CQ 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).
Video: Medicare Benefits Made Clear: News, Reform & Obamacare Exposed!
GAO Says Time to Call it Quits on Medicare Advantage Program
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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
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.
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.
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.
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
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…