MEPAC OBAMA: Mitt Romney Paul Ryan Budget Lies Got Medicare Seniors Surfing In Nebraska

Posted by:  :  Category: Medicare

http://www.youtube.com/watch?v=h7wlkV8qWTk Mitt Romney and Paul Ryan have calculated their Medicare  lies so strategically, they’ve  got Medicare Seniors “Surfing In Nebraska” – some are believing the lies.  Somebody bring the seniors some water, so they can swim out the Romney-Ryan  lake of lies  Mitt Romney and Paul Ryan are lying “like panthers” about President Obama’s plan for Medicare, knowing their own plan is to end Medicare, as we know it, turning it into a convuluted voucher system, which will cost seniors thousands of dollars more, while reducing health services.  Republican Louisiana Gov. Bobby Jindal was on television recently trying desperately to explain the radical Paul Ryan and Mitt Romney Medicare proposal.  He was more confused than seniors will be.  He even made a reference to something similar to “Death Panels or Death Quotes”; perhaps he mis-characterized it but, that’s, in essence, what he said, that Ryan’s plan used some kind of death acuturials to put his confusing plan together.  Paul Ryan claims his overhaul of Medicare will balance the federal budget.  Credible experts have said, it will do no such thing.  Now, they are in Florida and on television swearing to seniors they won’t touch Medicare, when it’s written in his budget, that he will take $700Bil from senior provider services and require seniors to participate in a voucher plan.  Then they have the gall to lie and twist the President’s plan, claiming he cuts 700 billion dollar from Medicare.  This is a BIG lie to get your votes.  If they get in, they will wreck Medicare.  Use your vote to tell Romney-Ryan – “Hands Off My Medicare”.     President Obama will protect your Medicare.  You must vote for the President, to assure Medicare’s survival. President Obama will use the 700 million dollars to strenghten Medicare by,  1) coupling  your services with the Universal Health Care Plan, which will allow you to get more services under Medicare than you have now, 2) He will also use some of  the money to set up a waste management plan to help get rid of waste, fraud and abuse, which is where a lot of the money is lost.  President Obama, emphatically, will NOT take money from Medicare.  He is not going to  “Throw The Baby Out With The Bath Water”.   He plans to fix Medicare, NOT end it, and replace it with a “Nightmarish” plan, like Romney-Ryan. Republicans have never liked Medicare, and have been waiting for an excuse to end it.  Now, they claim the federal deficit is so large, they need to do someting with Medicare to fix it.  Yet, they give big tax cuts to the rich, that add to the deficit.  DO NOT BELIEVE THE ROMNEY-RYAN LIE,  MEDICARE BENEFICIARES.   OBAMA 2012 – MEPAC FOR OBAMA _______________________ This video and commentary is not endorsed or paid for by any candidate
Source: blogspot.com

Video: Nebraska and Medicare Supplements

New Nebraska Network:: Johanns Votes To End Medicare As We Know It

Now that would be interesting to know, since it didn’t get one Dem vote in either the House or Senate.  Bob probably thinks it doesn’t tax & spend enough, so he’d be against it before he’d vote for it.   At least the “Ryan plan” made an attempt at addressing the fiscal problems facing the country.  Not nearly enough IMHO but a start.  The President’s proposed budget just ignored all the fiscal issues period.   Cosmic Bob has already defined his position on fiscal matters…”if you aren’t for raising taxes, you’re part of the problem” sums it all up.  That’s probably the most honest thing he’s ever said while campaigning.  
Source: newnebraska.net

Candidates for U.S. Senate Debate at the Nebraska State Fair

“It’s a food, farms, and jobs bill. That’s what it’s always been. Now, you may want to make it just a farm bill. I think it would be disastrous to do that. I don’t think it’s healthy for Nebraska to say we don’t care about the food portion, we don’t care about the jobs portion. This thing fits together as a whole,” Bob Kerrey rejoined.
Source: 1011now.com

Nebraska launches Medicaid EHR Incentive Program

Nebraska launched their Medicaid Electronic Health Record (EHR) Incentive Program on May 7, 2012. This means that eligible professionals (EPs) and eligible hospitals in Nebraska can now complete their EHR Incentive Program registration. More information about the Medicaid EHR Incentive Program can be found on the Medicare and Medicaid EHR Incentive Program Basics page of the CMS EHR website.
Source: ehrintelligence.com

Bob Kerrey Will Call Your Bullshit

Kerrey’s handlers know that such oratorical jags may represent their best chance of climbing back into this race, but they are also painfully aware that he can come across as thin-skinned and defensive. That’s the gamble they’re forced to take—resting everything on the hope that Kerrey’s passion will be enough to win over voters and recapture the seat he yielded 12 years ago to Nelson, who announced his retirement in December after Citizens United made it clear he would face a full-on tea party assault. Kerrey has the "100 percent" backing of Warren Buffett, the CEO of Berkshire Hathaway, whose family has held fundraisers for the fellow Nebraskan. But Buffett also told Politico, "I will not be doing super-PACs of any sort. I think allowing unlimited contributions to campaigns is a terrible idea and an important and unfortunate step toward a plutocracy." So Kerrey’s camp must cobble together small donations while convincing Nebraskans that their candidate came back because he feels duty-bound to serve his home state, not because he answered the call of Harry Reid. Only grudgingly had his campaign allowed me to watch the effort unfold in real time—though, thus far, Kerrey had been cagey with me, offering little more than side comments and polite questions. But in casual conversation with Walton, who has been covering Kerrey’s political career for the Lincoln Journal Star for decades, he was loose and unguarded.
Source: motherjones.com

Achieving Meaningful Use: Notes from the Field

Linda is a Senior Consultant with PMSCO Healthcare Consulting (PMSCO), a subsidiary of the Pennsylvania Medical Society. Over the past 5 years, PMSCO has assisted hundreds of physician practices with not only selecting and implementing EHR systems, but also helping them use their systems more effectively to improve patient care and overall practice efficiency. More recently, PMSCO’s focus has been assisting practices with Meaningful Use (MU). Linda has worked with many different EHR systems to facilitate an understanding of the MU requirements as they apply to both primary care physician practices and specialty practices and understands what changes need to be made to the practice’s workflow and processes in order to achieve successful compliance with the MU requirements.
Source: acms.org

Johanns Discusses Impact of Medicare Cuts on Nebraska

Currently more than 1.7 million people reside in Nebraska. For many going on to Medicare and retiring can be a confusing and frustrating time. Medicare Supplements Made Easy does just that, we make it easy to learn about the different plans in your state and at any time you can call the 1 800 218 7935 number to speak with a live Medicare Expert. Dont hesitate call or click today!
Source: healthinsuranceandmedicareupdate.com

Daily Kos: NE Sen: No One Called Me a Carpetbagger When I Came Back From Vietnam

In Nebraska, former Gov. Bob Kerrey’s effort to return to national politics is looking increasingly quixotic. The day after our last update in May, Rasmussen Reports came out with a poll showing him 18 points behind his opponent, State Senator Deb Fischer. And even a Democratic-leaning group had him trailing by 12 points in one of its polls in June. And yet, ex-governors have a pretty good track record in trying to win Senate seats, whereas Ms. Fisher is a mediocre candidate and her fund-raising has been sluggish. The race clearly favors Ms. Fisher — Mr. Kerrey’s stint as president of The New School in New York may not go over so well in Omaha — but I think we need to see some fresher polling here. Incidentally, she’s moving back Ryan’s age of keeping the present Medicare of 55 to 40.  55 must not be polling well. Also just claimed she wouldn’t vote for Paul Ryan’s budget bill.  
Source: dailykos.com

A New Opportunity for Consumers to Help Transform Care Delivery

Since its inception, the Center for Medicare and Medicaid Innovation (the Innovation Center) has announced a number of funding opportunities that will transform the health care delivery system as we know it. The Innovation Center was established by the Affordable Care Act (ACA) to test innovative care, payment and delivery models that have the potential to reduce costs while preserving or enhancing the quality of care. The latest funding opportunity is the State Innovation Models Initiative, which calls for states to propose a multi-payer, community led integrated system that improves care, improves population health, and reduces Medicare, Medicaid and CHIP costs.
Source: communitycatalyst.org

How Healthcare Bill will affect Medicare in Nebraska

The new healthcare law can be made easy in the beautiful state of Nebraska!Click to understand its effects on Medicare! http://www.medicaresupplementsmadeeasy.com/2012/medicare-supplement-articles/medicare-health-care-reform-nebraska.php
Source: medicaresupplementsme.com

Mixed feelings on Medicare

Posted by:  :  Category: Medicare

Medicare saves lives. by cometstarmoonThe latest Marquette Law School Poll asked whether the federal government should keep traditional Medicare in place or switch to a system where money is moved over to private insurance providers. Of those responding, 55 percent preferred keeping the current system, while 38 favored moving toward some type of private system.
Source: wrn.com

Video: Paul Ryan’s Plan to End Medicare (Vote For Rob Zerban!)

GOP winning national Medicare debate two weeks after Romney picked lightning rod Ryan

That explains why many on the left collectively jumped for joy when Romney announced his vice presidential pick on Aug. 11. Ryan, a young and energetic House Budget Committee chairman from the Midwest, is well-known in Washington for his complex budget plans, which call for numerous cuts and sweeping reforms of Medicare.
Source: dailycaller.com

CBO Says Medicare Spending Growth Slower Than Expected

Amid its grim projections for the economy overall, the Congressional Budget Office said that Medicare spending growth is slowing, although the program will take up a larger share of the economy in a decade than it does now. In an update to its January report on the nation’s budget and economic outlook, CBO said that outlays for Medicare will total 3.7 percent of the gross domestic product in 2013, rising to 4.3 percent of GDP in 2022, as enrollment in the program increases.  (Source: Kaiser Health News)  [Read article]
Source: worh.org

Milwaukee Community Journal

Ryan basically proposes to turn Medicaid over to the states and let states decide what to do for low-income people,” says Dr. Wes Fields, an emergency physician and chairman of the Emergency Medicine Action Fund. “You have to wonder what states like Texas would do. Look at their uninsured rate. It doesn’t bother them. Their biggest priority is to hold down costs and hold down taxes.”
Source: communityjournal.net

Campaigns Jockey For Upper Hand In Medicare Debate

NBC: Biden Bemoans GOP Medicare Plan In Recession-Ravaged Michigan Campaigning Wednesday in famously recession-ravaged Michigan, [Vice President Joe] Biden bemoaned the consequences of the GOP ticket’s plans for Medicare and said that their proposed changes would exacerbate the sacrifices already made by families on behalf of their elderly relatives. … “It was still a struggle to take care of all my mom’s bills,” he told a crowd of over a thousand at Renaissance High School. “We were able to do it, no complaint, it was an honor. But you know what it did, we had to lie to my mom and tell her, ‘No honey, this is all covered by your Medicare, this is all covered by the sale of your home,’ which it wasn’t” (Dann, 8/22).
Source: kaiserhealthnews.org

Daily Kos: Quinnipiac/CBS/NYT Poll: Swing state voters trust Obama on Medicare

Do you truly think saying current seniors are safe from the Medicare voucher system? Do you really think seniors want to destroy their children and grandchildren future safety net so Romney, Ryan and, the GOP take the money to fund more tax breaks for the rich? I don’t think so. The Ryan Medicare plan absolutely will affect people currently on Medicare.   If you implement the Ryan/Romney plan, Medicare risk pool will stop growing and start shrinking, you do damage to how Medicare works.  First, you increase the risk in the pool and drive up cost by stopping younger healthier seniors from entering the plan.  Second, as the pool shrinks Medicare, It loses power to dictate reimbursement rates.  Doctors will begin to drop Medicare patients because not only will the volume of patients no longer justify the low reimbursement rates, but those left in the pool will be older, sicker and more expensive to treat.  The program that they say will be in place will not only become much more expensive to maintain then projected, but it will collapse on itself.
Source: dailykos.com

Obama Leads in Florida, Ohio and Wisconsin

New Quinnipiac/New York Ttimes/CBS News polls of likely voters finds President Obama leading Mitt Romney in three crucial swing states. Florida: Obama 49%, Romney 46% Ohio: Obama 50%, Romney 44% Wisconsin: Obama 49%, Romney 47%. Key findings: “Roughly 6 in 10 likely voters in each state want Medicare to continue providing health insurance to older Americans the way it does today; fewer than a third of those polled said Medicare should be changed in the future to a system in which the government gives the elderly fixed amounts of money to buy health insurance or Medicare insurance, as Mr. Romney has proposed. And Medicare is widely seen as a good value: about three-quarters of the likely voters in each state said the benefits of Medicare are worth the cost to taxpayers.”
Source: politicalwire.com

Avoiding the (Medicare) “Doughnut Hole”

According to the new study, and sheer intuition, patients that fall within the doughnut hole are associated with a significant drop in medication use – 12% on average. That is always relevant, but perhaps especially so in the case of depression medication. While discontinuing any prescribed medication is never advisable, it is often easier to justify foregoing depression medication than other medications.
Source: tesarlaw.com

Making the Election About Race

The result is a campaign run at two levels. On the trail, Paul Ryan argues that “we’re going to make this about ideas. We’re going to make this about a positive vision for the future.” On television and the Internet, however, the Romney campaign is clearly determined “to make this about” race, in the tradition of the notorious 1988 Republican Willie Horton ad, which described the rape of a white woman by a convicted African-American murderer released on furlough from a Massachusetts prison during the gubernatorial administration of Michael Dukakis and Jesse Helms’s equally infamous “White Hands” commercial, which depicted a white job applicant who “needed that job” but was rejected because “they had to give it to a minority.”
Source: nytimes.com

Medical Supply Company Owner Charged with Medicare Fraud 

badgercare plus Better Business Bureau charity scams credit card fraud credit card scams election fraud false claims act fraud alert newsletter Frauds healthcare reform identity theft medicaid fraud Medicare medicare fraud medicare overbilling medicare part D medicare reform medicare reimbursement mortgage fraud phishing scams podcasts prevent medicare fraud storm chasers storm scams tax scams telephone scams Training voter fraud wisconsin bbb wisconsin check fraud wisconsin child care fraud wisconsin election fraud wisconsin fraud wisconsin head start fraud wisconsin healthcare wisconsin medicaid fraud wisconsin medicare wisconsin mortgage fraud wisconsin scam wisconsin scams wisconsin smp wisconsin smp training wisconsin unemployment benefits wisconsin unemployment fraud wisconsin voter fraud
Source: wisconsinsmp.org

Medicare, Health Care Reform and 2013…

Posted by:  :  Category: Medicare

Martin Place 1 by Greens MPsFive Star Ratings on Medicare Advantage Plans – To encourage Medicare Advantage plans to provide quality care, the ACA authorized Medicare to pay bonuses to Medicare Advantage plans, beginning in 2012, if they receive four or five stars on Medicare’s new five-star quality rating system. And, plans that received a 5 star rating would be able to enroll customers year-round; not just during Medicare’s annual enrollment period (AEP). (Source) The rating system measures how well plans: help customers stay healthy; perform on numerous customer satisfaction measures; price and safely administer drugs; and provide Medicare.gov updated plan information.
Source: ehealthinsurance.com

Video: Medicare Dental Plans | Medicare supplemental Plans dental plans

Planning To Get A Medicare Advantage Plan?

Medicare Advantage plans are totally different from Medicare Supplement Insurance so don’t confuse one with the other. Medicare Supplement Insurance plans “supplement” Medicare Parts A and B, while Medicare Advantage plans totally replace it. Medicare Advantage plans are also called Medicare Part C because they offer hospital coverage (Part A), medical coverage (Part B), and most add coverage for prescription drugs (Part D). They may also cover dental care, eyeglasses and even hearing aids, none of which are covered by original Medicare.
Source: medigapadvisors.com

The business behind dental treatment for America’s poorest kids

Kool Smiles does far more crowns than average on children age 8 and under on Medicaid, according to an analysis of 2010 Medicaid data in two states done by CPI and FRONTLINE. In Texas, a child under the age of 9 at Kool Smiles has nearly a 50-50 chance of getting a crown as a restoration to treat problems like cavities, our analysis found. That compares to a one in three chance on average at other providers. And in Virginia, a child 8 or under on Medicaid going to Kool Smiles is twice as likely on average to get crowns than at other dental offices.
Source: publicintegrity.org

Obamacare and Medicare Advantage Cuts: Undermining Seniors’ Coverage Options

Seniors Forced Back into Poorly Performing Traditional Medicare. Large reductions in MA will force a mass migration back into the traditional FFS program, which is the source of many problems observed in American health care. Medicare FFS provides strong incentives for fragmented care that is poorly coordinated across institutions and provider settings. The result is an emphasis on volume instead of quality care for patients. Moreover, downsizing the role of MA plans will make it more difficult to pursue the kinds of structural changes that are needed to ensure that Medicare can be financially sustained over the long term.
Source: tomtayloronline.org

Daily Kos: Daily Kos/SEIU State of the Nation poll: Ryan plan unpopular, but vouchers are hated

I have an anecdote too – a friend, a so called Libertarian, a successful lawyer, got all stressed when I described our plight if the RR Medicare plan was put into effect as my wife has cancer and is kept alive on $10k of medication a month and we are on quasi-fixed incomes.  His solution was “never discuss politics.”  So, I agreed.  That night at dinner someone was talking about health insurance for their employees.  My friend volunteered that offer full coverage with zero deductibles.  I stated that was very admirable.  He then went off on “Obama Care.”  I bet him $100 he didn’t even know what it was.  He shut up because he doesn’t!  The rest of the night he talked about something he does know, sports.
Source: dailykos.com

GOP’s platform gets specific on privatizing Medicare : Delaware Liberal

“The first step is to move the two programs [Medicare and Medicaid] away from their current unsustainable defined-benefit entitlement model to a fiscally sound defined-contribution model,” the draft platform reads. “While retaining the option of traditional Medicare in competition with private plans, we call for a transition to a premium-support model for Medicare, with an income-adjusted contribution toward a health plan of the enrollee’s choice. This model will include private health insurance plans that provide catastrophic protection, to ensure the continuation of doctor-patient relationships.”
Source: delawareliberal.net

What Are The Reasons For Medicare Supplement Insurance Coverage?

Medicare Part A helps with general inpatient needs, but Medicare B is often needed for services Part A leaves out. Medicare supplement insurance coverage through Part B requires a premium and deductible. Most people sign up for this plan because it offers emergency room visits, preventative care, outpatient services, equipment and more. Part B also makes you eligible to sign up for other supplemental care.
Source: seniorcorps.org

U.S. Senate Investigating United Healthcare, Cigna, Aetna for Medicare and Medicaid Fraud

Posted by:  :  Category: Medicare

In addition, FierceHealthcare is reporting that United Healthcare, Cigna, and Aetna have also been caught in a multi-billion dollar pull-through scheme involving Quest Diagnostics and LabCorp. This scheme specifically involves Quest and LabCorp offering contracts for discounted or below-cost pricing in exchange for in-network physician referrals for lab testing business. The companies have clearly violated the U.S. federal anti-kickback law which protects patients and Medicare/Medicaid beneficiaries from potential influence of financial arrangements on care decisions. (Source: http://www.fiercehealthcare.com/story/senate-probe-aetna-cigna-united-healthcare-quest-lab-corp-alleged-billion-d/2011-11-09?utm_medium=nl&utm_source=internal)
Source: wordpress.com

Video: Chicago: “Cigna 7″ Arrested – Medicare for All

Cigna Acquires Medicare Advantage Plans From Humana Covering 3,500 in Texas

The federal government required Humana to sell the Medicare Advantage plans as part of approval for buying Arcadian Management Services. Cigna will offer the new customers Medicare Advantage plans through its subsidiary HealthSpring, which the Bloomfield-based health insurer acquired in January for $3.8 billion.
Source: courant.com

Aetna counters Cigna, WellPoint

The Medicare/Medicaid insurance sector continues to consolidate. It started with Cigna buying local Medicare power HealthSpring for almost $4 billion. Then WellPoint said it would acquire Amerigroup for $5 billion. Now Aetna has announced it will snap up Coventry Health Care for more than $7 billion, a move it says will add 5.5 million people to its rolls.
Source: nashvillepost.com

CIGNA fills in its Medicare portfolio with Great American acquisition

Longer-term, the Great American acquisition builds out CIGNA’s specified diseases and other special coverages business (albeit nascent with $35M in revenue in 2011). These will fit well with consumer directed and account-based products and could play a great role on a private exchange or other defined contribution model. David Cordani did say in the most recent quarterly analyst call: “We do see some employers beginning to explore how they might move to the next generation of incentive alignment, which is a bit more of a defined contribution model.” Expect more acquisitions or alliances to build out a full defined contribution approach for commercial accounts (beyond retirement).
Source: reconstrategy.com

Cigna: A Lot Riding On Managed Medicare

Higher debt levels of 60% of equity — the worst amongst its peers in our table above, has crimped profits and hurt its chances for further acquisitions. This industry, which is characterized by cut throat competition and little product differentiation, needs further consolidation and Cigna’s comparatively lower cash hoard makes acquisition led growth difficult in the future.
Source: seekingalpha.com

Vermont Medicare Part D Plans

HMO (Health Maintenance Organization) plans are the least expensive option. The effect of lower cost is reflected as restricted access to health care. Plans have a set monthly fee, covering doctors within the plan. If you visit a doctor outside of the plan, you are then responsible for the bill. Within a given plan, you have given the right to choose a Primary Care Physician (PCP) who will look after your care. The HMO CIGNA medicare plans cover regular and preventive care costs, referrals to a network specialist or facility when necessary, treatment for injuries and illness. There is no need of paying any additional fees in HMO plans as it has no fees for doctor visits. The CIGNA Part D plan is called CIGNA Medicare Rx offers coverage for 94% of available drugs, access to over 58,000 network pharmacies, no deductibles for select plans, no copayments for common drugs and diseases like diabetes and drug pressure. The CIGNA plan D in turn offers three types of plans namely, Plan 1, Plan 2 and Plan 3. Source: arcadiamax.net
Source: medicaresupplementalco.com

Cigna to Acquire Arcadian and Humana Medicare Advantage Plans in Three Markets as Part of Previously Announced, Government

BLOOMFIELD, Conn., June 27, 2012 – Cigna (NYSE: CI) today announced that it has come to an agreement with Humana to purchase select Medicare Advantage plans in Texas and Arkansas. The plans in the three markets – Amarillo, Longview-Marshall and Texarkana – are part of a previously announced government-stipulated divestiture for Humana to complete its acquisition of Arcadian Health.
Source: prsync.com

How are health insurance investors betting on the election?

Companies like Aetna, WellPoint and Cigna have all gravitated to rivals with a foothold in government-sponsored programs because the prevailing view is that margins for private customers are going to steadily erode. According to Aetna on Monday, the acquisition of Coventry will “substantially increase Aetna’s Medicaid footprint, creating more opportunity to participate in the expansion of Medicaid and to pursue high acuity positions as they move into managed care.” Aetna’s revenue from the government will jump to 30 percent from 23 percent.
Source: pnhp.org

Aetna’s $5.7B purchase of Coventry Health Care continues consolidation trend

The Wall Street Journal reports that Aetna will pay about $42.08 per Coventry share. The breakdown of the deal is said to be 65 percent cash and 35 percent stock. The acquisition is likely to increase Aetna’s share of revenue from its government business by seven percent. Aetna, the third largest U.S. healthcare provider, predominately manages commercial health insurance. However, the company is attempting to capitalize on President Obama’s healthcare reform law, as Medicaid programs are set to expand to state coverage for low income citizens beginning in 2014.
Source: medcitynews.com

CMS Announces Primary Care Initiative Targeting Medicare Beneficiaries

The practices are located in seven pilot locations that were designated based on the percentage of the total population covered by participating payers. The number of beneficiaries in each area ranges from about 40,000 to 51,000 (
Source: californiahealthline.org

Update: Delay in Electronic Remittance Advice (ERA) for CPIDs 3579 Louisiana Medicare, 5556 Mississippi Medicare

Posted by:  :  Category: Medicare

THE PEOPLES LEADER by SS&SSUpdate: This issue has been resolved. All affected ERA has been received and processed. Original Notice Sent August 8, 2012: Due to a payer processing issue, there has been a delay in Institutional Electronic Remittance Advice (ERA) for the following payers for file dates 08/02/2012 through the present: CPID 3579 Louisiana Medicare CPID 5556 Mississippi Medicare The clearinghouse is working with the payer to receive all outstanding ERA files as quickly as possible. Additional updates will be forwarded as more information becomes available. Please be aware of a delay in the delivery of ERA for file dates above. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: Louisiana SMP (Senior Medicare Patrol) revised

Louisiana Federal Judge Dismisses Dispute Involving Recoupment Of Medicare Payments

BATON ROUGE, La. – A Louisiana federal judge on Aug. 10 declined to grant a temporary restraining order in a case in which a medical doctor and his clinic sought to prevent defendants from recouping allegedly improperly paid monies made to the plaintiffs for services provided to Medicare beneficiaries and dismissed the case for lack of subject matter jurisdiction (Arnold Feldman, M.D., et al. v. The Department of Health and Human Services, et al., No. 12-246, M.D. La.; 2012 U.S. Dist. LEXIS 112629).Full story on lexis.com
Source: lexisnexis.com

Louisiana Federal Judge Dismisses Dispute Involving Recoupment Of Medicare Payments

BATON ROUGE, La. – A Louisiana federal judge on Aug. 10 declined to grant a temporary restraining order in a case in which a medical doctor and his clinic sought to prevent defendants from recouping allegedly improperly paid monies made to the plaintiffs for services provided to Medicare beneficiaries and dismissed the case for lack of subject matter jurisdiction (Arnold Feldman, M.D., et al. v. The Department of Health and Human Services, et al., No. 12-246, M.D. La.; 2012 U.S. Dist. LEXIS 112629). Full story on lexis.com
Source: lexisnexis.com

Medicare To Penalize 2,211 Hospitals For Excess Readmissions

While we have yet to see significant reductions in the number of home health providers across the nation, discussions continue around the numerous variables that might impact such a decrease in number. Potential causes of consolidation in the home health industry have included conversations about reduced reimbursement, increased overhead as a result of various aspects of heightened scrutiny in benefits integrity, and an increase in competition in the form of ACOs, medical homes, and other models that will include acute care bundling. We have read about the significant impact rebasing of Medicare PPS rates could have in 2014, the unknown effect of co-pays on home health episodes, and the current challenges providers are having with increased pre-pay activity in the form of Additional Development Requests (ADRs) by the MACs (Medicare Administrative Contractors), the fiscal intermediaries for home health. More recent conversations among industry watchers have included managed care companies purchasing home care providers, i.e. Humana’s purchase of Senior Bridge. OIG, MedPAC, and CMS in its recent proposed rule have all alluded to moratoria on new providers, at least in states where there are increased aberrancies and convictions of fraud and abuse.  
Source: homecarela.org

GOP’s platform gets specific on privatizing Medicare : Delaware Liberal

“The first step is to move the two programs [Medicare and Medicaid] away from their current unsustainable defined-benefit entitlement model to a fiscally sound defined-contribution model,” the draft platform reads. “While retaining the option of traditional Medicare in competition with private plans, we call for a transition to a premium-support model for Medicare, with an income-adjusted contribution toward a health plan of the enrollee’s choice. This model will include private health insurance plans that provide catastrophic protection, to ensure the continuation of doctor-patient relationships.”
Source: delawareliberal.net

xCommie: Republicans Say They've Fought Medicare To A Draw

“Every election the Democrats are going to say the Republicans are cutting Medicare, because they’ve said it every election for the last 25 years,” he said. “The American people have seen through that, and that’s why I thought Romneys choice of Ryan, for a lot of good bold reasons, was not as risky as a lot of people made it out to be.”
Source: blogspot.com

Medical Equipment Company Owner Sentenced in Louisiana to 180 Months in Prison for Medicare Fraud Scheme

#arabic #articles #gop #hhrs #Japanese #p2 #RS #Russian #sgp #TCOT #tcot #sgp #tsot #teaparty #tlot #tsot #tweet bahasa-melayu conservative news czech delete direct-messages events expand-collapse filipino french german govnewstweets headlines gov watch italian learn-more not-on-twitter-sign-up polish retweetedretweet swedish tcotfeed tcot feed list tcotfeed tcot feed list tea party teapartycourier tea party news Times top conservatives on twitter topconservativesontwitter true blue conservative true blue conservative headlines tweets
Source: topconservativesontwitter.com

Achieving Meaningful Use: Notes from the Field

Linda is a Senior Consultant with PMSCO Healthcare Consulting (PMSCO), a subsidiary of the Pennsylvania Medical Society. Over the past 5 years, PMSCO has assisted hundreds of physician practices with not only selecting and implementing EHR systems, but also helping them use their systems more effectively to improve patient care and overall practice efficiency. More recently, PMSCO’s focus has been assisting practices with Meaningful Use (MU). Linda has worked with many different EHR systems to facilitate an understanding of the MU requirements as they apply to both primary care physician practices and specialty practices and understands what changes need to be made to the practice’s workflow and processes in order to achieve successful compliance with the MU requirements.
Source: acms.org

Obama vs. Romney Medicare Plans

Posted by:  :  Category: Medicare

Senate Dems Protest Medicare Cuts by Talk Radio News ServiceMASON CITY, IA – The focus is on Iowa, where both President Barack Obama and presumptive Republican candidate Mitt Romney are showing a strong presence in the state. Today the Obama camp held press conferences in two Iowa cities to discuss an important topic for senior citizens. Mike and Carol Iverson are very familiar with their medical bills. Mike said "I stopped totaling it up when it reached over half a million." He had arthritis in his leg, but developed a mysterious staff infection that moved into his joints and led to some serious consequences. He said "One shoulder had to be removed and I now have a metal rod from hip to ankle on my right leg. I don’t have a shoulder, so I’m missing both a shoulder and a knee." Today, he and his wife shared their personal struggles at a press conference in Mason City, but it’s not a medical condition they’re concerned with at this moment. Instead, they’re worried about a potential Romney-Ryan medicare plan for Iowa seniors. Carol Iverson said "I don’t want to take a chance on it, because of the voucher plan and everything. It strikes me that what’s working is working and lets stay with it." Mike says that medicare played a huge role in getting him through his own hospital bills, but if current medicare plans were to change, he doesn’t fear for himself, but for future generations. He said "I may not have that many years left that I have to worry too much about it anyway, but I worry about other people coming up." Democrats fear that Romney’s plan would turn medicare into a voucher system and raise senior’s healthcare costs by nearly $6,400 a year However we spoke with a local political analyst to get some perspective on the other side of things and NIACC’s John Schmaltz tells us a Romney-Ryan plan most likely wouldn’t change anything for current seniors or those near retirement. Schmaltz said, "Governor Romney’s plan is trying to take a complex subject and simplify it. It’s looking at preserving the plan, he’s not gutting it, throwing it out , no scare tactics on this at all. What he wants to do is strengthen the system." He also says that Obama’s plan would end up taking $716 billion out of medicare and under a different plan, people would be able to "shop" around for their own coverage. But no matter which way you lean politically, you can expect a passionate debate about the cost of the nation’s health in the coming months.
Source: kimt.com

Video: How to Understand Medicare Plans

Report: Romney/Ryan Plan Will Cost $60K More For Medicare

I think the problem stems from the notion that the gov’t provides health care support in two basic cases, when you’re old (Medicare) and when you’re out of money (Medicaid). The GOP has done a good job of making it sound like one is for sweet lil’ old “anglo-saxon” grandmas (as Mitt might say) and the other is for welfare queens and young bucks (as Reagan would have phrased it). The reality is that “old” and “out of money” need not be separate groups of people. In fact, many old people do indeed run out of money. And yes, as anti-intuitive as it sounds nursing home care is actually done by the “out of money” program, not the “old people” program. So, when you slash the “out of money” program, you’re going to end up hurting a lot of old people, specifically, old people who don’t have the financial resources to keep getting the care they need.
Source: crooksandliars.com

Obama, Ryan Make Pitches For Medicare Plans

The Hill: Ryan Says His Medicare Reform Plan ‘Evolved,’ Has Bipartisan Support GOP vice presidential candidate Paul Ryan on Saturday said his position on Medicare reform had “evolved” and that both he and presumptive nominee Mitt Romney were committed to preserving the program for future retirees. In an interview with Fox News’s Carl Cameron, Ryan was asked to reconcile differences in his Medicare reform proposals. … Ryan suggested that while Romney had expressed concerns with his initial Medicare reform proposals that made a privatized model mandatory for participants, he broadly backed Ryan’s most recent proposals which would allow for seniors near retirement age or on Medicare to stick with the current system (Mali, 8/18).
Source: kaiserhealthnews.org

New York Times Article Highlights Success of Medicare Advantage Plans

3rd Party Studies ACOs Admin Costs affordability Age Rating Cadillac Tax cbo Cost-Shift Employers Essential Benefits Exchanges GRP Health Plan Innovations Health Plan Satisfaction House hearings House legislation HSAs KI MA McCarran-Ferguson Medical Prices Medical Tests medicare medigap MedMal MLR Morning Headlines MT Patient Safety premiums Premium Tax Profits Provider Consolidation PWC Quality Rate Review Readmissions Reform RZ Senate hearings Senate legislation Small Business The Link Vilification Waste Fraud and Abuse
Source: ahipcoverage.com

New Look for Medicare.gov

Now you can get to the Medicare Part D Plan Finder by clicking on the yellow box labeled “Find Health and Drug Plans” to the left of the picture on the homepage.  This will take you to the familiar Plan Finder.  Once there, if you click on the video to help guide you through the Plan Finder, the first page will look like the older version of the website where you clicked on the blue words “Compare Drug and Health Plans” to get to the Plan Finder. 
Source: retirementeducationplus.com

Medicare Studying Plans To Pay Nursing Homes Based On Quality

Posted by:  :  Category: Medicare

Christiana Care Kicks off Participation in Home Care Program by Christiana CareThe demonstration project involved 182 nursing homes in Arizona, New York and Wisconsin and assembled data for nurse staffing (such as registered nurse hours per resident), potentially avoidable hospitalizations, clinical measures (such as residents with bed sores or physical restraints), and information about deficiencies from state survey inspections. A full evaluation is expected by the fall of 2013 and further review by the Centers for Medicare & Medicaid Services on the issue could take another year or more.
Source: gantdaily.com

Video: Medicaid, Nursing Homes and Asset Protection

Paying for Nursing Home Care with Medicaid

Medicaid also has special rules for married couples when one spouse enters a nursing home and the other spouse remains at home. In these cases, the healthy spouse can keep one half of the couple’s assets up to $113,640 (this amount varies by state), the family home, all the furniture and household goods and one automobile. The healthy spouse is also entitled to keep a portion of the couple’s monthly income – between $1,838 and $2,841. Any income above that goes toward the cost of the nursing home recipient’s care. 
Source: flannerypubs.com

''Nursing Home Inspection Reports

Drawing on government reports posted online last month, today we are launchingNursing Home Inspect — a tool that allows anyone to easily search and analyze the details of recent nursing home inspections, most completed since January 2011. As of today, that includes nearly 118,000 deficiencies cited against 14,565 homes, but we will add more each month as new reports become available.
Source: georgia-medicareplans.com

Infographic on Medicare : South Carolina Nursing Home Blog

Think Progress had the following article and infographic explaining the differences between the Romney/Ryan plans for Medicare and current law.  "This week, the Romney/Ryan campaign has twisted itself into a pretzel attacking President Obama for “stealing” $716 billion from Medicare, while trying to explain why Paul Ryan included the savings in his FY 2013 budget."
Source: scnursinghomelaw.com

Medicare program offers insight into nursing home safety

Families in South Carolina can use this free resource to help narrow down the facilities that seem like the best fit, and then conduct in-person visits from there. Nursing home negligence is a top concern among families who require residential placement for their loved ones, and Nursing Home Compare can help shine a light on which facilities offer the highest standard of care. For those families who believe that their loved one has experienced nursing home negligence or abuse, the first step is to investigate the avenues available for legal recourse. A well-executed lawsuit can not only result in punitive measures for the individuals and institutions responsible, but can also give families the financial means to secure quality care for their loved one.
Source: florencescpersonalinjuryattorneys.com

Zanesville’s Autumn center won’t lose Medicare/Medicaid certification

NEWARK — Despite being on a federal list of poor performing nursing homes for nearly four years, Autumn Healthcare’s Zanesville facility is not expected to lose its Medicare/Medicaid certification, and an order imposing a ban on payments for Medicare/Medicaid-eligible patients has been withdrawn.
Source: zanesvilletimesrecorder.com

Will Medicare Pilot Program Improve Post

Currently, if Medicare decides that a hospital has billed it for inpatient treatment of a patient who should have received observation services, the facility can lose its entire payment and is not paid for the cost the observation care. That may prompt hospitals to put too many people in observation care, Medicare says in the rule announcing the pilot program. Under the pilot, the 380 hospitals participating will be able to rebill Medicare for observation services if claims for inpatient care are rejected. Medicare officials want to see if that takes some of the pressure off hospitals.
Source: seniorhousingnews.com

NSCLC Advocates for Improved Nursing Home Standards, Including Protections for LGBT Residents

As part of a workgroup convened by the National Consumer Voice for Quality Long-Term Care, NSCLC worked to develop extensive comments  on how the regulations should be revised to better protect residents.  Among other things, the comment letter recommends that staffing levels be increased and, in order reduce discrimination against Medicaid-eligible residents, that Medicaid-certified nursing homes not be allowed to segregate their Medicaid-eligible residents in Medicaid “distinct parts.”  Also, the comment letter emphasizes that the regulation review process should not in any way weaken existing protections.
Source: nsclc.org

Boot Berryism: Republican Party of Arkansas Platform 2012

Posted by:  :  Category: Medicare

Counter demonstration: wingnuts by tswedenHEALTHCARE ISSUES Healthcare is not a right; it is a service. As a compassionate society we will aid those in need; however, a government takeover of healthcare is detrimental to the entire health care system. The Republican Party of Arkansas expresses support for: 1. Long-term Medicare solutions: Form a bipartisan commission to make recommendations. ” Assure long-term solvency by implementing cost saving measures that reduce bureaucracy, fraud and abuse. ” Implement optional plans that combine public and private efforts to provide citizen access to and choices among various kinds of coverage. 2. Medical Savings Accounts which allow people to own and control their healthcare. 3. Freedom to choose fee-for-service plans. 4. Choices among various managed care plans. 5. Optional long-term care choices, including nursing home, hospice and home health care for certain diseases such as Alzheimer’s. 6. Tax-deductible premiums for these and other such options. 7. Medicaid block grants to states with “No Federal Strings”. Arkansas Republicans believe that such strings defeat the purpose of state grants. Distribution of Medicaid grant funds should be left to the discretion of each state. 8. We strongly support Medical tort liability reform through an amendment to the state constitution: Arkansas Republicans believe health care costs can be reduced by tort reform of medical liability regulations and statutes by limiting the circumstances under which such cases may be properly pursued and the extent of damage claims involving pain and suffering. 9. Freedom to choose doctors outside of the Medicare system: Arkansas Republicans hold that neither Medicare patients nor doctors choosing to practice outside the Medicare system should be fined or otherwise punished for non-cooperation with the Medicare system, and patients should be free to voluntarily pay doctors out of personal funds for such medical care, even when rendered outside the Medicare system. 10. The repeal of all statutes, laws and regulations that would permit the Medicare system to pressure, prosecute, pursue, fine or otherwise punish any such patient or doctor. 11. Continuity of patient care when employers change health insurance plans and providers, we support the flexibility for physicians to provide services for any managed health care plan in any state that they are licensed to practice. 12. National legislation to treat mental and physical illnesses equitably and fairly. 13. Efforts to implement more access to Community Based Health Centers; to meet the health care needs of the uninsured and underinsured in their communities. 14. Association Health Plans to help small businesses on behalf of their employees; Health Savings Accounts so Americans can get help with out-of-pocket medical expenses; and a creation of refundable tax credit to help low income families purchase health insurance. 15. Creation of a legal environment for pharmaceutical companies to develop new drugs and lower costs to consumers. 16. Replace Obamacare with a well designed conservative initiative.
Source: blogspot.com

Video: Arkansas Medicare Supplements

Your Health Care: Understanding Medicare & Medicaid

Navigating the health care system can be challenging for anyone, but for the more than 9 million people who are eligible for both Medicare and Medicaid, it can be especially difficult.   Medicare and Medicaid have similar names but are actually very different programs. People who are eligible for both, known as “dual eligibles,” must understand the differences in eligibility requirements and coverage details in order to access the health care services that are available to them. This is especially important for the 60 percent of dual eligibles who suffer from multiple chronic conditions, such as diabetes and heart disease. Getting the health care coverage they need to appropriately manage their conditions is critical to their well-being.   The 118,000 dual eligibles in Arkansas and their caregivers should take the following steps to help simplify their health care experience and get the best care available.   1. Understand the differences in coverage and eligibility between Medicare and Medicaid.   Medicare is a program managed by the federal government that provides health care benefits to people age 65 and older and disabled individuals. Medicare covers medical care services such as physician visits, hospital stays and prescription drug costs.   Medicaid is a health care benefits program managed by the Arkansas state government. Unlike Medicare, each state sets its own guidelines regarding Medicaid eligibility and services. For those enrolled, Medicaid pays for most long-term care as well as Medicare deductibles, co-payments and other health care costs that beneficiaries would otherwise pay for out of pocket.   2.  Explore health care options in Arkansas that provide adequate support for dual eligibles.   For dual eligibles, the coordination of benefits between Medicare and Medicaid can be confusing, as beneficiaries typically have separate membership cards and different points of contact for their benefits questions. One option to address this challenge that has risen to the forefront of Arkansas efforts in recent years is what’s known as a Medicare Advantage Special Needs Plan.   Offered by private companies, these plans can be chosen in place of traditional Medicare. Special Needs Plans support dual-eligible individuals by serving as a single entity that coordinates all aspects of care. These plans focus on the unique needs of dual eligibles, offering customized care and support to manage their complex health care needs. Specialized services available with Special Needs Plans may include in-home visits, social support services and help when transitioning home from the hospital.
Source: thecitywire.com

Senior Benefit Services, Inc.

Effective August 1, 2012 on new and in-force business for United of Omaha 2010 Modernized Medicare Supplement plans (policies effective on or after June 1, 2010) in Arkansas, this rate adjustment will affect plans A, F, G, M, and N.
Source: srbenefit.com

THE ARKANSAS LEADER: EDITORIAL >> Romney’s wiggle room

The conservative wing of the Republican Party, suspicious of a moderate running on top of the ticket, pressed Mitt Romney into picking Paul Ryan, a genuine conservative. It remains to be seen if Romney will let Ryan set the tone for his administration, the way Vice President Dick Cheney set policy for the Bush administration, or if Romney will go back to his moderate roots if he’s elected. Romney had hoped that choosing Ryan as his running mate would appease his party’s right wing, which considers him a closet liberal who supported universal health care, gun control, Planned Parenthood and other progressive causes when he was governor of Massachusetts. “My plan for Medicare is very similar to his plan for Medicare,” Romney said Monday, referring to his running mate’s proposals. But Romney didn’t say how they differed on the details, but some of his advisers sought to distance Romney from Ryan’s ideas. Ryan’s nomination, the theory goes, is supposed to keep Romney from even thinking about straying back to his moderate ways. But after last weekend’s euphoria — the Ryan pick is popular among Republicans, not as much with independents — it’s beginning to look like Ryan’s plan to reduce funding for Medicare and Medicaid is making Romney more than a little nervous. The plan is not popular with focus groups because voters realize Medicare benefits would be severely reduced, which is inevitable: If you’re going to cut billions in spending, you must reduce benefits. Although sketchy, the Ryan proposal calls for privatizing Medicare with lump-sum payments from the Treasury to insurance companies. Medicaid would shrink to a more modest block-grant program for the states. Neither program would keep up with inflation or higher medical costs. Beneficiaries should not expect hundreds of thousands of dollars for medical procedures, which are commonly approved under Medicare and Medicaid. Future beneficiaries would have to rely on their own resources to cover medical expenses. Romney and Ryan insist that future reforms would not affect people over 55. They would get the same Medicare benefits they were promised throughout their working lives. But what about those under 55 who’ve been paying into Medicare for decades? Why should they get fewer benefits when they retire? Clearly the Romney-Ryan ticket is nervous.Romney, who has a well-deserved reputation as a flip-flopper, is using surrogates to suggest that maybe Medicare won’t change that much after all. Future retirees could stay in the popular program, or they could opt out and buy private insurance with federal subsidies. Ryan himself has flip-flopped on other budgetary issues. A couple of years ago, Republicans pushed for cuts not only in social programs but also in military spending. Republicans, including our own Rep. Tim Griffin, said $500 billion in defense cuts would automatically kick in if Congress did not agree on a budget. Griffin has stopped talking about defense cuts, while Romney and Ryan insist the defense budget is untouchable. Romney is not opposed to deficit spending if it suits his purposes. He voted for the Bush administration’s unfunded prescription plan for seniors, the largest social program approved in Congress since Medicare. Medicare’s Part D program, the drug subsidy, will add trillions of dollars to the deficit, although the plan is much loved by seniors, especially since the Democrats eliminated the so-called donut hole. Rep. Ryan is popular in many circles, including the media, but Congress has an approval rating of 10 percent, much lower than the president’s. Despite all the noise, neither party is serious about controlling spending. The fight is over reducing the rate of growth. Farmers want their subsidies. Road contractors want to build highways. Defense contractors want to build ships and jet fighters. Seniors want life-saving surgery and an array of medicines to keep them going. How do we pay for these programs, or should we eliminate them? It’s reasonable to assume that once he’s in office, Romney wouldn’t touch those programs. Before the campaign is over, Ryan, like Ronald Reagan, might also come around and keep them going.
Source: blogspot.com

Medicare in Arkansas: Peace of Mind

Most corporate houses in Arkansas offer health insurance to their employees. If you are a resident of the place and your company does not provide coverage or you are self-employed, then you should look for health insurance plans in Arkansas. Some of the major health insurance carriers in the country include Aetna, Anthem Blue Cross, Blue Shield of California and Kaiser. Unexpected health expenses occur without warning if the coverage is necessary for you and your family. If you are not covered by a plan and know what health insurance company to get involved and what kind of plan for choisir.La meeting with health insurance provides ArkansasAvant to choose a health plan in Arkansas, you need to do a global search through the Internet to gather the necessary information on the plans. By doing this, you will be able to come across a number of benefits and plans. To obtain an appropriate plan, all you need to do is recognize your needs and cover your health accordingly. While buying a health plan, you are advised to make a decision one way in which you and all the health of your family members are covered. In case you are unable to take appropriate action, take the help of professionals. Health insurance in Arkansas is a good idea if you stay with the big names that include: • Blue Cross and Blue Shield Anthem Arkansas • • • Celtic Insurance Coventry Healthcare • QCA Health Plan • United HealthOneQuelques some of the kinds worth of health insurance plans in ArkansasIl are a number of health coverage available in Arkansas, but some of them are mentioned below: • Individual, Family, Group, and Health Insurance students • Dental insurance • low-income health insurance for families • health insurance • Short term health insurance in small entreprisesComment get free quotes online? If you plan to get free online quotations from various insurance companies, then the first thing you need to do is search consultants insurance. Once you find a deemed one, you should give some information with the consultant and bring free online to fit your budget and requirements citations health care. Online health insurance advisors have become the only solution because they have professionals helping people to obtain adequate coverage. So, when finalizing a health insurance plan, it is vital for you to select plans that cover as much as your health is concerned. So do not waste your valuable time, just do research and find results in less time possible.
Source: dacglobalsolutions.com

Romney to Voters: I DO Have a Heart (No, Really!)

As the GOP platform says: “Faithful to the first guarantee of the Declaration of Independence, we assert the inherent dignity and sanctity of all human life and affirm that the unborn child has a fundamental individual right to life which cannot be infringed. We support a human life amendment to the Constitution, and we endorse legislation to make clear that the Fourteenth Amendment’s protections apply to unborn children. We oppose using public revenues to promote or perform abortion and will not fund organizations which advocate it. We support the appointment of judges who respect traditional family values and the sanctity and dignity of innocent human life. . . At its core, abortion is a fundamental assault on the sanctity of innocent human life.”
Source: calbuzz.com

Francis X Archibald: The first Medicare Card

Posted by:  :  Category: Medicare

What's In My Bag... by Amy DiannaDo you know who got the first Medicare card? Harry Truman. In 1965, President Lyndon Johnson moved the Medicare bill signing from Washington, D.C., to Independence, MO. so former President Truman could be on hand for the signing and receive the first card. This was a tribute to Mr. Truman’s efforts 20 years earlier to create a national health insurance plan.
Source: blogspot.com

Video: Using a Medicare card, Australia

How to Prevent Medicare Card Identity Theft

Note: You’ll notice that your Medicare ID has one or two additional letters or numbers following the digits of the SSN. These identify what kind of beneficiary you are, according to the Social Security Administration. For example, the letter T mainly indicates that you are entitled to Medicare, but are not yet filed for Social Security retirement benefits; whereas W1 indicates that you are a widower who is eligible for Medicare through disability. For the purposes of your photocopy, it doesn’t matter whether you delete these final letters (or letter-number combinations) or leave them in. Also of interest: You can help fight health care fraud. 
Source: aarp.org

An Overview of ObamaCare's Broken Promises

The Affordable Care Act assumes deep reductions in payments to doctors, hospitals, nursing homes, and Medicare Advantage program, totaling $716 billion over ten years. By paying providers less, the trust fund may last a bit longer, but it means seniors will have a harder and harder time finding a doctor to see them as they drop out of the program or stop taking new Medicare patients. The law may not explicitly cut benefits, but it certainly will impact access to care. What good is a Medicare card if you can’t find a doctor? That is precisely the problem that patients on Medicaid — the program for lower-income Americans — face today, forcing them to go to hospital emergency rooms for even routine care. Do seniors want that?
Source: realclearpolitics.com

Obamacare “Facts” are Fiction

The Affordable Care Act assumes deep reductions in payments to doctors, hospitals, nursing homes, and Medicare Advantage program, totaling $716 billion over ten years. By paying providers less, the trust fund may last a bit longer, but it means seniors will have a harder and harder time finding a doctor to see them as they drop out of the program or stop taking new Medicare patients. The law may not explicitly cut benefits, but it certainly will impact access to care. What good is a Medicare card if you can’t find a doctor? That is precisely the problem that patients on Medicaid — the program for lower-income Americans — face today, forcing them to go to hospital emergency rooms for even routine care. Do seniors want that?
Source: medibid.com

Medicare Seeks More Time To Estimate Cost Of Fixing Card Security Issues

CQ HealthBeat: Cost Estimates For Removing Numbers From Medicare Cards Expected In 6 Months A Medicare official agreed to give Congress new cost estimates in six months for a proposal to remove Social Security numbers from beneficiaries’ Medicare cards. Lawmakers of both parties at a House Ways and Means joint subcommittee hearing Wednesday agreed that displaying the full number on Medicare cards puts seniors at risk for identity theft. Beneficiaries are instructed to always have their cards on them, but that makes the sensitive number easy for someone else to obtain. Despite congressional pressure, lawmakers said, the Centers for Medicare & Medicaid Services has not come up with a plan for removing the Social Security numbers (Ethridge, 8/1).
Source: kaiserhealthnews.org

OBAMACARE:: More Obamacare Fiction

The Affordable Care Act assumes deep reductions in payments to doctors, hospitals, nursing homes, and Medicare Advantage program, totaling $716 billion over ten years. By paying providers less, the trust fund may last a bit longer, but it means seniors will have a harder and harder time finding a doctor to see them as they drop out of the program or stop taking new Medicare patients. The law may not explicitly cut benefits, but it certainly will impact access to care. What good is a Medicare card if you can’t find a doctor? That is precisely the problem that patients on Medicaid — the program for lower-income Americans — face today, forcing them to go to hospital emergency rooms for even routine care. Do seniors want that?
Source: politicalnewsnow.com

Stuff my Dad Knows: Medicare Card

A better alternative to always carrying your Medicare card in your wallet or when traveling is to make a photocopy of your Medicare card, and then cut or black out the last four digits of your Social Security number.  The photocopy shows that you are a Medicare patient but protects you from identity theft should your wallet be lost or stolen.  Even without the card you should be able to get emergency medical treatment.  You can carry the original on days when you visit a doctor if that gives you any extra added comfort.   You can orally give the medical care provider the last four digits of your Social Security number when you are being provided services.   I and my wife have personally used this method for many years without any problems.  This is a very good deterrent to identity theft of your Social Security number.
Source: blogspot.com

Problems in Big Government Healthcare

The Affordable Care Act assumes deep reductions in payments to doctors, hospitals, nursing homes, and Medicare Advantage program, totaling $716 billion over ten years. By paying providers less, the trust fund may last a bit longer, but it means seniors will have a harder and harder time finding a doctor to see them as they drop out of the program or stop taking new Medicare patients. The law may not explicitly cut benefits, but it certainly will impact access to care. What good is a Medicare card if you can’t find a doctor? That is precisely the problem that patients on Medicaid — the program for lower-income Americans — face today, forcing them to go to hospital emergency rooms for even routine care. Do seniors want that?
Source: norcalblogs.com

Brad DeLong: David Cutler: Hey Republicans! Stop Misusing My Medicare Study!

The Harvard researchers looked at the (limited and constricted) private-plan option already operating in Medicare today—a program called Medicare Advantage … and found that, on average, the Medicare Advantage plans cost far, far less than federally run fee-for-service Medicare. This is the opposite of what Democrats were saying a year ago. Then, they were touting a Congressional Budget Office study that estimated the private plans offered to Medicare beneficiaries in the system Ryan envisions would cost much more than traditional fee-for-service Medicare, and thus require higher premiums—$6,400 higher in 2022—to be paid by beneficiaries. This new study shows otherwise, and proves the very point that champions of premium support have been making for years.
Source: typepad.com

CMS Revamps Medicare Website To Boost Usability, Usefulness

Acting CMS Administrator Marilyn Tavenner said, “We’ve simplified the language and the homepage layout to make it easier and faster for visitors to get answers and a better understanding of Medicare necessary to get more control over their health care” (Healthcare IT News, 8/22).
Source: ihealthbeat.org

Louisiana Federal Judge Dismisses Dispute Involving Recoupment Of Medicare Payments

Posted by:  :  Category: Medicare

Charity Hospital, in disuse...at nite..all blurry..but kinda cool.. by JustUptownBATON ROUGE, La. – A Louisiana federal judge on Aug. 10 declined to grant a temporary restraining order in a case in which a medical doctor and his clinic sought to prevent defendants from recouping allegedly improperly paid monies made to the plaintiffs for services provided to Medicare beneficiaries and dismissed the case for lack of subject matter jurisdiction (Arnold Feldman, M.D., et al. v. The Department of Health and Human Services, et al., No. 12-246, M.D. La.; 2012 U.S. Dist. LEXIS 112629).Full story on lexis.com
Source: lexisnexis.com

Video: Louisiana SMP (Senior Medicare Patrol) revised

Louisiana Federal Judge Dismisses Dispute Involving Recoupment Of Medicare Payments

BATON ROUGE, La. – A Louisiana federal judge on Aug. 10 declined to grant a temporary restraining order in a case in which a medical doctor and his clinic sought to prevent defendants from recouping allegedly improperly paid monies made to the plaintiffs for services provided to Medicare beneficiaries and dismissed the case for lack of subject matter jurisdiction (Arnold Feldman, M.D., et al. v. The Department of Health and Human Services, et al., No. 12-246, M.D. La.; 2012 U.S. Dist. LEXIS 112629). Full story on lexis.com
Source: lexisnexis.com

Update: Delay in Electronic Remittance Advice (ERA) for CPIDs 3579 Louisiana Medicare, 5556 Mississippi Medicare

Update: This issue has been resolved. All affected ERA has been received and processed. Original Notice Sent August 8, 2012: Due to a payer processing issue, there has been a delay in Institutional Electronic Remittance Advice (ERA) for the following payers for file dates 08/02/2012 through the present: CPID 3579 Louisiana Medicare CPID 5556 Mississippi Medicare The clearinghouse is working with the payer to receive all outstanding ERA files as quickly as possible. Additional updates will be forwarded as more information becomes available. Please be aware of a delay in the delivery of ERA for file dates above. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Medicare To Penalize 2,211 Hospitals For Excess Readmissions

While we have yet to see significant reductions in the number of home health providers across the nation, discussions continue around the numerous variables that might impact such a decrease in number. Potential causes of consolidation in the home health industry have included conversations about reduced reimbursement, increased overhead as a result of various aspects of heightened scrutiny in benefits integrity, and an increase in competition in the form of ACOs, medical homes, and other models that will include acute care bundling. We have read about the significant impact rebasing of Medicare PPS rates could have in 2014, the unknown effect of co-pays on home health episodes, and the current challenges providers are having with increased pre-pay activity in the form of Additional Development Requests (ADRs) by the MACs (Medicare Administrative Contractors), the fiscal intermediaries for home health. More recent conversations among industry watchers have included managed care companies purchasing home care providers, i.e. Humana’s purchase of Senior Bridge. OIG, MedPAC, and CMS in its recent proposed rule have all alluded to moratoria on new providers, at least in states where there are increased aberrancies and convictions of fraud and abuse.  
Source: homecarela.org

Medical Equipment Company Owner Sentenced in Louisiana to 180 Months in Prison for Medicare Fraud Scheme

#arabic #articles #gop #hhrs #Japanese #p2 #RS #Russian #sgp #TCOT #tcot #sgp #tsot #teaparty #tlot #tsot #tweet bahasa-melayu conservative news czech delete direct-messages events expand-collapse filipino french german govnewstweets headlines gov watch italian learn-more not-on-twitter-sign-up polish retweetedretweet swedish tcotfeed tcot feed list tcotfeed tcot feed list tea party teapartycourier tea party news Times top conservatives on twitter topconservativesontwitter true blue conservative true blue conservative headlines tweets
Source: topconservativesontwitter.com

Achieving Meaningful Use: Notes from the Field

Linda is a Senior Consultant with PMSCO Healthcare Consulting (PMSCO), a subsidiary of the Pennsylvania Medical Society. Over the past 5 years, PMSCO has assisted hundreds of physician practices with not only selecting and implementing EHR systems, but also helping them use their systems more effectively to improve patient care and overall practice efficiency. More recently, PMSCO’s focus has been assisting practices with Meaningful Use (MU). Linda has worked with many different EHR systems to facilitate an understanding of the MU requirements as they apply to both primary care physician practices and specialty practices and understands what changes need to be made to the practice’s workflow and processes in order to achieve successful compliance with the MU requirements.
Source: acms.org

Two sentenced for Medicare fraud

Two people have been sentenced for their roles in a health care fraud scheme. Eunice Sparrow, 68, and Uniecesco Smith, 30, both admitted to signing fake delivery tickets and documents over a two year period while working for A&A Durable Medical Supply in Plaquemine.  The documents were then used to send claims to Medicare for reimbursement. Sparrow was sentenced to one year and one day behind bars.  Smith will spend 14 months in prison and a $7,500 fine.  Both will have to pay restitution. The owner of the company, Linda Jackson is awaiting sentencing.
Source: wafb.com