springhill Springhill Group Medical: How to Prevent Medicare Fraud

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana Carehttp://trishakolens.posterous.com/springhill-group-medical-how-to-prevent-medic Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: • Billing for DME • Billing for physicians services • Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient’s medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services. 3. Upcoding Charges Misrepresenting a level of service or procedure performed in order to charge more or receive a higher reimbursement rate is considered upcoding. Upcoding also occurs when a service performed is not covered by Medicare but the provider bills a covered service in its place. 4. Unbundling Charges Some services are considered all inclusive. Unbundling is billing for procedures separately that are normally billed as a single charge. For example, a provider bills for two unilateral screening mammograms, instead of billing for 1 bilateral screening mammogram. Medicare Fraud Indicators There are certain indicators that are common in the detection of Medicare fraud. Is your practice: • Routinely waiving copayments and deductibles for Medicare patients without checking for their ability to pay? • Charging higher rates to Medicare patients compared to other persons for similar services? • Missing treatment documentation such as physician or nurses notes? What to Do If I Suspect Fraud? It is your responsibility as a representative of the healthcare industry to be aware of and report any fraudulent activity suspected. If you would like to report suspected Medicare fraud, contact the Department of Health and Human Services or the Office of Inspector General for further assistance. http://springhillmedgroup.com/
Source: fc2.com

Video: 2011 HEAT Provider Compliance Training – Overview of Centers for Medicare and Medicaid Services

Nothing found for 2012 08 Almost

AAHomecare AARP Alliance for Home Health Quality and Innovation Almost Family American Association for Homecare Apria Healthcare Group Bank of America Brookdale Senior Living Care.com 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 Healthcare Partnership for Quality Home Health Care PeopleFirst Homecare PHI Res-Care Inc. Stephenson Entrepreneurship Institute VA
Source: homehealthcarenews.com

Upcoming Deadlines Chiropractors Need to Know

As DC’s we have a “special” status in the Medicare system; we are neither full-fledged physicians (like MD’s) but we are also more than practitioners (like PT’s).  To quote the Medicare Benefit Policy Manual “The opt out law does not define “physician” to include chiropractors; therefore, they may not opt out of Medicare and provide services under private contract.” (Ch 15, Section 40.4).  Basically, this means you
Source: strategicdc.com

CAHs Can Include Capital Lease Equipment Costs in Medicare EHR Incentive Payments

In July, the Centers for Medicare & Medicaid Services (CMS) changed its position on the inclusion of assets acquired through capital leases in the assets eligible for the Medicare EHR Incentive Payment. In a revision to a previous series of frequently asked questions, CMS states it will allow assets acquired through a capital lease to be included in the cost of eligible electronic health record (EHR) assets. However, this revision does not apply to operating leases, which are still excluded from assets eligible for the EHR incentive payment. The cost of an operating lease may continue to be included on the cost report as reimbursable cost.
Source: healthcarereforminsights.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

Medicare Reimbursement: Medicare Payment Methods for Providers, Medicare Advantage Plans, and Medicare Part D Drug Plans

ACA Actuary Affordable Care Act AHRQ ARRA CBO CER CMS Communications Comparative Effectiveness Research Compliance Drugs Dual Eligibles Employers FDA Fraud and Abuse GAO Health Health Care Spending Health Costs Health Coverage Health Information Exchange Health Insurance Health Plans Health Reform HIT HIX Hospitals Medicaid Medicare Medicare Advantage MedPAC MedTech Obamacare OIG Payment Pharma Physicians Prevention Program Integrity Providers Quality Research TogoRun Waivers
Source: piperreport.com

National Provider Call: New Medicare Preventive Services

The Centers for Medicare & Medicaid Services (CMS) will be holding a National Provider Call on Wednesday, August 15 from 2-3:30 p.m. EST.  On the call, CMS experts will provide an overview of the new preventative services covered by Medicare, when to perform them, who can perform each service, who is eligible and how to code and bill for each service.
Source: wordpress.com

Supporting Every Provider in Delivering Better, More Coordinated, Patient

We want to make sure that healthcare providers interested in forming ACOs have the opportunity to do so.  That’s why we created the Advance Payment Model—to provide entities such as rural and physician-owned organizations that hope to become ACOs in the Medicare Shared Savings Program with the support they need to invest in staff and in health information technology.  They will repay Medicare through savings they achieve.
Source: cms.gov

Premier Launches New Collaborative to Support ACO Preparation

In a press release announcing the new collaborative, Robert Gerberry, associate general counsel of Summa Health System, Akron, Oh., said in a statement that “Premier provided resources that helped us with a successful Shared Savings Program application. Through Premier,” Gerberry said,” we had direct access to representatives from the Centers for Medicare & Medicaid Services for application questions, opportunities to speak with other healthcare organizations going through the same process, and exceptional consulting expertise as we drafted our application.” Gerberry led the preparation of the MSSP application for the NewHealth Collaborative, an ACO launched by Summa and a group of northeast Ohio physicians.
Source: healthcare-informatics.com

About the Medicare Diabetes Prevention Act

Posted by:  :  Category: Medicare

The information provided on InformationAboutDiabetes.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her health professional. This information is solely for informational purposes and does not constitute the practice of medicine. We encourage all visitors to see a licensed physician or nutritionist if they have any concerns regarding health issues related to diet, personal image and any other topics discussed on this site. Neither the owners or employees of InformationAboutDiabetes.com nor the author(s) of site content take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading this site. Always speak with your primary health care provider before engaging in any form of self treatment. Please see our Legal Statement for further information.
Source: informationaboutdiabetes.com

Video: The Medicare Diabetes Screening Project – Savannah, Georgia News Coverage: WSAV News 3 at 6

Introduction Of The Medicare Diabetes Prevention Act Praised By The American Diabetes Association

Lugar (R-IN) have been leaders in the effort to stop diabetes by introducing the Medicare Diabetes Prevention Act; new legislation that provides coverage of the National Diabetes Prevention Program (National DPP) under the Medicare Program. Based on an NIH clinical trial that showed participants over the age of 60 could effectively reduce their risk of diabetes by 71 percent, the proven prevention program provides evidence-based programs. The expansion of community-based diabetes prevention programs will not only prevent diabetes from developing in adults, but will also save $191 billion in health care costs over a 10 year span, according to The Urban Institute. The timing is ideal for Congress to support proven and cost-effective programs to reduce health care costs, and most importantly, improve the lives of Americans. If diabetes incidence continues growing at its present rate, within the next twenty years the percentage of people in the country with the disease will probably more than double.
Source: painmanagementdoctorstampa.com

Medicare Offers Insurance Coverage Recompense Drug Medicines

Most of us be acquainted with the value of obedient protection, whether it’s way of life, home base, auto or health. Medicare is now present warranty coverage benefit of medication medicines to help seniors and ruined persons with the payment of their medicines. Those who join a newzair drug system ordain a score a monthly inducement (lately as they do infrequently instead of their Medicare doctor visits), liquidate a faction of the payment of their instruction medicines and may sooner a be wearing a deductible, depending on the plan they join. But distant from some types of insurance, people with Medicare cannot be turned down suited for direction psychedelic coverage. On so so, people with Medicare devote above $2,800 per year on direction medicines, more than $1,500 of which they currently pay at large of their own pockets. With the new Medicare coverage, the in that an individual last wishes as waste elsewhere of bag is expected to decamp to take $850. Even those seniors who currently revenue few medicines and fork out little boodle settle upon clothed the custodianship of shrewd they’re protected object of future instruction stimulant needs. This coverage is high-ranking because condition care needs generally develop with age-the conceivably of having more than lone persistent healthfulness problem doubles next to the everything beneficiaries reach 80 years -as does the difficulty with a view medicament medicines. Far 85 percent of Medicare beneficiaries who are ages 65 to 74 play at least a specific instruction medication. Constitution suffering needs are unpredictable and people with Medicare who don’t initially clue up transfer be suffering with to put off until the next calendar year steady if their health sadness needs change. When they do signboard up later they will-power pay out more looking for the coverage because there is a penalty-a higher premium-for those who do not already secure equivalent coverage. Paying higher premiums the longer you cool one’s heels is the just the same manner spirit warranty works. The new Medicare medicament cure-all coverage provides access, buffer and stillness of reason, a moment ago like every other class of insurance.
Source: leeelementary.us

DIABETES MEDICARE COVERAGE

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Source: elderauthority.com

How Does Medicare Deal With Individuals Who Commit Fraud?

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonHowever, practitioners should take this as another signal that regulators at all levels continue to focus on fraud and abuse. Practitioners need to be extremely diligent in their dealings with Medicare, as the financial and professional consequences of a fraud investigation or accusation can be severe.
Source: richwestlaw.com

Video: New West Medicare REVISED.mov

West Virginia Medicare Part D Plans

The following list details all 36 plans available to West Virginians and will allow you to compare premiums, deductibles, type of plan (basic or enhanced), whether or not there is extra coverage while in the Part D donut hole and Medicare Star ratings for each plan.
Source: partdplanfinder.com

NV: AARP poll shows Medicare, Social Security top concerns

Working baby boomer voters in Nevada are pessimistic about retirement, the poll results show. Of this group, 67 percent believe they will have to delay retirement and 32 percent are not confident they will ever be able to retire. Sixty-eight percent of working boomers believe the recent economic downturn will force them to rely more on Social Security and Medicare.
Source: watchdog.org

CrummeyService.com Accepts Equity Investment

Posted by:  :  Category: Medicare

In order for a gift to a trust to qualify for the annual gift tax exclusion, currently $13,000 per beneficiary, the IRS requires trust beneficiaries to be given formal written notice of their right to withdraw the gifted amount if they choose to do so (Crummey v Commissioner, 397 F.2d 82 (9th cir 1968)). CrummeyService.com technology reminds the grantor to make the gift to the trust, notifies the beneficiaries of their right to withdraw the gifted amounts, and provides an independent third-party record of the entire process.
Source: lifesourcedirect.com

Video: United Healthcare Secure Horizons & Oxford – Medicare Advantage Denies Coverage

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

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

Secure Horizons Medicare Advantage

Provider dedicated nonsense dedicated of, different of providing and nonsense. County the plans is artists and on, Secure Horizons Medicare Advantage by by and different tax insurance. Camelback learn to types about about different, Secure Horizons Medicare Advantage is benefits plans instant and is. Insurance plan complaints health social plans, Horizons quality age insurance covers covers. Life and tax are of, to plans to is plans code. W the at the plan and reviews, Secure Horizons Medicare Advantage healthcare and in about of pricing. Find and is free and all types, Secure Horizons Medicare Advantage zip at instant health and. W and and care more benefits over about, Medicare of of more for insurance funded solutions.
Source: posterous.com

Economist’s View: CBPP: Medicare and Medicaid Spending Trends Don’t Justify Restructuring

With the per-enrollee spending growth in Medicare and Medicaid less than that in private insurance and close to the growth in GDP per capita, it’s hard to argue that spending on either program, on a per-enrollee basis, is “out of control.”. . . Policy options such as premium support and block grants that entail indexing growth rates to some measure of economic growth will have a hard time achieving lower per-enrollee spending growth than is currently projected. CBO estimates suggest that both approaches may achieve savings for the federal government, but such savings shift Medicare costs onto existing enrollees and, in the case of Medicaid, onto the states as well. . . . Rather than pursuing major restructuring of either program, then, we should continue adopting available strategies to contain costs within the programs’ current structure, especially since many of those implemented in the past decade seem to be working, and many on the horizon appear promising.
Source: typepad.com

Safe Horizons Medicare Advantage

The first benefit of the HMO is the decrease cost sharing by using community providers. HMO plans typically have extra advantages that is probably not present in different types of plans. HMO plans are sometimes available in metropolitan areas with a greater population and a comprehensive supplier network. Make sure that you are comfortable with the supplier community earlier than you choose this sort of plan.
Source: thenasdaqstockexchange.com

Secure Horizons Medicare Advantage

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Source: nasdaqtradingnews.com

Home Care Services in Aurora, IL?

Posted by:  :  Category: Medicare

Love it! Improve it! Medicare for All! by TheeErinThe doctor must recommend that the patient should not leave home due to their condition or the patient is unable to leave home without a wheelchair or walker, requires special transportation or must have help from another individual. The exception to this rule would be doctor visits or attending short religious services. If a patient attends an adult day care program they are still eligible for home health care.
Source: homehelperschicagoland.com

Video: Home Care Chicago: Does Medicare Pay for Home Care in Chicago IL?

Lake County Family YMCA Hosts Preventive Physical and Medicare Exams

“Preventable chronic diseases such as diabetes, heart disease, stroke, obesity and cancer are the most important health problems that Americans face today,” said Scott Morcott, M.D., chief medical officer of PathFinder Health.  “Most of us do not realize the impact that healthy lifestyles, including regular physical activity, healthy nutrition, stress and weight management, have on reducing risks for chronic disease and even in the treatment of these diseases once they occur.  Despite this news, only about one of every five adults takes the time to obtain a preventive health physical exam and review his or her risks every year while more than 75 percent of us will die as a result of complications from chronic disease.”
Source: patch.com

Dold, Schneider Spar on Medicare

Rep. Dold voted, twice, for a plan that ends Medicare as it exists today for those under 55. Don’t pay attention to what he says – look at his votes: he voted twice for the Ryan budget; if the Senate and Executive branches had been Republican, it would be law. Period. If you look at the specifics of the plan, you will see there is nothing moderate about it. He can say he supports many more moderate plans all day long, but I would only believe those words if they were backed by principled votes against the Ryan plan. The proposed Wyden-Ryan was not passed by the house – the Ryan Plan was. Mr. Dold, you will be held to account for your deeds, not your words.
Source: patch.com

You’ve Earned a Say with Social Security and Medicare

After 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

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

Illinois Cutting Medicaid Funding Effecting HIV/AIDS Patients

AFC is particularly concerned about 2 changes in the Medicaid bill and their impact on people living with HIV. New restrictions to HIV medications provided by Medicaid could make it harder for people with HIV to receive the life-saving medications they need to stay healthy. The restrictions would allow the state to institute changes to lower utilization of HIV medications. Thanks to language added at the request of AFC and partners, the state will be required to consult with HIV experts, providers and organizations to develop a cost-saving proposal. Changes much yield the same cost saving as instituting prior approval.
Source: aidsresponseeffort.org

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

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

Home Care in Grayslake, IL

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: heartsofgoldhomecare.com

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

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

IL: Medicaid reform skips the norm for awarding contract

Illinois has a history of state contracts winding up in the hands of people who have connections to those in power. After Gov. Rod Blagojevich tried to sell President Obama’s vacated Senate seat to the highest bidder and attempted to extort campaign donations from the Children’s Memorial Hospital chief executive officer, a law reforming procurement practices was signed into law.
Source: watchdog.org

Report: Republicans to play significant role at Dem convention

According to convention planning documents, the three-night convention in Charlotte, N.C., early next month will seek to “[e]xpose Mitt Romney as someone who doesn’t understand middle class challenges” while also burnishing “the President’s image as someone whose life story is about fighting for middle class Americans and those working to get into the middle class.”
Source: e-rockford.com

Patient Account Specialist

Position Summary: Individual is responsible for all activities associated with the collection of receivables within the Company established guidelines. The… From ATI Physical Therapy – 04 Aug 2012 07:55:18 GMT – View all Bolingbrook jobs
Source: illinoisjobdaddy.com

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

Posted by:  :  Category: Medicare

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

Video: Health Net Medicare Advantage – Compare to over 180 Compani

Health Net’s CEO Discusses Q2 2012 Results

First of all, we said a month, we didn’t say they’re lowest, but that’s just an amendment, but secondly in the context of the small group market one of the key things for us is the tailored network products, because in those products we’ve built in some incentives to containing outpatients. In the fuller network products we’re seeing what our competitors are talking about. So to us we’re actually seeing MLR improvement in those segments particularly in the tailored network products where they are the incentive to appropriately use outpatient and particularly to use outpatient services with valid units costs. There is separately some ER. Then there are some very significant, in our view, in the full network product, unit cost issues and some discretionary utilization issues. So, I think as we look at it, one of the good things about some of these Tailored Network Products is that they have schedules that both discourage excess outpatient utilization and encourage appropriate unit cost in those areas.
Source: seekingalpha.com

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

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

A.M. Best Affirms Ratings of Health Net, Inc. and Its Subsidiaries

Offsetting rating factors include flattened premium development and concentration risk. Health Net is recovering from sanctions imposed by Centers for Medicare and Medicaid Services (CMS) in 2010. Also, California’s depressed economy has negatively impacted commercial enrollment. As a result of these factors, the rate of growth in premium revenues has flattened and for some affiliates, premiums have decreased. The organization resumed marketing Medicare Advantage in the latter half of 2011. Additionally, Health Net sold its Medicare stand-alone prescription drug plans (PDP) business in April 2012. The majority of the insurance operations’ business is concentrated in California, representing more than 70% of the consolidated insurance companies’ premiums, net income and capital, which represents concentration risks. A.M. Best expects that the operating earnings at the insurance subsidiaries may be lower in 2012 as a consequence of the reserving issues attributable to the previous year and the resulting net loss at the lead company in the first quarter of 2012. Furthermore, the company is experiencing growth in certain government-funded lines of business, particularly Medi-Cal. Budget pressures in California could delay payments and reduce reimbursement levels in the future.
Source: pymnts.com

HealthNet Will Pay MA Renewals FOR LIFE

Here’s the e-mail that I received today: Dear Valued Partners: Just in case you didn’t hear the good news regarding Health Net’s change in compensation rules for 2012 we are sending this reminder. The CMS Marketing Guidelines shown below discusses the fact that a plan is required to pay Producer compensation for a 6-Year Cycle. After the 6-Year Cycle is complete it is then up to the plan sponsor whether or not to continue to pay agents the renewal compensation. You will be glad to know that in 2012 Health Net modified it’s compensation policy to now pay renewal compensation past the end of the 6-Year Cycle and for as long as the Member remains continuously enrolled in the Health Net Medicare Product that the Producer enrolled them in. I trust that you will find this favorable and a confirmation that Health Net remains committed to the broker channel! Thanks for your continued loyalty to Health Net. PS. This is retroactive to all Medicare Advantage business you have written with Health Net. 2012 CMS Marketing Guidelines (Embedded image moved to file: pic08405.jpg) 2012 Health Net Compensation Schedule (Embedded image moved to file: pic08826.jpg) Please call your Account Executive or Broker Services at 800-708-7646 if you have any questions. We want to thank you for your continued partnership and support!!!
Source: insurance-forums.net

CMS Announces Marketing Sanctions for Three Medicare Advantage Carriers: Health Net, Arcadian and Universal American

[…] CMS isssued a press release on Friday afternoon announcing these marketing sanctions.  The sanctions for Health Net took effect at mid-night last Friday, so as I write this, they are currently unable to take an new enrollments.  The sanctions for Arcadian Management and Universal American Corp will not take effect until Sunday, December 5th, so agents will be allowed to enroll new members in these plans for approximately 2 weeks until the sanctions take affect.  For Universal American, the sanctions DO NOT include their stand alone part D plan, only their Medicare Advantage plans.Source: ritterim.com […]
Source: ritterim.com

State of Dental Care Among Medicaid

Posted by:  :  Category: Medicare

Bentleigh by Greens MPsRESULTS: The prevalence of having DCV ranged from 12% depending on age, to 49% with a median value of 33% but did not exceed 50% in any state. The median percent change between 2002 and 2007 was 16%. DCV among toddlers and infants were low in all but 3 states and in most states peaked at age of school entry to >60% in some states. In most states, there were few racial differences in the prevalence of DCV. Children enrolled in Primary Care Case Management tended to have the highest DCV, the effect of Children’s Health Insurance Program enrollment on the number of DCV was generally positive.
Source: aappublications.org

Video: Medicare Dental Plans | Medicare supplemental Plans dental plans

The August 2012 Issue Sponsor: UCare

Enrollment is voluntary and members can join or leave UCare Connect monthly. Designed and administered by the Minnesota Department of Human Services (DHS), the plan offers health care delivery options that improve access to primary and preventive care. Benefits include hospital stays, nursing home care, doctor visits, outpatient care, preventive care, prescription drugs, transportation services, dental care, and interpreter services.
Source: accesspress.org

Insurance Agent: FREE Weekly PRE

Our FREE Leads put you in a position to easily cross-sell into Final Expense, Life Insurance, Dental & Annuities sales. OUR AVERAGE AGENT EARNINGS ARE $1,200-$1,800 weekly, and $62,400- $93,600 their first year; not to mention, renewals the following year. WE ONLY PROVIDE MARKETING SUPPORT FOR 30-45 AGENTS STATEWIDE. SO, DO NOT DELAY. INSURANCE AGENTS WHO ARE NOT INTERESTED IN MEDICARE SALES, WE ALSO HAVE OTHER PROGRAMS FOR LIFE AND ANNUITY SALES. – Exclusive Life pre-set appts.: ($400 for 25 recorded pre-sets) – Live transfers: (Life, Medicare Supplements, Dental, Mortgage Protection), $250 for 50 transfers = $5 per transfer – Discounted Final Expense direct-mailers ($300 per 1,000, 2%-3% return) – Free SPECIALIZED cold-call list of seniors and families – CFP, CPA, and/or P&C program
Source: thebartertown.net

Pediatric Dentists Who Accept Medicaid Insurance

The Centers for Medicare and Medicaid Services offers a comprehensive list with all the dentists and other types of doctors who accept Medicaid. It is important to keep in mind that in these databases you will not be able to search separately for general dentists and pediatric dentists.
Source: worldental.org

Ask The Experts: Retirement

Q. I will retire after age 65. My husband is already older than 65, and we are both covered by my Blue Cross Blue Shield FEHB. I realize I don’t have to make a decision for either of us concerning taking Medicare Part B as long as I’m employed by the federal government. After I retire, I realize BCBS will be constrained by law to pay no more than the Medicare fee schedule amount for services rendered for either of us should I chose not to take Medicare Part B for either of us. Can my doctor require me to pay the difference between the Medicare allowed part my insurance pays and what my doctor wants to charge? Or is my doctor mandated by law to keep fees for services at the Medicare Part B limit regardless of whether my doctor accepts Medicare Part B or not?
Source: federaltimes.com

JAMA Forum: How Can Medicaid Succeed After Absorbing Millions of New Enrollees?

Certainly the safety-net system that is in place will not soon become the kind of system imagined in the ACA. Safety-net clinics are funded to provide outpatient primary care and dental services only. They typically are not responsible for imaging studies, specialist diagnostic procedures, surgery, intensive care, inpatient care, or home care—that is, where the big costs (and the big cost savings) are. Clinics do great work under difficult circumstances, and many are expanding their repertoire. But while some are making great strides towards becoming “medical homes,” others still largely provide drop-in, episodic care. The true concept of “accountable care”—an organization taking longitudinal clinical and financial responsibility for all of the care needed by a defined population—is a long way from being a reality for the system that most newly insured individuals might seek out for care. To make matters worse, an increasing number of private physicians (including many physicians of color) who have historically cared for the majority of Medicaid patients have concluded, not surprisingly, that they can no longer continue to do so because of the punitive rates paid to those who do not have Federally Qualified Health Center Medicaid status.
Source: jama.com

Connecticut Medicare Costs Among Highest In Nation

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSMedicare payments can vary from hospital to hospital for many reasons, including the type of hospital, regional wages and salaries, the income mix and sickness of patients and the level of intensity with which patients are treated. Some hospitals may order more tests, have patients see more doctors or make higher use of intensive-care beds. Costs could also rise if subpar care extends a hospital stay or forces additional tests.
Source: ctwatchdog.com

Video: **Jim Himes – How To Fix Social Security & Medicare** Westport, CT July 1, 2012

Anthem high Deductible F plan Connecticut « Insurance News from Crowe & Associates

Here is how High Deductible F works-(This is a very simplified version but you will get the point):   Medicare Part A covers hospital costs after a $1,200 deductible and Medicare Part B covers 80% of doctors and testing costs.  The anthem High F, will cover 100% of costs once a consumer spends $2,070. out of pocket in a year.  At $35 a month, the math can not be beat.  Try the math versus any other Medicare Supplement plan on the market and see how it comes out.    Keep in mind that only 1% of Medicare consumers with a high deductible F plan every actually hit their deductible.
Source: croweandassociates.com

Two Medicare Accountable Care Organizations Approved in Connecticut

At last Connecticut has two medical groups that have been approved to participate in Medicare’s Accountable Care Organization (ACO) program.  The two groups are:  MPS ACO Physicians in Middletown and PriMed of Shelton.  The ACO program is part of many efforts being undertaken to change how health care is both delivered and paid for; moving from a system that rewards volume to a system that rewards quality care and better outcomes. 
Source: universalhealthct.org

Rep. Courtney Pushes Bill To Expand Medicare Coverage Of Nursing Home Stays

Anyone with experience in the private nursing home industry will probably agree that these institutions are in business to maximize profits. That is their top priority. For nursing home operators, offering better care or legislating longer stays will most likely have an adverse effect on their bottom line. More evidence that free market capitalism never works when it comes to designing and implementing social programs. Every other industrialized nation in the world has come to realized this truth long ago and they have migrated to single-payer government control. Free enterprise does not work in nursing homes or anywhere else where health care is delivered. The profit motive will always be the top priority and providers will always cut corners and skimp on the delivery of goods and services just to meet their quarterly objectives. It takes government to legislate kindness and compassion. Capitalism will never be kind and compassionate. Never!
Source: kaiserhealthnews.org

What Willard’s Withholding

(T)he Son of Boss transaction was listed by the Internal Revenue Service as an abusive transaction, requiring specific disclosure and subject to heavy penalties. Statutory penalties were also made more stringent to deter future tax shelter activity. Finally, the government brought successful criminal prosecutions against a number of individuals involved in Son of Boss and related transactions not associated with Marriott, including principals at major law and accounting firms.
Source: ctnews.com

Letters To The Editor: Readers’ Thoughts On Tennessee Medicaid’s Long

Your article raises excellent points both about the need to control long-term care costs and the concerns for those that cost containment will affect. What your article left out is that prior to July 1, 2012, many of those who chose to receive their service in the community did so in assisted-living facilities (ALF). Medicaid limited their benefit to approximately $1,100/month, making this choice far more affordable for Tennessee than the full cost of a nursing home (typically $5,000/month or higher). Unfortunately, this option is not available to those in the new “at risk” group. It makes no sense to exclude this choice since the total cost to the state would be less than the $15,000 cap for this group. Paradoxically, receiving services at an assisted-living facility is technically a choice for those who meet the new weighted score necessary for nursing home placement. But elderly Tennesseans debilitated enough to meet the scoring criteria for nursing home placement are far less likely to be functional enough to be adequately cared for in ALF. While nursing home owners and administrators may see themselves as the target of this change, their beds seem to stay full. The real shame is that many elderly Tennesseans have been effectively blocked from a care option that offers a much higher quality of life at a much lower cost.
Source: kaiserhealthnews.org

State GOP Sues For Top Ballot Line

GOP leaders argued that state law provides that the party whose candidate won the last gubernatorial election get the top line on the next election ballot.  They said that even though Democrat Dannel Malloy won,  he received fewer votes on the Democratic line than Republican candidate Tom Foley.  Malloy won the election because he also received votes on the line of the Working Families Party.
Source: cbslocal.com

AARP wants your input on changes to Social Security, Medicare :: East Haddam Today

AARP is a nonprofit, nonpartisan organization with a membership that helps people age 50+ have independence, choice and control in ways that are beneficial and affordable to them and society as a whole. AARP does not endorse candidates for public office or make contributions to either political campaigns or candidates… AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. We have staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.
Source: htnp.com

Kerrey says country must address $60T unfunded liability (AUDIO)

Kerrey says it will take shared sacrifice and a bipartisan approach to put Social Security and Medicare on sound financial footing. Kerrey refers to a number of bipartisan approaches, showing a preference for a proposal pushed by Republican Sen. Tom Coburn of Oklahoma and Sen. Joe Lieberman of Connecticut, an Independent closely aligned with the Democratic Party.
Source: nebraskaradionetwork.com

Daily Kos: Daily Kos Elections Morning Digest: Race in Connecticut’s 5th heats up on both sides

Adding up D and R totals in all of the Senate races, only two currently Dem-held seats are poised to flip to the GOP, the Puyallup-based 25th (widely expected to flip after Jim Kastama’s retirement to run for SoS, and where the GOP got a strong recruit, Bruce Dammeier, and the Dems got a nobody), and Whidbey Island’s 10th. The 10th is hardly a done deal, though, as Barbara Bailey leads Dem incumbent Mary Margaret Haugen (whose name might be familiar since she was the final vote to put same-sex marriage over the top earlier this year) only 50.3-49.7. The Dems are also set to flip the rural King County 5th, where the GOP was left in a pickle with Cheryl Pflug’s after-the-filing-deadline retirement, leaving them only with the anti-same-sex-marriage nut who was challenging Pflug from the right. Unfortunately, it doesn’t look like Democrats are poised to flip the Bellevue-based 41st, which is the bluest district held by a Republican; Steve Litzow leads Maureen Judge 58-42. They have a much better shot in the swingier Vancouver-area 17th, where Tim Probst trails GOPer Don Benton only 50.4-49.6.
Source: dailykos.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

Nearly 1/3 Of Doctors Won’t See New Medicaid Patients

Posted by:  :  Category: Medicare

Nancy Pelosi on the Next Four Years by jurvetsonAt MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
Source: medibid.com

Video: California Hospital Chain Eyed for Possibly Bilking Medicare for Millions

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

CMA applauds the Institute of Medicine study

IOM study in a series of recommendations, including that would combine Medicare physician payment localities and hospitals in metropolitan statistical areas to pay physicians more accurately according to their local costs. This recommendation represents a major victory for physicians and their patients in California who pleaded for CMS and Congress to update the areas of payment for a decade, said Hinsdale. Under the current system, 14 towns, counties California is still designated as rural and under-paid up to 13 percent a year.
Source: kaysskincounsel.com

CMS Still Evaluating Cost of Modifying Medicare Beneficiaries’ ID Cards

Rep. Sam Johnson (R-Texas), chair of the House Ways and Means Social Security subcommittee, noted that the Department of Defense and health organizations already have taken steps to redesign their insurance cards and that CMS was asked to do the same for Medicare years ago. “I don’t understand what’s taking so long,” Johnson said.
Source: californiahealthline.org

Guiding the Uninsured to Low

AB 32 AB 109 aging aging with dignity Ashby Wolfe Bay Area breast cancer bridge to reform budget children City Heights diesel Every Woman Counts global warming Greater Sacramento greenhouse gas health insurance health reform Healthy San Francisco Housing in-home care Medi-Cal nutrition oakland obesity pesticides pollution prevention prison realignment regulation Richmond San Francisco San Joaquin Valley SB 375 Schwarzenegger single-payer smoking Southern Boarder Southern California taxes tobacco transit unemployment wellness youth
Source: healthycal.org

Roundup: Ky. Judge To Hear Christians

HealthyCal: Got Docs? A new county health plan for low-income residents, Riverside County Health Care, created in January 2012, was expected to ease the economic burden and address health disparities. So far, however, it’s falling short of expectations. The plan promises a full range of medical services: primary care, mental health services and access to specialists. The idea is that an up-front investment in comprehensive care will have a long-term payoff in fewer emergency room visits and hospital stays. Riverside County, as well as 46 other counties in California, are in the process of rolling out new health plans for the poor—essentially an expansion of Medicaid—in anticipation of the full implementation of the federal Affordable Care Act in 2014 (Urevich, 8/6).
Source: kaiserhealthnews.org

ACP Internist: QD: News Every Day

Slightly more than two-thirds of physicians accept new Medicaid patients, reports a survey that establishes a baseline for whether better reimbursement provided under the Affordable Care Act might prompt more doctors to enroll recipients onto their patient panels. Nationally, 69.4% of physicians accepted new Medicaid patients, compared to self-pay (91.7%), Medicare (83.0%) or privately insured patients (81.7%), reported a study that appeared in the August issue of Health Affairs. While Medicaid reimbursement will equal Medicare reimbursement for the years 2013 and 2014, one internist spelled out why he’s not changing his practice management habits. Robert Maro Jr., MD, ACP Member, practices in Cherry Hill, NJ, the state with the lowest Medicaid acceptance rate among doctors (40.4%). He told Kaiser Health News why the Medicaid bump won’t change his mind about not accepting new patients: “Robert Maro Jr., a Cherry Hill internist, said he had not accepted new Medicaid patients for 15 years because of low pay. He said the state reimburses him only $23.50 for a basic office visit, less than half of what he gets from Medicare or private insurers. “Maro said he treats Medicaid patients in the hospital and in nursing homes, but would lose money treating them in the office, where his administrative costs are higher. “He said he would start seeing new Medicaid patients only if knew the pay hike under the health law would continue beyond 2014. Otherwise, he worries he would take on new patients only to see rates fall back to the old levels in 2015, and then he would be required legally and ethically to keep treating them.” An ACP survey tracks closely with the numbers reported in the Health Affairs study. In the survey, among 3,109 U.S. members (no students or associates) practicing entirely or primarily outpatient medicine who responded, 34.1% were no longer accepting Medicaid patients. Other items of note in the Health Affairs report: –Physicians in solo practice were 23.5 percentage points (34% relative difference) less likely to accept new Medicaid patients than physicians in offices with at least 10 other physicians; –Primary care physicians were 7.3 percentage points (11%) less likely to accept new Medicaid patients; –Physicians outside of Metropolitan Statistical Areas were 12.9 percentage points (19%) more likely than others to accept new Medicaid patients; –Physicians in the Midwest were 8.2 percentage points (12%) more likely than those in the Northeast to accept new Medicaid patients; and –Physicians practicing in counties where at least 15% of the population was under the federal poverty level were more likely by about 8.4 percentage points (12%) than others to accept new Medicaid patients.
Source: acpinternist.org

Bill would expand penalties for nonprofits that misuse funds

“Thinking about the combination of the depth of the recession, the importance of people relying on private philanthropy and some issues that have happened regarding those organizations, we began to research what the rules were regarding the attorney general’s capacity to ensure money is being properly dealt with and to try to intervene when it’s not,” said Feuer, who previously ran a nonprofit in Los Angeles. “We reached out to the AG’s office, and we’ve been working very closely with them to analyze the powers that they do and don’t have and to try to fill in some blanks.”
Source: californiawatch.org

ASTD Job Bank: Instructional Design & Development jobs, Cerritos jobs, California jobs, Clinical Instructional Designer at CareMore Medical Enterprise

• Uses ADDIE process to produce comprehensive, blended learning solutions using adult learning principles, writing excellence for audience comprehension, and applicable learning trends. • Conducts needs analysis and evaluates effectiveness of learning solutions which support the CareMore model of care. May lead medium to large analysis efforts, involving multiple stakeholders. • Conduct limited process improvement efforts as training materials are developed. • Collaborates with CareMore training teams and subject matter experts to ensure that all learning objects adequately correlate and cross-reference each other for a seamless learning experience which supports the CareMore model of care. • Translates business requirements into learning requirements and project scope • Interacts with training teams and subject matter experts and other key constituents to ensure validity and usability of learning content, objectives, methods, assessments, tools, etc. • Partners with the interdisciplinary teams to ensure the sharing of resources and best practices. • Creates instructor guides, participant guides, self-paced print courses, online assessments, online training and job aids for a wide variety of audiences and purposes. • Maintains standard instructional guidelines, templates, fonts, style guides and writing guides. Promotes the use of all standards for all learning objects. • Facilitates train-the-trainer sessions as needed to roll out and test new courses. May also facilitate meetings and other events, as needed. • Participates in project teams, as needed. May lead mid-sized to large efforts. • Fully participates in mentoring and informal learning activities. Makes presentations, shares information and provides peer quality feedback, etc. • Will serve as a customer care and teamwork role model and mentor. • Training session coordination and tracking as needed. • Other duties as assigned.
Source: astd.org

Withholding Medicare And Social Security Taxes From Retirees’ Wages : California Public Agency Labor and Employment Blog : California Attorneys

There is an exception to the above referenced general rule.  Social Security taxes for a rehired annuitant (i.e. public agency retiree who is rehired by his/her employer or another employer that participates in the same retirement system as the former employer) are withheld if the retiree’s new position is covered for Social Security under a “Section 218 Agreement.”  A Section 218 Agreement is a voluntary agreement between states and the Social Security Administration to provide Social Security and Medicare Hospital Insurance (HI) or Medicare HI-only coverage for state and local government employees. These agreements are called “Section 218 Agreements” because they are authorized by Section 218 of the Social Security Act.  Public agencies (i.e. political subdivisions of the state) may enter into a Section 218 Agreement with the Social Security Administration to extend Social Security coverage to their employees.  Under the Social Security Act, certain positions are mandatorily excluded from Social Security coverage.  Therefore, if a public agency hires a rehired annuitant, the agency must determine whether the position which the rehired annuitant now occupies is covered by a Section 218 Agreement.  If yes, then Social Security taxes are withheld.  For Section 218 coverage questions, consult the Social Security Administrator for Region VII which covers California. (See http://www.ncsssa.org/ssaregoffice.html)
Source: calpublicagencylaboremploymentblog.com

Investigative Journalist Warns that Obamacare could Force Americans to Seek Medical Care Overseas

I do not come at this from a political or partisan point of view, Goldberg remarked. Obamacare has several features which appear to be in the interest of the public, such as the requirement of insurance organizations to accept all patients, even those with preexisting conditions. But the legislation is totally silent when it comes to just how much the insurance companies can charge! The public must understand that the price to be paid for insurance for preexisting conditions is and will be determined by the insurance industry who have and will, if history teaches us correctly, operate with impunity.
Source: dailydactyle.com

No Medicare Drug Plan Cost Increases For Seniors In 2013

Posted by:  :  Category: Medicare

Medicare for All by juhansoninThe 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: Kaiser Medicare Part D Insurance – Compare to over 180 Comp

Kaiser Health Roundup: ‘No

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

Raising the Age of Medicare Eligibility: A Fresh Look Following Implementation of Health Reform

Several major deficit-reduction and entitlement reform proposals include raising Medicare’s age of eligibility from 65 to 67 as a way of improving Medicare’s solvency.  This Kaiser Family Foundation report estimates the expected effects on such a change on the federal budget, as well as on affected seniors’ out-of-pocket costs, employers, Medicaid and others in light of the major changes in coverage enacted under the 2010 health reform law. The study estimates that raising Medicare’s eligibility to 67 in 2014 would generate an estimated $5.7 billion in net savings to the federal government, but also result in an estimated net increase of $3.7 billion in out-of-pocket costs for 65- and 66-year-olds, and $4.5 billion in employer retiree health-care costs.  In addition, the study projects that the change would raise premiums by about 3 percent both for those who remain on Medicare and for those who obtain coverage through health reform’s new insurance exchanges.  The study assumes both full implementation of the health reform law and the higher eligibility age in 2014 in order to estimate the full effect of both the law and the policy proposal. In the absence of the health reform law, raising Medicare’s age of eligibility would result in an increase in the uninsured, according to other studies, as many older Americans would have difficulty finding affordable coverage in the individual market in the absence of Medicare.  With health reform, virtually all 65- and 66-year-olds would be expected to obtain alternative sources of coverage.  The study is authored by researchers from the Kaiser Family Foundation and the Actuarial Research Corporation and is available online. It is the first in a new series of Kaiser Family Foundation studies examining the effects of proposed Medicare changes on the program’s beneficiaries, the federal budget and other stakeholders. NOTE: Originally released in March 2011, this report and news release were updated in July 2011 to reflect additional provisions of the 2010 health reform law. These adjustments result in lower estimates of net federal savings and aggregate out of pocket spending attributable to raising the age of eligibility. News Release  Report (.pdf)
Source: kff.org

This Week in Polling: Massachusetts Health Reform & Medicare

Health care makes both lists when ABC News/Washington Post asks Americans what President Barack Obama has done especially well and especially poorly. The survey also asks who the public trusts to protect Medicare, if the House-passed Ryan plan would save money for future Medicare recipients, and whether Republican-leaning independents like the health plan newly declared Republican candidate Mitt Romney enacted as governor of Massachusetts. The Harvard School of Public Health and The Boston Globe provide an in-depth look at Massachusetts residents’ views of their state’s 5-year-old universal coverage law. The Pew Research Center for the People and the Press examines support for Congressman Paul Ryan’s proposed changes to Medicare to reduce the deficit. A CBS News poll tracks favorable views of the health care law and public opinion around proposed changes to Medicare.
Source: kff.org

This Week in Polling: All About Medicare

Ipsos/Reuters’ July poll asks the public which government service – including Medicare and Medicaid – should have its funding cut first if the debt limit isn’t raised. The poll continues to track the most important problem question; check out the survey to see where health care falls. Quinnipiac’s latest poll examines who voters trust to do a better job on Medicare – President Obama or the Republicans in Congress.
Source: kff.org

First Edition: August 10, 2012

The New York Times: Post Office Troubles Mount With $5.2 Billion Quarterly Loss The Postal Service attributed the net loss mostly to a 2006 law requiring that the agency prefund future retirees’ health benefits, amounting to a $5 billion payment each year for 10 years. The agency defaulted on a $5.5 billion payment due at the beginning of this month that was deferred from last year. It is also expected to default on another $5.6 billion payment that is due in September. While the agency failed to make the August payment and does not expect to make the payment next month, it said it still accounted for a portion of the cost in the quarter. It also accounted for a $1.4 billion workers’ compensation payment to the Labor Department that is due in October (Nixon, 8/9). Check out all of Kaiser Health News’ e-mail options including First Edition and Breaking News alerts on our Subscriptions page.
Source: onlinehealthnews.org

Obamacare Raids Medicare and Makes Off With $716 Billion

The amount of money ObamaCare steals from Medicare continues to change. The fraud that is Obamacare, uses fuzzy accounting and double counting to hide the real cost from taxpayers. Kathleen Sebelius was busted for this while testifying on the $500 billion theft from Medicare to pay for ObamaCare. They claimed the $500 billion was to be used for both saving Medicare and to fund ObamaCare.
Source: wordpress.com

Kaiser Permanente’s PHR Reaches Four Million Users

"My Health Manager empowers members to take charge of their health, and our data show that they are doing just that," George Halvorson, chairman and chief executive officer of Kaiser Permanente, said in a statement. "In the last six months, 67 percent of registered members signed on to My Health Manager two or more times. By revisiting the website, our members are getting a complete picture of their health past, so they can make the best health choices in the future."
Source: healthcare-informatics.com