MedicareIsSimple: Medicare Advantage Enrollment Continues to Climb

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonThe Solution to Your Healthcare Needs Us Here at Medicare is Simple, we understand your needs. It is our mission to educate and enable you to choose among the best Medicare plans to find the policy that fits your requirements. Get free quotes instantly using our advanced quoting technology. You will receive multiple quotes from the most reputable carriers for you to compare online. Medicare Is Simple 233 W Main St Lewisville, TX 75057 800-442-4915 inf@medicareissimple.com
Source: blogspot.com

Video: Medicare Advantage Plans 2011

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

Kaiser Permanente’s Medicare Plan Website Recognized as a Benchmark for Excellence

About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

Daily Kos: New Obama (Web) Ad Strikes Back Hard on Medicare

grytpype, Kitty, JekyllnHyde, Mimikatz, Alma, TXdem, Chi, ferg, askew, Liberal Thinking, Gooserock, Pandora, emal, TheGreatLeapForward, Heimyankel, Wintermute, cotterperson, SanJoseLady, hyperstation, eeff, polecat, x, Sandy on Signal, SallyCat, bethcf4p, expatjourno, Heart of the Rockies, DaveV, concernedamerican, missLotus, litho, jem6x, whenwego, djMikulec, twcollier, CoolOnion, highacidity, Voter123, Torta, MazeDancer, fumie, ctsteve, kitebro, Cedwyn, hopeful, RLF, psnyder, Nag, TexDem, virginislandsguy, HeedTheMessenger, dwahzon, defluxion10, Diana in NoVa, peterj911, jj32, Sembtex, WisVoter, tomjones, Sybil Liberty, sawgrass727, vcmvo2, Los Diablo, ExStr8, maybeeso in michigan, NoMoreLies, v2aggie2, blueyedace2, caul, LarisaW, JanetT in MD, KnotIookin, Flint, one of 8, kitchen sink think tank, kefauver, Clem Yeobright, dewtx, Mahler3, Brooke In Seattle, Gary Norton, fixxit, SaraBeth, Dr Squid, Pam from Calif, Sun Tzu, Steve in Urbana, markdd, sunbro, deep, SBandini, Ginny in CO, Shaking the Tree, coloradorob, kathny, begone, Reality Bites Back, dedwords, martini, gwilson, BachFan, Patriot Daily News Clearinghouse, Mr Bojangles, Themistoclea, cookseytalbott, kestrel9000, KenBee, fou, blueoasis, DarkestHour, philipmerrill, Ashaman, gpoutney, Rosaura, Libby Shaw, bleeding heart, mangusta, profh, chicating, BB10, Texdude50, nannyboz, Statusquomustgo, bstotts, DBunn, pat of butter in a sea of grits, Cronesense, Haningchadus14, jhecht, gloriana, karmsy, LillithMc, Mary Mike, jeanette0605, Calvin Jones and the 13th Apostle, deepeco, bnasley, rantsposition, ubertar, jnhobbs, OIL GUY, pioneer111, Rumarhazzit, uciguy30, fallina7, BasharH, roycej, TomP, GideonAB, VA Breeze, JDWolverton, MKinTN, hkorens, mconvente, TruthFreedomKindness, TX Freethinker, HappyinNM, scooter in brooklyn, Sixty Something, Senor Unoball, Thomas Twinnings, elwior, Akonitum, Americans for a Republican Irrelevancy, Lujane, royce, hwmnbn, triplepoint, Gemina13, jalenth, binkycat, dmhlt 66, sophist, toom, vmdairy, lissablack, MrsTarquinBiscuitbarrel, multilee, pileta, J M F, litoralis, Carol in San Antonio, Obama Amabo, manucpa, elziax, MKSinSA, oxfdblue, bfitzinAR, uno beagle, lastman, johnosahon, COwoman, Keith Pickering, haremoor, Tortmaster, astral66, hamsisu, CountyMayoDem, Cadim, Vita Brevis, Railfan, Amber6541, Its the Supreme Court Stupid, marabout40, KroneckerD, p gorden lippy, indie17, TFinSF, estreya, drainflake77, gramofsam1, politik, secret38b, Anima, eb23, klompendanser, Crabby Abbey, Polly Syllabic, Anak, TimmyB, CrissieP, gulfgal98, tb mare, pixxer, elengul, kenwards, ericlewis0, science nerd, wwjjd, fiercefilms, rasfrome, Quantumlogic, Mister Met, theKgirls, Onomastic, redlum jak, kerflooey, MidwestTreeHugger, Dretutz, tosimmonds, Bob Duck, Mr MadAsHell, freesia, OhioNatureMom, Philip Vincent, Freedom Rain, Nicci August, California06, NormAl1792, CoExistNow, trumpeter, Haf2Read, marleycat, sethtriggs, thomask, SueM1121, 1718bill, MRA NY, Vatexia, blue aardvark, SoCalSal, stlsophos, MikeBoyScout, Auriandra, ParkRanger, SuWho, Only Needs a Beat, gnostradamus, JTinDC, OldDragon, Heart n Mind, cwsmoke, Mindful Nature, Siri, IndieGuy, Jakkalbessie, ahumbleopinion, a2nite, Deep Texan, FloridaSNMOM, Trotskyrepublican, deanarms, Lorinda Pike, Mr Robert, Frisbeetarian, Cenmoman, reginahny, MartyM, howarddream, doroma, sexgenderbody, cassandracarolina, redstella, arizonablue, etherealfire, Kinak, Marjmar, databob, tripodisblack, klondikepm, nomandates, tommyd357, Renfriend, the oklahoma kid, ET3117, bbussey
Source: dailykos.com

Ryan’s “premium support” proposal for Medicare: Myths and facts

2. Myth: Expanding private plans in Medicare will reduce Medicare’s costs.  Fact:  Private Medicare Advantage plans have raised Medicare costs.  Private insurers profit by selectively enrolling the healthy and shunning the sick, as documented in a New England Journal of Medicine article subtitled “The healthy go in and the sick go out.” Hence, they collect premiums paid by the Medicare program, and provide little care. As a result, the Congressional Budget Office estimates that Medicare Advantage plans cost Medicare 12 percent more per enrollee than the traditional program. New research from the National Bureau of Economic Research indicates that the true cost of private plans to Medicare may be much higher than the CBO estimate. Since Medicare launched a new risk adjustment scheme based on 70 diagnostic codes in 2004, overpayments to private plans have increased dramatically and accounted for $30 billion in excess spending, or 8 percent of total  Medicare spending, in 2006 alone. Since then the overpayments have likely risen as the proportion of Medicare recipients in private plans has jumped from 16 percent to 24 percent.
Source: pnhp.org

Five Undeniable Facts about Ryan’s Medicare Reform Plan

5. It gets the economic incentives right. By providing a set amount of money for each Medicare beneficiary’s health care coverage, the Ryan plan starts a process of encouraging seniors to ask where they get the best value for their health care dollar—just as we all do in every other sector of the economy. That change will create a new dynamic in Medicare that will increase competition, lower costs and improve quality—the missing links to preserving and strengthening Medicare.
Source: teapartypatriots.org

The Paul Ryan Budget Plan: What Does it Really Mean for Healthcare and Safety Net Programs?

Converting Medicare into a system of vouchers that could be used to purchase private insurance in a competitive market. The subsidy amount would vary by enrollees’ age, income, and health status, and would increase over time as the enrollee gets older. Yet, it would increase at a slower rate than the projected growth in healthcare spending costs, potentially leaving seniors on the hook for a rising share of their medical care over time. Ryan’s budget would also gradually raise the Medicare age from 65 to 67. These changes would be phased in over coming years so that current beneficiaries and Americans now over age 55 would not be affected. Ryan’s budget also maintains $716 billion in cuts to Medicare that were included in the health reform law. The ACA reduced overpayments to Medicare Advantage plans (which are currently paid more than their actual costs of providing services), phased down the federal payments that help hospitals provide uncompensated care to the uninsured, and established a variety of adjustments to improve payment accuracy.
Source: mentalhealthcarereform.org

The Bogus Attack on Paul Ryan’s Medicare Plan

Posted by:  :  Category: Medicare

"The single best augury is to fight for one's country." ~ Homer (800 BC - 700 BC), The Iliad. by eyewashdesign: A. GoldenBut of course they do. And it’s hard to imagine any politician who understands the basic arithmetic of the program not at least stopping to pay lip service to the need to revamp it. In fact, Obama himself has said that “with an aging population and rising health care costs, we are spending too fast to sustain the program. And if we don’t gradually reform the system while protecting current beneficiaries, it won’t be there when future retirees need it.” No kidding.

 Ryan has answered the president’s call and proposed an approach to updating the program that attempts to bring its costs under control by exposing it to the market forces that have helped keep prices low and quality high in so many other domains. Scary stuff, no?
Source: reason.com

Video: Romney Does His Best Karl Rove Impersonation with Medicare White Board Demonstration

Letters about Rep. Paul Ryan: Are his the best Medicare ideas?

Republicans agreed to an expiration date for the tax cuts in the Economic Growth and Tax Relief Reconciliation Act of 2001 and the Jobs and Growth Tax Relief Reconciliation Act of 2003, also known as the Bush tax cuts, because the Congressional Budget Office told Congress they would cause a disastrous federal deficit. They did just that, along with additional tax cuts in 2008.
Source: dallasnews.com

Viewpoints: Romney Needs To Explain His Medicare Plan; Ryan Plan Would End Medicaid Protections For Spouses Of Nursing Home Patients’

The Hill: Romney-Ryan Plan Would Repeal Reagan’s Spousal Safety Net One of President Ronald Reagan’s important achievements, protecting spouses from impoverishment under Medicaid, would be gutted under the plans of Gov. Mitt Romney and Rep. Paul Ryan (R-Wis.). … If a nursing home patient exhausts his or her own Medicare coverage and all of his or her personal resources, which happens to most Americans after a year or so in a nursing home, Medicaid will then cover the cost of the care. … President Reagan signed legislation that forced states to grant Medicaid coverage based on the financial condition of the patient and allowed the spouses of patients to protect enough assets and income to live with some degree of comfort and dignity (Scott Lilly, 8/14).
Source: kaiserhealthnews.org

Paul Ryan Medicare Budget Plan Stirs Democratic Criticism Due to Similarities with Obamacare (Video) : Politics : Latinospost

Boehner commended the Republicans’ efforts to reform Medicare, stating “We want this fight not just because Obamacare raided Medicare by $700 billion, but also because Republicans are the only ones who’ve taken action to save the program…Remember, if we’re going to solve the debt that is acting like a wet blanket on our economy, we have to save Medicare, and reform our tax code. Republicans are the only ones taking action on these things.”
Source: latinospost.com

Congressional Leaders Issue Medicare Talking Points for August

Mr. Israel lists a host of talking points for candidates to use in their districts, including, “The Ryan budget, which my opponent supports, ends Medicare, increasing health care costs for seniors by $6,400 a year while giving $265,000 in additional tax breaks to people making more than $1 million and “Even Republicans say it’s bad for seniors and former Republican House Speaker Newt Gingrich called this plan “right-wing social engineering.”
Source: nytimes.com

VIDEO: “If Coupon Paul’s Medicare plan so darned good for folks under 55, why is it not good enough for everyone now!”

Photographs from other sources sometimes appear on TPC for humorous or illustrative purposes. As it is not our intention to use these images in any inappropriate manner or to infringe upon any rights held by others, anyone holding legal rights in the use of these images who wishes to have them taken down please contact us immediately requesting such removal, with which we will comply promptly.
Source: thepoliticalcarnival.net

Medicare Plans of Minnesota Offers Free Health Care Plan Quotes

Crookston, Minnesota (July 26, 2012) – Medicare Plans of Minnesota, a well-known resource for Medicare MN, is offering free quotes on Minnesota Medigap plans and Medicare advantage plans Minnesota residents can benefit much from. Having Medicare insurance coverage helps the elderly cope with the rising costs of medicine and health care in today’s times.
Source: briefingwire.com

Daily Kos: Medicare As We Know It versus Coupons for Grandma, w/ Poll

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

Palmetto GBA Releases Ask

Posted by:  :  Category: Medicare

You may find information on home health patients transitioning from and/or to HMOs, including how to handle the OASIS assessments, in the Centers for Medicare & Medicaid Services (CMS) Internet Only Manual (IOM) Publication 100-04, Chapter 10, Sections 10.1.5.2, 10.1.19.2, and 80. For more information regarding OASIS requirements, you would need to contact your OASIS Education Coordinator. The names and addresses for the OASIS Coordinators are located on the CMS Web site at www.cms.gov/OASIS.
Source: hcafnews.com

Video: Blue Shield of California (HMO) presentation — Benefit plan design changes for 2011

Medicare providers diferent categories at Business Analyst Job Description Interview questions

These providers are medicare certified so they are called eligible providers to be paid by insurance companies as usual. Medicare certified means, they providers(facilities/hospitals) who can provider certain specific facilities or treatments to the members. These facilities are listed in the website below.
Source: businessanalystfaq.com

Gerber Medicare Supplement Insurance

Posted by:  :  Category: Medicare

Social media marketing is still a valuable promotional tool, that part of the predictions have indeed come true, but it is how social media marketing is used that has evolved as we have come to understand how people use social media. Big business is heavily invested in social media, with 62% of Fortune 500 companies having an active Twitter account and 58% with Facebook brand pages, but they are changing their focus when it comes to how they spend their time and money on social media marketing. Call 504-717-4837 to speak with Infintech Designs about SEO, Web Design & Social Media Marketing opportunities.
Source: scoop.it

Video: Gerber Life Medicare Supplement

Gerber Medicare Supplement

What will happen if I decide to call or email you about a quote? I will reply promptly with the information you requested and your information will be shared with no one. If you decide that this is not the program for you, I will have no hard feelings and will thank you for the opportunity.
Source: newjerseyinsuranceplans.com

Gerber Medicare Insurance Company

This entry was posted by mark on April 6, 2012 at 7:24 am, and is filed under Medical Insurance. Follow any responses to this post through RSS 2.0. You can leave a response or trackback from your own site.
Source: onemedicalinsurance.com

''Medicare Patients in Search of a Doctor

“About 85% [of primary-car doctors in Alaska] choose the standard Medicare process (“participating”). Another 4% still work with the Medicare system but charge patients somewhat more (“non-participating”). The final 11% have opted out of the Medicare system , but will still see patients who agree to foot the bill.”
Source: georgia-medicareplans.com

Know More About Gerber Medicare Supplemental Insurance

Gerber Life’s services provide you with the financial concrete in order to fill the holes of debt dug up by excess of charges uncovered by primary insurance coverages. As deductible and co-insurance costs rise, more people expect more coverage regarding their OOP expenses. Gerber Life provides products classified between supplemental health products and Medicare supplemental insurance, offered by accredited, certified and experienced agents. Gerber is unmatched in quality assurance and client satisfaction. The name of which the product Gerber Life sells is Medigap, a definition of Medicare supplemental plans. Medigap fills in the openings and spaces and covers for charges not touched by Medicare. Medigap is only readily available for individuals qualified who are presently participating in a Medicare plan.
Source: payasyougocarinsurance.net

Medicare Plans of Minnesota Offers Free Health Care Plan Quotes

Posted by:  :  Category: Medicare

ROBERT L. HUFFSTUTTER'S HEALTHCARE PLAN FOR AMERICA by roberthuffstutterCrookston, Minnesota (July 26, 2012) – Medicare Plans of Minnesota, a well-known resource for Medicare MN, is offering free quotes on Minnesota Medigap plans and Medicare advantage plans Minnesota residents can benefit much from. Having Medicare insurance coverage helps the elderly cope with the rising costs of medicine and health care in today’s times.
Source: briefingwire.com

Video: Understanding Medicare Advantage Plans

Paul Ryan Plan: Kill Medicaid, Save Millionaires Money

Talk about a switch. The Mitt Romney Red Dogs barked up the ObamaCare Tree for years, saying it would kill grandma. It didn’t matter that it copied RomneyCare, a successful state program that allowed everyone in Massachusetts to have medical insurance with only a small increase in costs. Now, suddenly, the Romney Red Dogs were told forget the ObamaCare Tree. The new command was to circle the RyanCare Tree and waggle your tails. RyanCare could fix the American healthcare quagmire and right dozen of government wrongs at the same time. Yes, the Romney Red Dogs are out there now barking about how RyanCare not only would save America constitutionalism but $750 billion dollars, too. Sounds like something to howl about. But the poor hounds were never told that the money comes from simply cutting back on Medicare and Medicaid. The savings would actually go to tax cuts for millionaires—$262,000 apiece, according to Robert Reich, the former Labor Secretary. Meanwhile, RyanCare would leash old hounds to Part C Medicare over the next 10 years. Part C is that program which is run by private insurance HMOs and PPOs. By 2022, there’d be no other choice but Part C. Regular few-for-service Medicare would end. So would your ability to choose your own doctor. This means that RyanCare would privatize Medicare. Federal oversight? Forget it. Just hand that money over to the private insurance carriers. That’s the Ryan plan. This despite the fact that the federal government pays half of America’s healthcare costs already in order to keep the system functioning. What’s more, Ryan would ask each senior on Part C Medicare to fork up an extra $6200 per year. Those who cannot do it, well … tell them to go to the ER doghouse. The head dogs at the Romney campaign are lapping it up. They got the Republican Red Dogs to switch what the media was focusing on. For the last year, the Media Dogs were growling about the fact that ObamaCare is a copy of RomneyCare, an insurance program that worked. But now, the Red Dogs got the media hounds lapping up RyanCare, the choke collar on a short leash that is the antithesis of RomneyCare. This all leads back to the Ryan Budget that was passed by the Republican majority in the House of Representatives. Besides downsizing Medicare, it calls for ending Medicaid, the healthcare program for the poor. Instead, states would get about two thirds of the current Medicaid money in block grants. The rest would cover the first few hundred bombing raids in the next war … against Iran, purportedly targeted for September 2013. Aside from upping defense spending, Ryan’s budget would leave about 4 million children without doctors. And forget pregnant women. If Rick Perry can kick 100,000 of them off Medicaid in Texas, Ryan can kick a million of them off of it without much notice, too. If you’re an Obama Blue Dog, I’m sure you’re just about as confused as the Congressional Budget Office. The CBO explains that ObamaCare will not raise the deficit, as it works to make Medicare more efficient and guarantees health insurance to almost every U.S. citizen. With RyanCare, the CBO says, well … the Ryan Budget would gut healthcare and leave it to private insurance companies to pick up the pieces. The federal deficit would remain about the same for several years—one trillion dollars. Amid all this, top Red Dog, Mitt Romney, has been left to lick his wounds. Romney didn’t even have a budget until last week. Then, when he picked Ryan, the House Republican Budget Lead Dog, he not only got a ready-made budget but a healthcare plan, too. All the Old Dogs know what that means. The Ryan Budget, which Romney said he’d sign, would help the wealthy offshore a trillion dollars in order to avoid taxes. Meanwhile, RyanCare gives the Middle Class Muts a red tag for their chains that reads, “Do Not Resuscitate.”
Source: opposingviews.com

Peter Ferrara on CNBC talking about Paul Ryan’s Budget, Medicare Reform Ideas

Jim is the the director of communications at The Heartland Institute. Prior to joining Heartland, he was an ink-stained newspaperman for 16 years with many stops in “old media.” Jim covered Congress and The White House during the George W. Bush administration for The Washington Times, and worked as a reporter, editorial writer and columnist for newspapers in Pennsylvania, Virginia, and California. He has appeared on the Fox News Channel, CNN, MSNBC, C-Span, and many local and national talk radio shows to talk politics and policy. Twitter
Source: heartland.org

Federal Circuit Court Finds Part C Medicare Advantage :Gould & Lamb

The court also recognized that Congress’s goal in creating the Medicare Advantage program was to harness the power of private sector competition to stimulate experimentation and innovation that would ultimately create a more efficient and less expensive Medicare system. See, e.g., H.R. Rep. No. 105-217, at 585 (1997) (Conf. Rep.) (stating that MA program was intended to “enable the Medicare program to utilize innovations that have helped the private market contain costs and expand health care delivery options”). It was the belief of Congress that the MA program would “continue to grow and eventually eclipse original fee-for-service Medicare as the predominant form of enrollment under the Medicare program.” Id. at 638. The MA program was thus, like the MSP statute, “designed to curb skyrocketing health costs and preserve the fiscal integrity of the Medicare system.” Fanning v. United States, 346 F.3d 386, 388 (3d Cir. 2003).
Source: themedicarecomplianceblog.com

Paying for Medicare Part D

*NOTE: This data is believed to be accurate as of 06/2012, but not guaranteed. For specific, up to date information, contact Medicare or your State Health Insurance Assistance Program (SHIP), if applicable. This chart is just a “model” for Medicare Part D (PDP) coverage. Actual insurance plans can differ greatly so be sure to shop and compare closely and have any current prescriptions readily available.
Source: seniorliving.net

As A Newcomer to Medicare What Are My Choices?

To make your choice you will want to consider whether all of your doctors are in the same medical group and take a Medicare Advantage plan that will effectively cover your medical and prescription drug needs.   If not, then you may need to focus on getting a Medicare supplement plan and stand-alone drug plan. 
Source: personalmedicareadvisor.com

What Is Not Covered By Medicare Parts A and B?

There are four Medicare plans: Part A, B, C and D. Each cover a different criteria of medical expenses. Medicare Part A is considered “hospital insurance” and covers many costs involved with inpatient hospitalization. Part B generally covers outpatient medical services including doctor visits. Part C, also known as a Medicare Advantage Plan, acts like a Medigap plan plus Medicare Part A and B. Part C plans can, but not always, also offer additional coverage for drugs, dental, vision, hearing, and other services. Part D plans offer coverage for prescription drug costs. Part C and D plans are offered through private insurers.
Source: ga-cpa.com

Pawlenty claim about Obama Medicare 'cuts' deemed 'misleading'

Posted by:  :  Category: Medicare

Speaking of … Jason Stein at the Milwaukee Journal Sentinel reports: “A secret probe into those around Gov. Scott Walker has continued after the June 5 recall election and expanded beyond Milwaukee County and into state government, new records show. The documents show that Milwaukee County District Attorney John Chisholm’s office continues its John Doe investigation into Walker’s administration even as the inquiry has gone publicly quiet over the summer. The records obtained by the Milwaukee Journal Sentinel through an open records request show that a Milwaukee County prosecutor sought personnel records from Walker’s office and another state agency in June and then met with a top state lawyer the next day. … the new records confirm that prosecutors are also seeking information from Walker’s state administration and did so as recently as June … Milwaukee County Assistant District Attorney David Robles on June 18 made an open records request to both Walker’s office and the state Department of Administration for all communications ‘related to the designation and determination of individuals as ‘key professional staff’ of the Office of the Governor’ since the time Walker took office on Jan. 3, 2011.” Sally Jo Sorensen does a good job of breaking down the dynamics of an Allen Quist-Tim Walz race down south. In her Bluestem Prairie blog, she writes: “What will November bring? Walz enjoys a huge cash advantage, boundless energy, an experienced campaign staff and seems to be liked by most Southern Minnesotans. But while Quist is a little different as we say in these parts, the district voters are independent-minded and far from any madding major media market. Will superfund dollars flow into the district?  Depends upon internal polling most likely — for now, it’s not thought to be competitive. And surely the twitter hubbub about Quist’s odd but decades’ old statements — popularized by Mother Jones and the Parry Campaign (band name anyone?) — should drive some  dollars in Walz’s direction from progressives terrified at the thought of a Bachmann mentor in Congress. Another fascinating fact: Mike Parry lost to Quist in the same counties that he lost in the January 2010 election — including his home county of Waseca. In his home senate district, he won Steele County by 59 votes, while losing Rice County as well as Waseca County.”
Source: minnpost.com

Video: EHR: Medicare Incentive Program Attestation Webinar for Eligible Professionals

What Is Not Covered By Medicare Parts A and B?

There are four Medicare plans: Part A, B, C and D. Each cover a different criteria of medical expenses. Medicare Part A is considered “hospital insurance” and covers many costs involved with inpatient hospitalization. Part B generally covers outpatient medical services including doctor visits. Part C, also known as a Medicare Advantage Plan, acts like a Medigap plan plus Medicare Part A and B. Part C plans can, but not always, also offer additional coverage for drugs, dental, vision, hearing, and other services. Part D plans offer coverage for prescription drug costs. Part C and D plans are offered through private insurers.
Source: ga-cpa.com

Obama Medicare Ad Counterpunches Romney, Ryan Plan

Romney campaign spokeswoman Andrea Saul already responded to the ad, saying “President Obama’s new ad ‘Facts’ gets the facts wrong.” She continued, laying out the basic theme of Mitt Romney’s whiteboard presentation on Thursday.
Source: businessinsider.com

The Bogus Attack on Paul Ryan’s Medicare Plan

But of course they do. And it’s hard to imagine any politician who understands the basic arithmetic of the program not at least stopping to pay lip service to the need to revamp it. In fact, Obama himself has said that “with an aging population and rising health care costs, we are spending too fast to sustain the program. And if we don’t gradually reform the system while protecting current beneficiaries, it won’t be there when future retirees need it.” No kidding.

 Ryan has answered the president’s call and proposed an approach to updating the program that attempts to bring its costs under control by exposing it to the market forces that have helped keep prices low and quality high in so many other domains. Scary stuff, no?
Source: reason.com

What's the Difference Between Romney's Medicare Plan and Ryan's? Nothin' At All

Romney refutes Sununu. That’s rough. I guess repeated lies and misdirections is all Romney’s peeps have to offer these days since the candidate likes to keep things vague. Sununu does echo the usual dishonest talking point to Andrea Mitchell that they’re peddling nowadays, saying Obama cut $700 billion from Medicare for seniors. Andrea did correct him by observing that it wasn’t a cut.
Source: crooksandliars.com

Paul Ryan and the Real Enemy of Medicare

Among those favoring such changes is Alice Rivlin of the Brookings Institution, who was President Bill Clinton’s budget director. The premium support model embraced by Ryan, she testified before Congress in April, “seeks to combine the tools of market competition and cost-effective regulation in hopes of maximizing the chances of improving health care for seniors at a sustainable cost.”
Source: reason.com

Paul GOP VP Candidate Ryan to Appear With his Mom Betty at World’s Largest Retirement Community, The Villages in Florida, to Defend Medicare Plan

Paul Ryan and his mom Betty will appear at The Villages, the largest retirement community in the world to discuss the Romney-Ryan Medicare plan. What better place to go to explain to seniors that the Romney-Ryan plan for Medicare does not affect those over the age of 55. Obama, Biden and their minions have been using typical Mediscare tactics to frighten seniors that Romney is going to take their Medicare away from them. Nothing could be further from the truth. To prove his point, Paul Ryan is bring his mom Betty to Florida this weekend. Who really thinks that Ryan is going to take Medicare away from his own mom?
Source: scaredmonkeys.com

The Obama Medicare Plan: Rob It and Let it Die

Mitt Romney and Paul Ryan offer a different course. Both have a history of working with both parties to get things done. Former Clinton chief of staff and the head of Obama’s debt commission Erskine Bowles calls Congressman Ryan “amazing.” He praised his budget plan as “sensible, straightforward, and serious.”
Source: townhall.com

The Devil’s In the Details

Alicublog Angry Black Lady Bad Fiction Balloon Juice bastard.logic Betty Cracker Big Bad Bald Bastard bjkeefe Blue Gal Booman Tribune Bristling With Flaws Brown Man Thinking Hard Bob Cesca’s Awesome Blog! Frank Chow Cogitamus corrente SBL Crooked Timber Crooks & Liars DCeiver People Things Dependable Renegade driftglass Eschaton The Field Gocart’s Weather Chart If I Ran the Zoo Jack & Jill Politics Joe. My. God. J-TWO-O Just Another Blog (From L.A.) Lawyers, Guns & Money Liberal Values Jason Linkins (HuffPo) Lotus The Motley Moose National Confidential No More Mr. Nice Blog The Odd Blog Charles P. Pierce (Esquire) Positively Barack Radamisto The Rectification of Names The Reid Report Richard Adams’s US Election 2012 Blog (The Guardian) Riddled Sadly, No! Sarah, Proud and Tall skippy the bush kangaroo Snarkopolitan Strangely Blogged TBogg thump whip Truth Wins Out upyernoz Vagabond Scholar Waltz of the Right Wing Paper Dolls Whiskey Fire Wonkette World-O-Crap Zandar Vs. The Stupid
Source: rumproast.com

Medicare Prescription Drug Coverage Is Here!

. Appear for enrollment events in the location. More than the subsequent couple of months, you are going to be able to get assist with your drug program selections at dozens of locations throughout your community, like schools, senior centers, clubs, faith-based organizations, and your pharmacy. Or you can talk with buddies and family members or call your local workplace on aging for help. For the telephone number, pay a visit to www.eldercare.gov on the Net. The Eldercare Locator can support you find places to go to get personalized assistance.
Source: askedhowto.com

CBS News: Obama’s $716B cuts good for Medicare, also Paul Ryan did it too and GOP are hypocrites

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilThe “Ryan did it too” defense is perhaps the most amusing of the three, as it succeeds in being simultaneously untrue, irrelevant, and an admission of the basic charge against the Democrats. Even as they call Paul Ryan a cruel and merciless budget cutter who cares not for the weather service and would gladly see children exposed to E. coli, the Democrats justify their taking $710 billion out of Medicare and spending it on Obamacare over the next decade by pointing out that Paul Ryan didn’t put that money back into Medicare in his budget. So if he had, would that have made their cuts unjustifiable? Well it so happens that he did. By repealing all of Obamacare’s spending, the Republican budget does not spend the money Obamacare took out of Medicare and thus those funds are used to extend the Medicare trust fund.
Source: therightscoop.com

Video: Medicare Spending Per Beneficiary Measure National Provider Call – February 9, 2012

Medicare Audits on Prosthetic devices

So the second question is: why aren’t doctors following Medicare guidelines when prescribing prosthetic devices?  For discussion purposes let’s assume all physicians are aware of this requirement; which 99.9% are unaware.  Over the past 20 years the US healthcare system has slowly moved away from a general practice platform to a system where physicians specialize in one subset of healthcare.  When a physician specializes he/she generally relies on other physicians to treat conditions outside of their specialty.  So when a patient needs a prosthetic device the physician will rely on a prosthetist to take care of the patient knowing he/she is the specialist in prosthetics. Now lets compound the problem with the fact that physicians are being paid less by all insurers (including Medicare), forcing them to see more patients per hour while spending less time with each patient.  From what I have seen and been told, most physicians today spend less than 10 minutes with each patient.  Medicare’s policy in prescribing prosthetic devices requires the physician to conduct a thorough evaluation that takes at least 20 minutes to conduct, if he/she knows what they are doing.  It is just not reasonable to expect that physicians, under increased pressure in today’s healthcare environment, are going to take more time to conduct a thorough evaluation to prescribe a device he/she knows nothing about.  By today’s standards, physicians want to do what comes natural, refer the patient to the prosthetic specialist.  I have even had a few physicians tell me that they don’t get paid enough to do this thorough evaluation and the documentation required by Medicare when prescribing a prosthesis.  Clarifying “it’s not my job, it’s yours.”
Source: advancedprostheticscenter.com

Accountable Care Organizations: Remedy or Train Wreck?

Unlike HMOs, however, ACOs will not require patients to use a particular set of providers. In this model, there is no explicit gatekeeping. Instead, providers rely on education and persuasion to direct patients to appropriate care. Patients are free to seek care from any Medicare provider, in or out of the network. Regulators worried providers would game the system by denying costly care. They have freed consumers, but require providers to assume financial risk without control over decisions that will impact costs.   Problem: Patients Are Assigned to an ACO Based on Past Service Use, Not Explicit Agreement. Providers do not know in advance which patients count as members of their ACO. Patients are retrospectively assigned to an organization based on receiving much of their primary care from the ACO. Medicare and other insurers want providers to use efficient, high quality decision making with every patient, not simply those assigned to the group. But providers will not know whether they will be saddled with noncompliant or overusing patients, nor can they focus additional incentives or resources on participants to influence their behavior. As a result, providers face added risks that may be impossible to control.   Problem: Higher Regulatory Burdens. To qualify as an ACO, a provider network must meet a variety of benchmarks for quality measurement, governing structure and information transmission. Meeting these requirements and demonstrating compliance is expected to add millions of dollars in administrative costs, at least in the short run. Whether the expected savings will offset the additional costs is unclear. Many analysts believe the significant start-up requirements will limit the economic benefits of the organizations to traditional HMOs or managed care organizations.   Problem: Reduced Competition. The creation of large ACO provider networks will reduce competition for the business of consumers and insurers. The organizations must coordinate decisions regarding service delivery and pricing in ways potentially inconsistent with antitrust laws. For instance, coordination could be used to maintain higher cost service through collusion or anticompetitive behavior. Thus, there are two problems: reduced competition between providers and the increased vulnerability of providers until they obtain a competitive exemption. If regulators refuse to grant exemptions from the extensive reporting and data-gathering requirements associated with existing antitrust laws, networks could be vulnerable to legal action for behavior required by ACO rules, or they could be stuck with start-up costs when they cannot participate.   Problem: Data Collection Requirements Raise Costs and Privacy Concerns. In order to know that an ACO is delivering high quality health care efficiently, Medicare regulators will collect extensive data, raising privacy concerns and administrative costs. To avoid privacy problems, patients must know they are participating in a group with economic incentives to reduce costs. They must have the opportunity to opt out.   However, if higher or lower cost groups of consumers opt out, it could impact overall evaluation of the provider’s performance and lead to false conclusions regarding the effectiveness. Organization’s concerns regarding data collection feasibility and costs convinced the Department of Health and Human Services to reduce the required quality measures from 65 to 33 in the final rule.   Problem: Providers Will Be Tied to ACOs. Finally, there are concerns that providers are being enticed into ACO networks with promises of rewards for efficient behavior, but over time their reimbursements could be squeezed. Providers may be hesitant to leave as the economics change. Moreover, since other providers and regulators have information regarding a provider’s practice, it may be impossible for that provider to operate independently again.   Conclusion. The Obama administration has little trust for real markets and believes that consumers are incapable of directing their own health care in a competitive market. It believes that government experts must manage consumers to protect them from unscrupulous providers. The result is a top-heavy regulatory system in which administrators in government and the ACOs could soak up health care dollars without improving patient outcomes or reducing overall health care costs.   Roberta Herzberg is a senior fellow with the National Center for Policy Analysis and an associate professor of political science at Utah State University. Chris Fawson is a professor of economics and finance at Utah State University.
Source: medibid.com

Compliance with Conditions of Participation Necessary for Reinstatement of Terminated Medicare Billing Privileges or Revoked Medicare Provider Number and Participation Agreement

This entry was posted in Medicare and tagged appeal of decision to terminate, cap, Centers for Medicare and Medicaid Services (CMS), conditions for coverage (CFC), corrective action plan, Department of Health and Human Services, First Coast Service Options (FCSO), hhs, Medicare administrative contractor (MAC), Medicare conditions of participation (COP), Medicare contractors, National Government Service (NGS), Palmetto Government Benefits Administration (Palmetto GBA), reconsideration request, revocation of Medicare number, revocation of Medicare provider contract, termination of Medicare billing privileges. Bookmark the permalink.
Source: wordpress.com

Paul Ryan’s Medicare plan would ‘pave Paradise’

Posted by:  :  Category: Medicare

I believe that there is much that can be improved in the current Medicare program without destroying its basic social insurance framework. There are ways to manage the care of people with chronic illness more effectively; there are a number of ways to pay providers differently so that they are not incented to provide more care instead of better care; there are ways to save money through tougher action on fraud and abuse; and there are options to increase the eligibility age or have higher income seniors pay even more than they do now that could save money for Medicare without changing its basic structure.
Source: healthinsurance.org

Video: How to Save Medicare $30 billion: www.UpgradeThe Card.org

The WSJ editorial page and Paul Ryan’s Medicare plan : CJR

Thank you, Ryan. There’s no good evidence that competition between private health plans has controlled health care costs. That’s the fundamental assumption of the Ryan-Romney Medicare voucher proposal and it’s unfounded. Supporters say the Medicare Part D experience shows that competition between private Part D drug plans has kept costs lower than expected. But there are a number of problems with that argument. The lack of development of major new brand name drugs has slowed drug cost increases. And the government backstops the Part D plans to such an extent that it’s not a true competitive market. It’s not comparable to comprehensive health plans competing and taking full financial risk for the Medicare population. Of course the Affordable Care Act’s state health insurance exchanges also are premised partly on the idea of private plans competing and holding down costs, and that assumption is problematic too.
Source: cjr.org

Ryan’s Medicare Rhetoric Could Hurt in Florida

Start with a person who was born in 1944, began work at age 21, retired at age 65 and enrolled in Medicare. Over the course of his life he paid the Medicare tax out of his wages. According to the 2009 Medicare Trustees Report, the average Medicare benefit per person in 2008 was $11,012. We subtract the average Medicare premium of $1,288 to produce an average net benefit of $9,724. I’ll assume that this person collects the average Medicare benefit from age 65 through age 83 (his life expectancy as of age 65).
Source: thetakeaway.org

Reporting and Refunding Medicare and Medicaid Overpayments under the Affordable Care Act

Rick Robinson is the partner-in-charge of the Health Law Practice in Fulbright & Jaworski’s Washington, D.C. office where he combines the skills he developed as a trial lawyer with a broad knowledge of administrative law and health care. He employs the same skills and knowledge to help clients, including hospitals, academic medical centers, managed care organizations, pharmaceutical and medical device manufacturers, clinical laboratories, physicians and other health care providers to design regulatory compliance programs and by advising them on a multitude of voluntary disclosure issues.
Source: ali-aba.org

Murdock probes Democrats’ Medicare claims

Republicans are “weakening the safety net,” Obama said Monday. “Romney and Paul Ryan are dead set on slashing seniors’ Medicare benefits to pay for more millionaire tax breaks,” Democratic strategist Kelly Ward wrote donors on Tuesday. “It’s a rigged deal,” Obama political guru David Axelrod told MSNBC on Thursday. “The Ryan budget, endorsed by Mitt Romney, would end Medicare,” screamed MoveOn.org.
Source: johnlocke.org

Medicare, Paul Ryan, and beyond: a primer : CJR

So what I propose is a simple plan which does not distract like some blank voucher ideology because it is handling your one the way you want your money to be handled. My Grandmother did not need to be thrown under the bus, she did not have either Medicaid or Medicare because her husband was not only a open pit coal miner but heavy equipment operator and member of a Union that also insured the wife and she was insured by the Union. The big question yet answered is how did she get cancer of the pancreas to begin with, she was not a diabetic, she lived a normal life without TV, radio, automobiles and music as she told me before she died her father owned a covered wagon and if she went anywhere with him she road in it and otherwise she would walk but didn’t walk much and there was no running water nor toilet like you people know about because an outhouse was all that was available and if you want to wash your hands you had to draw the water from the well yourself or use rain water that came off the roof. Some crazed lunatics from California that were OCCULT caused her old home to burn down they bought from my Grandfather before she moved to the big city life of less than 10,000 people and a high school and a million dollar water work facility and one railroad train that moved coal primarily through the city every afternoon and some cars. Even though there was a water works facility this small community, I should call it a single traffic light town cause that is what it is today, had to buy water from a larger city 20 miles North of it and the water was pre-purified before it came through the 20″ pipeline. One day th lunatic employees who were boys felt deeply they should have a drunk party at the water work facility and by crook and cranny they decided to dump more chemical into the water, this happened three times and I believe my Grandmother died because her city water was contaminated by a chemical that causes cancer called trihalomethanes which are limited to 0.080 mg/l (MCL – Maximum Contaminated Level) allowed contamination level, its a byproduct of chlorine disinfecting drinking water, can clog pipes break away and cause more damage to home piping and hot water heaters esp.. THIS UNDER ANY MEDICAL PLAN SHOULD NEVER HAPPEN IN A CITY.
Source: cjr.org

Contact the Medicare Fraud Hotline

This type of fraud happens when medical institutions such as hospitals or medical clinics add additional hidden charges to the bills of their patients who have Medicare or Medicaid coverage. There are times when the patients are being charged with greater fees as compared to the other patients who do not have any insurance. There are also instances wherein the patients are being charged for drugs or medical procedures that have not been administered. These irregularities are able to push through because the patients are either too busy to check or they do not really care at all. Can you imagine how the money could have been spent on paying for the medical expenses of other people? You can learn more about this type of fraud when you log on to www.whistleblowerlawyers.co.
Source: somascosmx.org

Medicare Individual Sales Rep (Syracuse, NY)

Success Factors: •Integrity – Setting high personal standards for accuracy of presentations, documents, and other communications with customers and within own company. •Drive – Demonstrating high energy level, works hard to achieve goals, results driven, self-motivated. •Professionalism – Conducting business in a professional, confident manner. •Competitiveness – Striving or contending for goals and profit, and is tenacious, demonstrating ability to hold steadfastly and firmly to a purpose or undertaking despite obstacles or setbacks. •Initiative – Willingly takes on new responsibilities, demonstrating creativity and innovation. •Flexible – Adapting to changes and modifying behavior, approach, and information when the situation demands. •Judgment – Committing to an action after developing alternative courses of action that are based on logical assumptions and factual information. •Ability to Learn – Assimilating and applying in a timely manner, job related information that may vary in complexity. •Demonstrated ability in problem solving and negotiation with special emphasis on closing the sale •Ability to build own book of business through a variety of sources •Possesses solid service and sales skills – Uses a consultative approach to close sales by knowing the Company’s products/services and industry and the needs of the customers, using that knowledge to close business. •Ability to plan, organize, and prioritize the actions required to accomplish day to day goals and objectives through the use of appropriate technology. •Ability to identify, manage, and measure all high payoff activities in the Sales process in order to continually improve results. •Display the critical skills of consultant and strategist , to objectively: (1) assess sales opportunities, (2) understand the customer’s needs/business, (3) understand customer’s decision making process, (4) articulate value of the Company’s product(s)/service(s) to the prospective sale, (5) offer creative solutions to meet customer’s explicit needs. •Ability to make quality decisions and select solutions by weighing the ramifications of alternative courses of action. •Comfortable with Medicare eligible client base and possesses a solid understanding of senior issues. •Understands company’s vision and mission linked to direct application of methods and plans to accomplish sales strategy. •Work effectively with fellow associates to further the goals of the business, and using a team selling approach when appropriate.
Source: careers.org

Romney Pivots from Welfare to Lie about Medicare

The truth of the matter is that Obama achieved the bulk of his cuts by reducing costs in Medicare Advantage, a program within Medicare that subsidizes private health insurance plans. Advantage allows seniors to purchase private health insurance plans, with most of the cost covered by Medicare. The program had been overpaying for coverage, and ACA reduces those payments to generate savings. Billions more are saved by reducing reimbursement rates to providers and using Medicare’s heft to lower payments to drug companies. These savings were then used to extend the life of Medicare—by eight years, according to the Congressional Budget Office—pay for greater preventative care, and further fund prescription drug coverage. Far from harming seniors, the Medicare cuts in the Affordable Care Act improves Medicare for its beneficiaries.
Source: prospect.org

Insurance Sales Manager – Sales/Medicare Compliance Manager

If you are a professional and reliable Insurance Sales Manager with a strong sense of integrity and the drive to succeed, join our sales management team at Universal American! As an Insurance Sales Manager with Universal American, you will direct the sales activities of your team and work in coordination with the marketing department to develop an annual business plan. You will coordinate each day’s activities for the sales agents, approve sales agent expense reports and conduct HR activities such as the evaluation of sales agent performance, maintenance of office operations and the completion of monthly Medicare compliance reports. You will also coordinate and attend events with centers of influence and community leaders to get insurance referrals.
Source: careers.org

Save On Money: Save Money on Insurance

Posted by:  :  Category: Medicare

Every Medicare drug plan must have two drugs available on its formulary for every therapeutic class. In simple terms, this means that they have to offer at least two medicines that treat certain medical conditions. Often a plan will provide far more than 2 alternatives. A good example would be cholesterol medications. If you are taking a brand name cholesterol medication and have never asked your doctor about it, you might not know that there are dozens of cholesterol medications out there, and quite a few of them are low-cost generic medications.
Source: blogspot.com

Video: Medicare Age-In

Know your Medicare rights

If you have Medicare Advantage, your plan materials describe how to get emergency care. You don’t need permission from your primary-care doctor (the doctor you see first for health problems) before you get emergency care. If you’re admitted to the hospital, you, a family member, or your primary-care doctor should contact your plan as soon as possible. If you get emergency care, you’ll have to pay your regular share of the cost, or co-payment. Then your plan will pay its share.
Source: ocregister.com

xCommie: Ryan On Medicare Cuts: "We Would Never Have Done It In The First Place"

First of all, those are in the baseline, he put those cuts in. Second of all, we voted to repeal Obamacare repeatedly, including those cuts. I voted that way before the budget, I voted that way after the budget. So when you repeal all of Obamacare what you end up doing is that repeals that as well. In our budget we’ve restored a lot of that. It gets a little wonky but it was already in the baseline. We would never have done it in the first place. We voted to repeal the whole bill. I just don’t think the president’s going to be able to get out of the fact that he took $716 billion from Medicare to pay for Obamacare.”
Source: blogspot.com

Daily Kos: It Ain’t the Same 700 Billion

Sen Dr Coburn claimed 1/3 of Medicare outlays were waste, fraud and abuse. The ACA begins to tackle that problem and will curtail the substantial waste that was highly-subsidized Medicare Advantage Plans. Dose nobody remember during the Medicare Modernization Debates the Republicans claimed that private insurance was so much more efficient that if we temporarily incentivized private insurance to enter the Medicare market they would slash costs and improve services. So now with 9 years of experience under their belts the ACA said it was time for the private insurers to put up or shut up. No more incentives to enter the market. Make it on your own or get out. So what are the fucking republicans talking about? They got exactly what they claim they want.  
Source: dailykos.com

Medicare Have the quality of D

A common well-spring of tease because sundry people on Medicare is their ability to rich enough the recipe drugs they need to endure healthy. The orderly word, degree, is that if you’re in Medicare and having distress paying in search needed medications-or if you’re fearful forth your ability to mind yourself against tomorrow soporific costs-the modern Medicare medication psychedelic program, Interest D, can night bullet help you. Throughout this program, millions of Americans are already getting ease with paying in the interest of costly medicament drugs. Respecting exemplification, a team a few in chestnut declare necessity take seven medications. They enrolled in Constituent D when they realized they would safeguard thousands of dollars each year. In experience, the savings from objective their first indiscretion to the druggist’s paid respecting their next two months’ Leave D premiums. In another container, a individual older mistress has been delightful at most people soporific as far as something the pattern year. So she signed up on the side of the Medicare drug program with a shaky monthly premium. That pays for the priceless blood squeezing medicament her doctor has told her she may scarcity in the future year’s end. Enrolling in the program has prearranged her non-violent of position because she knows she has the alternative to change plans at the tip of each year, if she needs something different. Signing up in return Say D takes duration and is not easy. But the benefits are making it well value the effort for the sake of millions of Americans, and there is multitudes of report convenient to supporter you sign up in the service of the plan that is principal for the benefit of you. AARP is providing information online that will walk you during the transform of selecting a plan. Visit their Net site, for a step-by-step manoeuvre to using Medicare’s online Scheme Finder machine, which order help you cook up for enrolling online at Medicare.gov. Or roar AARP at (888) OUR-AARP for a booklet that lays d‚mod‚ the steps you want to decide to declare the choicest drug plan in behalf of you.
Source: autobuy.us

Where Can I Find Information About My Medicare Benefits?

Each state will have its own specific information and snail mail addresses, Internet addresses as well as telephone numbers where those needing more information. For those who did not receive one in their mail, or who are ineligible for Medicare but who need the information for future use, or for a friend or relative, check out Medicare.gov or call 1-800-633-4227. Internet version of booklet
Source: todaysseniors.com

Australian Health Information Technology: Well

This blog has only three major objectives. The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide. The second is to provide commentary on how things are progressing in e-Health in Australia and to foster improvement where I can. The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.
Source: blogspot.com

Medicare Provider Enrollment: Revalidation Required: Michigan Attorneys

Posted by:  :  Category: Medicare

Health care reform law requires that providers who enrolled in Medicare prior to March 25, 2011, submit enrollment revalidation information upon request by the Centers for Medicare and Medicaid Services ("CMS") or its contractors.  Any provider that fails to submit the requested revalidation information within 60 days of receiving such a request risks interruption or deactivation of Medicare billing privileges.  Revalidation for all providers who enrolled in Medicare prior to the above date will occur between now and March of 2015 on a steady basis.  Providers can check the lists provided at CMS’s website to determine if they were already sent a revalidation notice that was perhaps overlooked in the mail.
Source: healthlawyersblog.com

Video: Medicare Provider Enrollment 3.wmv

Obamacare Robs Medicare of $716 Billion to Fund Itself

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

Tea Party at Perrysburg: Medicare Cuts Will Hit Medicare Advantage Next Year

About 6 weeks ago I wrote a post revealing that Medicare Advantage would face cuts not in the distant future but next year.The cuts were to begin in October of this year but HHS by spending $8.4 billion on a so called “demonstration project” has managed to postpone those cuts until early 2013. At the time that post was written Medicare was not in the public conscience. With the selection of Paul Ryan to the Republican presidential ticket, Medicare and the cuts extracted to fund Obamacare are now front and center in public debate so I feel I should revisit that subject, a subject that will effect about 25% of current Medicare recipients. It is nice to know that Democrats perceive these cuts as an achievement. ObamaCare drastically reduces payments to MA plans; the cuts will total $150 billion over 10 years. This will force insurers to scale back the extra benefits they are able to provide seniors, or to withdraw their plans entirely from some markets. In some rural areas, these cuts may force all existing MA plans to pull out, leaving the beneficiaries with no options outside of the traditional program. In fact in the following video Obama says just that, adding that change is hard. It is especially tough on seniors enrolled in MA as the Heritage Foundation computes it will cost MA participants $44,000 in higher premiums and lost benefits over their retirement years but as Obama says change is hard. Medicare Advantage enrollment rates vary by state, ranging from 44% in Minnesota to less than 1% in Alaska, and vary within states, by county. Enrollment rates are higher in urban than in rural counties. Yes as Obama says, change is hard, but when one looks at the enrollment rates by state in the graphic below, one might predict that change is going to be especially hard on Senatorial and Congressional candidates in Colorado, Florida, Ohio, Pennsylvania, Michigan, Nevada, and Wisconsin, which also happen to be battleground states at the presidential level. In each of those states MA enrollment is above 30 percent which means that 3 in 10 voters has a grave financial interest in the election. Will voters be apt to forgive their congressman or senator who voted for this subterfuge? We shall see.
Source: blogspot.com

Medicare providers urged to enroll in online system to fight fraud

Medicare issued $47 billion in improper payments in 2009, which accounted for about 43 percent of the $110 billion the government wrongfully disbursed that year, Daniel Werfel, controller for the Office of Management and Budget, told a Senate panel on Tuesday. Complicating matters for CMS, the stimulus package calls for the agency to start cutting bonus checks up to $44,000 over five years to Medicare health care providers that install an electronic health records system. CMS said it will rely on PECOS to verify Medicare eligibility.
Source: nextgov.com

News Flash Regarding Electronic Funds Transfer EFT for all Existing Medicare Providers

Existing regulations at 42 CFR 424.510(e)(1)(2) require that at the time of enrollment, enrollment change request, or revalidation, providers and suppliers that expect to receive payment from Medicare for services provided must also agree to receive Medicare payments through Electronic Funds Transfer (EFT). Section 1104 of the Affordable Care Act further expands Section 1862(a) of the Social Security Act by mandating federal payments to providers and suppliers only by electronic means.
Source: thehealthlawfirm.com

States Seek Medicare Data to Keep Fraudulent Providers Out of Medicaid

For example, ambulance companies charge the Medicaid program millions of dollars every month to take elders and adults with disabilities to local emergency rooms. Once they arrive at the hospital, Medicare pays for their bills. Without access to Medicare claims and payment data, states have no way of confirming that those ambulance rides actually ended up at an emergency room. Texas officials recently pieced together enough evidence to find that their Medicaid program had been repeatedly defrauded by ambulance operators who were reimbursed for rides that never occurred.
Source: govtech.com

Health Insurance in NYC and Area: AMG Medicare Plans

AMG Health Plans now has a licensed Medicare specialist. NY State health insurance agent Kirk Devereux is certified with Empire Blue Cross, United Healthcare, Emblem and Easy Choice of NY to help people in New York on Medicare or those who are aging in to Medicare (turning 65) with a wide variety of options. Some of these are Medicare Advantage, supplement plans and Part “D” prescription plans. The Annual Enrollment Period (AEP) for Medicare is October 15 to December 7 this year. Those currently on Medicare can shop around and switch their plans at this time. For the many “Baby Boomers” turning 65 in the coming years, you have an initial enrollment period (IEP) of 7 months. This is from 3 months prior to your 65th birthday, the month of your birthday and the 3 months following your birth month. There are also some special enrollment periods (SEP) available to individuals under certain conditions. It is wise to contact an expert to help you find the coverage that best suits you during these enrollment periods. You can call or email Kirk at any time for comprehensive, “no pressure” advise. Kirk Devereux AMG Health Plans 1-914-393-3872 kdevereux@amghealthplans.com
Source: blogspot.com