Study: Nearly A Third Of Doctors Won’t See New Medicaid Patients

Posted by:  :  Category: Medicare

New Jersey Medicaid officials acknowledge the lack of physician participation is a problem, but said the recent move to enroll nearly all Medicaid recipients into private managed care plans “should reverse the trend,” said Nicole Brossoie, spokeswoman for the New Jersey Department of Human Services which oversees Medicaid.
Source: kaiserhealthnews.org

Video: Does Medicare Pay for Home Care in Parsipanny NJ?

Morning News Digest: August 9, 2012

Expungement refers to the process whereby criminal records such as complaints, warrants, arrests, and convictions are withdrawn from public access. Although the records are not permanently destroyed and remain available to the courts, prosecutors and probation officers, the criminal proceedings are “deemed not to have occurred” for most purposes. Most importantly, the individual is no longer required to answer “yes” when asked about a criminal record on an application for employment, an apartment, or professional licensure.
Source: politickernj.com

Home Care in Burlington NJ

At some point or another, many of us will either need to consider home health care for ourselves or for a loved one. Choosing home health care may be an easy choice for some, since it allows the person to remain in their own home and continue a certain level of autonomy while providing the attention and health care necessary. However, there are many other details included when it comes to implementing a home health care system.
Source: assistedlivinginhomecare.com

New Jersey physical therapy assistant be charged with Medicare fraud

All these activities may result in charges  related to participating in a Medicare fraud  scheme,  including bribery, health care fraud, falsifying  medical records, and various conspiracy charges. In order  to prove their case, the prosecution will have to show that the physical therapy assistant knew  the information  he provided was false, or that the  forms he signed contained false information and would be used to fraudulently  bill Medicare. It is not a defense for a physical therapy assistant to  claim that he was just doing what his  bosses  told him to, if he knew that he was actively participating in fraud.
Source: nj-criminallawyer.com

Senior Benefit Services, Inc.

Effective March 01, 2012, on New Business and April 1, 2012 on Inforced Business United of Omaha 2010 Modernized Medicare Supplement (policies effective on or after June 1, 2010) in New Jersey will be having a Rate Increase on Plans A, C, F, G, and M.
Source: srbenefit.com

physical Therapy Software Can get ready You For Medicare Audits

Therapy clinics that have been on the fence about  transitioning from paper based documentation to an electronic curative records ideas should get on board in 2009.  A good physical therapy software solution will enable clinics to overcome, and continue to thrive in the face of such government regulations. Faultless and accurate clinical documentation is the key to meeting Medicare requirements and a good therapy software program that is integrated with billing is the best solution.
Source: blogspot.com

Samaritan Healthcare & Hospice Announces Thrift Store Opening, Manager

Samaritan Healthcare & Hospice ─ a not-for-profit, non-sectarian organization ─ is the regional leader for palliative medicine, hospice care, geriatric care management, grief support and counseling and end-of-life education and advocacy. These Samaritan programs provide a range of services available throughout the course of an illness and beyond. Samaritan provides care for people in Atlantic, Burlington, Camden, Gloucester and Mercer counties who are coping with elder care issues, serious illness, and/or grief. Generous community support last year funded $1.25 million in essential, yet non-reimbursed, services over-and-above Samaritan services covered by Medicare, Medicaid, VA and commercial insurers.  For more information, visit www.SamaritanHealthcareNJ.org
Source: patch.com

No Medicare Drug Plan Cost Increases For Seniors In 2013

Posted by:  :  Category: Medicare

Bubbles? Take something like 'Not I! ...item 1.. Wakulla Republicans Protest Against Taxes in the County (September 06, 2011) ... by marsmet552The Associated Press: Gov’t: Medicare Drug Plan Premiums Stable For 2013 It’s an economic indicator of sorts for seniors: The Obama administration says the average premium for basic Medicare drug coverage will stay the same next year, $30 a month. That’s the third year in a row of little or no change. In addition, Medicare recipients with high prescription costs are saving an average of $629 apiece thanks to a provision of the new health care law that gradually eliminates a coverage gap called the “doughnut hole.” There is a caveat on premiums. Because the number is an average, some beneficiaries may see their monthly cost go up, while others get a decrease (8/6).
Source: kaiserhealthnews.org

Video: Joining a Medicare Plan – 2011

2013 Medicare Drug Plan Premiums Will Be Similar To This Year — On Average

“Some folks won’t have access to plans at this price,” said Joe Baker, president of the Medicare Rights Center, a consumer advocacy group. “The bigger issue is that seniors have too much choice, or too much non-meaningful choice.” Seniors, he said, “tend to go for lower premiums, which look more affordable, but they can be surprised when their drug isn’t in the formulary.”
Source: kaiserhealthnews.org

Medicare Advantage Grows; But Not Without Government Help

The net result, encouraging more plans to compete in the Medicare market, is not actually in the best interest of seniors. In a study published last month in Health Affairs, researchers found that too many choices with too little guidance can be overwhelming for Medicare enrollees, especially the growing proportion that is experiencing cognitive difficulties. “Our study suggests that the Medicare Advantage program presents an overabundance of choices for many elderly beneficiaries,” the researchers write. “Medicare Advantage plans currently compete for enrollees through the benefits they offer and the premiums they charge, but elderly beneficiaries with low cognitive function were not responsive to changes in these features.” The implication, according to Health Affairs, is that these “unresponsive” seniors may buy into plans not well suited to their needs, allowing private insurers to profit “by offering less-generous coverage or reducing benefits while still attracting or retaining enrollees with limited cognitive abilities.”
Source: healthbeatblog.com

'''''Social Security Point of Zero Return

taxes and benefits for people turning 65 in different decades. The lifetime value of taxes is based on the value of accumulated taxes paid, as if those taxes were put into an account that earned an annual 2 percent interest rate, plus inflation. The examples are for a married couple in which both spouses earned average wages ($43,500 in 2011). Projected benefits assume that both spouses have average life spans after turning 65. Want more benefits? Live longer.
Source: georgia-medicareplans.com

Say Anything FactCheck.org Finds Democrat Ads Targeting Rick Berg Something Less Than Truthful

The North Dakota ad goes after Republican Rep. Rick Berg for voting in support of Rep. Paul Ryan’s two most recent budget proposals, which included plans for a major overhaul of Medicare. Berg supported the budgets, which were proposed by Budget Committee Chairman Ryan. But Majority PAC uses an out-of-context quote from the Wall Street Journal to claim the Medicare plan would “essentially end Medicare.” The Journal actually said the 2011 plan would “essentially end Medicare … as a program that directly pays those bills,” some vital wording that this ad — and several other Democratic attack ads — conveniently leaves out.
Source: sayanythingblog.com

Low cognitive ability impairs enrollment in Medicare supplemental plans

Because traditional Medicare leaves substantial gaps in coverage, many people obtain supplemental coverage to limit their exposure to out-of-pocket costs. However, some Medicare beneficiaries may not be well equipped to navigate the complex supplemental coverage landscape successfully because of their lower cognitive ability or numeracy—that is, the ability to work with numbers. We found that people in the lower third of the cognitive ability and numeracy distributions were at least eleven percentage points less likely than those in the upper third to enroll in a supplemental Medicare insurance plan. This result means that many Medicare beneficiaries do not have the financial protections and other benefits that would be available to them if they were enrolled in a supplemental insurance plan. Our findings suggest that policy makers may want to consider alternatives tailored to these high-need groups, such as enhanced education and enrollment programs, simpler sets of plan choices, or even some type of automatic enrollment with an option to decline coverage.
Source: pnhp.org

DownWithTyranny!: Paul Ryan’s Quest To Destroy Medicare And Social Security Is Coming To A Head

Buzz is heating up again that Romney’s hail Mary pass in his failing presidential campaign may be to pick Ayn Rand fanatic Paul Ryan as his running mate. Right wing propagandist Byron York reminds GOP zombies that “The heart of Ryan’s plan– controlling the terrifying growth of federal spending by transforming Medicare– isn’t at the heart of Romney’s agenda.” Romney doesn’t emphasize overhauling Medicare in his stump speech, either. Creating jobs, getting the economy moving again– those are the points he hits over and over and over.  Yes, Romney talks about bringing federal spending under control. But Ryan-like plans to curb entitlement spending? That’s just not something Romney emphasizes. That would likely change if Romney picks Ryan. Should that happen, the Ryan plan would immediately become a far bigger part of the Romney campaign that it is now– it would, in fact, move to the top of the Romney agenda. That’s something that unnerves a number of Republicans. They respect Ryan and the work he has done, but they worry that putting him on the presidential ticket would brand the Republican party as the party of austerity at a time when more voters are more concerned about job creation than budget cutting. Of course, Democrats are going to bash Romney on spending cuts and Medicare reform regardless of what he does. Since that is inevitable, say Ryan supporters, why not put the plan’s most articulate defender, Paul Ryan himself, on the ticket? One reason would be that Mitt Romney has shown no inclination to make the Ryan plan the centerpiece of his campaign. Perhaps that’s what he’s planning– perhaps he planned all along to run on jobs until mid-August, only to pivot to entitlement reform for the rest of the campaign.  But that’s not likely. Probably not but… all those Republican “jobs” plans do virtually nothing about creating jobs. That’s not just my opinion; that’s what most economists say. For almost a year, House Speaker John Boehner (R-Ohio) and House Majority Leader Eric Cantor (R-Va.) have plugged their jobs package at every opportunity. They regularly bring it up at press events, during floor speeches and in statements in response to just about anything related to the economy. Boehner even carries around in his jacket pocket a 4-by-8-inch card that lists off their jobs bills, and he encourages his members to flash their cards at campaign events. …The GOP jobs package, which currently includes 32 bills, represents Republicans’ hallmark legislative accomplishment over the past two years. In the months ahead of the election, they will lean on it as proof of two things: that they are not the do-nothing obstructionists that Democrats paint them as, and that they are working hard to address the 8.2 percent unemployment rate. But there’s a problem with their jobs bills: They don’t create jobs. At least, they won’t any time soon. In interviews conducted by The Huffington Post with five economists, most said the GOP jobs package would have no meaningful impact on job creation in the near term. Some said it was not likely to do much in the long term, either. “A lot of these things are laughable in terms of a jobs plan that would produce noticeable improvements across the country in the availability of employment in the next four or five years,” said Gary Burtless, a senior economist at Brookings. “Even in the long run, if they have any effect all, it would be extremely marginal, relative to the jobs deficit we currently have.” Mark Zandi, the chief economist at Moody’s Analytics, agreed that the bills would have almost no effect on job creation in the short term, though he was slightly more optimistic about their long-term prospects. “These kind of changes will matter over a period of three to five years,” Zandi said. “It takes that long before businesses can digest changes and respond to them.” He noted, though, that legislation as narrowly targeted as the Republican package is unlikely to do much for real job creation. “For it to show up in a meaningful way in the natural economy, you can make specific changes that could affect a specific industry or a few companies, but it’s not going to make a big difference in terms of the monthly job numbers,” Zandi said. “It takes some very significant changes across lots of different industries to really make a big difference.” Carl Riccadonna, a senior economist at Deutsche Bank, said some of the bills could create jobs, but that they would amount to more of an afterthought in terms of achieving broader policy goals. “They are very narrowly targeted, and it gives the impression that maybe some of this is special interest really pursuing these, not really taking a macro view but a very, very micro focus in what the impact would be,” Riccadonna said. For most of the bills in the package, “jobs are a second- or third-order effect, not the main priority.” At the heart of the GOP jobs package is a push for rolling back regulations– and gutting environmental laws that regulate clean air and water– to spur job growth. The House Republican Conference website makes the argument that deregulation will “remove onerous federal regulations that are redundant, harmful to small businesses, and impede private sector investment and job creation.” But economists told the Huffington Post that regulation has had a minimal impact on the unemployment rate. Their claim is backed by the Bureau of Labor Statistics, which shows that just under 16,000 jobs, or 0.4 percent, were lost because of “government regulations/intervention.” …Ultimately, each economist was clear on one point: The GOP package is far more political than practical. “It’s game playing to try to pretend like they’re doing something,” said Jesse Rothstein, an economics professor at the University of California, Berkeley. “It’s silly season, and so they know they have to put up something that has the label ‘job creation’ on it, whether or not it would work.” Over the weekend I listened to the National Venture Capital Association trying to disassociate themselves from Romney and to point out that the kind of predatory vulture capitalism that he practiced– private equity– was never about creating jobs. “We’re the white hats,” explained their spokesperson, leaving to the imagination what color Romney’s hat was, but making it clear that venture capitalists create jobs by supporting fledgling startups whereas Romney’s business model was about destroying businesses (and jobs) in order to create profits for investors. His model defines sociopath and was, clearly, a cancer on society. Polling shows that only about a third of the public approves the Ryan budget (i.e., Republicans), In fact, polling shows that Obama’s lead over Romney doubles when voters learn of the Ryan budget. Educating voters about the budget will have a big impact in swing states around the country. By putting Ryan on the ticket, Romney would be playing right into the Democrats’ ideal scenario. As Rob Zerban, the Democrat running for the House seat Ryan currently holds, told his supporters last week, “The more voters learn about Ryan’s plans to kill Medicare, slash funding for Pell Grants and Stafford Loans and gut veterans’ benefits, the more they realize that Paul Ryan and the GOP are only representing their wealthy donors, not the average American… Paul Ryan’s budget is an albatross for the GOP, and educating voters on the budget is a winning strategy for us.” Meanwhile, the DCCC still hasn’t put Rob Zerban in their Red-to-Blue program, although he’s raised more money– without their help (to put it in as kindly a way as possible)– than most of the candidates they are backing. And, as we’ve discussed before, Rob in running in a district Obama won in 2010. So why won’t “ex”-Blue Dog Steve Israel allow the DCCC to get behind Zerban? Israel hates progressives and is more interested in packing the House Democratic caucus with corrupt transactional hacks and conservatives like himself than in regaining the majority for his party, a virtual impossibility under his hideously flawed strategy of trying to resuscitate the Blue Dogs and New Dem conservative coalition that were nearly wiped out– by the Democratic grassroots voters– in the Great Blue Dog Apocalypse of 2010. Zerban is a Franklin and Eleanor Roosevelt populist Democrats who stands up for working families, not for Wall Street and not for the kinds of corporate special interests that have helped Israel and his careerist cronies gain and maintain power, The DCCC isn’t interested in helping candidates like that, no matter how badly the alternative impacts policy. Ryan, for example, is the biggest threat to Social Security since the program first passed during the Great Depression. That House Budget Committee Chairman Paul Ryan (R-WI) supports the privatization of Social Security is well known. Ryan proposed $1.2 trillion in cuts and the partial privatization of Social Security upon taking control of the Budget Committee in 2011, and he has constantly warned about the supposed doom facing the program if major reforms aren’t enacted immediately. But Ryan’s attempts to gut the most popular entitlement program in America go back quite a few years, as Ryan Lizza’s New Yorker profile of the conservative hero makes clear. Ryan’s fight against Social Security has been ongoing since he pushed President George W. Bush to privatize the program in 2005: Under Ryan’s initial version, American workers would be able to invest about half of their payroll taxes, which fund Social Security, in private accounts. As a plan to reduce government debt, it made no sense. It simply took money from one part of the budget and spent it on private accounts, at a cost of two trillion dollars in transition expenses. But, as an ideological statement about the proper relationship between individuals and the federal government, Ryan’s plan was clear. […] Two weeks after Bush’s Inauguration, Ryan gave a speech at Cato asserting that Social Security was no longer the third rail of American politics. He toured his district with a PowerPoint presentation and invited news crews to document how Republicans could challenge Democrats on a sacrosanct policy issue and live to tell about it. Bush ultimately went with a slightly less radical proposal that still failed in the Senate and caused Republicans massive losses in the 2006 mid-term elections. But Ryan, undeterred, told Lizza that the failure of privatization was simply due to marketing, not that the plan was unpopular: What some might interpret as the failure of an unpopular idea Ryan insisted was mostly a communications problem. “The Administration did a bad job of selling it,” he told me. Bush had campaigned on national-security issues, only to pitch Social Security reform after reelection. “And… thud,” Ryan said. “You’ve got to prepare the country for these things. You can’t just spring it on them after you win.” The lesson: “Don’t let the engineers run the marketing department.” Aided by the mainstream media’s spreading of the lie that Social Security is “going bankrupt,” Ryan has been able to thrust Social Security “reform” back onto the table, and it was embraced during the primary by virtually every Republican candidate. What Ryan and his Republican colleagues continue to ignore, however, is how easy fixing Social Security would be if they weren’t so insistent on protecting the wealthiest Americans from a single tax increase. By lifting the payroll tax cap that currently limits Social Security contributions to the first $110,100 in income, Congress could ensure the program’s solvency for the next 75 years– longer than the program has been in existence to this point. That wouldn’t fit Ryan’s belief that the government doesn’t have a role in helping protect the financial security of the American people. But it would prevent millions of Americans from losing the much of their retirement savings, as they would have during the 2008 financial crisis had Ryan’s plan to privatize Social Security become law. That’s why Blue America has a special Stop Paul Ryan Page– and why we’ve had it for years. Steve Israel– another one not wearing a white hat– will never help unseat Paul Ryan. But, please, don’t let that stop YOU.
Source: blogspot.com

2011 Medicare Supplement Coverage: Medigap Plan Numbers A

In 2011, Plans K, L and M do not cover 100% of all benefits at all times. Plan K covers 50% of Part B coinsurance/copayments, blood, Part A coinsurance/copayments for hospice care, coinsurance for skilled nursing facility care and the Part A deductible. Plan L gives 75% coverage for these benefits. Both of these options have yearly out-of-pocket limits of $4,640 (K) and $2,320 (L). Once you meet these limits (and any annual Part B deductible), plans will pay 100% for the rest of the year. Plan M restricts coverage of the Part A deductible to 50%.
Source: suite101.com

Will Privatizing Medicare Work? A Few Clues from Part D Plans May Tell.

abuse Advance Directives advantage plans affordable care act baby boomers budget Congressional Budget Office Dan Morhaim donut hole election fraud gap coverage healthcare Health Care Health Care Reform healthcare reform health exchange individual mandate provision Living Wills medicaid medicare medicare benefits medicare budget medicare cuts medicare fraud medicare news medicare politics medicare refor medicare reform obama obamacare part d plans paul ryan Politics News private health insurance romney Sarah Palin seniors supreme couty tax breaks unitedhealth waste wealthy
Source: medicarewire.com

The Senior Insider: Know Your Medicare Benefits

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2..Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481In 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

Video: Whitehouse: Cuts to Social Security and Medicare Benefits Have No Place in Debt Talks

Comparing Medical Insurance Quotes

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

Maine Writer: Medicare for All

Non-profit Health Care Administrator and Registered Nurse. B.S. with a major in Nursing and Masters in Health Services Administration. I grew up in Baltimore (Dundalk), Maryland. http://davidrcrews2.blogspot.com/ Therefore, I continue to root for the Baltimore Orioles despite protests from my Boston Red Sox neighbors. My husband of 40 years is retired Navy, and I was a Navy Wife for thirteen years (my husband Richard retired after 23 years). We love living in Maine in the summertime, but we’re always preparing for another winter. If you would like to comment on any of my blogs please send me an e-mail oneturkeyrun@comcast.net. I publish all comments, uncensored, relevant to the content of the blog. I look forward to hearing from you. If you are interested in my list server Friends-L please contact me at juliewriter@hotmail.com and put list server in the subject line. I hope to hear from you.
Source: blogspot.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

Low cognitive ability impairs enrollment in Medicare supplemental plans

Because traditional Medicare leaves substantial gaps in coverage, many people obtain supplemental coverage to limit their exposure to out-of-pocket costs. However, some Medicare beneficiaries may not be well equipped to navigate the complex supplemental coverage landscape successfully because of their lower cognitive ability or numeracy—that is, the ability to work with numbers. We found that people in the lower third of the cognitive ability and numeracy distributions were at least eleven percentage points less likely than those in the upper third to enroll in a supplemental Medicare insurance plan. This result means that many Medicare beneficiaries do not have the financial protections and other benefits that would be available to them if they were enrolled in a supplemental insurance plan. Our findings suggest that policy makers may want to consider alternatives tailored to these high-need groups, such as enhanced education and enrollment programs, simpler sets of plan choices, or even some type of automatic enrollment with an option to decline coverage.
Source: pnhp.org

Understand Medicare benefits to Plan for Aging Parent’s Care

To help you better understand the options of care available for your parent in the community, Genworth offers an explanation of the four primary types of providers, including home care agencies and nursing homes. NPR also recently ran an informative piece entitled, “Financial Planning For The End Of Life” which offers more suggestions and tips on how to plan to pay for end-of-life care.
Source: cheaplikemeblog.com

Health Insurance Information : Veterans Benefits & Medicare

Veterans may receive benefits from Medicare if they qualify, which many do, but other opportunities for veteran benefits can come from the USAA and the Veterans Health Administration. Find out how veterans can get health benefits withinformation from an insurance representative in this free video on insurance. Expert: John Pinelli Bio: John Pinelli is a financial representative. Filmmaker: Bing Hugh Series Description: Medicare insurance benefits are quite limited, and they may only cover major procedures that are absolutely necessary for the patient to function in day-to-day life. Supplement Medicare with more extensive dental insurance and more with information from an insurance representative in this free video series on health insurance. Video Rating: 0 / 5
Source: sandymaudet.com

Medicare Home Health Care Benefits

What you get: If you need an element of "skilled" care, then you will also be entitled to Medicare coverage of social services, part-time or intermittent home health aide services, and necessary medical supplies and durable medical equipment. You can receive up to 35 hours of services a week, although few beneficiaries actually get this level of service. You are entitled to the same level of services whether you are a member of an HMO or are enrolled in traditional fee-for-service Medicare.
Source: davidwingate.com

Veterans Benefits and Medicare are Confusing!! »

            Anytime you use a doctor or any Medical provider who does not accept Medicare assignment, then you must pay 100% of what that provider charges.  Now that you have signed the contract you are obligated to the complete bill.  When you sign a “Private Contract” with a doctor or medical provider, then Medicare will not pay any of the bills.  This is only the beginning of your problems because if Medicare does not pay then your Medicare Supplement will not pay.  A Medicare Supplement will only pay when Medicare pays.  Bottom line is…do not sign…”Private Contracts” with any Doctors or Medical Providers.  This is explained on Page 55 of the Medicare and You handbook.  You are hearing about more doctors not taking Medicare any more but believe me there are still plenty of doctors and medical providers who do take Medicare.  And there are plenty of excellent doctors who are accepting Medicare.  If you need any help understanding anything about your Medicare do not hesitate to email me at asktoni@medicaretruths.com.
Source: tonisays.com

GOP Governors Respond To CMS Signs Of Flexibility Regarding Medicaid Expansion

Posted by:  :  Category: Medicare

Chefchauen, zapping by bbbeloReuters: Health Reform May Expose Immigrant Status Of Millions As she was ushered into surgery eight years ago, Paula was confident that doctors at Washington’s Howard University Hospital would find the cancer that had been growing in her right breast for months. She was less certain about where she would wake up the next day. She and other illegal immigrants worry that their ability to access healthcare at facilities like La Clinica will become even more risky once President Barack Obama’s healthcare law takes effect. The reform requires all U.S. citizens and permanent residents to obtain health insurance, either through the government-run Medicaid program for the poor or by purchasing private insurance via state exchanges starting in 2014. It also bars undocumented immigrants from participating. As more low-income citizens receive insurance, the fear is that many of the estimated 12 million undocumented immigrants will be easier to identify just because they lack coverage (Ebrahim 8/9).
Source: kaiserhealthnews.org

Video: Medicare Supplement Insurance Los Angeles for Los Angeles Medicare Supplement Insurance

The Official Medicare Set Aside Blog And Information Resource: LA County Sheriff’s Department has Bone to Pick with Pain Mill Doc

MEDVAL, LLC provides pre-settlement and post-settlement services for high exposure workers’ compensation and liability claims that require Medicare’s interests to be protected pursuant to 42 USC 1395y(b)(2). As the first firm in the country to provide a fully integrated, one-stop solution for the Medicare Set-Aside process, we can recommend Medicare Set-Aside arrangements, submit them to the Centers for Medicare and Medicaid Services (CMS) for approval, provide annuity and lump sum funding options, provide post-settlement medical trust administration, and pharmacy benefit management to our clients all under one umbrella.
Source: medicaresetasideblog.com

Obamacare: Medicaid by Nancy Thorner and Jane Keill

One of the major costs of Medicaid coverage is the cost of nursing homes. The Medicare program only covers nursing home expenses if the patient is receiving active nursing and medical care. If an indigent patient is unable to care for themselves on a daily basis, but doesn’t require actual nursing care, then Medicaid is used to pick up the costs. Medicaid is the nation’s largest payer of nursing home care. (Chicago Tribune 7/31/12) The elderly are the most expensive group of people who are covered for Medicaid health costs. The average child on Medicaid costs about $2,900 a year, but an average elderly person costs $16,000. (Chicago Tribune 7/31/12) http://www.latimes.com/news/nationworld/nation/la-na-medicaid-rollback-20120731,0,1410769.story?page=1
Source: wordpress.com

Medicare Fraud: The Cuba Connection

For years, most of us in South Florida have been well aware of the Cuban dictatorship’s profound involvement in Medicare fraud. Rumors abound about secret Medicare fraud training facilities in Cuba and Castro agents funneling hundreds of millions of dollars of stolen U.S. government funds back to the island. However, for the most part, federal investigators have been inexplicably blind to this obvious scheme. That is until now.
Source: babalublog.com

The Public Forum … El Foro Público…

No es muy seguido cuando la gente se levanta para expresar su opinión sobre seguros médicos. Sin embargo, con los murmullos en Washington sobre lo declarado en el Congreso de recortar cientos de billones de dólares del plan médico, llegó el momento que hable por mi mismo y miles de personas mayores en una posición similar. Como otros 30.000 residentes en nuestro distrito congressional, soy una beneficiaria orgullosa de Medicare Advantage. Veinticinco porciento de las personas de la tercera edad nacionalmento también disfrutan los beneficios de Medicare Advantage, la cual provee ventajas de las cuales Medicare regular simplemente no puede. Hice una decisión informada cuando elegí Medicare Advantage porque me ofrece acceso a las classes Silver Sneakers, las cuales me ayudan a mantenerme activa y en forma, y al mismo tiempo cortar a través de trámites burocráticos al no tener que necesitar referencias para ver a especialistas. Hasta cubre el costo de mis asistencia auricular. Al final de cuentas, no pudiera estar más feliz que con Medicare Advantage.
Source: laprensa-sandiego.org

Medicare supera a los seguros privados en la satisfacción del paciente, según una encuesta

Mientras el gobierno de EE. UU. considera propuestas para reducir los gastos de Medicare, investigadores del Commonwealth Fund, una fundación privada de defensoría en políticas de salud, advirtieron que la salud y la seguridad financiera de las personas en los planes tradicionales de Medicare podrían sufrir si los legisladores los cambian a planes privados de Medicare Advantage. Anotaron que los inscritos en esos planes privados se sienten menos satisfechos con su seguro y tienen más problemas para recibir la atención que necesitan.
Source: repartodesalud.com

High Deductible Medicare Supplement Plan F

Posted by:  :  Category: Medicare

DAMN!! -- I THINK WE'RE F*%KED by SS&SSThe Medicare supplemental insurance policy labeled high deductible Plan F is a standard plan F plan with a $2070 dollar yearly deductible and a significantly less monthly premium.  When choosing a form of Medicare insurance there are two common alternatives, they are:  Medicare A and B with a Medigap insurance policy or a Medicare Advantage plan.  A Medigap policy is the most popular alternative of these choices.  Once you have decided that a supplemental insurance policy is the best option for your health care needs the choice of which supplement policy comes next.  The Medicare Supplement Plan F is the Medigap policy with the most benefits and provides the best protection from medical bills.  A sometimes forgotten alternative to the plan F is the High Deductible Plan F.  The high F provides the exact same benefits as a standard F plan except it has a $2076 dollar yearly deductible.  The High F plan can be a less costly alternative for individuals that are in good health. The High Deductible F is an F plan with a $2070 yearly deductible.   For it to make good business sense your yearly charges for the High Deductible Plan F + your percentage of Medicare covered expense must be less than the cost of a Standard Plan F.  According to United American’s Company statistics a major percentage of policy holders have annual claims that are well below the deductible of $2070.  The actual numbers for 2010 are: 80% of United American policyholder’s ages 65-67 had annual claims of $524.
Source: medicare-supplement-advisor.org

Video: Switching To Medicare Supplement Plan F

United American Medicare Supplement Insurance Quotes

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

Medicare Supplement Plan F – Coverage Details & Affordability

The best and most popular plan to cover the gaps is Medicare Supplement Plan F. Plan F will get you the most complete coverage possible. When purchasing Plan F, you will likely have no out-of-pocket costs for hospital and doctor visits. This plan also includes hospitalization which pays Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.  This great plan also covers medical expenses which pays Part B coinsurance; generally 20 percent of Medicare-approved expenses or copayments for hospital outpatient services.
Source: auto-insurance-data.info

Medigap Plan F Is Still Popular

You can find useful information from the Medicare.Gov website that should allow you to understand whether or not to choose to enroll for this additional policy. It is recommended that the best time to purchase this supplementary plan would be within six months of becoming eligible, I. E. Six months after turning sixty-five years old or enrolling in Medicare Part B. There may be specific enrollment time frames in your state that you should familiarize yourself with if you intend on purchasing this plan.
Source: medicarequotefinderblog.com

AHIP Medicare Survey: F Gets an A

Plan F will pay for the first 3 pints of blod, for example, and it also will pay the Part A hospice care coinsurance or copayment amount. Part F also will pay skilled nursing facility care coinsurance bills, Part A and Part B deductibes, some foreign travel emergency bills, and physician fees that Medicare Part B classifies as “excess charges.”
Source: lifehealthpro.com

Medicare High Deductible F Should Be The First Choice For Medicare Supplements

The reality is that few people experience the worst case scenario. Very few will actually hit the $2,070 deductible for the year. Some estimates show that only 5% of people accumulate over $2,000 of utilization. There are a number of sources that estimate how much the average senior actually accrues in part A and B co-insurance and deductibles for the year but the average seems to show it is about $900 a year. Given this estimate, the average senior would save about $1,207.00 a year on plan F high deductible. If they have a very healthy year, they will save even more. If they have a catastrophically bad year, they will only save $107 but there is no risk involved. At the end of the day, they will save money period.
Source: dongzhangxiwang.info

Medicare Supplement Claims/Provider File Analyst

Posted by:  :  Category: Medicare

Job Title: Medicare Supplement Claims Analyst – Provider/Network Focus FLSA: Non-exempt Reports to: Supervisor, Medicare Supplement Claims Class: CU9 Summary… From Sterling Life Insurance Company – 22 Jun 2012 21:58:40 GMT – View all Bellingham jobs
Source: washingtonjobdaddy.com

Video: Enterprise File Transfer Architecture Redesign Overview

Is Magnetic Pulse Treatment An Answer For People Suffering From Drug

Subsequent studies have shown a range of results, with about a third of patients reporting complete relief. One 2010 study of 199 “moderately treatment resistant” patients funded by the National Institutes of Medicine found that rTMS was four times as likely to get patients symptom-free as a sham procedure. Patients in that study were treated five times a week for three to five weeks. One key measure – known as the “number needed to treat” – found that one patient became symptom-free for every 12 who were treated.
Source: kaiserhealthnews.org

Washington Medicare Part D Plans

In this case you may want to concentrate on finding a basic plan with a low or $0 deductible. Typically a basic plan will not include extra coverage in the gap, but you are less likely to reach the gap if a basic plan meets your needs.
Source: partdplanfinder.com

Sterling Investors Medicare Supplement Plans

It’s human nature for a person to constantly feel secured. If they feel safe, if they feel like they don’t have to worry, then they can enjoy themselves. They can be themselves. This idea can apply to many contexts. If parents are dropping their kids off at a well-maintained and secured daycare, they know they’re in good hands. Family members double check their supplies to be sure they’re completely prepared for the camping trip. The very same idea goes for seniors and healthcare insurance. Elderly people and their families want to be certain that they are receiving top quality healthcare insurance. They also want to have options that meet their requirements.
Source: gomedigap.com

Florida Psychiatrist Jobs: Psych Nurse vacancy at Brookdale Senior Living in Sun City Center

For detail informations about this vacancy opportunity kindly see the descriptions. PRN Home Health Psych RN Opportunities Providing Medicare Home Health Visits within BEAUTIFUL retirement communities in the Sun City Center/Tampa/Bradenton area! Innovative Senior Care, part of Brookdale Senior Living, has an outstanding opportunity for RNs to provide PRN home health services for our in-house Home Health agency to our upscale living communities. We also offer Home Health to seniors in the general community. We offer competitive wages, minimal daily travel, a beautiful work environment, and opportunities for growth! We are looking for professional and compassionate RN’s with excellent communication skills to enhance the lives of our elderly residents. Together with the other members of the healthcare team, you will provide a high level of nursing care to our residents. Brookdale Senior Living Inc., a publicly traded company (NYSE: BSL), is the largest senior living provider in the United States. Brookdale’s geographic spread, depth of talent, resources and access to capital are unmatched in the industry. Brookdale operates over 640 locations in 36 states. If you want a rewarding career enhancing the lives of others, we invite you to consider Brookdale Senior Living company. Learn more about BSL at www.brookdaleliving.com or go to www.innovativeseniorcare.com for a complete listing of our career opportunities. Immediate Opening: Psychiatric Home Health RNJob Type: PRN / Per DiemLocations include: Freedom Plaza Sun City Center, Grand Court Tampa, Homewood, Clare Bridge of Bradenton, Southland Suites Lakeland, Clare Bridge of Winterhaven, Sterling House of Winterhaven, Horizon Bay Hyde Park, Horizon Bay Lutz Apply Online at www.BrookdaleCareers.com to job # prnHHpsychRNswfFL071312 EOE/DFWP Keywords: Registered nurse, nurse, RN, case manager, visit nurse, field case manager, home health, home care, upscale Retirement community, assisted living, seniors, AL, IL, Independent Living, general community Home Health, OASIS c, Medicare Home Health, Volusia, psychiatry, psychiatric, mental healthWe seek the following qualifications:* Must be a Registered Nurse in good standing in the state of FL.* Recent Home Health experience a must.
Source: blogspot.com

Inbound Marketing Software Success Stories

Posted by:  :  Category: Medicare

New Online Rx System Makes UM Student 'Top Entrepreneur' Finalist by University of Maryland Press ReleasesBefore becoming a HubSpot customer, Innovative Marketing Resources had a traditional marketing business.  They assisted their customers with outbound tactics such as print, kitting and direct mail.  Their own website was simply an online brochure and wasn’t a source of leads for the business.  As the economy worsened in 2008, they couldn’t find new leads or differentiate their business from other marketing agencies competing fiercely for limited clients.  In order for their business to grow, they needed a drastic change.  “We thought the value of our outbound marketing platform would differentiate our company and add stability.  But as outbound marketing became less effective, what was previously unthinkable happened.  The post office was struggling.  Our customers were withholding budgets.  We had to change.  The roles within the company needed to change.”  They began using the HubSpot software- but at first just to make their website look more modern.
Source: hubspot.com

Video: Medicine Dish: Medicare Part D and Program Updates

Junky Army Software, Christie Miffed Over Spying, Johnson Trims Obama's Lead in Colorado: P.M. Links

The battle over the Republican vice-presidential nomination is being waged at … Wikipedia, where pages of possible contenders were locked after Stephen Colbert urged people to go make edits. Is it me? Or is the world getting stupider?
Source: reason.com

Medicare Expert Exposes Report Master Software

After completing his schooling in Chicago, he entered the National College of Chiropractic (NCC) now the National University of Health Sciences (NUHS) in 1976, graduating in 1980, and licensed in Illinois as a Chiropractic Physician, as well as being the first Hispanic in Illinois to do so. While going through NCC, he worked in the Emergency Room at St. Joseph Hospital, Chicago, IL, where he obtained further education in the treatment of injured persons.  Since, he has dedicated his professional career in treating those injured.
Source: reportmaster.com

‘Meaningful Use’ Audits Begin

OberKaler has also indicated that auditors may request eligible healthcare providers for a detailed security risk analysis report, which fulfills the core requirement #15 of ‘meaningful use’. Eligible practitioners and healthcare entities should note that merely a checklist will not suffice as evidence of security risk assessment. A risk analysis should have been conducted during the 90-day attestation period, or a ‘review’ of a risk analysis conducted at a reasonable time prior to the attestation period, should have been done. This is the core requirement under #15 and should be satisfied.
Source: egestalt.com

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

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

FAQ: The Medicare EHR Incentive Program

Before dispensing incentive funds, the government wants to verify that eligible medical professionals are actively using EHR technology, not just purchasing it to avoid penalties. There is a list of minimum of criterion that medical professionals must meet to prove they will “meaningfully use” certain features of their EHRs. These requirements specify that an EHR must support 10 mandatory features, in addition to five optional features out of a list of 10. Medical practitioners must be actively using these features on their EHR for at least 90 days to meet government requirements for the incentive.
Source: softwareadvice.com

physical Therapy Software Can get ready You For Medicare Audits

Therapy clinics that have been on the fence about  transitioning from paper based documentation to an electronic curative records ideas should get on board in 2009.  A good physical therapy software solution will enable clinics to overcome, and continue to thrive in the face of such government regulations. Faultless and accurate clinical documentation is the key to meeting Medicare requirements and a good therapy software program that is integrated with billing is the best solution.
Source: blogspot.com

Altius Health Plans Altius Advantra Medicare Review

Posted by:  :  Category: Medicare

[…] […] […] […] […] […] […] Altius Health Plans offers Medicare health insurance programs for residence of Utah and a county in Wyoming.  Altius Advantra and Altius Advantra Preference are Medicare Advantage HMO plans available in Box Elder, Cache, Daggett, Davis, Duchesne, Morgan, Rich, Salt Lake, Summitt, Tooele, Wasatch, and Weber counties in Utah as well as Uintah county in Wyoming.  Altius Advantra is an HMO-POS plan, and Altius Advantra Preference is a plain HMO only available in Davis, Salt Lake, and Tooele counties.  The coverage does include Part D drug coverage as well as health benefits.  Below is a review of the benefits they offer:Source: medicare-plans.net […]Source: medicare-plans.net […]Source: medicare-plans.net […]Source: medicare-plans.net […]Source: medicare-plans.net […]Source: medicare-plans.net […]Source: medicare-plans.net […]
Source: medicare-plans.net

Video: YouTube Videos matching query: advantra medicare advantage

Pharmacy Technician Schools

Are pharmacy technicians paid well? Pharmacy Technician Salary nbsp A pharmaceutical technician is commonly known as a pharmacy technician A pharmacy technician salary will depend on several factors such as level of education years of experience customer service skills certification from the Government and state of residence Pharmacy technicians are basically people who have been trained to handle a pharmacy They have to interact with customers and work effectively with pharmacists in order to handle prescriptions patient records queries of patients as well as their…
Source: mypharmacycareer.info

Advantra Medicare Advantage Changes

A major benefit of an Advantage plan is having a limit on your annual maximum out-of-pocket costs but the required coinsurance feature makes it a lot more likely that you will need this benefit compared to other Advnatra Medicare Advantage plans.
Source: affordablemedicareplan.com

Coventry Health Care Adds Cornerstone Health Care (P.A.) to their Advantra Medicare Advantage Provider Network in North Carolina.

Cornerstone Health Care has nearly 300 providers (including primary care and specialty physicians, and mid-level professionals) in more than 70 locations in High Point, Winston-Salem, Greensboro, Summerfield, Thomasville, Archdale, Trinity, Jamestown, Kernersville, Lexington, Asheboro, and Advance.
Source: agentpipeline.com

Will Your Medicare Advantage Plans Still Be Available In 2010

All plans must send you a notice of termination if there plan is terminating. When a plan terminates they do NOT enroll you in a part D plan. In some cases a plan may try to change you to another plan that they offer, however in they are still required to notify you in writing and give you the full details and you still have the option of changing plans if you are not satisfied with the benefits offered. In the case of Advantra Plans this year, you will need to choose another Medicare Plan. Some Advantra Freedom plans were offered as MAPD which means that the plan itself included the prescription drugs. You may also have a PFFS and a seperate Part D. If the part D is seperate you should still have RX coverage. If you do want to keep Advantra as your Part D you can still get a seperate Part D plan as long as it is a PFFS. You should call a broker and get a list of comparable options. You can ask for health plans only if you wish. Also if you just want an evidence of coverage you can call Advantra back or visit http://www.choicesformedicare.org and request one. Make sure you are specific in your request and they will know what to send.
Source: wordpress.com

Advantra in Top 20 of U.S. Health Care Plans

The HealthAmerica and Advantra plans scored above the national average on 15 measures of patient satisfaction and medical services (e.g. treatment of certain diseases, health care access, preventative care, and prenatal care covered by maternity coverage). The HealthAmerica health care plans also scored higher than the Pennsylvania state average on 12 of those measures.
Source: healthinsurancesort.com

Medicare Advantage Plans and PFFS Plans

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Source: merchantcircle.com

HealthAmerica ranked top 20 by U.S. News & World Report

HealthAmerica provides its members with a greater combination of health benefits and services for their money suitable to their needs and wants. They offer more health benefits, like coverage for most preventive health services, including periodic checkups, coverage for hospital and surgical care, emergency care worldwide, and chiropractic services. They offer access to over 35,000 providers in Pennsylvania and Ohio and more than 350 hospitals.  As a member, you are also entitled to the WellBeing program. This program offers free wellness programs and discounts on a wide range of products and services such as:
Source: healthplanone.com

Pennsylvania Health Insurance

HealthAmerica’s Commercial and Medicare Advantage Plans Among Tops in Nation for Quality and Service on U.S.News & World Report/NCQA “America’s Best Health Plans 2008-09″ List Harrisburg and Pittsburgh, Pa. – November 10, 2008 — HealthAmerica’s HMO, POS, and Medicare Advantage plans were ranked among the nation’s top 20 best commercial and Medicare health plans according to a joint ranking by U.S.News & World Report and the National Committee for Quality Assurance (NCQA). Nationally, HealthAmerica was ranked 12th among 287 commercial plans; HealthAmerica’s Medicare Advantage plan, Advantra, ranked 18th among 216 plans nationally. HealthAmerica and HealthAmerica Advantra have ranked as one of the top 50 best health plans in the U.S. News/NCQA “Americaýs Best Health Plans” list* every year since 2005. “We are honored to be recognized among the best health plans in the nation,” said Kirk E. Rothrock, president and chief executive officer of HealthAmerica. “We are dedicated to providing the best possible quality and service, so we are pleased to see our efforts recognized by NCQA, U.S. News and World Report, and, most importantly, by our members and our customers.” The National Committee for Quality Assurance and U.S.News and World Report collaborated to rank the nationýs best commercial, Medicare, and Medicaid health plans. The ranking appears in the November 17 issue of U.S.News and on its website www.usnews .com/healthplans HealthAmerica”s and Advantra”s rankings are based on their Healthcare Effectiveness Data and Information Set (HEDISý)** 2008 scores and the results of a Consumer Assessment of Healthcare and Provider Systems (CAHPS) survey of members. HEDIS is a set of standardized performance measures covering effectiveness of care, preventive care, treatment, and customer satisfaction. CAHPS is a standardized survey in which members rate the quality of care and service that they receive from doctors, specialists, office staffs, and insurers. In these ratings, HealthAmerica’s commercial health plans were rated higher than the national average in all 15 key measures of medical services and member satisfaction and higher than the Pennsylvania state average in 12 of the 15 key measures***. HealthAmerica’s HMO, POS, and Medicare Advantage plans’ status of “Excellent” from NCQA was also a factor in determining the U.S. News/NCQA “America’s Best Health Plans 2008″ ranking**** The U.S.News/NCQA “Americaýs Best Health Plans 2008″ list is drawn from measures of prevention, treatment, and customer experience. These measures are compiled in NCQA”s Quality Compass 2008*****, which publicly reports comparative results of more than 400 commercial health plans covering 85 million Americans. Health plans throughout the country were evaluated on issues such as access to care, prevention efforts, treatment of diseases such as diabetes and heart disease, and members were surveyed on their satisfaction to calculate an overall quality score. * “America’s Best Health Plans” is a trademark of U.S. News & World Report. **HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). ***The source for this data is Quality Compass 2008 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality. The 12 measures are: Child immunization (combo II), well child visits 3 to 6 years, colorectal cancer screening, prenatal care, first-trimester postpartum care, cervical cancer screening, breast cancer screening, diabetes-lipid profile (screen), controlling hypertension, cholesterol screening for patients with cardiovascular conditions, rating of all health care, rating of health plan. ****National Committee for Quality Assurance accreditation outcomes are: Excellent, Commendable, Accredited, and Denied. Applies to HMO and POS plans. *****Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality. About HealthAmerica For over 33 years, HealthAmerica has provided health benefit solutions to employers across Pennsylvania. HealthAmerica offers a broad range of traditional and consumer-directed health insurance products, including managed care, HSAs, self-funded, Medicare, indemnity, nongroup and pharmacy plans. Serving 12,000 businesses and over 660,000 members as of December 31, 2007, in Pennsylvania and Ohio, HealthAmerica offers progressive medical management, innovative wellness programs, and statewide and national provider networks. HealthAmerica is ranked as one of “Americaýs Best Health Plans, 2006″ by U.S. News & World Report; its HMO and POS products have an “Excellent” accreditation by the National Committee for Quality Assurance. HealthAmerica has corporate offices in Pittsburgh and Harrisburg, Pennsylvania, and employs over 2,200 people in the commonwealth.
Source: blogspot.com

The Sullivan Independent News

The Visiting Nurses Association will hold a flu shot clinic at the Sullivan Senior Center on Tues., Oct. 13 from 12 p.m.- 3 p.m. In order to be sure a vaccine is available for you, you must call or stop by the Senior Center and have your name put on the vaccine list. The VNA will be bringing 150 vaccines, but more will be available if we see more people are signing up. This will be a one-time clinic. Those planning to receive their vaccine may show up anytime from 12 p.m.-3 p.m. To avoid the congestion and long waiting periods, you may wish to wait a little later and not all show up at 12 p.m. Insurances accepted by the VNA for this clinic include: Medicare Advantage Plans, Essence, Coventry Advantra Freedom, GHP, Advantra, GHP Advantra Freedom, GHP Gold Advantage, Humana Choice PPO, Humana Gold Choice PFFS, Humanna Gold Plus HMO and Mercy Medicare Advantage. Other insurances that did not contract with the VNA and will not be accepted are: Medicare Advantage Plans, Secure Horizons, Aetna Medicare, Anthem Senior Advantage, Cigna Medicare Access, Sterling Option, Wellcare, Evercare or any other Medicare Advantage or out-of-state plans. Medicaid is not accepted. If you have another primary insurance, you may not use Medicare or Medicare Advantage. Those wishing to pay “out of pocket” for the vaccine may do so. The cost is $30. Visiting Nurses Association is a non-profit community based organization dedicated to serving the healthcare needs of your community. Please help us by giving us your correct insurance at the time of service.
Source: mysullivannews.com

Kathie Bracy’s Blog: Will Ohio STRS retirees be ‘used as pawns so that the state could save a little bit on its OPEB liability’?

A forum for Ohio educators, sharing thoughts re: their health care and pension system (STRS Ohio). Researcher John Curry manages a clearinghouse of related e-mails, articles, announcements, etc. His daily mailings include many items that do not make it to this blog. Contact John (curryjo@watchtv.net) if you wish to be on his e-mail list. Kathie Bracy: kbb47@aol.com.
Source: blogspot.com

You’ve Earned a Say with Social Security and Medicare

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 marsmet524After years of paying into Medicare and Social Security, you’ve earned a say in their future. That’s why AARP launched You’ve Earned a Say – a national conversation to help protect and strengthen these programs for today’s seniors and future generations. We’re committed to making sure your voice is heard and providing you with information about the proposals on the table in Washington – without the political jargon and spin.
Source: aarp.org

Video: State Address Pt. 1: Deficit, Core Services

Hospital Receives Extra $1.3M in Medicare

The final regulation, issued on August 1, 2012, establishes a new hospital wage index for the Newport, Kent, South County, and Westerly Hospitals, which have consistently been reimbursed based on a lower wage index than every other hospital in the state.  Due to Rhode Island’s size, this has resulted in a severe payment disparity among hospitals located in close proximity to each other.  This new wage index will help ensure that patients in Kent, Newport, and Washington counties continue to have access to high quality health care services and that these hospitals remain a source of sustainable jobs in the state.
Source: patch.com

Update All of Your Addresses with Medicare Immediately!

This entry was posted in Medicare and tagged administrative law judge(ALJ), Centers for Medicare & Medicaid Services (CMS), clinic, corrective action plan (CAP), durable medical equipment (DME) suppliers, fraud prevention, home health agencies, investigators, Medicaid Fraud Control Unit (MFCU), medical groups, medical practices, medicare, Medicare Administrative Contractors (MAC), Medicare administrative hearing, Medicare audits, Medicare number revocation, Medicare Provider Enrollment Chain and Ownership System (PECOS), Medicare site visits, Medicare termination, National Plan & Provider Enumeration System (NPPES), NPI Registry, nursing homes and other healthcare providers, OIG special agents, pharmacies, physicians, request for reconsideration, termination of Medicare billing privileges, Zone Program Integrity Contractors (ZPIC), zpic audit, ZPIC site visit. Bookmark the permalink.
Source: wordpress.com

Romney Lies About Medicare/Medicaid Change Of Address Form

There were periods during my government service when the business-does-it-this-way was fashionable.  Public private partnership (acronym PPP) became popular.  At some point what tended to happen or be realized was the understanding that the public service does not have, cannot have the same “bottom line” as a for-profit organization.  Wall Street exemplifies the outsize for-profit situation these days…I do not think most people want the government to emulate that value system when it comes to exercising government authority.  And, frankly, when you look at it, the basic myth at bottom of the business school takeaway about efficiency has a lot of flaws…not the least of which is that large, major corporations with their overpayment of failing executives and with their taking-care-of-the-top first motif are the opposite of even the the narrowest definition of “efficiency.”  
Source: talkleft.com

Affordable Health Care Act may impact Medicaid and Medicare patients

Author Sandra Decker, PhD, an economist at the National Center for Health Statistics of the US Centers for Disease Control and Prevention (CDC) noted that the findings serve as a useful baseline from which to measure the anticipated impact of Affordable Care Act provisions that could increase Medicaid payment rates to primary care physicians in some states while boosting up the number of individuals with healthcare coverage. She reported a low acceptance rate of new Medicaid patients of 40.4% in New Jersey and a high of 99.3% in Wyoming. In general, acceptance rates generally were higher in states with higher Medicaid fee-for-services rates, expressed as a percentage of Medicare’s rates in 2008. For example, Medicaid rates in Wyoming in 2008 were close to 150% of the reimbursement for a Medicare patient; this marked the nation’s highest rate. In contrast, New Jersey’s Medicaid rates were the nation’s lowest: 37% of Medicare. Nationwide, the average Medicaid-to-Medicare fee ratio is 74.2.
Source: emaxhealth.com

DownWithTyranny!: Paul Ryan’s Quest To Destroy Medicare And Social Security Is Coming To A Head

Buzz is heating up again that Romney’s hail Mary pass in his failing presidential campaign may be to pick Ayn Rand fanatic Paul Ryan as his running mate. Right wing propagandist Byron York reminds GOP zombies that “The heart of Ryan’s plan– controlling the terrifying growth of federal spending by transforming Medicare– isn’t at the heart of Romney’s agenda.” Romney doesn’t emphasize overhauling Medicare in his stump speech, either. Creating jobs, getting the economy moving again– those are the points he hits over and over and over.  Yes, Romney talks about bringing federal spending under control. But Ryan-like plans to curb entitlement spending? That’s just not something Romney emphasizes. That would likely change if Romney picks Ryan. Should that happen, the Ryan plan would immediately become a far bigger part of the Romney campaign that it is now– it would, in fact, move to the top of the Romney agenda. That’s something that unnerves a number of Republicans. They respect Ryan and the work he has done, but they worry that putting him on the presidential ticket would brand the Republican party as the party of austerity at a time when more voters are more concerned about job creation than budget cutting. Of course, Democrats are going to bash Romney on spending cuts and Medicare reform regardless of what he does. Since that is inevitable, say Ryan supporters, why not put the plan’s most articulate defender, Paul Ryan himself, on the ticket? One reason would be that Mitt Romney has shown no inclination to make the Ryan plan the centerpiece of his campaign. Perhaps that’s what he’s planning– perhaps he planned all along to run on jobs until mid-August, only to pivot to entitlement reform for the rest of the campaign.  But that’s not likely. Probably not but… all those Republican “jobs” plans do virtually nothing about creating jobs. That’s not just my opinion; that’s what most economists say. For almost a year, House Speaker John Boehner (R-Ohio) and House Majority Leader Eric Cantor (R-Va.) have plugged their jobs package at every opportunity. They regularly bring it up at press events, during floor speeches and in statements in response to just about anything related to the economy. Boehner even carries around in his jacket pocket a 4-by-8-inch card that lists off their jobs bills, and he encourages his members to flash their cards at campaign events. …The GOP jobs package, which currently includes 32 bills, represents Republicans’ hallmark legislative accomplishment over the past two years. In the months ahead of the election, they will lean on it as proof of two things: that they are not the do-nothing obstructionists that Democrats paint them as, and that they are working hard to address the 8.2 percent unemployment rate. But there’s a problem with their jobs bills: They don’t create jobs. At least, they won’t any time soon. In interviews conducted by The Huffington Post with five economists, most said the GOP jobs package would have no meaningful impact on job creation in the near term. Some said it was not likely to do much in the long term, either. “A lot of these things are laughable in terms of a jobs plan that would produce noticeable improvements across the country in the availability of employment in the next four or five years,” said Gary Burtless, a senior economist at Brookings. “Even in the long run, if they have any effect all, it would be extremely marginal, relative to the jobs deficit we currently have.” Mark Zandi, the chief economist at Moody’s Analytics, agreed that the bills would have almost no effect on job creation in the short term, though he was slightly more optimistic about their long-term prospects. “These kind of changes will matter over a period of three to five years,” Zandi said. “It takes that long before businesses can digest changes and respond to them.” He noted, though, that legislation as narrowly targeted as the Republican package is unlikely to do much for real job creation. “For it to show up in a meaningful way in the natural economy, you can make specific changes that could affect a specific industry or a few companies, but it’s not going to make a big difference in terms of the monthly job numbers,” Zandi said. “It takes some very significant changes across lots of different industries to really make a big difference.” Carl Riccadonna, a senior economist at Deutsche Bank, said some of the bills could create jobs, but that they would amount to more of an afterthought in terms of achieving broader policy goals. “They are very narrowly targeted, and it gives the impression that maybe some of this is special interest really pursuing these, not really taking a macro view but a very, very micro focus in what the impact would be,” Riccadonna said. For most of the bills in the package, “jobs are a second- or third-order effect, not the main priority.” At the heart of the GOP jobs package is a push for rolling back regulations– and gutting environmental laws that regulate clean air and water– to spur job growth. The House Republican Conference website makes the argument that deregulation will “remove onerous federal regulations that are redundant, harmful to small businesses, and impede private sector investment and job creation.” But economists told the Huffington Post that regulation has had a minimal impact on the unemployment rate. Their claim is backed by the Bureau of Labor Statistics, which shows that just under 16,000 jobs, or 0.4 percent, were lost because of “government regulations/intervention.” …Ultimately, each economist was clear on one point: The GOP package is far more political than practical. “It’s game playing to try to pretend like they’re doing something,” said Jesse Rothstein, an economics professor at the University of California, Berkeley. “It’s silly season, and so they know they have to put up something that has the label ‘job creation’ on it, whether or not it would work.” Over the weekend I listened to the National Venture Capital Association trying to disassociate themselves from Romney and to point out that the kind of predatory vulture capitalism that he practiced– private equity– was never about creating jobs. “We’re the white hats,” explained their spokesperson, leaving to the imagination what color Romney’s hat was, but making it clear that venture capitalists create jobs by supporting fledgling startups whereas Romney’s business model was about destroying businesses (and jobs) in order to create profits for investors. His model defines sociopath and was, clearly, a cancer on society. Polling shows that only about a third of the public approves the Ryan budget (i.e., Republicans), In fact, polling shows that Obama’s lead over Romney doubles when voters learn of the Ryan budget. Educating voters about the budget will have a big impact in swing states around the country. By putting Ryan on the ticket, Romney would be playing right into the Democrats’ ideal scenario. As Rob Zerban, the Democrat running for the House seat Ryan currently holds, told his supporters last week, “The more voters learn about Ryan’s plans to kill Medicare, slash funding for Pell Grants and Stafford Loans and gut veterans’ benefits, the more they realize that Paul Ryan and the GOP are only representing their wealthy donors, not the average American… Paul Ryan’s budget is an albatross for the GOP, and educating voters on the budget is a winning strategy for us.” Meanwhile, the DCCC still hasn’t put Rob Zerban in their Red-to-Blue program, although he’s raised more money– without their help (to put it in as kindly a way as possible)– than most of the candidates they are backing. And, as we’ve discussed before, Rob in running in a district Obama won in 2010. So why won’t “ex”-Blue Dog Steve Israel allow the DCCC to get behind Zerban? Israel hates progressives and is more interested in packing the House Democratic caucus with corrupt transactional hacks and conservatives like himself than in regaining the majority for his party, a virtual impossibility under his hideously flawed strategy of trying to resuscitate the Blue Dogs and New Dem conservative coalition that were nearly wiped out– by the Democratic grassroots voters– in the Great Blue Dog Apocalypse of 2010. Zerban is a Franklin and Eleanor Roosevelt populist Democrats who stands up for working families, not for Wall Street and not for the kinds of corporate special interests that have helped Israel and his careerist cronies gain and maintain power, The DCCC isn’t interested in helping candidates like that, no matter how badly the alternative impacts policy. Ryan, for example, is the biggest threat to Social Security since the program first passed during the Great Depression. That House Budget Committee Chairman Paul Ryan (R-WI) supports the privatization of Social Security is well known. Ryan proposed $1.2 trillion in cuts and the partial privatization of Social Security upon taking control of the Budget Committee in 2011, and he has constantly warned about the supposed doom facing the program if major reforms aren’t enacted immediately. But Ryan’s attempts to gut the most popular entitlement program in America go back quite a few years, as Ryan Lizza’s New Yorker profile of the conservative hero makes clear. Ryan’s fight against Social Security has been ongoing since he pushed President George W. Bush to privatize the program in 2005: Under Ryan’s initial version, American workers would be able to invest about half of their payroll taxes, which fund Social Security, in private accounts. As a plan to reduce government debt, it made no sense. It simply took money from one part of the budget and spent it on private accounts, at a cost of two trillion dollars in transition expenses. But, as an ideological statement about the proper relationship between individuals and the federal government, Ryan’s plan was clear. […] Two weeks after Bush’s Inauguration, Ryan gave a speech at Cato asserting that Social Security was no longer the third rail of American politics. He toured his district with a PowerPoint presentation and invited news crews to document how Republicans could challenge Democrats on a sacrosanct policy issue and live to tell about it. Bush ultimately went with a slightly less radical proposal that still failed in the Senate and caused Republicans massive losses in the 2006 mid-term elections. But Ryan, undeterred, told Lizza that the failure of privatization was simply due to marketing, not that the plan was unpopular: What some might interpret as the failure of an unpopular idea Ryan insisted was mostly a communications problem. “The Administration did a bad job of selling it,” he told me. Bush had campaigned on national-security issues, only to pitch Social Security reform after reelection. “And… thud,” Ryan said. “You’ve got to prepare the country for these things. You can’t just spring it on them after you win.” The lesson: “Don’t let the engineers run the marketing department.” Aided by the mainstream media’s spreading of the lie that Social Security is “going bankrupt,” Ryan has been able to thrust Social Security “reform” back onto the table, and it was embraced during the primary by virtually every Republican candidate. What Ryan and his Republican colleagues continue to ignore, however, is how easy fixing Social Security would be if they weren’t so insistent on protecting the wealthiest Americans from a single tax increase. By lifting the payroll tax cap that currently limits Social Security contributions to the first $110,100 in income, Congress could ensure the program’s solvency for the next 75 years– longer than the program has been in existence to this point. That wouldn’t fit Ryan’s belief that the government doesn’t have a role in helping protect the financial security of the American people. But it would prevent millions of Americans from losing the much of their retirement savings, as they would have during the 2008 financial crisis had Ryan’s plan to privatize Social Security become law. That’s why Blue America has a special Stop Paul Ryan Page– and why we’ve had it for years. Steve Israel– another one not wearing a white hat– will never help unseat Paul Ryan. But, please, don’t let that stop YOU.
Source: blogspot.com

Congress Holds Hearings Fixing Flawed Medicare Physician Payment Formula

5010 AARP 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 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 George W. Bush 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 Kathleen Sebelius Lisa Remington Marco Rubio Marilyn Tavenner Medicaid Fraud Control Unit Medicare Fraud Strike Force MedPAC National Association for Home Care & Hospice 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

How Do You Maximize Against Medicare’s Payment Formula?

I worked in hospital accounting years ago. The hospital system I worked for owned hospitals in rural counties outside Dallas along with urban (and suburban) hospitals in Dallas. In our case, the rural floor caused the rural hospitals close to urban areas to lose money. The hospitals were reimbursed like they were rural hospitals with low labor costs, but the nurses who worked there were well aware that they only had to drive an extra 20 minutes each day to get far better wages in Dallas. Thus, the hospitals were paid like they were in low-cost areas but had to compete with higher-cost labor out of Dallas.
Source: ncpa.org

Health Care Law Saves People in Illinois $163.7 Million on Prescription Drugs

Posted by:  :  Category: Medicare

Love it! Improve it! Medicare for All! by TheeErinWashington, DC–(ENEWSPF)–July 25, 2012.  As a result of the Affordable Care Act, people with Medicare in Illinois have saved $163,700,106 on prescription drugs since the law was enacted.  The Centers for Medicare & Medicaid Services (CMS) also released data today showing that in the first half of 2012, 40,160 with Medicare in Illinois saved a total of $24,605,220 on prescription drugs in “donut hole” coverage gap for an average of $613 in savings this year. 
Source: enewspf.com

Video: Medicare Insurance Illinois Medicare Advantage Medigap Plans Illinois

Schakowsky: Social Safety Net, Affordable Care Act Are 'Political Winners' For Dems

ACA will bolster the state’s Medicaid program for poor, elderly, and disabled patients, with the federal government paying the full expansion cost until 2019. The Supreme Court decision gives states a chance to opt-out of the expansion. But Gov. Pat Quinn says Illinois will take part in the expansion, which will provide health care to anyone whose income is 133 percent below the federal poverty level.
Source: progressillinois.com

Obamacare: Medicaid by Nancy Thorner and Jane Keill

One of the major costs of Medicaid coverage is the cost of nursing homes. The Medicare program only covers nursing home expenses if the patient is receiving active nursing and medical care. If an indigent patient is unable to care for themselves on a daily basis, but doesn’t require actual nursing care, then Medicaid is used to pick up the costs. Medicaid is the nation’s largest payer of nursing home care. (Chicago Tribune 7/31/12) The elderly are the most expensive group of people who are covered for Medicaid health costs. The average child on Medicaid costs about $2,900 a year, but an average elderly person costs $16,000. (Chicago Tribune 7/31/12) http://www.latimes.com/news/nationworld/nation/la-na-medicaid-rollback-20120731,0,1410769.story?page=1
Source: wordpress.com

2012 Changes to Medicare in Illinois

Here’s another change involving Medicare Advantage plans that may impact your decision to buy or not to buy. As of 2012, they are prohibited from having higher cost sharing requirements for critical services like chemotherapy, skilled nursing and other services. In addition, administrative expenses and profits have been reduced, forcing many providers to rethink if they are going to continue offering Medicare Advantage plans.
Source: ssiinsure.com

America’s Future and the Slippery

The Supreme Court played a role in what many think is steering the United States down the slippery slope to socialism. That happened when it voted Obamacare was a “tax” — not healthcare — that, in five justices’ opinion did not violate the U.S. Constitution. As a result, Americans will have to pony up for 21 higher and/or additional taxes. Here they are:
Source: ice-news.net

News briefs: Illinois ranks high in excessive Medicare billing

Illinois ranks seventh in the number of doctors who may be excessively billing Medicare for intensive evaluation and management of patients, services that are vulnerable to fraud and abuse, according to a report by the inspector general of the U.S. Department of Health and Human Services. The inspector general identified 1,669 physicians nationwide in 2010 that consistently billed more to assess patients’ health, claiming that the services were more complex than usual. Illinois accounted for 3.5 percent of the doctors charging higher fees, but that’s lower than the 4.3 percent of Illinois physicians that bill for such services, the report said. The problem may be more severe in other states. For example, California had the most high-billing doctors, at 17 percent, but just 8 percent of the doctors who provided such services, according to the report, released in May, which did not try to determine the propriety of the bills.
Source: chicagobusiness.com

Affordable Care Act Helps 201,818 on Medicare in Illinois Save $139,094,886.04 on Prescription Drugs

Washington, DC–(ENEWSPF)–March 19, 2012. As the second anniversary of the Affordable Care Act approaches, new data shows that 201,818 Medicare beneficiaries in Illinois saved a total of $139,094,886.04 on prescription drugs because of the new health care law, Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services (HHS), announced today, an average of $689.20 per individual.  Savings for seniors include a one-time $250 rebate check to seniors who hit the “donut hole” coverage gap in 2010 and a 50 percent discount on covered brand-name drugs in the donut hole in 2011.
Source: enewspf.com

Illinois REC Services and Medicaid Incentives Provide a Boost to the State’s Economy

Recent national figures from the Office of the National Coordinator for Health Information Technology (ONC) indicate more than 129,000 priority primary care providers (PPCPs) have enrolled in REC programs similar to IL-HITREC’s. Late last fall, IL-HITREC reached its target goal of enrolling 1,300 PPCPs to assist in reaching meaningful use of a certified electronic health record system.
Source: emrdailynews.com