Letter: Traditional Medicare is worth saving Gloucester County Times – NJ.com By Letters to the Editor/Gloucester County Times Republican vice presidential candidate, Rep. Paul Ryan, R-Wis., speaks during a campaign rally, Monday, Aug. 20, 2012, in Manchester NH (AP Photo/Evan Vucci) Much has been said and will continue to be …
Video: New Jersey Delegates Happy With Paul Ryan’s RNC Speech
Study: Nearly A Third Of Doctors Won’t See New Medicaid Patients
New Jersey Medicaid officials acknowledge the lack of physician participation is a problem, but said the recent move to enroll nearly all Medicaid recipients into private managed care plans “should reverse the trend,” said Nicole Brossoie, spokeswoman for the New Jersey Department of Human Services which oversees Medicaid.
Medicare Set Asides Not Required in Personal Injury Cases, Holds NJ Court
The court noted that Medicare set-aside agreements were not mandated by federal law in personal injury settlements. Such agreements are common in workers’ compensation settlements; however, the court observed the circumstances of a personal injury settlement are distinguishable. Payments in workers’ compensation cases are frequently capped by a statutory maximum, whereas personal injury cases can include noneconomic damages and “are not determined by an established formula.”
Report: N.J. Medicaid patients are least likely in U.S. to find new doctor
BY CAROL ABAYA NEWJERSEYNEWSROOM.COM THE SANDWICH GENERATION Multiple marriages and blended families can mean children get cheated out of money and assets their parent(s) earned and had before the second or third marriage. At the 2012 senior citizens’ law day conference, Lawrence A. Friedman, Bridgewater elder law attorney, said elders need to protect their children of prior marriages from being disinherited. “Even if your spouse’s current will provides for your children, your spouse may change it after you pass away,” he said. In addition to protecting one’s child, an appropriate will can minimize N.J. estate taxes, which kick in if assets are over $675,000. At the conference, Cathyanne Pisciotta from North Brunswick discussed guardianship which could be necessary if various legal documents are not signed. Pisciotta said that if a person does not have a durable power of attorney (for financial affairs) and a living will (for medical decisions), anyone else can seek guardianship of that person. An expensive court proceeding is mandatory. And she said, “If one person seeks guardianship, someone else can challenge the appointment. Another relative may seek to be appointed guardian because he/she wants the money and power.”
Medicare Premiums Expected to Hold Steady in 2013
That’s right, the Department of Health and Human Services issued its estimate not long ago, and Businessweek reported it in an article titled “Medicare Drug Plan Premiums to Stay at $30 in Coming Year.” Indeed, according to the estimate and bids from private insurers, the premiums for Medicare drug plans are expected to hold steady at the $30 average where they stand today.
NJ Court Grants Motion to Enforce & Question Need for LMSA
In regards to a requirement for a Liability Medicare Set Aside Arrangement (LMSA), Defendants cited to the CMS Memo, dated September 29, 2011, stating that under the MSP, “[a]ll parties do have significant responsibilities under the MSP to protect Medicare’s interests when resolving cases that include future medical expenses. A recommended method to protect Medicare’s interest is a set-aside arrangement , which allocates a portion of the settlement for future medical expenses. The amount of the set-aside is determined on a case-by-case basis.” The court cites to support its position denying any weight to the CMS Memo, the cases of Christensen v. Harris County, 529 U.S. 576 and Shalala v. Guernsey Memorial Hospital, 514 U.S. 87. Each of those cases found Medicare Provider Reimbursement Manual “is a prototypical example of an interpretive rule” that does not require notice and comment, and therefore “does not have the force and effect of law and is not accorded that weight in the adjudicatory process.” We disagree with the Court, that if appealed this position will be upheld for several reasons.
Avoid The Donut Hole of Medicare Element D
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