Health card Henry County Health Center offers local community advantage KILJ radio

Posted by:  :  Category: Medicare

The Real Romney by elycefelizHCHC a s quest to boost the well being of people plus our towns through good quality, effective and efficient providers causes it to be an all natural match for HCHC to provide plans to increase the health with region inhabitants. some examples of programs that benefit location communities include HCHC offering athletic instruction plus ambulance providers for location senior high school sporting activities, plus the provision with Henry County neighborhood well being applications and companies that have positively impacted medical individuals residential areas for decades. Furthermore, excellent emphasis is being placed Both equally nationally and locally On the significance of taking care of chronic conditions Like cardiovascular disease, high hypertension, diabetes, arthritis, plus more. HCHC has plans set up to help men and women In managing the chronic conditions, the majority of recently supplying the a Better choices, far better Health a workshop series designed to teach grown ups how you can efficiently become self-managers of their chronic health conditions.
Source: co.cc

Video: Medicare In Iowa | Call: 515-994-0471

Guest editorials: Supreme Court’s Ruling Lets Us Continue to Bring Men Value to Our Patients

I picked up your newspaper while waiting for my car to get serviced and was very disappointed in your article on the front page. There were numerous areas that I found flaws throughout the article. I was wondering how offering free contraception will improved healthcare for women? The main purpose in taking contraception medication is to prevent conception from taking place. Contraception does not prevent STK or AIDS which would help improve women’s health. I felt that you were very one-sided in the different people that you quoted in your article (all in support of the mandate). There are many individuals who do not support this mandate. There are quite a few petitions going around opposing the HHS mandate. One is at stophhs.com and it has gathered 98,078 signatures. Another petition is at http://womenspeakeforthemselves.com which has collected 30,074 signatures. If you’re so concerned about improving women’s heath then why are you advocating for Natural Family Planning? According to sciencedaily.com, “researchers have found that a method of natural family planning that uses two indicators to identify the fertile phase in a woman’s menstrual cycle is as effective as the contraceptive pill for avoiding unplanned pregnancies if used correctly, according to a report published online by Europe’s leading reproductive medicine journal Human Reproduction.” Natural Family Planning by definition is natural and doesn’t have all the horrible side effects that the birth control pill does, which was another thing that your article seemed to miss reporting on. You wrote about how it helped with certain health problems but failed to mention the greater health risks in taking contraception pills, as according to national cancer institute (http://www.cancer.gov) “a number of studies suggest that current use of oral contraceptives (birth control pills) slightly increase the risk of breast cancer, especially among younger women. Oral contraceptive use is associated with an increased risk of cervical cancer and an increased risk of benign liver tumors.” Also, the journal of the May Clinic, Mayo Clinic Proceedings, had published a key article in it’s October 2006 issue entitled “Oral Contraceptive Use as a Risk Factor for Pre-menopausal Breast Cancer,” which showed an increased risk of 44%. The study also re-enforced the recent classification of oral contraception as Type 1 carcinogens by the International Agency for Cancer Research. My hopes in writing this letter was that in the future your reporting will be more factual and not one-sided.
Source: thecommunityword.com

$62 Million Grant to Increase Use of Home Care in Iowa

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

Sustainable Benefits in Startups

As a founder, financial security means something completely different to you than to your employees.  As you hire people away from established companies, they’ll come asking for 401(k) or similar retirement plans.  These plans are easily obtained, heavily regulated, and best managed for you by an outside party.  Though many people will sell you a plan, search for an administrator who will do both your payroll processing AND 401(k) administration and reporting.  Managing these two items place heavy fiduciary responsibilities and the fewer parties managing this, the better.  Look at providers like Fidelity Investments, Paychex, and Intuit for starters.  There usually are many wonderful local service providers locally in every community, so interview several and work with the one who provides you with the most warm fuzzies in the meeting.  If multiple companies will manage your plans, make sure to interview all entities involved and ensure they are bonded and carry fidelity bond coverage.  Keep a certificate of this bond for your records.
Source: startupia.org

Many use emergency room for primary care services

Posted by:  :  Category: Medicare

Scrivener Dam to Woden Valley by spelioadvertisements affordable care act amendment one Barack Obama bill budget Campaign Finance college community college Democrats economy education elections environment Equality NC fracking Gay Rights General Assembly health care healthcare Hickory House of Representatives Immigration k-12 legislation marriage mental health Mitt Romney Morrisville nc nc coast north carolina obamacare Pat McCrory Political Spending politics Polls Republicans science sea-level rise Senate Siler City teacher Walter Dalton What’s Cackalackin’
Source: whichwaync.com

Video: John Russell Explains “Medicare For All” To Protester Rep. Kathy Castor’s Office 21 August 2009

Understanding Medicare Secondary Payer

It is important to understand Medicare billing requirements which can be somewhat complex. Consider attending training events and opportunities. Providers must ensure that those responsible for preparing and submitting claims to Medicare are aware of proper submission guidelines and regulations. Knowing the answers to the following questions can help your billing process a lot easier.
Source: about.com

Breaking the Curve of Health Care Inflation

The new numbers should be factored into any discussion about healthcare spending:  From 2000 through 2009, Medicare’s outlays climbed by an average of 9.7 percent a year. By contrast, since the beginning of 2010, Medicare spending has been rising by less than 4 percent a year.” At the time I argued that while some of the decline might be attributed to the recession, it wasn’t the main cause of the slow-down. Since most seniors on Medicare are retired, the rise in unemployment had not had a major impact on their use of healthcare.  Unlike the rest of us, they were not losing their health insurance along with their jobs, and Social Security remained a stable source of income. Meanwhile younger Americans who depend on employer-based insurance were facing climbing co-pays and deductibles, but the out-of-pocket costs for Medicare patients were not rising rapidly.  The vast majority have supplemental “wrap-around” insurance in the form of Medigap or Medicare Advantage plans that, in many cases, reduces co-pays to zero. Thus, unlike Americans under 65, Medicare patients had far less reason to postpone doctors’ visits and elective procedures. 
Source: healthbeatblog.com

Prompt Action On Medicare Appeals Avoids Recoupment — Law Office of Deniza Gertsberg

If providers adhere to these time-frames, they would have filed a timely appeal but that alone would not prevent Medicare from initiating a collection of the overpayment amount. If providers act super timely, however, they can stop an offset at the first two levels while the appeal is proceeding.  That means that after receiving a determination of an overpayment amount provider must not wait the allotted 120 days to appeal but must appeal within 30 days. Similarly, to prevent recoupment at the second level of appeal, providers must appeal within 60 days and not wait to file within 180 days, if they want to avoid recoupment.
Source: gertsberg.com

Medicare fraud center opens in Baltimore

Sebelius spoke with three groups of staffers during her visit Tuesday. One group was responsible for developing computer models to query billing data for suspicious patterns; another in charge of investigating data generated by the computer models, looking for mistakes as well as real fraud; and a third handling coordination with law enforcement around the country. The staffers said they expect the coordination to cut the time it takes to investigate suspected fraud schemes from months to days and weeks.
Source: fyibehealthy.com

New Hampshire City Auditing Ambulance Service for Allegedly Overbilling

Recently, ambulance service companies have become the target of Medicare audits and are frequently accused of billing Medicare for unnecessary services. Medicare and Medicaid audits can result in overpayment demands reaching into hundreds of thousands of dollars and assessment of fines. Ambulance services were included in the Department of Health and Human Services (DHHS) Office of the Inspector General (OIG) work plan for fiscal year 2012 as an area that would be subject to scrutiny. Zone Program Integrity Contractors (ZPICs) and Recovery Audit Contractors (RACs) are launching audits of ambulance service providers and emergency medical transportation companies.
Source: wordpress.com

GAO challenges CMS on cost of removing Medicare SSNs

Which number is larger, 800 million or 13 billion? The answer is obvious. So are why these numbers meaningful for healthcare? According to the Department of Justice, the financial costs associated with identify theft totaled an estimated $13.3 billion. Between 2009 and 2012, the Department of Health and Human Services (HHS) reported more than 400 incidents of health data breaches affecting the protected health information of 500 or more patients, information that often includes a prime target of identify thieves — that, Social Security numbers (SSNs).  According to the Centers for Medicare & Medicaid Services (CMS), the cost to remove SSNs from Medicare cards in one of three ways numbers close to $800 million.
Source: ehrintelligence.com

Veronique de Rugy: The Facts about the Government's Medicare Cost Projections

This chart compares Congressional Budget Office long-term projections of the debt held by the public from 2010 with long-term projections calculated in 2007. In 2007, the CBO projected that the debt held by the public would surpass 60 percent in 2023. Note that this long-term projection incorporated policy changes that were deemed likely at the time. Using the same methodology last year, the CBO projected that the debt will exceed 60 percent of GDP by the end of 2010. In the three years between projections, the debt milestone has accelerated by 13 years. This unforeseen acceleration is worth careful consideration; as the government consumes more credit, less will be available to the private sector.
Source: reason.com

Miami Home Health Agency Owner Pleads Guilty in $42 Million Medicare Fraud Scheme

5010 ABC Home Health Care Inc. accountable care organizations Agency for Health Care Administration Barack Obama Bill Nelson Bobby Lolley Centers for Medicare & Medicaid Services companionship services exemption ContinuLink Copays Department of Health and Human Services Department of Justice Department of Labor Elizabeth Hogue F2F Fair Labor Standards Act Federal Bureau of Investigation Florida Home Health Care Providers Inc. Gentiva Health Services Health Care Fraud Prevention and Enforcement Action Team (HEAT) HH CAHPS Hilda Solis HIPAA ICD-10 In-Home Aides-Partners in Quality Care Independence at Home Demonstration Joe Biden Kathleen Sebelius Lisa Remington Marco Rubio Marilyn Tavenner Medicare Fraud Strike Force MedPAC National Association for Home Care & Hospice National Private Duty Association Office of the Inspector General Open Door Forum Palmetto GBA Pam Bondi Patient Protection and Affordable Care Act PECOS Rick Scott Super Committee Supreme Court
Source: hcafnews.com

Many use emergency room for primary care services

Posted by:  :  Category: Medicare

THE PEOPLES LEADER by SS&SSadvertisements affordable care act amendment one Barack Obama bill budget Campaign Finance college community college Democrats economy education elections environment Equality NC fracking Gay Rights General Assembly health care healthcare Hickory House of Representatives Immigration k-12 legislation marriage mental health Mitt Romney Morrisville nc nc coast north carolina obamacare Pat McCrory Political Spending politics Polls Republicans science sea-level rise Senate Siler City teacher Walter Dalton What’s Cackalackin’
Source: whichwaync.com

Video: Airport Assistence – New Horizon Medicare India

Horizon Health working towards hospice certification

Its mission is to provide healthy living options for people within the communities served by Horizon Health. Its vision is to positively impact the quality of life of older family members and neighbors living within the hometown they supported. Through careful planning and partnering, Horizon Health ensures access to healthy living choices all through life. Its vision is a senior friendly environment where community members will maintain active, healthy and independent lives.
Source: mcrecord.com

Horizon Medicare Advantage Blue Value with Rx

With more than 25 years of health plan experience, Deanna brings to SCAN a solid background in Medicare Advantage sales management, sales operations and marketing. Immediately prior to joining SCAN she served as corporate director of Medicare marketing for Molina Healthcare where she was instrumental in optimizing marketing, sales and enrollment operations. She has held sales leadership positions at several other large healthcare companies including PacifiCare Health Systems/Secure Horizons and Aetna. Source: pepperdine.edu
Source: medicaresupplementalco.com

Utah Medicare Plans….changes on the horizon?

Are there really changes on the horizon, did the recent legislation upheld by the Supreme  Court affect you. These are questions that I am afraid there are no current answers to at the moment, but I feel any and all changes to Utah Medicare rules and procedures will occur after the elections. As always we recommend you have a competent agent who specializes in Utah Medicare coverage to help answer your questions as they arise. Of course we are biased, but a good agent is always better than no agent.
Source: utahseniorservices.com

Horizon Medicare Advantage Blue Value with Rx

Please read through the full Horizon Medicare Blue Value with Rx HMO Summary of Benefits attached here for a more thorough review of the plan. I am also available to review this plan with you in a meeting if you wish. Due to marketing regulations, I have decided to list just the basics of the plan and but welcome appointments to discuss your full needs. Contact Mike at NewJerseyInsurancePlans
Source: newjerseyinsuranceplans.com

Boomers and Entitlements: The Next Round

• On Social Security I: There is a net-present-value shortfall of $8.6 trillion over the next 75 years, according to the Social Security actuaries. Let’s not pretend that this is chump change. The actuaries estimate that if Congress acts right away, they could close this shortfall by hiking payroll taxes by 21%, cutting benefits by 16%, or some combination of both immediately. Again, let’s not pretend this isn’t a ton of money. The payroll tax hike is close to $200 billion per year. In addition, every year Congress waits they have to reach that $8.6 trillion over a shorter time horizon. That means bigger tax increases or bigger benefit cuts. The only question, then, is when Congress fixes the problem and how much of the fix tilts toward benefit cuts versus revenue increases. Mr. Galbraith disagrees, but many believe it should be a balance between new revenue and cuts, and we should spread the solution over all 75 years, not a shorter time horizon. Many believe that people earning very high incomes should receive fewer benefits in retirement. Many believe that just as we gradually raised the retirement age in 1986 so that retirement ultimately reaches 67 by the next decade, we need to gently increase it again for those who are young today so that the amount of time that a typical person spends collecting Social Security stays constant – about 18 years. And many people think we should find solutions now so the next generation doesn’t have to do it alone.
Source: nytimes.com

Frankel to team up with Pelosi for Medicare forum in North Boca Monday

2010 campaigns 2010 elections 2012 campaigns Alex Sink Allen West Barack Obama Bill McCollum Bill Nelson BP Charlie Crist Dan Gelber Dave Aronberg Dean Cannon Deepwater Horizon education elections Florida House Florida Power & Light Florida Senate Florida Supreme Court FPL gambling gop2012 Jeff Atwater Jim Greer Joe Negron John Thrasher Kendrick Meek Marco Rubio Mike Haridopolos offshore drilling oil spill Pam Bondi PSC Public Service Commission Republican Party of Florida Republicans Rick Scott state agencies state budget State House State Senate stimulus U.S. Senate unemployment
Source: postonpolitics.com

Horizon Blues chooses family friend for non

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a not-for-profit health services corporation, providing medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving 3.6 million members with offices in Wall, Mt. Laurel, and West Trenton, N.J.
Source: ifawebnews.com

Health on the Horizon: To expand or not to expand……

In order to see these savings, states need to expand medicaid and set up the state based exchanges.  By doing this roughly 32 million more people will gain access to health insurance (17 million from the expansion of medicaid) and states will see significant savings from the decrease in the amount of uncompensated care that has been accrued from the uninsured/underinsured.  With the expansion of medicaid, the federal government will pay for 95% until 2019 and 90% in 2020 and beyond.  Even with the reduction in federal money, the study still projects that savings will outweigh costs for the state.  However, with the opening of the exchanges, those currently uninsured that will see the private insurance industry beginning to flip the bill through the new policies they will be purchasing.  Prior to reform, this tab was being picked up by state budgets, providers and increased premium costs ($900 a family in PA) from the insured.
Source: blogspot.com

Taxes – Looking Ahead at Taxes for Individuals

The Health Care Act On Thursday, June 28, 2012 the Supreme Court legitimized the Patient Protection and Affordable care Act (PPACA). The Court concluded that the mandate was a valid exercise of the Constitution’s tax clause which provides Congress the authority to tax. Individuals with household income in excess of $250,000 (married filing joint) or $200,000 (single) will see an increase in the total amount of taxes that they will owe. Some of the notable increases effective 1/1/2013 (unless otherwise noted) based on these threshold amounts are as follows:
Source: tonneson.com

Medicare Changes On The Horizon

There are the kinds of items that are called “Durable Medical Equipment” and must come from the new list of approved suppliers if you want to get them paid for by Medicare.: -Oxygen, oxygen equipment and supplies -Standard power wheelchairs, scooters, and related accessories -Complex rehabilitative power wheelchairs and related accessories -Mail order diabetic supplies -Enteral nutrients, equipment and supplies (tube feeding) -CPAP (Continuous Positive Airway Pressure) equipment and RAD (Respiratory Assist Device) and related supplies -Hospital beds and related accessories -Walkers and related accessories
Source: kesq.com

What’s Ahead for Medicare

First, the Medicare trust fund—which covers retiree’s hospital visits and is financed by the Medicare payroll tax—had been predicted to run short of funds in 1972, then in 1993, and recently in 2003.  It never did go broke because each time, Congress made small adjustments to the program to resolve the problem. The latest date given by the Medicare trustees says the trust fund will run short in 2024. While there is reason to be concerned about Medicare’s future, there’s no cause for panic.
Source: firstseniorfinancialgroup.com

Horizon BCBSNJ launches AskBlue and AskBlue Medicare

Medicare, the Blue Cross and Blue Shield Association’s interactive online tools. If your clients and their employees are experiencing layoffs or a loss of group coverage, your clients can direct their employees to AskBlue and AskBlue Medicare. These tools can help lead your clients and their employees to information about the individual health coverage that best matches their needs.
Source: benefitsdr.com

Horizon Blue Cross Blue Shield of New Jersey’s Medicare HMO and Commercial POS (Direct Access) Plans Receive “Excellent” Rating By NCQA

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a tax-paying, not-for-profit health services corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving more than 3.6 million members with headquarters in Newark and offices in Wall, Mt. Laurel, and West Trenton. Learn more at www.HorizonBlue.com
Source: pymnts.com

Medicare Is Not Without Costs

Posted by:  :  Category: Medicare

Romney's immigration plan by nordiqueThe best way to go forward if you are serious about preparing yourself for the future is to make no assumptions and get all of the facts directly from a licensed and experienced Indianapolis elder law attorney.  Once you understand your options your lawyer will assist you as you devise a cogent plan that leads to a comfortable and financially secure retirement.
Source: frankkraft.com

Video: What Does Medicare Cost?

Medicare and the President’s Deficit Reduction Plan: Shifting Costs to Seniors

To ensure that the costs of these services are not passed on to non-Medicare patients, Medicare currently reimburses providers for 70 percent of these bad debts after they make “reasonable and customary” attempts to collect. The President’s package would cut reimbursements to 25 percent, yielding $20.2 billion in savings from 2013 to 2021. Some argue that hospitals are not making a sufficient effort to track down Medicare beneficiaries who fail to meet their obligations. By covering 70 percent of their losses Medicare is making it too easy for them to sit back and wait from the check from the government. The catch is that this cost-saving strategy would have the greatest impact on hospitals that treat high numbers of low-income Medicare beneficiaries: safety-net hospitals and rural hospitals. As a result, some might not be able to offer all of the services that the nation’s most vulnerable Medicare beneficiaries need.
Source: healthbeatblog.com

How To Plan For Unexpected Mishaps When Traveling

A great tip for traveling is to go shopping for snacks and drinks for your lodging place in your hometown. This saves hundreds of dollars over the course of your travels because every time you stop to sleep in a hotel, the multiple trips to vending machines and the store located in the hotel that has frozen dinners and soups will leave you with a lighter wallet.
Source: medicarecost.net

Obama v. Ryan on controlling federal Medicare spending

Softdude, everybody that see’s the numerous post that you blog on all msnbc blogs that have anything to do politics see’s that you are just a democrat pundit in sheeps skin. You better wake up to reality that this country is BROKE. The insurance industry stands to make billions on the Obama Health Care Law. Take a look at his donor list. You will see that the insurance industry big boys account for 14% of Obama’s reelection monies. At what point do you believe that people should start taking care of themselves instead of relying on others. Is it really right to take from some to give to others ? If you believe this nonsense then let me know where you live and I will come over and just take what I want. Your democrats have opened the flood gates of socialism years ago and now we/you are going to pay the price. Your democratic/socialistic ideas do work in some countries but very few. And every one of those countries do not have a military to defend themselves and of the ones that do, their military accounts for such a small number that they would not even be able to defend themselves. Socialism will never work in our society. So lets bash capitalism. Yeah lets go after those guys. Why should they have something I want. I want it too mentality. Your democrats have ruined this country. Our financial situation is due to the frand/dodd amendment which gives everybody with the american dream a home. Well that worked well. Stop living in a utopia state of mind and you might be able to start seeing a reality.
Source: nbcnews.com

Mitt Romney On Health Care

Boston Globe:  Preston’s Blueprint Long before Mitt Romney unveiled his ambitious plan to provide health insurance to everyone in Massachusetts, he hired Ron Preston — “the best health and human services secretary in the nation,” as the governor once called him – to work on a plan to do in the Commonwealth what no other state has been able to do. Romney took the wraps off his vision in November 2004, and Preston, apparently no longer the best health and human services secretary in the nation, was nudged out by the next May.  Preston and a tight group from inside and outside the administration spent six months answering Romney’s basic question: Could it be done? Their answer: Yes, Massachusetts could insure all its residents. But how the Preston working group planned to do it differed, in critical aspects, from what Romney eventually proposed (Bailey, 1/11/06). 
Source: kaiserhealthnews.org

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

The Ryan/Romney Plan for Medicare is Crony Capitalism At Its Worst

Based on the CBO data provided, the waste far exceeds the savings to the government. Under traditional Medicare, the government is expected to spend about $6,600 in 2022 on a typical 65-year- old, and the beneficiary is expected to spend $4,600 (all numbers in 2011 dollars). Under the Ryan proposal, a voucher for the same 65-year old would cost the government $6,600, saving the government nothing. However, the total cost of purchasing Medicare-equivalent insurance would be $16,900 – more than 50 percent higher than the $11,200 spent by the government and beneficiary combined under traditional Medicare. The difference of $5,700 represents a gift to the private sector.
Source: eclectablog.com

[WATCH]: Preventive Care Coverage Under Medicare — UHC TV

Posted by:  :  Category: Medicare

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Source: comparehealthinsurance-tips-plus.com

Video: Ten Key Things About Medicare — UHC TV

Medicare vs. Universal Health Care: An Honest Question for the Right

1) I would recommend exploring ways to establish catastrophic care for extremely serious and expensive medical conditions. I would allow people to opt out of this with some very onerous requirements. This would be paid for via payroll taxes unless the fool opted out. 2) I would recommend people buy their own insurance that meets their needs for routine, non catastrophic care. I would choose a high deductible and low premiums and few frills. Others can get low deductibles, high premiums and all the frills they would like. I would allow any company to sell any policy that people will buy as long as the company is honest and has proper reserves. 3). I would encourage experimentation with guaranteed insurability and portability, so that people would not be harmed on their routine care premiums if their health status changed. 4). I would subsidize the poor and elderly and possibly the sickly so that they could purchase the underlying coverage policy and pay their deductibles. Catastrophe coverage would be free or cheap as they do not work much or at all.
Source: ordinary-gentlemen.com

Segmenting the Future of Health Care

OptumHealth typically deals with members aged 21-65 and are charged with helping them be healthier. OptumHealth also used Cambridge Group to develop their segmentation methodology, which incorporated numerous segmenting dimensions, including perceived health status, healthy lifestyle orientation, health care system usage, financial well-being, need for convenience, and more. They also landed on seven segments, ranging from the healthiest, “Assured Actives,” to the least healthy, “Overwhelmed.”
Source: stthomas.edu

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

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

Pennsylvania Medicaid earning its stripes

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSAlso, the provider must either be in the process of adopting, implementing, upgrading to or meaningfully using a federally-certified EHR system. If all qualifications are met, the providers have a standard incentive amount that is available to them each year they participate and the incentive amount for the hospitals is based on factors including their discharges and bed days. Medicaid provides up to $63,750 over six years (started in 2011). The payments are evenly distributed ($8,500 per year) after the first-year payment of $21,250.
Source: ehrintelligence.com

Video: State Takeover of Harrisburg, Medicare/Medicaid Funding [Pennsylvania Newsmakers]

COURT FOLLOWS PLAIN LANGUAGE OF RELEASE AND ORDERS DEFENSE TO RELEASE SETTLEMENT FUNDS, DESPITE OMISSION OF OUTSTANDING HOSPITAL BILL FROM FINAL DEMAND LETTER

On April 5, 2012, the plaintiff executed a release and agreed to settle the underlying case for $90,000. The release was boilerplate and included a hold harmless and indemnification provision whereby the plaintiff agreed to indemnify defendants for any claim brought by CMS.  The plaintiff forwarded the release to Medicare. On May 1, 2012, the plaintiff received a Final Demand Letter from the Medicare Secondary Payer Recovery Contractor (“MSPRC”). While this letter included a list of itemized payments made by Medicare on behalf of the plaintiff, it omitted any reference to an outstanding bill allegedly owed by plaintiff to Chester-Crozer Hospital. Medicare never made a payment on this medical bill, but the defendant refused to release the settlement money due to the fact that the Chester-Crozer Hospital bill might be processed by Medicare.
Source: themedicarespa.com

Broad And Pennsylvania: Protecting Medicare

July 30th, 1965- Lyndon Johnson signed Medicare into law. July 30th, 2012- A potential Romney Presidency could mark it’s end. Perhaps there is no sharper difference in this election than Romney’s adoption of the Ryan Budget, which turns Medicare into a voucher/out of pocket expense program. In essence, Romney is saying kill the program. As LBJ’s monumental achievement turns 47 years old, it’s under attack. We went from Harry Truman getting the first Social Security Card, to Mitt Romney trying to kill the program. This is why we fight.
Source: blogspot.com

Study shows over 25 percent of Medicare patients harmed while in hospital

The study, prompted as part of the Tax Relief and Health Care Act of 2006, sought to definitively determine the incidence rates of both adverse events and temporary harm events among Medicare beneficiaries. In order to accomplish this, the inspectors randomly selected 780 Medicare beneficiaries discharged from hospitals across the country during a one-month period (October 2008) and determined how many suffered some degree of harm while hospitalized.
Source: pittsburghpamedicalmalpracticeattorney.com

Feds ask Pa. about Medicaid roll drop

According to department numbers, the number of Pennsylvanians covered by Medicaid dropped by about 44,000 to 2.2 million in May from August, when the department aggressively stepped up eligibility reviews. The part that has particularly alarmed advocates for children and the poor is that the number of children covered by Medicaid dropped by 86,000 during that period after rising steadily in the prior years.
Source: timesleader.com

It’s Medicare’s Birthday and We’ll Campaign If We Want To

Further, Ryan and supporters of his plan note that Medicare as it’s structured now is headed straight for bankruptcy in the coming decades. By and large, Democrats have not avoided putting pen to paper on a comprehensive plan to pay for the program in the long term. It’s unlikely that a person turning 47 today could count on the program at current funding levels.
Source: politicspa.com

Pennsylvania Man Charged with Medicare Fraud in Ambulance Scheme

In recent years, and especially in 2012, ambulance services companies have become the target of Medicare audits and are frequently accused of billing Medicare for unnecessary services. Medicare and Medicaid audits can result in overpayment demands reaching into hundreds of thousands of dollars and assessment of fines. Ambulance services were included in the Department of Health and Human Services (DHHS) Office of the Inspector General (OIG) work plan for fiscal year 2012 as an area that would be subject to scrutiny. Zone Program Integrity Contractors (ZPICs) and Recovery Audit Contractors (RACs) are launching audits of ambulance service providers and emergency medical transportation companies.
Source: thehealthlawfirm.com

Health on the Horizon: To expand or not to expand……

In order to see these savings, states need to expand medicaid and set up the state based exchanges.  By doing this roughly 32 million more people will gain access to health insurance (17 million from the expansion of medicaid) and states will see significant savings from the decrease in the amount of uncompensated care that has been accrued from the uninsured/underinsured.  With the expansion of medicaid, the federal government will pay for 95% until 2019 and 90% in 2020 and beyond.  Even with the reduction in federal money, the study still projects that savings will outweigh costs for the state.  However, with the opening of the exchanges, those currently uninsured that will see the private insurance industry beginning to flip the bill through the new policies they will be purchasing.  Prior to reform, this tab was being picked up by state budgets, providers and increased premium costs ($900 a family in PA) from the insured.
Source: blogspot.com

The Centers for Medicare and Medicaid Website : Pennsylvania Law Monitor

Centers for Medicare and Medicaid Services now have a program to help prospective patients compare the quality of a variety of medical services. The website provides information about hospitals, doctors and nursing homes.  On this website you can compare medical services based on several criteria, including previous patients’ satisfaction. The purpose of the website is to foster improved patient care by providing the public with comparative statistics.
Source: stark-stark.com

Medicaid News: Federal Officials Question Drop In Pa.’s Rolls

Philadelphia Inquirer: Federal Agency Asking About The Sharp Drop In Pa.’s Medicaid Rolls Pennsylvania has dropped tens of thousands of people from its Medicaid rolls since last summer — and now the Obama administration wants to know if the state wrongly cut off those benefits. The federal agency that oversees how states administer Medicaid sent a letter last month to the Department of Public Welfare saying initial data showed 130,000 people, including 89,000 children, had been dropped from state Medicaid rolls between August and January. Those people were dropped, noted the federal Centers for Medicare and Medicaid Services, when DPW was struggling with a backlog, leaving it unable to sort through all the information people had submitted in efforts to qualify for the benefit (Couloumbis, 7/12).
Source: kaiserhealthnews.org

Senior Benefit Services, Inc.

American Continental Insurance Company announced that there will be an increase on their Medicare Supplement plans A, B, F, HD F, G, and plan N in the state of Pennsylvania. For existing ACI Medicare Supplement policyholders enrolled in a 2010 MIPPA Plan the rate increase will become effective on the policy holder’s next Policy Anniversary Date that occurs on or after June 1, 2012.  
Source: srbenefit.com

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

Posted by:  :  Category: Medicare

Running Amok Again by elycefeliz[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

Video: Structured Medicare Set Aside

CMS Update: User Meetings, GAO Report, and Recertification Requirement

CMS implemented a recertification requirement for all responsible reporting entities (RREs). Every year, the authorized representative of each RRE must certify information found on the CMS profile. The schedule for recertification is based on the original registration date. CMS requires insurers to respond within 30 days of receiving the recertification request. Failure to respond will result in discontinued status for the RRE. CMS won’t process any quarterly report files until the RRE recertifies the profile information. You should confirm that CMS has accepted your recertified profile.
Source: business2community.com

National Alliance of Medicare Set

It is a federal statute establishing that Medicare is the payer of last resort when a Medicare recipient is injured. Medicare’s responsibility to pay for the medical bills arising out of the injury is secondary to the party responsible for the injury. When the injured plaintiff recovers an award from a lawsuit or settlement, Medicare must be reimbursed for the portion that was for past medical expenses and set aside the portion for expected future medical expenses.
Source: oasislawfirm.com

Proposed Changes to Medicare Set

The Government Accountability Office (GAO) released a report on these problems in March of this year. According to the GAO, the average processing time for set-aside proposals went from 22 days in April 2010 up to 95 days in September 2011, which of course delayed case resolutions (CMS officials stated that they’d like to be able to wrap up reviews in 45 days). The report further stated that a backlog was created by a marked increase in submissions from 2008 to 2011, along with a change in the data system that slowed the process overall. It was noted that submissions that were ineligible altogether jumped in number significantly (by 148 percent) and this created a further backlog.
Source: georgiaworkerscompensationlawyerblog.com

Solos, Structured Settlements, & Medicare Set

Solo attorneys need to know what is happening in the structured settlement industry for a more successful practice.  New Solo host, Attorney Kyle R. Guelcher, a solo practitioner looks to the experts, Ringler Associates Consultant Peter Early, and Vincent Polinsky, Director of Operations at Ringler Medicare Solutions, to explain the evolving role of the structured settlement consultant today. Hear the discussion about the advantages of a Medicare Set-Aside, and the benefits overall to your client’s settlement.
Source: legaltalknetwork.com

Why Many Find the Medicare Set

Like most governmental programs, most everyone involved in Medicare set-aside arrangements as they pertain to Workers’ Comp probably end up confused and anxious. The process, which allocates a portion of a worker’s settlement from Workers’ Comp to go toward future medical expenses can be very complex even for those who are regularly involved in it. Should there be a failure to give Medicare notice of a settlement, steep penalties could result. Further, Medicare is not allowed to make payments which are legally the responsibility of another party. Worst of all, the injured employee could find themselves ineligible for Medicare if all issues were not dealt with properly when the settlement occurred. It is recommended that a set-aside agreement be engaged in which takes a percentage of the settlement from Workers’ Comp for impending medical expenses; once this amount is gone—and accounted for—Medicare will kick in for the injured employee.
Source: joshilaw.com

Medicare and Medicaid Insurance

Posted by:  :  Category: Medicare

Medicare for All! by juhansonin(1) Will Medicare and social security for seniors stay in place when you are elected? I nursed during the years health ins. AndMONEY gave priority to care. Most of my patients were POOR. As a nurse seeing these patients with the least attention – most DIED . It was heart breaking! Needless to say, when Pres. Johnson signed the Medicare Bill, I said ‘thank you Lord “.It’s heart breaking to see history repeat itself. Should Medicare and Soc. security be scrubbed I will be among the poor. Untreated seniors even though I worked for min. wage , and less for over thirty (30) yes. My husband and I worked long, hard hrs., saved what we could-put our adopted baby (son) through college and Seminary with no Gov. help. Needless to say, at the age of eighty (80) we live a frugal lifestyle hoping and praying those with financial security will will have some understanding about the “haves and have-nots”. Too, I would like to add: we have never taken anything such as Welfare or anything from our Gov., but we certainly don’t want to be dependent or worse yet be like the people I described in the first of my letter.
Source: lettertobarackobama.com

Video: Compare Medicare Supplement Plans | Supplemental Medicare Insurance

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: professional-article-marketing.com

Misleading Mitt misguided on Medicare

But there’s a larger context to all of this. Greg Sargent explained, “This is all about muddying the waters in advance of a debate that could cut badly against Romney. The GOP primary forced him to embrace Ryancare; Dems are going to hammer him over it. So the Romney camp is trying to get out front by blurring lines and sowing confusion over who actually is defending traditional Medicare and who would end the program’s fundamental mission as we know it. The question is whether this, too, will be treated as just part of the game.”
Source: msnbc.com

Health care court ruling could paralyze Medicare

Last year, 3.6 million seniors hit the gap and saved a collective $2.1 billion due to the health care law, according to the U.S. Department of Health and Human Services. In the first four months of 2012, more than 416,000 people saved an average of $724 on prescription drugs bought after they hit the cap, for a total of $301.5 million. Last year, 3.6 million seniors entered the gap and saved $2.1 billion, the health department says.
Source: msnbc.com

DownWithTyranny!: Ryan Lizza Is So Serious That He Wrote A Billion Word New Yorker Piece On Paul Ryan Without Once Using The Word “Sociopath”

trillions and trillions of wasted dollars. You can almost hear Lizza weeping for his suffering. And then he kicks into the major fluffing he’s so beloved for around DC. Unlike most members of Congress these days, Ryan is relatively accessible to reporters. “The key to understanding me is really simple,” he said. “I am not trying to be anybody other than who I actually am.” Even his ideological foes comment on his friendliness and good nature. After his sophomore year in high school, back in 1986, he worked the grill at McDonald’s. “The manager didn’t think I had the social skills to work the counter,” he said. “And now I’m in Congress!” Last night Ken, contrasting Ryan’s miserable sociopathy to the Great Society’s enacting of Medicare in 1965, remarked– unprompted– that Lizza’s puffery was an embarrassingly toadying paean to the increasingly egregious Paul Ryan. “[T]he piece reads as if it came straight out of Frankenryan’s PR shop. It’s pretty much PRyan’s own view of himself and the world he lives in, faithfully transcribed by RyanL as if it were true.” Ken and I and Chuck Schumer and Nom Coleman and Bernie Sanders all went to James Madison High School so most of us are pretty much on the same page here. Ken was excited to find the inevitable Ayn Rand walk-on: His father’s death also provoked the kind of existential soul-searching that most kids don’t undertake until college. “I was, like, ‘What is the meaning?’ ” he said. “I just did lots of reading, lots of introspection. I read everything I could get my hands on.” Like many conservatives, he claims to have been profoundly affected by Ayn Rand. After reading Atlas Shrugged, he told me, “I said, ‘Wow, I’ve got to check out this economics thing.’ So we have a budget written by a cretin who was inspired by someone who brags about her utter contempt for Jesus Christ’s and his message and everything that’s even remotely beneficial about religions. And as Ken points out, “He read and read and read, and managed never to get deeper into ‘this economics thing’ than the cartoon world of his beloved Ayn.” Ken also found the what might pass as the soul of the piece, or the punchline: When I pointed out to Ryan that government spending programs were at the heart of his home town’s recovery, he didn’t disagree. But he insisted that he has been misunderstood. “Obama is trying to paint us as a caricature,” he said. “As if we’re some bizarre individualists who are hardcore libertarians. It’s a false dichotomy and intellectually lazy.” He added, “Of course we believe in government. We think government should do what it does really well, but that it has limits, and obviously within those limits are things like infrastructure, interstate highways, and airports.” But independent assessments make clear that Ryan’s budget plan, in order to achieve its goals, would drastically reduce the parts of the budget that fund exactly the kinds of projects and research now helping Janesville. “Um, oops!,” he offers. “…[T]his is the man who would at least like to be thought of as the brains, economically speaking, of the House Republican caucus. It’s my understanding that PRyan is a lot less popular among House Republicans than RyanL seems to think. Nevertheless, it remains entirely possible, given sufficiently disastrous 2012 election results, that a Republican-controlled White House and Senate as well as House could shove into law some version of PRyan’s economic ‘reforms.’ If there’s anyone who isn’t terrified by that possibility, I don’t know what it would take.” At this point, I have to urge all of our readers to take seriously the possibility of helping us defeat PRyan and replacing him with sincere progressive Rob Zerban. You can do your bit here Jonathan Berstein, sitting in yesterday for Greg Sargent on the Washington Post was also charmed by the “As if we’re some bizarre individualists who are hardcore libertarians” line and pointed out the fatal flaw, RyanL seems to have missed, that PRyan “wants to have it both ways, and far too many deficit hawks let him. Ryan has sold his budget on the basis of deficit fears. Lizza reports that Ryan and other Republicans successfully sold the Ryan plan as the ‘only solution’ to avert fiscal armageddon.” But Ryan’s budget doesn’t do that– it isn’t any kind of solution to budget deficits at all– unless it does what its own numbers inescapably say it will do and completely eliminates the entire federal government except for the military, Social Security, and health programs. If he really does, contrary to what his budget says, want to keep “infrastructure, interstate highways, and airports” along with veterans’ programs, the FBI, the border patrol, and all the other things that the federal government does now– well, then the deficits remain. And that’s not to mention that Ryan and Mitt Romney also support an entirely unrealistic tax “reform” plan that amounts to huge, specified tax rate cuts that would help the rich and vague, unspecified plans to end many tax credits and deductions, something that’s very unlikely to actually happen since those provisions are extremely popular. Ryan’s budget leaves all the pain until after the election– pain that’s only necessary in order to achieve the low tax rates, especially on the rich, that Ryan and other Republicans deem essential. Either Ryan’s fiscal vision really would dramatically cut government, or his numbers don’t add up. In short, Ryan is either a radical or a fraud. A reminder? Rob Zerban.
Source: blogspot.com

Rewriting Romney’s lie on Medicare

Mitt Romney has signed onto a Medicare plan, advanced by Congressman Paul Ryan that turns it into a voucher program where the government gives you a voucher and wishes you luck in the health care market place. As Romney’s handlers now know, their embrace of the “Ryan plan” will destroy the Romney campaign in a general election against President Obama, especially in Florida.
Source: msnbc.com

Ryan: Democrats ‘shamelessly’ demagogue Medicare

Rep. Ryan: “If you can scare seniors into thinking their current benefits are being affected, that’s going to have an effect. And that is exactly what took place here. So yes, it’s demagoguery; it’s scaring seniors…People in the Republican Party are nervous because of those ads. Because demagoguery unfortunately has worked in the past. But I think people are getting tired of it.”
Source: msnbc.com

CMS: Doughnut Hole Provision In Health Law Has Saved Seniors $4B

Posted by:  :  Category: Medicare

New Online Rx System Makes UM Student 'Top Entrepreneur' Finalist by University of Maryland Press ReleasesCQ Healthbeat: CMS Releases New Donut Hole Numbers The Obama administration continues to tout the impact of the health care overhaul on Medicare recipients who have up to now fallen into the prescription drug coverage gap. Out Wednesday with new figures, the administration says that in the first half of the year, more than 1 million beneficiaries have saved an average of $629 on their medicine. Since the law was passed in 2010, officials said, more than 5.2 million seniors and people with disabilities have saved more than $3.9 billion on prescription drugs. Under the law, the so-called Part D donut hole is gradually being closed — first with a rebate check, then drug discounts. The Centers for Medicare and Medicaid Services says the coverage gap for brand name and generic drugs will be eliminated by 2020 (7/25).
Source: kaiserhealthnews.org

Video: Rally to Stop the Cuts to Social Security, Medicare and Medicaid

15 new Medicare ACOs getting advance payments

Designed for smaller ACOs with less capital, the program aims to attract providers with payments to be repaid in the future, CMS noted in a fact sheet. The Advance Payment Model also tests whether upfront payments will allow ACOs to improve care for beneficiaries and generate more Medicare savings more quickly.
Source: fiercehealthcare.com

Thirteen States, Including IL, FL, CA, See Opportunity to Make Medicaid Cuts

While the decision did not specifically state so, some state level officials have interpreted the lifting of the Medicaid expansion requirement as the lifting of the PPACA-imposed prohibition from altering their Medicaid eligibility requirements. Wisconsin has already changed its policy to deny Medicaid coverage to non-pregnant adults who are both offered affordable employer-sponsored coverage and have an income that exceeds 133 percent of the federal poverty level (FPL). Some adult recipients must also be responsible for paying new or increased monthly premiums. Wisconsin officials estimate these changes will save the state around $28.1 million.
Source: wolterskluwerlb.com

Medicare Formally Announces Partnership to Combat Use of Antipsychotic Medications as “Chemical Restraints” in Nursing Home Residents Suffering from Dementia :: Maryland Nursing Home Lawyer Blog

We have followed the effort to reduce use of antipsychotics for some time at the Maryland Nursing Home Lawyer Blog. The group of drugs known as “antipsychotics” includes “atypical antipsychotics” like Abilify, Seroquel, and Zyprexa; and older “typical antipsychotics” like Haldol and Thorazine. Concern over the issue goes back at least as far as 2005, when the U.S. Food and Drug Administration (FDA) issued a warning to doctors about risks from antipsychotic medications to dementia patients, including an elevated risk of dying from pneumonia or heart attacks. A report from the Department of Health and Human Services (HHS) released in 2011 found that up to one in seven nursing home residents received an “atypical” antipsychotic in 2007, and that almost ninety percent of the antipsychotic prescriptions issued to nursing homes that year were for dementia patients. CMS first announced its new initiative during a webcast on March 29, 2012, and it followed up with a formal launch on May 30.
Source: marylandnursinghomelawyerblog.com

15 New Medicare ACOs to Participate in Advance Payment Model

CMS has announced that 15 of the 89 new accountable care organizations participating in the Medicare Shared Savings Program will also take part in the Advance Payments ACO Model. The Advance Payment Model is designed for physician-based and rural ACOs that may have less access to capital. Participants will receive upfront monthly payments from CMS, which they can use to make investment in care coordination infrastructure. Organizations that wish to participate in the model must also apply for the MSSP for consideration. Including the newly announced, a total of 20 ACOs now participate in the Advance Payment Model. Here are the 15 new Medicare ACOs taking part in the Advance Payment Model:
Source: beckersasc.com

How The Hilltop Institute at the University of Maryland, Baltimore County is working with Medicaid to analyse healthcare intelligence and present it online in an easy

Formed in 1994 in following a unique collaboration with the Maryland Medicaid program The Hilltop Institute at the University of Maryland, Baltimore County is a non-partisan health research organization with an expertise in Medicaid and in improving publicly financed health care systems. The Hilltop Institute conducts research, analysis, and evaluations on behalf of government agencies, foundations, and nonprofit organizations at the national, state, and local levels. The Hilltop Institute is committed to addressing complex issues through informed, objective, and innovative research and analysis.
Source: wordpress.com

House moving to kill key provision in ‘Obamacare’

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS2. Overseas, care is rationed through limited choices or long lines. Generally, no. Germans can sign up for any of the nation’s 200 private health insurance plans — a broader choice than any American has. If a German doesn’t like her insurance company, she can switch to another, with no increase in premium. The Swiss, too, can choose any insurance plan in the country. In France and Japan, you don’t get a choice of insurance provider; you have to use the one designated for your company or your industry. But patients can go to any doctor, any hospital, any traditional healer. There are no U.S.-style limits such as “in-network” lists of doctors or “pre-authorization” for surgery. You pick any doctor, you get treatment – and insurance has to pay. Canadians have their choice of providers. In Austria and Germany, if a doctor diagnoses a person as “stressed,” medical insurance pays for weekends at a health spa. As for those notorious waiting lists, some countries are indeed plagued by them. Canada makes patients wait weeks or months for nonemergency care, as a way to keep costs down. But studies by the Commonwealth Fund and others report that many nations — Germany, Britain, Austria — outperform the United States on measures such as waiting times for appointments and for elective surgeries. In Japan waiting times are so short that most patients don’t bother to make an appointment. One Thursday morning in Tokyo, I called the prestigious orthopedic clinic at Keio University Hospital to schedule a consultation about my aching shoulder. “Why don’t you just drop by?” the receptionist said. That same afternoon, I was in the surgeon’s office. Dr. Nakamichi recommended an operation. “When could we do it?” I asked. The doctor checked his computer and said, “Tomorrow would be pretty difficult, perhaps someday next week?” 3. Foreign health-care systems are inefficient, bloated bureaucracies. Much less so than here. It may seem to Americans that U.S.-style free enterprise — private-sector, for-profit health insurance – is naturally the most cost-effective way to pay for health care. But in fact, all the other payment systems are more efficient than ours. U.S. health insurance companies have the highest administrative costs in the world; they spend roughly 20 cents of every dollar for nonmedical costs, such as paperwork, reviewing claims and marketing. France’s health insurance industry, in contrast, covers everybody and spends about 4 percent on administration. Canada’s universal insurance system, run by government bureaucrats, spends 6 percent on administration. In Taiwan, a leaner version of the Canadian model has administrative costs of 1.5 percent; one year, this figure ballooned to 2 percent, and the opposition parties savaged the government for wasting money. The world champion at controlling medical costs is Japan, even though its aging population is a profligate consumer of medical care. On average, the Japanese go to the doctor 15 times a year, three times the U.S. rate. They have twice as many MRI scans and X-rays. Quality is high; life expectancy and recovery rates for major diseases are better than in the United States and yet Japan spends about $3,400 per person annually on health care; the United States spends more than $7,000.
Source: nbcnews.com

Video: What Does Medicare Cost?

LeadingAge: Medicare and Medicaid: Slower Growth in Spending Forecast

Some of that decline, we believe, resulted from state cutbacks in services that low-income people need and have trouble getting due to inadequate provider rates. Some of the decline in spending appears to reflect real program enhancements such as a clear shift toward more home- and community-based services, while “institutional” use holds steady or declines.
Source: leadingage.org

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

Medicare Part B Premium Costs In 2010

Commonwealth of Pennsylvania treasury DePartment2009 UNCLAIMED PROPERTY ANNUAL REPORTINGBT ERM . Mc CAT ETREASURPropertyER2008ROForORDSTCommonwealth of Pennsylvania Treasury Department Harrisburg, Pennsylvania 17120The Pennsylvania Treasury Department is committed to increasing volun.
Source: propdfsearch.com

Medicare Is Not Without Costs

The best way to go forward if you are serious about preparing yourself for the future is to make no assumptions and get all of the facts directly from a licensed and experienced Indianapolis elder law attorney.  Once you understand your options your lawyer will assist you as you devise a cogent plan that leads to a comfortable and financially secure retirement.
Source: frankkraft.com

Payroll Taxes Cover About a Third of Medicare Costs

But 94% of seniors pay a considerable extra increment above these numbers for their health care. In addition to the Part B premium noted in the article and out of pocket costs primarily for annual physicals, vision and dental services (which are mostly not covered by Medicare), many seniors pay for an employer sponsored retiree healthcare insurance plan, a large group pay extra for a Part C Medicare plan, about 15%-20% buy a private Medicare supplement policy (commonly called Medigap), a small percentage are in the VA system, and about 10%-20% of us have to apply for welfare.
Source: dmarron.com

Medicare more satisfactory than other coverage

Elderly beneficiaries enrolled in Medicare plans are more satisfied with their health insurance, have better access to care and are less likely to have problems paying medical bills than people who get insurance through employers or who purchase coverage on their own, according to a study. Researchers also found that beneficiaries enrolled in private Medicare Advantage plans are less satisfied with their insurance than those with a traditional Medicare plan, and are more likely to experience access problems. In the study, conducted by researchers with the Commonwealth Fund and published July 18 on the website of the journal Health Affairs, only 8% of Medicare beneficiaries rated their insurance as fair or poor, compared with 20% of adults with employer insurance and 33% who purchased individual insurance on their own. As the federal government weighs proposals to cut Medicare spending, the analysis, based on results from The Commonwealth Fund Biennial Health Insurance Survey of 2010, suggests shifting Medicare beneficiaries into private plans could put the elderly at greater risk for not getting needed healthcare and being less satisfied with their insurance. The researchers found that Medicare beneficiaries have better access to care and greater financial protection than adults with private coverage. In 2010, 23% of Medicare beneficiaries went without needed healthcare because of costs, compared with 37% of those with employer coverage. Adults with employer-based insurance (39%) and individual insurance (39%) reported medical bill problems at almost double the rate of Medicare beneficiaries (21%). Although healthcare access and medical bill problems worsened for adults with all types of coverage over the past decade, according to the study, Medicare continued to provide better coverage during that period. The researchers found that those with individual and employer-based coverage were far more likely than Medicare beneficiaries to incur high out-of-pocket costs. Of elderly adults with Medicare, 29% reported spending 10% or more of their income on medical costs, compared with 37% of adults with employer-based insurance and 58% with individual insurance. Only 13% of Medicare beneficiaries were unable to pay for basic necessities such as food or rent or used up all their savings to cover medical bills, compared with 27% of adults with employer-based insurance and 33% with individual insurance. Medicare Advantage Within Medicare, satisfaction rates differed depending on whether beneficiaries were enrolled in traditional Medicare plans or in Medicare Advantage plans offered by private insurance companies. Of elderly people with Medicare Advantage, 15% rated their insurance as fair or poor, compared with only 6% of those with traditional Medicare coverage. The researchers also found that although Medicare Advantage enrollees were less likely to spend 10% or more of their income on premiums and out-of-pocket costs, they were more likely to report cost-related access problems than elderly adults with traditional Medicare. Of beneficiaries with Medicare Advantage, 32% reported at least one access problem due to cost, compared with 23% of those with traditional coverage. The authors said that finding may in part reflect Medicare Advantage beneficiaries