an amendment to the Social Security Act of 1935. Some 19 million people enrolled in Medicare when it went into effect in 1966. In 1972, eligibility for the program was extended to Americans under 65 with certain disabilities and people of all ages with permanent kidney disease requiring dialysis or transplant. In December 2003, President George W. Bush signed into law the Medicare Modernization Act (MMA), which added outpatient prescription drug benefits to Medicare.
Source: docudharma.com

Medicare card ID protections overdue

AM Update Bad Policy Barack Obama bigotry Blogging Careers Castle Pr0n College college costs Corruption Crime Early Morning Update Editorials Education Environment Furry Family Members General Commentary General Disgust with Everybody Gov. Brown Government Spending and Taxation Government Waste graduation Gun Pr0n – A Naughty Expose’ of the fiddly bits Gun Rights GWOT Whatever it is… health care Historical Stuff Illegal Immigration I think it’s funny! math Mitt Romney News Obama Observations on things Military Parenting parents Pensions PM Update Politics Pugnacious Stupidity reading teachers Testing The FactCheck Wire Unions
Source: apoliticview.com

A U.S. Sailor with the visit, board

california medi-cal dental Drug Plan Health HIV How Social Security Works How to File a Claim for Medicare How to get a new medicare replacement card HUD lost medicare card M.D. Medi-Cal Medicaid medicaid card Medicaid Services Medicare medicare card MedicareCard.com MedicareCard Replacement medicare card replacement Medicare claims process medicare coverage Medicare has Two Parts Medicare Help Medicare Part A Hospital Insurance Coverage Medicare Premium Amounts for 2010 Medicare Prescription Drug Coverage Meeting Announcement MyMedicare.gov National Institutes of Health Need a Replacement Card? Order a Medicare Card by Phone or Online NIH NIMH Obama Part A (Hospital Insurance) Part B (Medical Insurance) part of the National Institutes of Health protecting my social security number replacement social security card Social Security social security card some disabled people under age 65 ssa.gov Supplier Enrolled in Medicare VA
Source: medicarecard.com

Medicare fraud busters unveil command center

FILE – In this Feb. 14, 2012 file photo, Health and Human Services (HHS) Secretary, Kathleen Sebelius speaks at HHS headquarters in Washington. Federal fraud busters invited the news media to visit their new $3.6 million command center and watch staffers explain how they’ll jump on unfolding Medicare scams. While the action on the tour Tuesday wasn’t real, the problem is _ more than $60 billion a year is lost to fraud. And two Republican senators immediately questioned whether the new multimillion-dollar facility is just throwing more money away. (AP Photo Manuel Balce Ceneta, File)
Source: sltrib.com

How to Replace a Lost Medicare Card

Medicare is a program funded by US government which provides affordable health care to citizens above the age of 65. A red, white and blue Medicare card wiil be given to citizens as a proof . Whenever you are seeking healthcare under medicare program, production of medicare card is a must.If your card has been destroyed, lost or stolen, you need to get a replacement card as early as possible. Here I will describe the process of getting a replacement medicare card.
Source: infobarrel.com

Health Insurance Options and How to Pick a Plan

The 2010 Affordable Care Act will reform health insurance, over several years. Some new provisions are already in place; most changes will take effect by 2014. This law holds insurance companies more accountable, expands coverage for young adults, offers small-business tax credits, and provides access to insurance for uninsured Americans with pre-existing conditions.
Source: envirolib.org

How do I get a new Medicare card if my card is lost, stolen, or damaged?

…If your Medicare card is lost, stolen or damaged, you can ask for a new one via the Social Security Administration website. Your red, white and blue card will be mailed within 30 days to the address SSA has on file for you. If you need proof that …
Source: bookmarketing.us

The ACP Advocate Blog by Bob Doherty: Facts challenge physicians’ views on Medicare spending

Posted by:  :  Category: Medicare

365.118 - family recognition by nettsuIf you ask doctors about Medicare spending growth, most will tell you that Medicare payments to doctors haven’t increased in a decade, and that doctors are turning away Medicare patients in droves. But they would be mistaken on both counts. An authoritative compilation of current data from the Medicare Payment Advisory Commission shows what is really happening with Medicare physician spending: Medicare spending per beneficiary on physicians’ fee schedule services steadily increased from 2001 to 2011.  In 2001, Medicare spent $1,374 per enrolled senior, and $1,160 per disabled enrollee; ten years later, it was $2,181 and $1,883 respectively. Volume growth is the reason Medicare is spending more.  From 2000 through 2010, Medicare payment updates increased by only 8 percent (due principally to the Medicare SGR formula), compared to a 22 percent increase in physicians’ costs of delivering care as measured by the Medicare Economic Index. But overall spending per beneficiary on Medicare physician fee schedule services increased by 63.7 percent during the same ten-year period. How could that be?  Because the volume of services—the number of tests, visits and procedures ordered by physicians on their Medicare patient’s behalf—increased at a much faster rate, pushing overall spending per patient upward, even as payment rates didn’t keep up with inflation.  More diagnostic testing and procedures are the main culprits.  From 2000 through 2010, the volume of diagnostic tests increased by 89 percent, the volume of imaging by 81 percent, and the volume of procedures other than major surgery by 65 percent. The volume of major surgical procedures, and evaluation and management services (office, nursing home, home, hospital, and other visits), increased at a much lower rate of  35 percent. Because of higher volume, physicians’ Medicare revenue has increased.  Even though the SGR has kept payment updates below inflation, MedPAC reports that “growth in the volume of services contributed more to the rapid increase in Medicare spending payment rate increases … both factors—updates and volume growth—combine to increase physician revenues.” Medicare patients have better access to physicians than the privately insured.  In 2011, 74 percent of Medicare beneficiaries, and 71 percent of privately insured patients, reported “never” having to wait longer than they wanted to get an appointment for routine care. Medicare beneficiaries also reported more timely appointments for injury and illnesses. Only 6 percent of Medicare enrollees said they were looking for new primary care physician, compared to 7 percent of the privately insured, suggesting that “most people are either satisfied with current physician or did not have to look for one.”  A larger, but still comparatively small, number of Medicare patients reported trouble finding a primary care physician. Of the 6 percent of Medicare beneficiaries who were looking for a new primary care physician in 2011, 35 percent reported having trouble finding one—23 percent of them reporting their problem as “big” plus 16 pecent reporting their problem as “small.” The Commission notes that “although this number amounts to about 2 percent of to the total Medicare population reporting problems, the Commission is concerned about the continuing trend of greater access problems for primary care.” I suspect that the first reaction of many physicians to these data will to insist that MedPAC must be wrong, that they know from their own experiences that Medicare payments haven’t kept pace with their costs and that they know of many doctors who are turning away Medicare patients.  And they may be right, in the sense that their own personal experiences may not match the data on national trends and the cumulative impacts of spending growth per patient and physician. But just as good physicians don’t ignore or dismiss clinical data that challenges their own perceptions and experiences, the medical profession shouldn’t ignore the data on what is really going on with Medicare spending and access. The fact is that spending on physician services in the aggregate has grown rapidly, even with the SGR-imposed limits on payment updates, and the culprits are more testing, imaging, and procedures being ordered for each beneficiary. And despite some evidence of greater access problems for primary care, most Medicare patients—so far—are not having major problems getting appointments or finding a primary care physician or a specialist. Armed with these data, Congress isn’t likely to spend hundreds of billions to just eliminate the SGR, absent a plan to control the volume of services. As MedPAC notes: “Volume growth increases Medicare spending, squeezing other priorities in the federal budget, and requiring taxpayers and beneficiaries to contribute more to the Medicare program . . . They are largely responsible for the negative updates required by the SGR formula. Rapid volume growth may be a sign that some services in the physician fee schedule are mispriced.” Last week, ACP’s President David Bronson, MD, FACP, told the House Energy and Commerce Committee about innovative, physician-led initiatives that could help solve the Medicare SGR problem, and today, he testified before the House Ways and Means on how ACP proposes “to transition from a fundamentally broken physician payment system to one that is based on the value of services to patients, building on physician-led initiatives to improve outcomes and lower costs.” Ignoring the facts will not heal a broken payment system, but offering the medical profession’s own diagnosis and treatment plan informed by the evidence just might help.  Today’s question: what is your reaction to the data on Medicare spending on physician services?
Source: acponline.org

Video: AMA and AARP National Ad: Medicare Facts

The Senior Insider: Know Your Medicare Benefits

In the coming days I will be sharing important FACTS about Medicare, preventive services and other benefits now available for Seniors on Medicare. I encourage you to learn more about your Medicare benefits. The benefits are there to help support your continued good health.
Source: blogspot.com

Medicare Secondary Payer (MSP) Program: Proposed Rules for the Treatment of Funds Intended for Future Medical Expenses 

[1] See 77 Federal Register 35917 (June 15, 2012), [CMS–6047–ANPRM].  [2] See section 1862(b) of the Social Security Act (the Act), 42 U.S.C. §1395y(b)(2)(Medicare Secondary Payer Program) http://www.ssa.gov/OP_Home/ssact/title18/1862.htm. [3] 42 U.S.C. §1395y(b)(2)(B). [4] 42 U.S.C. §1395y(b)(2)(B)(i). [5] 42 U.S.C. §1395y(b)(2)(B)(iv). [6] 42 U.S.C. §1395y(b)(2)(B)(iii). [7] For information about CMS activity related to MMSEA, see http://www.cms.gov/Medicare/Coordination-of-Benefits/MandatoryInsRep/index.html?redirect=/mandatoryinsrep/. [8] See §111, 42 U.S.C. §1395y(b)(8). [9]  See 42 U.S.C. §1395y(b)(8)(B). [10]  See 42 U.S.C. §1395y(b)(7). [11] See, Reporting Workers Compensation case information: https://www.cms.gov/Medicare/Coordination-of-Benefits/WorkersCompAgencyServices/reportingwc.html; set-aside arrangements: https://www.cms.gov/Medicare/Coordination-of-Benefits/WorkersCompAgencyServices/wcsetaside.html; coordination of benefits: https://www.cms.gov/Medicare/Coordination-of-Benefits/WorkersCompAgencyServices/WCMSAP.html. [12] In commenting, please refer to file code CMS–6047–ANPRM. CMS will not accept comments sent via FAX. Comments may be submitted electronically to http://www.regulations.gov; via regular mail (Attention: CMS–6047–ANPRM P.O. Box 8013, Baltimore, MD 21244–8013); express or overnight mail (Attention: CMS-6047-ANPRM, Mail Stop C4-26—5, 7500 Security Boulevard, Baltimore, MD 21244-1850; or by hand or currier (Room 445– G, Hubert H. Humphrey Building, 200 Independence Avenue SW., Washington, DC 20201., telephone (410)-786-1066 in advance of delivery by hand or currier.)
Source: medicareadvocacy.org

The Rural Blog: Rural hospitals urge Congress to save two Medicare programs that help them

A coalition of rural hospitals are lobbying Congress to keep two Medicare programs that the National Rural Health Association says are vital to keep hundreds of smaller hospitals going. The Medicare Dependent Hospital designation and the Low-Volume Hospital Adjuster, which date to the 1980s, help keep low-volume rural hospitals’ doors open with the Medicare payment adjustments they provide, according to the NRHA. Both programs could end Oct. 1 without Congressional action. “Rural facilities do not have the financial background to weather all of these cuts,” said Lance Keilers, NRHA president and administrator of Ballinger Memorial Hospital in San Angelo, Tex., told Brendon Nafziger of DOTmed News, an online magazine serving the medical and medical equipment industry. More than 200 hospitals have the Medicare Dependent designation. To qualify, a hospital must have fewer than 100 beds and Medicare patients must make up 60 percent of its inpatient days or discharges. Low-volume hospitals must be at least 15 miles from another hospital and provide care for fewer than 1,600 Medicare beneficiaries a year. (Read more)
Source: blogspot.com

Medicare Vouchers Increase Costs: That’s a Fact

“We would be told that candidate X claims that the sun goes around the earth, however candidate Y maintains that the earth actually circles the sun.” When in fact neither proposition is strictly true since they revolve about a common center of gravity. So the fair and balanced media actually informs listeners that neither claimant occupies the fixed reference point since both oscillate around the Truth which lies somewhere between them. This is done with the vaguely 20th century pseudo-Einsteinian-sophistical reassurance that “It’s all relative, folks. No One Perspective has a Monopoly on the Truth.” Of course this clouds the fact that the Sun (being so much more massive than the Earth) completely dominates the relationship to the extent that the distance between their mutual center of gravity and the center of the Sun is miniscule and essentially insignificant so that for all practical purposes it is accurate enough to say that the Earth revolves around the Sun.
Source: cepr.net

Wednesday, July 25, 2012: Medicare, the east

Should we believe that Pingree by herself is able to overrule what our state Legislature has passed? Does she really think she is more representative of the desires of the people of Maine than the senators, representatives and the governor combined? Or maybe it’s just that she feels omnipotent since she is married to a multimillionaire. Remember Pingree is the 1st District’s representative. She was never elected to speak for the whole state. She has never had that kind of support and has never won a statewide election. LePage in contrast has the right and the obligation to stand up for the entire state.
Source: bangordailynews.com

Medicare Fraud Contractors Moving too Slow

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 marsmet524Fraud expert, Linda Webb, aka The Fraud Dog, who used to work as a Medicare fraud contractor, says these private contractors are moving too slow. By the time these contractors identify the millions of dollars of fraudulent overpayments, most fraud perpetrators are long gone. Yet the contractor claims the savings as identifying the overpayment. The money has already gone out the door.   Activate the SWARM™, says the Fraud Dog.  Swift Working Assessment with Rapid Methodology, meaning we have to attack on the front end BEFORE the money goes out the door instead of attempting to collect  from the fraud perpetrator afterwards. It is time we moved swifter and faster on the front end in order to stop Medicare fraud.  We must make sure that if the perpetrator is caught, we freeze their ability to sell their data to the next fraud perpetrator that can start the scam all over again. Fraud perpetrators are selling their data while running from the law as a fugitive or even when in jail. Data is king and we have got to stop the perpetrator from continuing the scams.
Source: thefrauddog.com

Video: Medicare Covered Power Chair – Do You Qualify? – Toll Free Phone Hotline

Nothing found for 2012 08 Govt

AAHomecare AARP Alliance for Home Health Quality and Innovation Almost Family American Association for Homecare Apria Healthcare Group Bank of America Brookdale Senior Living CareLinx Centers for Medicare & Medicaid Services CMS Emeritus Senior Living Employee Benefit Research Institute Ensign Group featured Fidelis Care First Care Home Health Care Gentiva Gentiva Health Services Griffin Home Health HCR Home Care HHS Home Health Depot Home Health International Home Health International Inc. Houston Compassionate Care Jordan Health Services LHC Group Inc LSU Medical Staffing Network Healthcare Medicare Medistar Home Health MedPAC Microsoft National Association for Home Care & Hospice National Association for Home Care and Hospice PACE Paraprofessional Healthcare Institute Partnership for Quality Home Health Care Partnership for Quality Home Healthcare PeopleFirst Homecare PHI Res-Care Inc. Stephenson Entrepreneurship Institute VA
Source: homehealthcarenews.com

How Much Do You Trust the Government?

The pattern is repeated in the new Medicare prescription drug program (Part D). A “donut hole” exposes the relatively sick to significant out-of-pocket expenses for no other reason than the political desire to provide first-dollar coverage to the relatively healthy. In 2012, the maximum deductible for a Medicare Part D plan is $320. Once the deductible has been met (not all plans have a deductible), Medicare Part D pays 75 percent of the next $2,610 in drug spending until total drug expenditure is $2,930. The donut hole reflects drug spending that falls between $2,930 and $4,700. Until 2012 it was the responsibility of the enrollee to pay all costs inside the donut hole. The Patient Protection and Affordable Care Act created a new benefit in 2012 that pays for 50 percent of the costs. After $4,700 in total drug spending, Medicare Part D enrollees pay only a modest co-pay of $2.60 and $6.50 for each prescription. The donut hole is slated to close by 2020, however.[5]
Source: ncpa.org

Obamacare Robs Medicare of $716 Billion to Fund Itself

In addition, as MA deteriorates under Obamacare’s cuts, many of those who are enrolled in MA (27 percent of total Medicare beneficiaries) will lose their current health coverage and be forced back into traditional Medicare, where Medicare providers will be subject to further cuts. The Centers for Medicare and Medicaid Services chief actuary predicted in 2010 that enrollment in MA would decrease 50 percent by 2017, when Obamacare’s cuts were estimated at only $145 billion. Now that the cuts have been increased to $156 billion (or possibly $308 billion, as the Ways and Means Committee estimates), MA enrollment will surely decrease even further.
Source: heritage.org

First Edition: August 2, 2012

The Wall Street Journals’s Venture Capital Dispatch: Hospitals Investigate Start-Up Technologies For Superbug Disinfection The Centers for Medicare & Medicaid Services has said 2012 will be the year that hospitals should start paying to treat infections contracted on their premises. Many investors have the issue pegged as a janitorial concern, and not necessarily the purview of high-tech gadgets. But others see an enormous unmet need, where several small companies are vying to unseat giants like Johnson & Johnson in a potentially lucrative field. Hospitals are now turning to esoteric technologies–including robots that use xenon ultraviolet light technology–to combat the germs (Hay, 8/1).
Source: kaiserhealthnews.org

Searching for Absolutely free Medicare supplemental insurance Estimates?

Posted by:  :  Category: Medicare

love quotes Searching for Medicare supplement insurance quotes put in at home provided that you know about your needs and spending budget. There isn’t a variance inside insurance plan when comparing 1 organization to a different while Supplement Medicare health insurance will be standardised. The only real variance would be within the cost of the blueprints. Supplement Insurance plan is not really cost free. It is advisable to pay the regular top quality to get guaranteed. It is simple to acquire Medicare supplement insurance quotes on the web. love quotes Regarding Original Medicare health insurance, your physician could ask for a high price instead of what has ended up pre-decided with the Us federal. In their normal circumstances, a person has to pay for the other quantity using this bank account. It’s not so together with Supplement Insurance policy. That insurance plan presents insurance plan for all your out-of-pocket charges. Supplement Insurance policy have their disadvantages. So is the idea value buying? Properly, on this unpredictable economic climate, will still be the arguable subject matter. To always be on secure aspect, it is really preferable to secure the health-related charges using this insurance plan. When you have made up your mind to acquire this specific insurance plan, you might sooner or later start off admiring the provider’s customer service and ways in which a statements tend to be settled. Maybe you have very little difficulty with the increase in premiums. Although this challenge can easily be managed considering that the marketplace is prosperous. When you have received right knowledge about most of these insurance coverage, you will note for your self that these particular blueprints tend to be standardised for all your organizations. Therefore, it’s easy to come across Medicare supplemental insurance Prices within your budget. You have to remember that there is absolutely no enrollment phase for Supplement blueprints. You should buy most of these insurance coverage grow older of year. I’d would suggest one to purchase these blueprints throughout open up enrollment phase. Call the Medicare health insurance qualified to recognise more details on this specific time-period. Gain blueprints in addition to Aspect Chemical doctor’s prescription pharmaceutical insurance plan approach have a set time-span where the coverage shall be bought. Many insurance companies may well have you undergo the health-related examine so that you can switch over to your additional approach. It is then essential to think about your complete alternatives in advance then pick the best available wellness approach. love quotes To know what might take place the next time. Consequently, it is really preferable to be safe instead of always be my apologies within the coming future. Make sure the Medicare health insurance Plan is available after you would desire the idea. One more thing you need to consider will be the price tag you will be purchasing the insurance plan.
Source: blogspot.com

Video: Medicare Supplement Plans – Medigap Questions Answered

Medicare Deductibles and Medicare Supplement Insurance

When you look at original Medicare, you’ll see references to deductibles and co-insurance all over the benefit summary and this also goes for medicare supplement insurance plans so it’s probably a good idea to really understand what the term deductible means since it will directly affect money coming out of of your pocket. So let’s break down the term deductible in layman’s terms (something sorely missing from all those shiny brochures you’re receiving in the mail). First, what is a deductible? A deductible is an amount of money you must pay first before getting help from an insurance plan whether it’s Medicare or privately offered. Granted, it has a negative connotation because it’s money out of your pocket before receiving benefits. Let’s take a real basic example to help clarify it. You have a plan with a $1000 deductible for hospital coverage and you get surgery in a hospital that cost $3000. You will need to pay the first $1000 and then the carrier will start to pay for the remaining $2000 either in total or as a percentage (which is called co-insurance and will be covered in another article). Usually, deductibles are calendar year which means that they reset Jan 1st of each year although Medicare has some deductibles that are for a period of time (say 60 days). This means that the deductible will restart after 60 days of receiving medical benefits so you could potentially have more than 1 deductible in a calendar year if you have multiple instances of health care needs. Let’s look specifically at how Medicare treats deductibles. Medicare essentially has two deductible in it’s basic plan benefits (not looking at medication coverage through Part D). Since the amounts tend to rise over time, we won’t give exact amounts but use $100 for Part B (physician charges) and $1000 for Part A deductibles (hospital or facility charges) as a benchmark. You can always find out this year’s Part A and Part B deductible amounts at medicare.gov. Traditional Medicare is split along these two categories – physician and hospital. The Part B deductible is pretty straight forward in that you will need to pay the first $100 (in our example) of physician or office charges first before the co-insurance of 80/20 kicks in per calendar year. The Part A deductible is a bit different. First, it’s much higher since we’re now talking about facility or hospital based medical care.It’s not uncommon for a simple surgery to run $20K these days. Although co-insurance, the amount you pay after the deductible, is really the more critical issue since it’s not capped, deductibles are the charges you feel first and so they are a primary hole in traditional Medicare that we need to address. Enter your trusty Medicare supplement insurance plan. Now each medicare supplement is different in terms of what it covers but we like to lead with not only the most popular of the lettered plans but in our opinion, the best value…our trusty F medicare supplement insurance plan. In terms of the deductibles inherent in traditional Medicare, you cant’ get better when it comes to deductibles as the F plan will cover both deductibles at 100%. That’s right…you shouldn’t have any deductibles while on the F plan for either Part A or Part B eligible charges. This is a pretty smart move considering the fact that you’re very likely to actually hit these deductibles since they occur right away…first dollar expenses. Yes, the co-insurance gap is the more serious issue but the deductible is the more likely experienced hole in traditional Medicare. The F medicare supplement insurance does a great job of addressing this upfront cost as well as the co-insurance which is a big factor in our support of that plan to cost effectively address Medicare deductibles.
Source: abcarticledirectory.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

Compare Medicare Supplemental Insurance Plans and View Rates Online

Anyone that has individuals and their family that are on Medicaid, know exactly how much of a hassle it can be to try to live with just Medicaid. This is why many people look for supplemental insurance to their Medicaid, in order to pay for the expenses that they have on a day-to-day basis. There are many things that need to be taken into account when you are analyzing these companies, including what they are going to be able to provide. Senior Health Direct is able to provide excellent supplemental insurance health plans to seniors that are looking for a little something on top of the government services that are provided to them. They strive to help every senior with low cost health insurance, that can make their lives much easier than just relying on the Medicaid that they currently have.
Source: briefingwire.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

Looking for Trouble: Medical Insurance: Ahhhhh!

Posted by:  :  Category: Medicare

We have instituted the most ridiculous health care system in the world (not hyperbole), all because we insist that health care is a private business (capitalism gone amok) and not a public responsibility, as it is viewed in most civilized countries (we are fast falling off the civilized list if we have not already).  This is my private tale but I’m sure it can be applied to so many others out there.  My provider is Oxford Medicare Advantage (one of the advantage plans established during the George Bush administration and currently being dismantled by the Obama administration).  I like the advantage plan (or at least I did) as it gave me excellent Medicare coverage with some very nice extras (including gym membership) for my willingness to use only Oxford doctors. Since January, when United Health purchased Oxford, I have had a myriad of problems with medical bills, getting treated at physicians’ offices, etc.  In January, I had to cancel three colonoscopy appointments until we got the issue straightened out when United Health issued new cards with new numbers.  Then I received a rejection of a bill from my dermatologist (for $1,200) for freezing with  liquid nitrogen a few pre-cancerous spots on my face.  (As an aside I thought the bill for $1,200 ridiculously high.)  The insurance company said the doctor had to get pre-approval for the procedure, which is also ridiculous.  It’s the standard treatment for this problem and has been for about 40 years. After making an appointment with a ophthalmologist and being assured on three different occasions by telephone that he was covered by my insurance, I was told that he did not participate when I arrived for my appointment. Today I received a dunning bill for a trip to the ER at NYU last year, although I had already paid the bill a while ago, and another bill for $205 for a visit to my primary doctor, stating that my doctor was not covered by my insurance. She’s listed on my card as my primary. Finally someone at NYU told me the problem. Apparently, United Health wants its name plastered on everything and issued the new cards under its name although I’m still with Oxford, which is why all these denials. But it’s taken me from late December of last year for someone to explain the problem, despite my many complaints. It appears when I show my card I have to tell the provider to ignore the United Health logo and to send the bill to Oxford.  If we had a single payer system like all those infamous European socialist countries the Republicans accuse Obama of wanting to establish, none of this would be happening. Why are Americans so resistant to doing the right thing?
Source: blogspot.com

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

Obamacare Means a Mandate For More Inflation and a Higher Gold Price :

According to the US Senate Budget Committee, the Affordable Care Act (“Obamacare”) will cost the US federal government an additional $17 trillion dollars (+$17,000,000,000,000.00) in health care spending over the next seventy-five (75) years. This $17 trillion will be added to all the other health care spending—i.e., $38 trillion for Medicare; $20 trillion for Medicaid; and $7 trillion for Social Security—to make a grand total of $82 trillion dollars (82,000,000,000,000.00). Very concerning, indeed.
Source: theintelhub.com

[WATCH]: United Healthcare Oxford Medicare Advantage Denies Coverage

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Source: comparehealthinsurance-tips-plus.com

United Healthcare Secure Horizons & Oxford

2012 about affordable article benefits Best business california Care Cheap cost Costs Coverage family find Free from Getting good guide Health Healthcare home Individual insurance Know life Medical Medicare Movie National Need Obama Official online Plan Plans policy Private quotes Reform Small Trailer Virginia watch
Source: 123homesolution.com

Aetna Announces Lifetime Renewals on Medicare Advantage and PDP Policies

Actually, I have had many stay on for over 7 years. But, I also think that there are variables involved like 1) the stability of your market – my markets Los Angeles Cty and San Antonio, Tex have both been high capitation markets, making them stable with their benefits and not leaving the service area high and dry. 2) the stability of the companies that you place your business with- I put a lot of my SoCal ppl with Caremore (which has always given away the store with benefits) and SCAN, which had held unique status for many years as a "social HMO". The Secure Horizons mbs from the 2004-2005 enrollment period have long since scattered. I’m down to about 4 of those. In my current market (San Antonio), there are ONLY 4 players. Secure Horizons is very dominant because it gets a ton of support from its powerful medical groups. They have excellent retention because the medical groups help so much. Most of my SH business would still be on SH if I hadn’t switched them years ago. Humana is constantly cutting down the docs’ capitations and making the referral process tougher. As a result, it’s getting harder to retain those members as doctors drop Humana left and right. Aetna is really investing $$ and effort in the Texas markets. I like them a lot at this point. They recently added Hermann Memorial in Houston- a big coup. 3) the importance of serving your customer base (goes without saying) If a company only pays for 6 years, it would be much harder to ask a client to switch simply because they will have been on a plan for too long and will not change because they don’t like to switch plans. It’s a trait that all ppl have, but espec the elderly. Then again, anything could happen with Medicare Advantage. But I’d rather sell for one that offers lifetime renewals than 6 years "just in case".
Source: insurance-forums.net

Medicare Part D Information « Insurance News from Crowe & Associates

Posted by:  :  Category: Medicare

meds: it's obscene by fallsroad It depends on when you need your Medicare prescription plan coverage to begin.  Initially, you have a seven (7) month window of time to join a Medicare Part D or Medicare Advantage plan.  So if you enroll in a Medicare Part D plan within the three (3) months before the month that you become eligible for Medicare (for example, the 3 months before you turn 65), your Medicare plan coverage will start on the first day of your birthday month (or Medicare eligibility month).  If you join a Medicare plan during your birthday (or eligibility) month, your prescription drug coverage will start on the first day of the next month.  Finally, if you join a Medicare plan during the three (3) months after your birthday (or eligibility) month, your drug coverage will start the first day of the month following the month when you enroll.
Source: croweandassociates.com

Video: Medicare Prescription Drug Coverage

What is the Medicare Advantage maximum out pocket?

The insurers who offer Medicare Advantage benefits must follow rules set by Medicare. However, each Medicare Advantage plan can charge different out-of-pocket costs and have different rules for how care is provided. For example, they can determine whether or not you need a referral to see a specialist or if you have access to a specific network of doctors and hospitals. These rules can change from year to year.
Source: ehealthinsurance.com

Federal Reform Saved CT Medicare Recipients $48.3 Million In Prescription Drug Spending

Last year, Medicare recipients started to receive a 50 percent discount on brand-name drugs covered by the federal health plan and a 7 percent discount on generic drugs in the coverage gap. As a result, 39,589 Medicare recipients in the state received a total of $26 million in discounts, which is an average of $658. This year, Medicare coverage for generic drugs in the coverage gap rose to 14 percent.
Source: courant.com

Affordable Care Act Time Lines

The law establishes a national pilot program to encourage hospitals, doctors, and other providers to work together to improve the coordination and quality of patient care.  Under payment “bundling,” hospitals, doctors, and providers are paid a flat rate for an episode of care rather than the current fragmented system where each service or test or bundles of items or services are billed separately to Medicare. For example, instead of a surgical procedure generating multiple claims from multiple providers, the entire team is compensated with a “bundled” payment that provides incentives to deliver health care services more efficiently while maintaining or improving quality of care. It aligns the incentives of those delivering care, and savings are shared between providers and the Medicare program.
Source: broadcasteverywhere.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

Affordable Care Act: Effects on Your Coverage Right Now

Coverage for Young Adults up to Age 26 Often teenagers will attend school and stay covered on their parents’ health insurance coverage through the college years. However, if not attending school, these children would have had to leave their parents health coverage by age 19 in most cases.  The ACA extends the coverage under a parent’s group health insurance plan to age 26, regardless of whether they are attending school. They can also choose their parent’s group health coverage over any coverage offered by their own employer as long as that insurance isn’t grandfathered, which simply means that the coverage was in place prior to law and has not made any changes significant enough for the plan to longer be considered grandfathered.
Source: mondaysorchids.com

Those (Us) Greedy Boomers

The COLA, as it exists now, does not give enough weight to the actual expenses of seniors as distinct from the expenses of the general population. Seniors pay out a higher portion of their income for medical expenses- insurance premiums and co-pays, prescription drug premiums and copays, property taxes and heating bills. All of the above expenses have been increasing every year. The current way of calculating the cost of living increase is already unfair to senior citizens. Shifting to the chained CPI will further reduce payments to seniors on fixed incomes, many of whom are struggling to keep their heads above water.
Source: jaredbernsteinblog.com

Things to Consider When Integrating Your Home Health Care with Medicare

Furthermore, the Medicare criteria for individual qualifying to receive home health care are very strict; the reality is that many people who may apply for coverage by Medicare for their approved home health company services will not actually receive coverage. Currently, Medicare pays only about half of all health care costs to seniors. Medicare very often denies payment due to not meeting criteria, so it is essential to be aware if you meet these criteria prior to restricting yourself exclusively to Medicare-approved home health care companies.
Source: freepressreleases.com

Health Care Law Saves People In New Jersey $183.6 Million On Prescription Drugs

• In 2010, people with Medicare who hit the donut hole received a one-time $250 rebate. These rebates in New Jersey totaled $33,101,500; • In 2011, people with Medicare began receiving a 50 percent discount on covered brand name drugs and 7 percent coverage of generic drugs in the donut hole. Last year, 131,077 Medicare beneficiaries in New Jersey received a total of $99,852,730 in discounts, an average savings of $762 for 2011; • This year, Medicare coverage for generic drugs in the coverage gap has risen to 14 percent. For the first six months of the year, people with Medicare in New Jersey have saved $50,639,252.
Source: paramuspost.com

Improving Vision with Cataract Surgery Has Another Benefit: Fewer Broken Hips in Elderly

Posted by:  :  Category: Medicare

'tis I by McBethDr. Victoria Tseng and her colleagues at the Warren Alpert Medical School of Brown University looked at a random sample of 1.1 million Medicare beneficiaries aged 65 or older who were diagnosed with cataracts between 2002 and 2009. They compared the rates of hip fractures in 410,809 patients who underwent surgery to remove cataracts with rates in patients who did not. Overall, the researchers found, patients who received cataract surgery were 16% less likely to break a hip in the year after the procedure, but the benefit was most pronounced in older patients.
Source: healthmaga.com

Video: Medicare: Where to Start? — UHC TV

Medicare Eye Exam Coverage

In case you are patient of diabetes, glaucoma or macular degeneration, Medicare is going to give medicare eye exam coverage whenever you want to check on your eyes condition. Medicare considers cataract surgery as one of special eye problem so the patient of cataract surgery deserves to get medicare eye exam coverage while they want to do this surgery. Medicare eye exam coverage is also based on which Medicare health program you join. The holders of Medigap Plan F policy can get 20% of medicare eye exam coverage in eye exams, surgical procedure, eyeglasses and contact lenses. How is the procedure to get your claim in Medicare eye care service? Medicare is going to recommend the doctor to check on your vision. The doctor then will determine whether you deserve for medicare eye exam coverage or not. This move can be started by visiting Medicare in your place and follow the procedure there. If you want to get more information about medicare eye exam coverage before you visit the office of Medicare, you can visit the website Medicare.gov to see which items in eye exam can be covered by Medicare. By the time you check on the doctor and you are diagnosed to have the diseases mentioned above, you have to visit Medicare representation in your city to get your claim. The staff there will be pleased to explain medicare eye exam coverage and see if you can get help for vision problem because of your diabetes disease.
Source: eyeexam101.com

Celebrate Medicare’s anniversary – extend it to everyone!

Harry Truman’s first Medicare card. Compared to our broken and dysfunctional private system for people under 65, Medicare is far more efficient with less bureaucracy and administrative waste. It is genuinely universal, not based on ability to pay. It assures choice of provider with no restrictions or huge cost hikes for going out of network. And it controls costs — people on Medicare are the one age bracket not facing bankruptcy due to un-payable medical bills. And, it is wildly popular, even among the most vociferous opponents of the Obama healthcare law. Yet it also remains under repeated attack. Republicans in Congress have passed budget proposals to turn Medicare into a privatized voucher program. And many Democrats have proposed slicing and dicing Medicare through cuts in benefits, higher out of pocket costs, or raising the eligibility age to qualify. How do we defend one of the crown jewels of our nation? By improving it and expanding it to cover everyone. Here’s a few ways how: •    End the creeping privatization, through the various sub parts of Medicare, including the privatized Bush Medicare drug plan and other Medicare supplement programs that rely on private insurance companies •    Expand the benefits under Medicare to include vision, dental, and long term care (as is provided in Medicaid, though at too low reimbursement rates). •    Full and proper funding to enable the program to eliminate co-pays and deductibles. •    Extend Medicare to cover everyone, which makes for an expanded risk pool that would help lower costs, and create jobs through the ripple effects documented in a 2009 CNA/NNU study which found Medicare for all/single payer would create 2.6 million, desperately needed, new jobs.
Source: nationalnursesunited.org

Find Medicare Supplemental Insurance in Your Area With the Senior Advisor Group

The Senior Advisor Group is an independent insurance advisory group specializing in Medicare insurance and other insurance options for those on Medicare. Their role is to assists seniors in finding with the best Medicare Supplemental Insurance, including advice on Supplemental Plans, Advantage Plans, Medicare Part D insurance and other related supplemental insurance. By partnering with over 40 different insurance companies, the Senior Advisor Group works on the side of the client’s with no obligation to any one insurance company. For the individual client they will search from all of the top insurers to find the best products at the best price – as well as provide ongoing professional, personalized service to each Medicare beneficiary year after year. The Senior Advisors also provides clients on Medicare with dental, hearing, and vision coverage, as well as Rx discount cards at no cost to customers. As a national advisory group, Senior Advisor Group represents all of the top rated and the largest Medicare supplemental insurance providers available. Their objective is to provide unbiased advice on Medicare Supplemental Insurance from highly trained, Medicare insurance specialists. Each specialist is trained on the various Medicare Insurance options, and will assist each individual with a plan selection, and provide continual advice year after year on Medicare supplement plans and Medicare Part D coverage. As Medicare insurance specialist, Medicare Insurance is not just a part of their business it is their business. The Senior Advisor Group was established to deliver what insurance companies can’t – unbiased and objective advice. They will assist and complete enrollment in the best available plan for the client, not the best available plan for the provider. For those new to Medicare or just looking to compare coverage options simply submit a request and one of their specialist will call within 24 hours.
Source: sbwire.com

Obama’s Vision of America Will Destroy It

Front Page Top Stories Breaking News World Politics Business Health Food & Wine Women Women in Business Opinion Letters to the Editor High Tech Sports Horoscope Entertainment Entertainment Goss Music Features Books Poetry Movie Reviews Personal Development Home & Garden Industry States UFOs Environment Education SupportOurTroops Middle East South Asia Cartoons NewsBlaze Blog Most Read
Source: newsblaze.com

What Medicare Does Not Cover

Medicare provides basic health coverage for millions of American retired and disabled people. It does not, however, cover everything. The traditional plan rarely pays for things it does cover at 100 percent either, but that is the topic for another article. I just want to provide a heads-up for some common health care services that are not covered by the original plan, and may or may not be covered by additional plans like Medigap or Medicare Advantage (MA).
Source: over50web.net

False balance and the Medicare scare : CJR

Trudy, excellent piece. I do wish, though, you had pointed out the insidious role of the “fact checkers,” notably PolitiFact, in enabling the news media in this bogus, false-equivalence coverage of the Medicare issue. PolitiFact’s most recent piece got a key fact wrong. It said the latest Ryan Medicare plan would cap Medicare spending at GDP plus 1%. In fact, Ryan’s budget bill — which the House passed earlier this year and which supersedes Ryan’s “bipartisan” Medicare proposal with Democrat Ron Wyden– would cap Medicare spending at GDP plus .5%, a difference which adds up fast. In addition, Henry Aaron has pointed out that talking with Ryan’s staff, it’s not clear whether that cap would apply to Medicare spending in total or to per capita Medicare spending, which makes a huge difference because if you cap total Medicare spending without adjusting for the large increase in Medicare enrollment over the next 20 years, you get a really really big cut in per capita Medicare spending, which would mean much poorer coverage. PolitiFact and the other “fact checkers” have consistently called the Democrats’ statements about Ryan’s and Romney’s Medicare proposals last year and this year false, when they are quite factually accurate. The NY Times, in its recent story quoting Romney saying Obama’s statement was dishonest that Romney’s Medicare proposal was a “voucher” plan, cited PolitiFact saying Obama’s ads were “mostly false.” In fact, as Trudy notes, Romney’s and Ryan’s proposals, which are quite similar, are precisely voucher plans. PolitiFact also missed the fact that Ryan’s proposal is no longer “bipartisan” because Wyden reportedly has refused to support it, on the basis that the GDP plus .5% cap is too low, Ryan’s plan would raise the Medicare eligibility age to 67, and Ryan’s block granting of Medicaid would hurt Medicare dual eligibles.
Source: cjr.org

Seniors Dental and Vision Benefits with Medicare

Some Medicare beneficiaries may have dental and vision coverage through other insurance plans. Some Medicare Advantagge plans, for instance, may have dental and vision benefits included. Some retirees, with company retirement benefits, may also have coverage. But normal routine coverage for dental and vision needs is not part of original Medicare, or even part of many Medicare Advantage or Medicare supplement plans.
Source: projektgenerika.org

Daily Kos: Happy Birthday Medicare

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

Anthem Medicare Advantage Plans: Offering Affordable Freedom of Choice

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSBCBS Medicare PPO Advantage Plan gives you more of the benefits that you need and expect, including built-in prescription drug coverage. All three plans under the BCBS Medicare PPO umbrella offer all of the benefits of original Medicare along with several services that are not generally covered, as well as the convenience of one of the largest provider networks in the state.
Source: abchealthplans.com

Video: Anthem pulls switch on Medicare Advantage subscribers

Anthem Blue Cross and Blue Shield in Missouri Offers Six Tips for the Traveling Boomer : e Yugoslavia

Make arrangements to get and transport medication. One way for members to stock up on prescription medication is to order a 90-day supply through mail order. Call the number on your insurance card for details. Travelers can transport medication in carry-on or checked baggage, although some supply should be with the passenger in the case of lost luggage. The Transportation Security Administration (TSA) recommends that the prescription label match the passenger’s boarding pass and that the passenger bring supporting documentation. 2 Large, national drugstore chains may be able to fill customers’ prescriptions when they’re away from home.
Source: eyugoslavia.com

Anthem Medicare Advantage Plans in Ohio

Medicare Ohio ! Again, for I know. Ready to share new things that are useful. You and your friends. What I said. It isn’t outcome that the true about Medicare Ohio . You look at this article for facts about anyone wish to know is Medicare Ohio .
Source: blogspot.com

Dave Fluker’s California Health Insurance Blog: Anthem Medicare Advantage LPPO and Sutter Health Group

Sutter Health Group and Anthem Blue Cross MAPD LPPO (Medicare Preferred PPO and Medicare Preferred Select LPPO) have been unable to reach agreement on a new contract. As of February 1, 2012, Sutter will no longer be a participating provider for Anthem Blue Cross CA hospital and professional network. The ancillary services for Sutter will continue to be a participating provider. Again, this contract issue affects Medicare Advantage PPO and Medicare Advantage LPPO subscribers. The following Sutter Health facilities are affected: Sutter Roseville Medical Center – Roseville, CA Alta Bates Summit Medical Center – Alta Bates/Herrick – Berkeley, CA Alta Bates Summit Medical Center – Summit Campus – Oakland, CA California Pacific Medical Center – California – San Francisco, CA California Pacific Medical Center – Davies – San Francisco, CA California Pacific Medical Center – Pacific -San Francisco, CA California Pacific Medical Center – St. Lukes – San Francisco, CA Eden Hospital Medical Center – Castro Valley, CA Memorial Hospital Medical Center – Modesto – Modesto, CA Memorial Hospital of Los Banos – Los Banos, CA Menlo Park Surgical Hospital – Menlo Park, CA Mills Hospital – San Mateo, CA Novato Community Hospital – Novato, CA Peninsula Hospital & Medical Center – Burlingame, CA San Leandro Hospital – San Leandro, CA Sutter Amador Hospital – Jackson, CA Sutter Auburn Faith Hospital – Auburn, CA Sutter Coast Hospital – Crescent City, CA Sutter Davis Hospital – Davis, CA Sutter Delta Medical Center – Antioch, CA Sutter General Hospital – Sacramento, CA Sutter Lakeside Hospital – Lakeport, CA Sutter Maternity & Surgery Center – Santa Cruz, CA Sutter Medical Center of Santa Rosa – Santa Rosa, CA Sutter Memorial Hospital – Sacramento, CA Sutter Solano Medical Center – Vallejo, CA Sutter Tracy Community Hospital – Tracy, CA I expect that at some point a contract agreement will be reached and will post when that happens.
Source: blogspot.com

Gordon Marketing Awarded Number One Anthem Medicare National FMO 2011

Gordon Marketing has become a leader in the Medicare Supplement Insurance industry as well as Medicare Advantage plans and in Medicare Part D. This is part of Gordon’s commitment to seniors and in support of all of their agents that market these products. Continuing education seminars and telephone training classes is a hallmark of their company. Train, train, train is what Gordon Marketing does best. They don’t just ask for more business, they show HOW to make more business! Gordon Marketing was founded in 1980 by Dick and Margaret Gordon and has made a national name from humble beginnings. Gordon Marketing is an independent, family-owned and operated brokerage company located in the heart of Indiana. Gordon Marketing specializes in Senior, Health, Life & Annuity products for independent agents across the nation. President, Sylvia Gordon and Vice President, Rebecca Gordon work together with their brother Frank, sister Theresa and a wonderful staff of 45 to service agents in 49 states. Gordon Marketing has grown over 127% in the last 3 years in the areas of senior, life, health and annuity insurance products. Gordon Marketing will be moving into their new Corporate Office at 20236 Hague Road in Noblesville, IN on June 1st 2012. This facility incorporates a state of the art training center, and will serve to take the company to a much higher level of service to their clients and agents. In 2009 and 2010 Gordon Marketing was named the Small Business of the Year. In 2011 Gordon Marketing also received the Small Business of The Year Award by the City of Noblesville Mayor Distlear. Dick Gordon, founder of Gordon Marketing is also the founder of the Riverview Hospital Gordon “Brick Layer” Club. Gordon Marketing also supports various charities throughout the year in giving back to the local community. Gordon Marketing now has 75 full-time employees and is projected to build another Corporate Building within the next 5 years to house an additional 30 employees. Gordon Marketing not only markets to agents, but is using their current facilities to operate their retail and consumer based program. These agents sell life, annuities, senior and health insurance products. For more information about Gordon Marketing, their services and products, please visit http://www.gordonmarketing.com.
Source: sbwire.com

[WATCH]: Anthem Medicare Advantage Plans in Ohio

« medicaid: ^BRIEF,ULTRA SOFT,CLOTH LIKE OUTER COVER, GREAT ABSORBENCY, BREATHABLE SI DE PANELS*** HCPCS CODE REIMBURSEMENT IS STATE SPECIFIC. THIS PRODUCT IS NOT COVERED THROUGH MEDICARE BUT MAY BE REIMBURSABLE THROUGH MEDICAID. THE CUSTOMER WILL NEED TO CHECK WITH
Source: wordpress.com

Virginia Medicare Part D Plans

Now that several plans include ancillary benefits such as discounts on vitamins and supplements, vision discounts and savings for health related products, you should consider the value of these benefits as well.
Source: partdplanfinder.com

Latest Anthem Medicare News

But the most long run budget savings by far would be achieved by allowing younger workers to save and invest their Medicare payroll taxes in personal accounts. In retirement, those accounts would finance their health insurance vouchers, and would be able to finance far more because of the accumulation of all the market returns over the years. This would shift huge amounts of spending out of the federal budget altogether, and to the private sector. The general revenues currently used to finance so much of Medicare would be used for means tested supplements for lower income seniors to ensure that they could afford essential coverage and care. But these general revenues devoted to Medicare would be limited to grow no faster than the rate of growth of GDP, providing further huge savings over the long run.
Source: signupformedicare.net

Billing tips to submit Global Maternity claims V22.0

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 marsmet524Global Maternity Claims Global maternity involves the billing process for maternity-related claims for a beneficiary. Once a beneficiary has been diagnosed as pregnant, all charges related to the pregnancy are grouped under one global maternity diagnosis code. These diagnosis codes will be listed as the primary diagnosis when billing. Figure 8.1 on the following page lists examples of these codes.
Source: whatismedicalinsurancebilling.org

Video: Canvas-CMS1500-HEALTH-INSURANCE-CLAIM-FORM Black Berry.mp4 – Mobile App – GoCanvas.com

Risks of Breast Brachytherapy

Researchers at The University of Texas MD Anderson Cancer Center looked at patient data of women who had had both types of radiation to kill any remaining cells in the body following surgery. This is the standard of care for women with early stage breast cancer.
Source: dailyrx.com

Online Medicare Forms: Appeal, Payment, Disclosure, Application

Medicare insurance forms for parts A, B, C and D are accessible online for electronic filings and mail in. Online forms include an application for Medicare, claim forms for patients requesting payments and Medicare appeal forms. Older Americans can apply for Medicare even if not planning to retire, as long as the person is close to 65 years old. Even when a person has been denied Medicare, appeal forms can be submitted online requesting a hearing or case review.
Source: suite101.com

Eagle Eye Report Worldwide: $45M Medicare scam stretched from Houston to Nigeria

The container was being shipped by Ise. Inside, a 2009 Lexus was marked for delivery to the southeastern Nigerian seaport of Calabar. But the container, examined at the St. George U.S. Customs exam warehouse near the Houston Ship Channel, held more than the luxury automobile. Tucked in a box and a bin were financial books, contracts, banking information and patient files related to Ise’s billing work for City Nursing. The Chronicle’s review of court documents and business records shows the criminal enterprise was long in the making, its ill-gotten gains spreading across two continents. 
Source: blogspot.com

CMS’ Medical Learning Network Releases Place

- “Reminder of Importance of Correct Place-of-Service Coding on Medicare Part B Claims.” This article is designed to provide education on the importance of correctly coding the place-of-service on Medicare Part B claims. It includes information about what providers are required to do when identifying the place-of-service on Medicare claim forms.
Source: advanceweb.com

IRS Clarifies Medicare Premium Deductions for Sole Proprietors, Partners and S Corporation Shareholder

Sole proprietors, partners (including LLC members) and two percent shareholders in an S corporation are not treated as “employees” for purposes of certain benefits. Among those benefits is employer provided health insurance coverage. While employer subsidies for health coverage are generally excluded from the income of employees, that is not the case for sole proprietors, partners and two percent S corporation shareholders. Those individuals must include in income the amount of any subsidy and can take a deduction for their health insurance coverage, if at all, on their individual Form 1040 under Section 162(l) of the Internal Revenue Code. A deduction under Section 162(l) is available only if the individual is not eligible for subsidized coverage through the spouse or through another employer.
Source: jdsupra.com

Texas Medicare Supplement Insurance

You’d like to think all your medical services are covered, but unfortunately, even with Medicare supplement insurance, that is simply not the case. Most Medicare supplement policies pay only for services Medicare decides are “medically necessary”. If you are unsure what these exact services are, you can look in your Medicare Summary Notice. If you do receive a bill for services, you will need to review your notice statement to find out if you owe anything extra. All medical providers and doctors that accept Medicare should know beforehand if a procedure is approved by Medicare and the rule of thumb is if it’s an approved charge the supplement is required by law to start paying its share. Fairly simple and less worrisome., easy actually.
Source: medicareinsurancetexas.com

Obamacare Robs Medicare of $716 Billion to Fund Itself

In addition, as MA deteriorates under Obamacare’s cuts, many of those who are enrolled in MA (27 percent of total Medicare beneficiaries) will lose their current health coverage and be forced back into traditional Medicare, where Medicare providers will be subject to further cuts. The Centers for Medicare and Medicaid Services chief actuary predicted in 2010 that enrollment in MA would decrease 50 percent by 2017, when Obamacare’s cuts were estimated at only $145 billion. Now that the cuts have been increased to $156 billion (or possibly $308 billion, as the Ways and Means Committee estimates), MA enrollment will surely decrease even further.
Source: heritage.org

Outpatient Therapy Practice in the Code of G

If all goes as proposed, therapists in outpatient private practice settings will begin adding new codes to a Medicare patient’s bill or payment claim form on Jan. 1, 2013.  These new codes will be related to and describe the patient’s functional impairment for which treatment is requested; the status of that impairment at beginning, during and the end of care, and the goal to be achieved in treating the impairment. Without a classification system in place, CMS is attempting to capture and understand the Medicare beneficiary population that uses therapy services, how their functional limitations change as a result of therapy services, and the relationship between beneficiary functional limitations and furnished therapy services over an episode of care.  All this in preparation for developing an alternative to Medicare’s currently capped therapy fee for service payment methodology.
Source: mediserve.com

UB04 Electronic Claim Forms

One of the biggest advantages of using UB-04 (CMS 1450) forms is that you can fill these forms on your personal computer and print the data or submit the claims electronically, which saves a lot of time and money. If that was not all, you can even avail of batch printing for multiple claims to get printed with a single click. UB04 electronic claim forms also help you take the advantage of administrative security login for protecting your claim files and improve HIPAA (Health Insurance Portability and Accountability) Compliance through security and protection. Moreover, electronic claims are processed and paid faster and let the users get immediate access to eligibility verification, electronic remittances, and claim status inquiries.
Source: blogsnreviews.com