Medicare: A Debate We Need to Have

Posted by:  :  Category: Medicare

No I would like to argue that the free market has served America well in a lot of sectors but has never been given a chance in the health care sector. Seriously does anyone know what prices providers charge for this or that? Most only know their out of pocket expense and do no real "shoping", with regard to price, over the provider the see. Some just go right to emergency care knowing they can’t be turned away rather than make an appointment during hours, when in all reality MOST ER visits could be handled via appointment during hours. There rules in place that are both needed and that thwart free market principals and that is the challenge before us, how do we find that better way. The consumer has to be involved as that is where the "purchase" is made; the attitude of "I have insurance so who cares what it costs" needs to be changed. I for one want to be the person making that decision not have that decision made for me.
Source: patch.com

Video: Romney, Ryan defend Medicare plan with NH voters

Romney, Ryan to discuss Medicare with NH voters

Republican presidential candidate, former Massachusetts Gov. Mitt Romney eats ice cream after making a stop at Millie’s before a fundraising event on Saturday, Aug. 18, 2012 in Nantucket, Mass. (AP Photo/Evan Vucci)
Source: washingtonexaminer.com

Letters: Jennifer Horn All Wrong on Medicare Analysis

Fourth, by pledging to “restore” the $716 billion in savings, Romney will move the date of exhaustion of the trust fund back to 2016, reopen the doughnut hole and remove the other benefits introduced by the ACA.  This will be a disaster for older adults.  Governor Romney’s supporters should ask him what he will do when the trust fund runs out in 2016.  One Romney advisor has suggested Romney might begin increasing the age of eligibility for Medicare. Clearly, this all makes a mockery of the pledge by Romney and Ryan that their Medicare proposals will not affect individuals over age 55. 
Source: patch.com

Blue Hampshire: Politics ::: NH GOP Chair repeats $500 billion Medicare lie

We should probably retire that moniker.  The ACA is about how we pay for medical care. If Republicans don’t like the ACA, then we should expand Medicare to serve all. As it is, it is my considered opinion that the age exclusions are un-Constitutional.  After all, illness and injury do not discriminate by the age of their victims. Exclusive programs for elderly persons are merely a stratagem for keeping the segregationist impulse satisfied. The perennial threat to end Medicare affects different populations differently. Both Medicare and Medicaid give official recognition to the fact that health is a matter of social security. The exclusion of some people affirms the belief that society is a hierarchy in which some people are more important than others. Segregationists don’t care as much about who’s more important as that somebody is. I suspect that segregation is attractive, or perhaps even necessary, to people who need a contrast/antagonist in order to define themselves. Adherents of the Party of No are people who define themselves by what they are not (not a woman, not a pansy, not a black, not a thespian, not a liberal, not a crook). That every ‘not’ has a positive opposite makes it easy define what they are.
Source: bluehampshire.com

Ryan takes Medicare mother on campaign trail

The presumptive GOP presidential ticket is trying to blunt withering criticism from President Barack Obama and his allies. The Democrats charge that Mitt Romney and Ryan would gut programs for older Americans such as Medicare and Social Security.
Source: nhjournal.com

Woman Shows Medicare Card On Camera For Millions To See At DNC

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ...More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524During former President Bill Clinton’s speech, an audience member who was receiving oxygen through a nose tube showed her Medicare card on camera while Clinton was railing about Republicans wanting to “end Medicare as we know it.”
Source: cbslocal.com

Video: Get Free Help on Medicare Enrollment

Rep. Henry Waxman Discusses Obamacare, Medicare, Medi

There was a lot of misinformation about death panels, which the Tea Party people and the Republican organization argued was part of this bill, and it’s not. There’s a lot of misconception because a lot of misinformation has been given about the legislation and people get nervous when there’s going to be something new and something big. They don’t like the idea of the whole bill, but if you ask people what they think of all the parts of the legislation, it’s wildly popular. People support the idea of giving heath care insurance availability to people with pre-existing conditions and stopping the insurance companies from discriminating. People support all of these different elements of the bill.
Source: patch.com

Paying for nursing home care with Medicaid

Spousal Protection 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: downriversundaytimes.com

How Can I Tell Which Is The Best Medicare Supplemental Insurance Company?

Its always best to compare prices and policy features before committing to any medical coverage. Research policies through family, friends, the internet or by calling health insurance companies. Have you recently become Medicare eligible? If your retirement includes a health insurance policy you may want to consider staying with that policy. Contact the insurer to verify if you still have a policy in place that you could use to supplement Medicare or what the cost of keeping the policy through the COBRA option will be. Note the COBRA option is only available for a year. If you find comparable coverage at a cheaper rate, you may to investigate further by contacting an agent at a Medicare supplemental insurance company. They will go over all details of the policy.
Source: seniorcorps.org

Daily Kos: Democrats pick up Clinton’s Medicaid call

little support, the cost can go way up if they need to be hospitalized frequently, though now hospitals rarely keep a person with a neurological disorder for more than 24 hours, even if they are still quite sick. I was told if there is ANY improvement after 24 hours, they are tossed often out. I knew many people with neurological disorders who died young and the situation will only get worse if Medicaid is cut. If people don’t give a hoot about people with neurological disorders, they should care about the very few who commit crimes for “insane” reasons. Think of the man who shot Gabby Giffords. Though I would like to point out in general they are more often the victim of crimes than the perpetrator and they commit no more crimes than anyone else as a group. No one asks to be born with a brain malfunction or malformation. The least we can do as a society is try to help them live as happy a life as possible.
Source: dailykos.com

Effects of new budget proposals on Medicare and Medicaid

Alexandra’s terrible bit of "journalism" here is a great example of reading Pace’s press release into the record. With 1 quick sentence she distorts and dismisses the other side, then proceeds to blather on in her miserable voice to present Pace’s press release as fact. How do we get rid of Bimbos like this? This isn’t "journalism" it’s 10th grade politics!!
Source: nbc11news.com

GRAY MATTERS: Things to know about the Medicare Enrollment Period

Medicare beneficiaries will be receiving mail in September from their current insurance company. Most important is the annual notice of change that will outline what the changes are for them for 2013. Beneficiaries can review the information to make sure their current plan will be a good choice, or may want to see if changing to another plan might offer better coverage and save them money for 2013.
Source: times-standard.com

First Edition: September 10, 2012

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ...More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524The New York Times’ The Caucus: Ryan Defends His ‘Yes’ Vote On Automatic Defense Cuts Representative Paul D. Ryan, the Republican nominee for vice president, on Sunday defended his decision to support automatic cuts in defense spending as a way to force a deal on reducing the deficit, an approach that was sharply criticized by his running mate, Mitt Romney. … Mr. Ryan said that he backed the deal, which could result in an automatic 8 percent cut in defense spending in January, in an effort to compromise with Democrats on deficit reduction. … The House bill, which Mr. Ryan wrote and Senate Democrats oppose, would stave off reductions in military spending by cutting safety-net programs for the poor, including food stamps, school lunch subsidies and children’s health insurance (Swans, 9/9).
Source: kaiserhealthnews.org

Video: Boston: Medicare Fraud Summit Law Enforcement Panel

Dems twist jobs numbers and GOP Medicare ideas

Burningbrightly all Erectile Dysfunction meds are covered by health insurance where birth control is not i dont know about you but free birth control seems like a good thing if you had a teenage daughter over 13 there is a good chance now days that she is sexually active now would you prefer the health department provides her with birth control or that she gets pregnant at 15 and has to quit school and work to support her baby or not quit school and you end up taking care of the baby and any normal teen life she may have had will be for the most part gone either way. Yeah you can preach abstinence but you were a teen once just like i was and everyone else was and most generations that went through their teen years from the 60s to now have progressively started being sexually active sooner and sooner so talk until you are blue in the face but i know as a teen i did what i wanted as many do now and i would prefer my daughter be on birth control and know she will not end up pregnant now you say fine then you pay for her birth control well thats fine but some people may not be able to afford it so those individuals are going to have no choice to prevent a teen pregnancy? that doesnt seem right to me. Also not everyone on welfare is a leech I had 7 brothers and sisters my Dad made decent money but not enough for all of us so yes we got food stamps but my dad worked full time 6 days a week to be able to afford everything else for all of us and thankfully welfare helped provide us with enough food that we could eat decent meals. I was making 36000 a year not a hefty sum i know but decent for my area and i still needed a little help each month to pay for food i was only getting about 120 dollars a month on the vision card but without it we would not have been able to get by a full month on food after all the bills we had to pay I worked hard and a lot of times i was working 12-17 hour days as a Grain Elevator Superintendent that was during summer and fall harvest all the while on salary getting no overtime I busted my ass to provide for my family and that little bit of extra help got us through so not all welfare recipients are lazy frauds who dont want to work I think that is an unfair almost bigoted view on welfare recipients and the welfare program in general. I am astonished at the number of supporters romney/ryan are getting with the back peddling on issues proven outright lies and overall complacency they seem to have with the average americans plight you need to go be a fool somewhere else myself i am a realist and see things for how they are and i am in full support of another 4 years of the 2nd best thing to happen to our government since the 70s the best being Bill Clinton. Obama/Biden 2012
Source: nbcnews.com

Daily Kos: Democrats pick up Clinton’s Medicaid call

little support, the cost can go way up if they need to be hospitalized frequently, though now hospitals rarely keep a person with a neurological disorder for more than 24 hours, even if they are still quite sick. I was told if there is ANY improvement after 24 hours, they are tossed often out. I knew many people with neurological disorders who died young and the situation will only get worse if Medicaid is cut. If people don’t give a hoot about people with neurological disorders, they should care about the very few who commit crimes for “insane” reasons. Think of the man who shot Gabby Giffords. Though I would like to point out in general they are more often the victim of crimes than the perpetrator and they commit no more crimes than anyone else as a group. No one asks to be born with a brain malfunction or malformation. The least we can do as a society is try to help them live as happy a life as possible.
Source: dailykos.com

2012 Long Term Care Information Sheet

Are government benefits available to assist in paying for long term care costs?: The Medicaid program, founded in 1965 concurrently with Medicare, is the primary government program that helps with the cost of long term care. Unlike Medicare, which is funded and directed solely by the federal government, Medicaid is a joint enterprise between the state and federal governments. There are many different programs of assistance within the Medicaid system. The nursing home program is called “Institutional Care Program”, or “ICP”. Persons eligible for ICP receive financial assistance for the costs associated with residing in skilled nursing facilities (nursing homes). Medicaid generally does not pay for assisted living; although a limited Medicaid waiver program and a “diversion” program may provide relief for some eligible residents. The cost of living at an assisted living facility must usually be privately paid.
Source: boyerjackson.com

Obamacare Robs Medicare of $716 Billion to Fund Itself

By quick scan on the numbers, it apparently "looks" for most of the cuts are coming from close-to-end care, which the IPAB will probably play a big role in determine these proposed reductions. Pres. Obama and the Dems have no plan on how to reform the system. This is the only way for them to sustain it for a short-term goal with no long-term objectives. It is kind of ironic that he and his followers are claiming to champion the sick, the poor, and vulnerable, which is most of our seniors. In doing this, they are "shortening" their lives in the name of saving the system. I hope they have a plan to help these people to have a dignify way to die. This is the way of rationing care like the NHS in Great Britain. However true it is that most of the medical costs occurred in the latter end for most of the seniors. That being said, we need to find a way to improve the system and not playing god by a few "intellectualizers" to decide who will live and who will die.
Source: heritage.org

Questions about Federal Medicare

Journalscene.com ® is pleased to offer readers the enhanced ability to comment on stories. We expect our readers to engage in lively, yet civil discourse. Journalscene.com ® does not edit user submitted statements and we cannot promise that readers will not occasionally find offensive or inaccurate comments posted in the comments area. Responsibility for the statements posted lies with the person submitting the comment, not Journalscene.com ®. If you find a comment that is objectionable, please click “report abuse” and we will review it for possible removal. Please be reminded, however, that in accordance with our Terms of Use and federal law, we are under no obligation to remove any third party comments posted on our website.
Source: journalscene.com

Senior Law Day at Westchester County Center Offers Free Legal And Financial Advice in October

SESSION ONE WORKSHOPS: (9:45 a.m. – 10:45 a.m.) · Estate Planning/Elder Law 101: Preserving your assets · Benefit From Your Benefits: Veteran’s benefits, Social Security · Impact of the New Affordable Care Act: Health care, health insurance and Medicare · Senior Crime Busters/Smart Seniors: Avoiding identity theft, scams and fraud; discussion of elder abuse · Planning in Advance for Financial Security: New York State’s power of attorney law, use of guardianships · Housing Options: Independent living, assisted living, use of reverse mortgages · Planning in Advance for Health Care: Health care proxies, medical orders for life-sustaining treatment, the new Palliative Care Information Act · Wills vs.Trusts: What to do when someone dies · For Spanish-Speaking Seniors: Medicare issues
Source: newrochelletalk.com

Daily Kos: Transcript of Kathleen Sebelius remarks as prepared for delivery, Democratic National Convention

And under Obamacare, insurance companies can no longer discriminate against women. Before, some wouldn’t cover women’s most basic needs, like contraception and maternity care, but would still charge us up to 50 percent more than men—for a worse plan.  They said women who had C-sections or survived breast cancer or even domestic violence had “pre-existing conditions” and would deny them coverage. But this president made it illegal to discriminate against women and ended the practice of insurance companies charging women higher premiums than men for the same coverage. This president ensured women’s free access to preventive services like breast cancer screenings. Being a mother is no longer a liability, and being a woman is no longer a pre-existing condition! That’s what change looks like.
Source: dailykos.com

2012 Medicare Open Enrollment Period

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSYou can also enroll for the first time in a Part D plan during AEP if you did not enroll during your open enrollment window when you first became eligible for Medicare Part B.  If you do not have credible drug coverage, you may be subject to the Part D late enrollment penalty.  This penalty is calculated by adding 1% to your premium for each month you were not enrolled and should have been.
Source: ohioinsureplan.com

Video: Medicare Supplements Overview

Is United Healthcare Medicare Supplement Insurance My Only Choice For a Medigap Plan?

Medicare is a federal program. However, state officials regulate and administrate private health insurance coverage, such as United Healthcare Medicare Supplement Insurance. Insurance companies send out advertisements in the mail and run commercials on televisions that encourage senior citizens to sign up. United Healthcare has been offering insurance access for decades and is a familiar household name to many senior citizens. However, when it comes to getting the right healthcare coverage, Medicare recipients may want to explore all options.
Source: seniorcorps.org

MedicareSupplementPlans.com Offer Comparison Shopping Resource for Medicare Supplement Plans

Medicare covers some medical expenses, but it doesn’t cover everything. Medicare leaves gaps in patient coverage, and without a supplementary insurance plan, these gaps must be paid out-of-pocket. For that reason, Medicare supplement insurance plans are becoming a popular way to fill in the gaps left by Medicare coverage. Today, many top insurance providers offer some type of Medicare supplement plans. However, some of these plans are better than others. Some supplement plans might only fill in a few gaps left by Medicare coverage, while other plans comprehensively cover seniors in any circumstance. Some supplement plans are priced affordably, while others are expensive. MedicareSupplementPlans.com has been gaining a lot of attention lately by helping seniors quickly and easily compare any type of Medicare supplement plans. At MedicareSupplementPlans.com, visitors will find information about the best Medicare supplement plans in the country. The website states that these plans – also known as ‘Medigap’ insurance plans – cost far less than what many people expect. A spokesperson for MedicareSupplementPlans.com explained what the site hopes to accomplish: “Our goal is to connect visitors with the best possible Medicare supplement plans for their needs. There are so many different ‘Medigap’ plans available in this country, and finding the right one can be difficult for those who don’t have experience in the industry. That’s why we offer free insurance quotes that can be filled out in just minutes or allow people to be guided by our team of experienced representatives. We want to make it as simple as possible for consumers to select the most appropriate policy at the best possible price.” Using the website, visitors can also discover the specific benefits included in Medigap insurance plans. The website describes the specific types of Medigap plans offered by insurance companies across the states, and plans are identified by the letters A, B, C, D, F, G, K, L, M, and N. Each of these plans is the same for every insurance company. For example, Plan F Medigap from one insurance company will be identical to Plan F Medigap offered by another insurance company. The website features a detailed list that shows what each plan covers in a simple to navigate chart. The information on MedicareSupplementPlans.com is catered to those in California. The website features unique pages for every county in California, and visitors can easily compare California Medicare plans from anywhere in the state. Whether seeking to fill in the gaps left by insufficient Medicare coverage, or simply wanting to learn more about the types of insurance plans available, MedicareSupplementPlans.com allows users to compare the different types of Medicare supplement plans available today. By filling out the free insurance quote form included on the front page, visitors can receive a free quote within hours. About MedicareSupplementPlans.com MedicareSupplementPlans.com educates visitors about Medicare supplement plans, which are designed to fill in the gaps left by Medicare coverage. The website allows users to instantly receive a free insurance quote for insurance in their area. For more information, please visit: http://www.medicaresupplementplans.com
Source: sbwire.com

Procedure To Enroll In Medicare Supplement

Accident Applicant Auto Insurance Benefits Car Insurance Quotes Compensation Cost of Accidents Covered Cover Many Companies Disability Benefits Discount Dental Plan Flood Insurance Group Insurance Health Insurance Health Policy Home Insurance Insurance Claims Insurance Companies Insurance Instruments Insurance Policies Insurance Program Insurance Protection Insurance Quotes Life Insurance Long Term Care Marketing Medicare Pays Members of Discount Mental Disability Motorcycle Insurance Natural Disasters New Customers Opportunity Pet Insurance Policies Protect Protect Themselves Provide Provide Coverage Purchase Insurance Rehabilitation Renters Insurance Requires Insurance Term Life Insurance Workers Compensation
Source: discoveryourtime.com

Siemens Throws Retirees Under the Bus

The intent of retirement insurance for many companies was to supplement Medicare, and it is still the main purpose. However, with more and more employees retiring before age 65, retirement health plans have had to provide some coverage for this age group as well. Bayer has just done what it sounds like Siemens is doing. As I understand it, each retiree will be given a certain amount of money each year to shop for a provider from a list that Bayer provides. There will probably be more, not less, choices of providers of Medicare supplemental coverage and, for the first time, dental coverage may be an option as well. The amount that each individual receives for next year will be just about exactly the same as what they got for 2012. Those choosing coverage from providers not on the Bayer list will receive nothing. The mechanics will be somewhat different, but it sounds like the amount of coverage will basically be the same. I don’t know what Siemens has in mind, but if it is the same as what Bayer is doing (and given that they are both German companies, that would not be surprising), there is little to worry about. Whatever the case is, there is little reason to get upset at all until you have some of the details. For instance, if you get the same amount of coverage and have more choices, you might be alot better off.
Source: biofind.com

Dave Fluker’s California Health Insurance Blog: California Medicare Supplement “Birthday Rule”

“(h) (1) An individual shall be entitled to an annual open enrollment period lasting 30 days or more, commencing with the individual’s birthday, during which time that person may purchase any Medicare supplement policy that offers benefits equal to or lesser than those provided by the previous coverage. During this open enrollment period, no issuer that falls under this provision shall deny or condition the issuance or effectiveness of Medicare supplement coverage, nor discriminate in the pricing of coverage, because of health status, claims experience, receipt of health care, or medical condition of the individual if, at the time of the open enrollment period, the individual is covered under another Medicare supplement policy or contract. An issuer shall notify a policyholder of his or her rights under this subdivision at least 30 and no more than 60 days before the beginning of the open enrollment period.”
Source: blogspot.com

Meeting Your Health Care Needs With Medicare Supplemental Insurance

The question remains though of how do you find out which Medicare supplemental policy will meet your needs while being cost effective on covering the extra expenses. Finding the information you need to help you make a decision about the policy and coverage best suited for you is very important. If you end up making the wrong decision about the coverage you choose you might find that you are not covered when you really need it. Thankfully there are companies available online that help you compare rates, view policy information and insurance companies without providing personal information.
Source: millionaire-business-articles.com

Medicare Open Enrollment Time: Prep Course

Medicare Advantage: Also known as Medicare Part C Part C was designed to give Medicare beneficiaries the option of buying coverage through a private health insurance company. These plans provide coverage for all the same services as Part A and B, but are administered by private carriers. These plans often include additional benefits.
Source: gohealthinsurance.com

Using Medigap As A Medicare Supplement

Individuals must have Part A and Part B for their government insurance, to be eligible to purchase a Medigap policy. However, someone who currently has an Advantage Plan can return to government coverage if they apply for a policy before their current coverage ends. Insurance companies no longer offer plans E, H, I, and J for sale to customers. However, if individuals currently have a discontinued plan, then it can be kept as long as payments are maintained.
Source: financialdata.com

Medicare Supplement Sales Grew in 2010

Donahue also breaks down the Medicare Supplement market by company.  UnitedHealthcare owns a surprisingly high 32% of the market share.  When you add in Mutual of Omaha, these two companies own 43% of all Medicare Supplement polices.   What is the saying?… “So go these companies, so goes the market”.  As these two companies make changes to rates, underwriting and commission other companies are surely to follow.
Source: agentpipeline.com

Medicare Supplemental Insurance Indiana

To get part D and the supplement, you need an insurance agent. Both of these newer policies are part of the privatization instituted for Medicare, and private insurance companies disburse the monies from Medicare. Your insurance agent can give you more details about the policies. Talk to him, and let him figure out how much you would pay for plans B, C, and D. Or, you can contact Group Insurance, where a licensed agent can give you the information you need to get the best health insurance policy you can afford.
Source: group-insurance.net

Beacon CEO on Paul Ryan’s Medicare proposal

Posted by:  :  Category: Medicare

Beacon Center budget business-friendly cities charter schools climate congress corporate welfare reform death tax dr. milton friedman education education reform energy policy entrepreneurs estate tax government government handouts government reform government waste Governor Bredesen Governor Haslam healthcare income tax inheritance tax jobs Justin Owen legislation mass transit nashville ObamaCare pork Pork Report property rights regulation school choice small business state budget stimulus taxation tax credits taxes taxpayers tenncare reform transparency transportation wine
Source: beacontn.org

Video: Tennessee Medicare Supplement

UNDERDOG: ANDY HOLT ~ DAMAGE CONTROL~ VOTE MADDOX

Romney, the Republican presidential nominee, has endorsed his running mate’s budget that cuts benefits and privatizes Medicare through vouchers. The non-partisan Congressional Budget Office found the Ryan plan would raise health care costs for seniors by $6,400 each year.
Source: blogspot.com

disel jeans,jean lee marion,vente jeans en ligne,fashion diesel

The information provided on SupportGroups.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her health professional. This information and interaction provided on this site is solely for informational and educational purposes and does not constitute the practice of medicine. Information on this site does not replace the advice of your physician or other health care provider. Neither the owners or employees of SupportGroups.com nor the author(s) of site content take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, application of medication or any other action which results from reading this site. Always speak with your primary health care provider before engaging in any form of self treatment. Please see our Legal Statement for further information.
Source: supportgroups.com

Romney Doesn't Just Want to Cut Medicare, He Wants to Cut Medicaid Too

Clinton’s specific number is apparently wrong. According to Sarah Kliff, about 40% of Medicaid dollars are spent on nursing home care for seniors, not two-thirds. But Clinton’s primary point remains true: at the same time that Romney/Ryan would squeeze Medicare, they’d also squeeze the very program that takes care of the elderly who’d be hardest hit by the cuts. This backstopping function is one reason that Medicaid is a surprisingly popular program: it doesn’t just help the poor, it also helps the elderly and the disabled, and is therefore a lifeline for a lot of middle-class families. It’s worth making a little more noise about.
Source: motherjones.com

Daily Kos: Democrats pick up Clinton’s Medicaid call

little support, the cost can go way up if they need to be hospitalized frequently, though now hospitals rarely keep a person with a neurological disorder for more than 24 hours, even if they are still quite sick. I was told if there is ANY improvement after 24 hours, they are tossed often out. I knew many people with neurological disorders who died young and the situation will only get worse if Medicaid is cut. If people don’t give a hoot about people with neurological disorders, they should care about the very few who commit crimes for “insane” reasons. Think of the man who shot Gabby Giffords. Though I would like to point out in general they are more often the victim of crimes than the perpetrator and they commit no more crimes than anyone else as a group. No one asks to be born with a brain malfunction or malformation. The least we can do as a society is try to help them live as happy a life as possible.
Source: dailykos.com

Forward Motion: The Affordable Care Act’s Big Changes to Medicare

The Part D low-income subsidy provides vital help with out-of-pocket prescription drug costs to Medicare beneficiaries with limited incomes, including full coverage of their Part D premium. However, there are several problems with the program. The plans that are available, and what they charge in premiums, vary from year to year, which makes it difficult for beneficiaries to maintain stable coverage. The changes in plans can be drastic, and new plans often have different coverage rules than the old ones. The frequent changes in coverage disrupt the continuity of care for these beneficiaries, and often those who stay in plans that no longer qualify for a full premium subsidy may incur out-of-pocket premium costs they cannot afford [6].
Source: tnjustice.org

REC Partnership Proves Beneficial

Over the past two years, Regional Extension Centers (RECs) have been working with health care providers to help them overcome the challenges of adopting and implementing electronic health records (EHRs). This week, the Government Accountability Office (GAO) found that health care providers who partnered with an REC were more than twice as likely to receive an incentive payment under the Medicare EHR Incentive Program.
Source: tnrec.org

September Happenings At The Spring Hill Library

Wish the Library had a space where you could just be yourself, a teen? Your wish is finally coming true! Starting Sept. 5 and continuing every Wednesday, teens will meet first in the Teen Section of the Library and then move into the multi-purpose room at 4 p.m. Come hang out with your friends; discuss pop culture, sports, manga, games, or the book you couldn’t put down. Feel free to bring snacks. For more info. contact Patrick Jefferson at the Library 931-486-2932.
Source: springhillfresh.com

American Heart Association reports Patients often stop taking heart drugs during Medicare coverage gaps

“Rather than prompting patients to switch to lower-cost alternatives, we found that sudden exposure to 100 percent of drug costs in the Part D coverage gap led to abrupt discontinuation of essential cardiovascular medications,” said Jennifer M. Polinski, Sc.D., M.P.H., study lead author and instructor in medicine at Harvard Medical School in Boston, MS. “Any drug insurance policy that negatively influences essential cardiovascular drug use needs to be changed.”
Source: clarksvilleonline.com

Maximizing Medicare Prescription Drug Coverage

Posted by:  :  Category: Medicare

Tree by TimothyJMedicare beneficiaries take an average of 29 prescriptions per year, spending approximately $1,300 on medications annually.[1] Individuals with chronic conditions such as heart failure often pay more than double that amount.[2]   Fortunately, there is a voluntary program called Medicare Part D that helps beneficiaries pay for their prescription drugs. Beneficiaries can access prescription drug coverage either from a stand-alone Part D prescription drug plan or from a Medicare Advantage plan that bundles coverage of medical, hospital and prescription drug benefits in one plan.   Enrolling in Part D prescription drug coverage is one way beneficiaries can help manage their prescription drug costs, but they should be aware that all Part D plans include a coverage gap, which is often called the “donut hole.” In the coverage gap, beneficiaries’ out-of-pocket costs on their prescription drugs increase significantly.   Summer is the time of year when many beneficiaries enter the coverage gap, making this an opportune time for beneficiaries with Medicare Part D to remind themselves of the following tips that may help them save money on their prescription drugs and make the most of their benefits.    1. Get Help with Managing Multiple Medications Beneficiaries who have a chronic condition that requires them to take multiple medications every day should consider enrolling in a Medicare Advantage Chronic Special Needs Plan. These specialized Medicare Advantage plans combine Medicare coverage with additional support services, some of which are designed to help ensure that members are able to afford their medications and understand how to take them as directed. Many Special Needs Plans also offer personalized pharmacist counseling and drug formularies designed for Medicare beneficiaries with complex health care needs.    2. Understand How the “Donut Hole” Works All Part D plans include a coverage gap. After spending $2,930 in out-of-pocket costs on their drug coverage, beneficiaries will reach the coverage gap. Currently, beneficiaries in the gap pay 50 percent of the cost of their brand-name prescriptions and 86 percent of the cost of generic drugs. In an effort to prepare for the increased expenses while in the gap, beneficiaries should monitor their plan’s Evidence of Coverage statement to get a clear sense of their drug expenditures and see how close they are to reaching the gap.   3. Apply for “Extra Help” with Drug Costs  For beneficiaries with limited income and resources, Extra Help is a federal program that provides an average of $4,000 of additional assistance with prescription costs. According to the Social Security Administration, many beneficiaries who qualify for this program don’t know they are eligible. Medicare beneficiaries must apply for this program, and the amount of assistance is based on annual income and assets. For more information about the Extra Help program, contact the Social Security Administration at 1-800-772-1213.   4. Take advantage of cost-savings on prescription drugs. Beneficiaries enrolled in a Medicare Advantage plan that includes drug coverage should check their plan details to see if they could save money on their prescriptions, such as by using mail-order pharmacy benefits, switching to generic or lower-tier drugs, or taking advantage of special programs available with some plans.   5. Explore “PAP” Programs Several pharmaceutical manufacturers sponsor Patient Assistance Programs (PAPs) that may reduce prescription drug expenses. Some companies offer financial assistance or free products, but all manufacturers have their own rules and grant assistance on a case-by-case basis. For more information, contact the Partnership for Prescription Assistance program at 1-888-477-2669.   For more information about Medicare Part D, contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day, seven days a week. The Arkansas State Senior Health Insurance Information Program (SHIIP) provides free counseling and support to help beneficiaries understand their Medicare coverage options, including prescription drug coverage. To contact the SHIP office in Arkansas, call 1-800-224-6330.    Ray Morris is the community outreach manager for Care Improvement Plus in Arkansas. Care Improvement Plus is a UnitedHealthcare Medicare Solution providing specialized Medicare Advantage coverage for underserved and chronically ill beneficiaries throughout Arkansas.  
Source: thecitywire.com

Video: The Awakening – Medicare Part D, Prescription Drug Plan, Donut Hole, Affordable Care Act

Medicare Prescription Drug Coverage Is Right here!

Medicare prescription drug coverage is now accessible to all men and women with Medicare. Everyone with Medicare can join a Medicare drug plan to get this coverage, regardless of your income or what drugs you take. You owe it to your self to look into it, even if you have coverage now. Medicare is here to help Since Medicare prescription drug coverage is brand new, its natural to have questions like: Exactly where can I get help deciding on a program? And, exactly where can I get support joining a program? medicare fraud You can get answers from Medicare in a number of approaches. Where can I get aid selecting a plan? • Look for enrollment events in the location. Over the next couple of months, you will be in a position to get aid with your drug plan options 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 or contact your local workplace on aging for help. For the telephone number, check out www.eldercare.gov on the Internet. The Eldercare Locator can aid you uncover locations to go to get personalized assistance. • Use the Medicare Prescription Drug Program Finder. Check out www.medicare.gov to get a personalized side-by-side comparison of up to three plans at a time based on price, coverage and convenience. If you dont use the World wide web, call 1-800-MEDICARE (800-633-4227) to get the exact same details. TTY users should call 1-877-486-2048. Where can I get support joining a plan? • Visit Medicares Web web site. You can join a drug plan at www.medicare.gov on the Internet employing Medicares on the internet enrollment center. • Call the strategy. You can join more than the phone by calling the plans toll-free number. • Visit the plans Net web site. Go to the drug plan companys Internet web site. You might be in a position to join on the web (not all plans supply this alternative). medicare fraud
Source: elfad.net

No Medicare Drug Plan Cost Increases For Seniors In 2013

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

Medicare Prescription Drug Coverage Is Here!

above ground swimming pool advertiser buy here click here clicking here close window company web site crusher data available in table details follow us on twitter go go here for more info here here’s the site home page in english like us on facebook more information new york web design next open in a new browser open in a new browser window partner site principles privacy purchase here rate us online read more remove frames site source sponsor sponsors swimming pools above ground the link this page is not affiliated this site TM understandable visit visit our site web design new york website www
Source: maccoffeeshop.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Prescription Drug Coverage Is Right here!

Medicare prescription drug coverage is now available to all folks with Medicare. Every person with Medicare can join a Medicare drug strategy to get this coverage, regardless of your revenue or what drugs you take. You owe it to your self to appear into it, even if you have coverage now. Medicare is here to help Considering that Medicare prescription drug coverage is brand new, its natural to have questions like: Where can I get support picking a program? And, where can I get support joining a plan? medicare fraud You can get answers from Medicare in several techniques. Exactly where can I get help picking a plan? • Look for enrollment events in the location. Over the subsequent couple of months, youll be in a position to get help with your drug plan choices at dozens of places throughout your community, like schools, senior centers, clubs, faith-based organizations, and your pharmacy. Or you can talk with friends and family or call your neighborhood workplace on aging for help. For the telephone number, check out www.eldercare.gov on the Web. The Eldercare Locator can help you discover locations to go to get personalized assistance. • Use the Medicare Prescription Drug Plan Finder. Pay a visit to www.medicare.gov to get a personalized side-by-side comparison of up to 3 plans at a time based on expense, coverage and convenience. If you dont use the World wide web, call 1-800-MEDICARE (800-633-4227) to get the identical information. TTY users should contact 1-877-486-2048. Exactly where can I get aid joining a plan? • Visit Medicares Net website. You can join a drug plan at www.medicare.gov on the Internet utilizing Medicares online enrollment center. • Call the program. You can join more than the telephone by calling the plans toll-cost-free number. • Check out the plans Net site. Visit the drug program companys Internet website. You may be in a position to join on-line (not all plans supply this alternative). medicare fraud
Source: freepublishersite.com

Medicare Drug Plan Premiums Not Going Up

Medicare is health insurance for people 65 years of age or older and some disabled people under 65. Doctors, hospitals and clinics who treat Medicare recipients are reimbursed by the federal government for their services. Medicare is funded by a portion of payroll taxes paid by employers and workers, and by monthly premiums deducted from Social Security benefit checks. Typically, when you apply for Social Security retirement benefits, you also automatically apply for Medicare.
Source: about.com

Medicare ‘Check up’ coming to Morrow County Sept. 11

[…] Tay­lor asks Ohioans to watch for preda­tory sales prac­tices dur­ing annual enroll­ment. Insur­ance agents are pro­hib­ited from using high pres­sure sales tac­tics, con­duct­ing door-to-door sales for Medicare Advan­tage plans, and rep­re­sent­ing them­selves as being from Medicare. Peo­ple who pose to be agents can also use sim­i­lar tac­tics. If you feel vic­tim­ized, get as much infor­ma­tion as pos­si­ble and call the Department’s fraud and enforce­ment hot­line at 1–800–686?1527.Source: morrowcountysentinel.com […]
Source: morrowcountysentinel.com

Maximizing Medicare Prescription Drug Coverage

Posted by:  :  Category: Medicare

meds: it's obscene by fallsroadMedicare beneficiaries take an average of 29 prescriptions per year, spending approximately $1,300 on medications annually.[1] Individuals with chronic conditions such as heart failure often pay more than double that amount.[2]   Fortunately, there is a voluntary program called Medicare Part D that helps beneficiaries pay for their prescription drugs. Beneficiaries can access prescription drug coverage either from a stand-alone Part D prescription drug plan or from a Medicare Advantage plan that bundles coverage of medical, hospital and prescription drug benefits in one plan.   Enrolling in Part D prescription drug coverage is one way beneficiaries can help manage their prescription drug costs, but they should be aware that all Part D plans include a coverage gap, which is often called the “donut hole.” In the coverage gap, beneficiaries’ out-of-pocket costs on their prescription drugs increase significantly.   Summer is the time of year when many beneficiaries enter the coverage gap, making this an opportune time for beneficiaries with Medicare Part D to remind themselves of the following tips that may help them save money on their prescription drugs and make the most of their benefits.    1. Get Help with Managing Multiple Medications Beneficiaries who have a chronic condition that requires them to take multiple medications every day should consider enrolling in a Medicare Advantage Chronic Special Needs Plan. These specialized Medicare Advantage plans combine Medicare coverage with additional support services, some of which are designed to help ensure that members are able to afford their medications and understand how to take them as directed. Many Special Needs Plans also offer personalized pharmacist counseling and drug formularies designed for Medicare beneficiaries with complex health care needs.    2. Understand How the “Donut Hole” Works All Part D plans include a coverage gap. After spending $2,930 in out-of-pocket costs on their drug coverage, beneficiaries will reach the coverage gap. Currently, beneficiaries in the gap pay 50 percent of the cost of their brand-name prescriptions and 86 percent of the cost of generic drugs. In an effort to prepare for the increased expenses while in the gap, beneficiaries should monitor their plan’s Evidence of Coverage statement to get a clear sense of their drug expenditures and see how close they are to reaching the gap.   3. Apply for “Extra Help” with Drug Costs  For beneficiaries with limited income and resources, Extra Help is a federal program that provides an average of $4,000 of additional assistance with prescription costs. According to the Social Security Administration, many beneficiaries who qualify for this program don’t know they are eligible. Medicare beneficiaries must apply for this program, and the amount of assistance is based on annual income and assets. For more information about the Extra Help program, contact the Social Security Administration at 1-800-772-1213.   4. Take advantage of cost-savings on prescription drugs. Beneficiaries enrolled in a Medicare Advantage plan that includes drug coverage should check their plan details to see if they could save money on their prescriptions, such as by using mail-order pharmacy benefits, switching to generic or lower-tier drugs, or taking advantage of special programs available with some plans.   5. Explore “PAP” Programs Several pharmaceutical manufacturers sponsor Patient Assistance Programs (PAPs) that may reduce prescription drug expenses. Some companies offer financial assistance or free products, but all manufacturers have their own rules and grant assistance on a case-by-case basis. For more information, contact the Partnership for Prescription Assistance program at 1-888-477-2669.   For more information about Medicare Part D, contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day, seven days a week. The Arkansas State Senior Health Insurance Information Program (SHIIP) provides free counseling and support to help beneficiaries understand their Medicare coverage options, including prescription drug coverage. To contact the SHIP office in Arkansas, call 1-800-224-6330.    Ray Morris is the community outreach manager for Care Improvement Plus in Arkansas. Care Improvement Plus is a UnitedHealthcare Medicare Solution providing specialized Medicare Advantage coverage for underserved and chronically ill beneficiaries throughout Arkansas.  
Source: thecitywire.com

Video: Medicare Part D – the Prescription Drug Plan – is Working for Seniors

Medicare Prescription Drug Coverage Is Here!

above ground swimming pool advertiser click click here clicking here clicky close window company website crusher data available in table division find out more follow us on twitter go go here for more info here here’s the site home page image in english like like us on facebook link more information new york web design open in a new browser partner site powered by principles privacy purchase here rate us online relevant webpage remove frames return to site site source sponsor swimming pools above ground the link this page is not affiliated understandable visit link web design new york website
Source: mytoptendeals.com

Medicare Prescription Drug Coverage Is Here!

above ground swimming pool advertiser buy here click here clicking here close window company web site crusher data available in table details follow us on twitter go go here for more info here here’s the site home page in english like us on facebook more information new york web design next open in a new browser open in a new browser window partner site principles privacy purchase here rate us online read more remove frames site source sponsor sponsors swimming pools above ground the link this page is not affiliated this site TM understandable visit visit our site web design new york website www
Source: maccoffeeshop.com

Medicare Prescription Drug Coverage Is Right here!

Medicare prescription drug coverage is now accessible to all men and women with Medicare. Everyone with Medicare can join a Medicare drug plan to get this coverage, regardless of your income or what drugs you take. You owe it to your self to look into it, even if you have coverage now. Medicare is here to help Since Medicare prescription drug coverage is brand new, its natural to have questions like: Exactly where can I get help deciding on a program? And, exactly where can I get support joining a program? medicare fraud You can get answers from Medicare in a number of approaches. Where can I get aid selecting a plan? • Look for enrollment events in the location. Over the next couple of months, you will be in a position to get aid with your drug plan options 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 or contact your local workplace on aging for help. For the telephone number, check out www.eldercare.gov on the Internet. The Eldercare Locator can aid you uncover locations to go to get personalized assistance. • Use the Medicare Prescription Drug Program Finder. Check out www.medicare.gov to get a personalized side-by-side comparison of up to three plans at a time based on price, coverage and convenience. If you dont use the World wide web, call 1-800-MEDICARE (800-633-4227) to get the exact same details. TTY users should call 1-877-486-2048. Where can I get support joining a plan? • Visit Medicares Web web site. You can join a drug plan at www.medicare.gov on the Internet employing Medicares on the internet enrollment center. • Call the strategy. You can join more than the phone by calling the plans toll-free number. • Visit the plans Net web site. Go to the drug plan companys Internet web site. You might be in a position to join on the web (not all plans supply this alternative). medicare fraud
Source: elfad.net

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Prescription Drug Coverage Is Here!

Medicare prescription drug coverage is now offered to all people with Medicare. Everyone with Medicare can join a Medicare drug strategy to get this coverage, regardless of your revenue or what drugs you take. You owe it to oneself to look into it, even if you have coverage now. Medicare is right here to support Considering that Medicare prescription drug coverage is brand new, its natural to have queries like: Exactly where can I get support picking a plan? And, where can I get help joining a program? yaz side effects You can get answers from Medicare in numerous methods. Where can I get support choosing a plan? • Look for enrollment events in the area. More than the subsequent few months, youll be able to get assist with your drug plan alternatives at dozens of places throughout your community, like schools, senior centers, clubs, faith-based organizations, and your pharmacy. Or you can talk with friends and household or contact your local office on aging for help. For the telephone number, pay a visit to http://www.eldercare.gov on the Internet. The Eldercare Locator can assist you locate places to go to get personalized assistance. • Use the Medicare Prescription Drug Plan Finder. Visit http://www.medicare.gov to get a personalized side-by-side comparison of up to three plans at a time based on cost, coverage and convenience. If you dont use the Web, call 1-800-MEDICARE (800-633-4227) to get the same data. TTY users ought to contact 1-877-486-2048. Where can I get assist joining a plan? • Pay a visit to Medicares Net site. You can join a drug program at http://www.medicare.gov on the Net making use of Medicares online enrollment center. • Contact the program. You can join over the phone by calling the plans toll-free number. • Pay a visit to the plans Web site. Check out the drug strategy companys Web site. You may be able to join online (not all plans offer this alternative). yaz side effects
Source: seasonscaptured.com

Medicare Prescription Drug Coverage Is Right here!

Medicare prescription drug coverage is now available to all folks with Medicare. Every person with Medicare can join a Medicare drug strategy to get this coverage, regardless of your revenue or what drugs you take. You owe it to your self to appear into it, even if you have coverage now. Medicare is here to help Considering that Medicare prescription drug coverage is brand new, its natural to have questions like: Where can I get support picking a program? And, where can I get support joining a plan? medicare fraud You can get answers from Medicare in several techniques. Exactly where can I get help picking a plan? • Look for enrollment events in the location. Over the subsequent couple of months, youll be in a position to get help with your drug plan choices at dozens of places throughout your community, like schools, senior centers, clubs, faith-based organizations, and your pharmacy. Or you can talk with friends and family or call your neighborhood workplace on aging for help. For the telephone number, check out www.eldercare.gov on the Web. The Eldercare Locator can help you discover locations to go to get personalized assistance. • Use the Medicare Prescription Drug Plan Finder. Pay a visit to www.medicare.gov to get a personalized side-by-side comparison of up to 3 plans at a time based on expense, coverage and convenience. If you dont use the World wide web, call 1-800-MEDICARE (800-633-4227) to get the identical information. TTY users should contact 1-877-486-2048. Exactly where can I get aid joining a plan? • Visit Medicares Net website. You can join a drug plan at www.medicare.gov on the Internet utilizing Medicares online enrollment center. • Call the program. You can join more than the telephone by calling the plans toll-cost-free number. • Check out the plans Net site. Visit the drug program companys Internet website. You may be in a position to join on-line (not all plans supply this alternative). medicare fraud
Source: freepublishersite.com

Viewpoints: Home Health Workers Need Better Pay; Is There A Better Solution Than Medicaid To Cover Seniors’ Long

The Wall Street Journal: The True History Of Simpson-Bowles One of the many ways Paul Ryan scandalized the media-political class in his Tampa convention speech was to criticize President Obama for walking away from the report of his own 2010 deficit commission co-chaired by Democrat Erskine Bowles and Republican Alan Simpson. How dare the upstart Republican blister Mr. Obama when Mr. Ryan himself refused to endorse the final product! Mr. Ryan even had the impudence to say that Mr. Obama “did exactly nothing” as a result of Simpson-Bowles or Mr. Ryan’s own budget proposals or any others, “nothing except to dodge and demagogue the issue” … His real objection at the time was that the Simpson-Bowles Democrats refused to offer an equal trade on spending. Their non-negotiable demand was that ObamaCare was off the table and there could be no structural reforms in Medicare and Medicaid (9/9).
Source: kaiserhealthnews.org

Medicare ‘Check up’ coming to Morrow County Sept. 11

[…] Tay­lor asks Ohioans to watch for preda­tory sales prac­tices dur­ing annual enroll­ment. Insur­ance agents are pro­hib­ited from using high pres­sure sales tac­tics, con­duct­ing door-to-door sales for Medicare Advan­tage plans, and rep­re­sent­ing them­selves as being from Medicare. Peo­ple who pose to be agents can also use sim­i­lar tac­tics. If you feel vic­tim­ized, get as much infor­ma­tion as pos­si­ble and call the Department’s fraud and enforce­ment hot­line at 1–800–686?1527.Source: morrowcountysentinel.com […]
Source: morrowcountysentinel.com

Pitfalls in Billing Pharmaceuticals to the Medicare Program

It is clear there are multiple pitfalls for the compliant billing of pharmaceuticals to Medicare Part B. Hospitals need to ensure, to the extent possible, that their pharmacy CDM is accurate with correct HCPCS and revenue codes, that unit conversion modules or tables are set up correctly, that self-administrable drugs have been identified as such and revenue code fields are set to toggle between 637 and 250 based on bill type. Noncovered drugs should be billed to the patient, not Medicare. Drugs integral to the procedure should be set up as supply items, not billed as noncovered. Nursing documentation, including that on an electronic medication administration record, should indicate date, time and nurse responsible for administration and the amount of drug given—and wasted—if any. Only wasted drugs in single-dose vials can be billed to the program and only if documentation in the medical record meets the requirements. 
Source: bkd.com

Brad DeLong: Josh Barro Says Opinions

Posted by:  :  Category: Medicare

The real landscape on Medicare is this: Both parties want to cut Medicare…. There are two key falsehoods in the Democratic message on Medicare. One is Obama’s oft-repeated claim that the Patient Protection and Affordable Care Act “won’t touch your guaranteed Medicare benefits. Not by a single dime.” That’s true only with a tortured definition of “guaranteed Medicare benefits.” PPACA cuts Medicare spending by $716 billion, or about 10 percent over the next 10 years. It achieves these cuts in roughly equal parts by: eliminating subsidies for enhanced, private “Medicare Advantage” plans used by many seniors; reducing reimbursement rates to hospitals; and various other measures, including cutting payments to compensate hospitals for unpaid bills and payment rates for home health providers.
Source: typepad.com

Video: Maria’s CareMore Medicare Health Plan Testimonial

Medicare Advantage Special Needs Plans: SNP Enrollment Grows to 1.4 Million in 2012

ACA Access Affordable Care Act AHRQ CBO CER CMS Communications Compliance Drugs Dual Eligibles Employers FDA Fraud and Abuse GAO Health Care Spending Health Costs Health Coverage Health Insurance Health Plans Health Reform HIT HIX Hospitals LTC Medicaid Medicare Medicare Advantage MedPAC MedTech Nursing Homes Obamacare OIG Payment Pharma Pharmacies Physicians Prevention Program Integrity Providers Quality Research Safety States Waivers
Source: piperreport.com

It’s a floor wax. No, it’s a dessert topping.

The whole thing is quite confusing (intentionally, I would guess) on what the relationship will be between insurance prices and voucher size.  I think the money quote is this:  “Lower income seniors in the future will receive the most generous benefits to ensure that they are able to get care every bit as good as that provided in the current Medicare program.”  Since other seniors will get lower voucher amounts, there must be some amount of payment on their part.   Of course, at the end of the day there will be no such support for lower-income seniors, and everyone will have to pay through the nose.  But at least they’re making it plain that most people will pay anyway.
Source: healthinsurance.org

Medicare Advantage Recipients After the Election, Obama Want's You

The free stuff people are the radicals. Kids if the writer was to leave you with one gem it comes from Russell Kirk, The Conservative Mind and it is a quote from Edmond Burke concerning the reckless blood shed during the French Revolution. Edmond Burke stated: “Radicalism at the end of the eighteenth century expressed its case in terms of “natural rights.” Paraphrasing Burke, he believed that because of Thomas Paine’s bookRights of Manthat people were confused: Burke believed, “…the notion of inalienable natural rights has been embraced by the mass of men in a vague and belligerent form, ordinarily confounding “rights with desires.” Russell remarks: this confusion in definition plagues society today, notably in the “Universal Declaration of Human Rights” drawn up by the United Nations Organization” (p. 47). Kids the above is very important, because you will deal with many ideologies in your lifetimes, but always remember that Conservatism is not an ideology it is the world’s reality, God’s world and we as His children.
Source: nolanchart.com

Office Visit: $8B slush fund

It is the loophole of all loopholes for an administration that practices Chicago politics and routinely dismisses the needs of the American people. Demonstration projects are created to not affect the deficit. The Constitution protects this notion by only allowing Congress the authority to spend taxpayers’ money. However, under Medicare law, HHS is allowed to conduct projects to test reforms to Medicare and make recommendations. No demonstration projects are in play, so no money should be spent. The Government Accounting Office declared that there were no projects conducted, just the allocation of money.
Source: journalrecord.com

Medicare Advantage Insurance

By definition Medicare Advantage provides all of your Part A and Part B coverage. A Medicare supplement on the other hand, fills in the gaps of original Medicare and generally pays the hospital deductible and the 20% of Part B charges that would be your responsibility.
Source: affordablemedicareplan.com

End Medicare As We Know It? Ryan's Plan Would Expand On a Medicare Idea That Seniors Know and Like.

And, as The New York Times made clear in an article over the weekend, these sections are working well enough that the administration has seen fit to brag about their successes. To some extent this is just political: Administrations want to be able to say that their programs work. but there are real successes here, especially relative to the traditional Medicare alternative. For example, The Times notes, the administration has pointed to a 10 percent increase in enrollment in Medicare Advantage, as well as a 7 percent decrease in average plan price. So average plan costs are decreasing, and more seniors are choosing to enroll in Medicare’s system of private plans. And as I noted last week, there’s new evidence to suggest that private insurers operating in the program provide equal benefits to traditional Medicare at lower cost.
Source: reason.com

Medicare Premiums for 2013

Posted by:  :  Category: Medicare

Newsweek Magazine (February 16, 2009) ... Lenders Add Bigger Fannie, Freddie Fee – Thanks to Payroll Tax Cut (January 15, 2012) ...item 2.. Dupuy: GOP trying to sell pyrmaid scheme to voters (September 3, 2012) ... by marsmet526That’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.
Source: idahoestateplanning.com

Video: SHIIP Medicare Premiums.flv

Brad DeLong: By How Much Do Ryan

Gov. Romney and Rep. Ryan claim that no one over 55 will be affected by their health care plan. This claim is false. Their plan would harm all seniors. The Romney-Ryan plan would hurt current seniors in two important ways: * Increased drug costs and higher Medicare premiums. By repealing the Affordable Care Act, the Romney-Ryan plan would raise health care costs in retirement by $11,000 for the average person who is 65 years old today. * Increased long-term care costs, including increased costs for nursing home care, because of cuts to Medicaid. A substantial share of Medicaid spending pays for health care costs for Medicare beneficiaries. The Romney-Ryan Medicaid cuts mean a loss of over $2,500 annually for seniors currently on Medicare who also rely on Medicaid. Unlike the Medicare voucher system that would begin in 2023 the cuts to Medicaid would begin almost immediately. For seniors who will become eligible for Medicare after 2022, the financial harm would be even worse. * Increasingly unaffordable costs for all seniors who qualify for Medicare after 2022. For seniors turning 65 in 2023, Medicare costs during retirement would increase by $59,500 in 2012 dollars under the Romney-Ryan plan. Because under the Romney-Ryan plan the amount of seniors’ vouchers will not keep pace with rising health care costs, these numbers are even worse for future generations. In today’s dollars seniors who qualify for Medicare in 2030 would see an increase of $124,600 in Medicare costs over their retirement. Seniors who qualify for Medicare in 2040 will see an increase of $216,600. And by 2050 newly eligible seniors will pay $331,200 more in Medicare costs over their retirement. * Additional costs from private plans cherry-picking healthier patients. Three-fourths of all Medicare beneficiaries are currently in traditional Medicare. The Romney-Ryan plan would include traditional Medicare as an option in the proposed program, but the costs for seniors who choose to remain in the traditional Medicare program would likely increase even more sharply than for seniors who chose a private plan. Most analysts expect the traditional Medicare plan to attract Medicare beneficiaries with the greatest health needs. In that case, Medicare would no longer enjoy a balanced risk pool and seniors choosing traditional Medicare could wind up paying an extra $29,000 on average over their retirement lifetime above and beyond the costs described above.
Source: typepad.com

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.
Source: lsrlawyer.com

Medicare Premiums Now Deductible by Self

The Tax Law Tips blog is written by Jeffrey A. Quinn of Ashley Quinn, CPAs and Consultants, Ltd. (with contributions from Nolo editors). Jeff is a Certified Public Accountant in both Nevada and California, with more than 40 years of experience in providing professional accounting and tax services. Jeff is also a contributor to Nolo’s Tax Savvy for Small Business. A member of both the California Society of Certified Public Accountants and the American Institute of Certified Public Accountants, Jeff holds a M.S. in Taxation from Golden Gate University, and a B.S. in Accounting from the University of San Francisco.
Source: nolo.com

Obama’s Health Care Record

Obama repeatedly touts provisions in the 2010 health law that aim to expand coverage and bring down costs in so-called entitlement programs. The law’s approach includes the expansion of Medicaid; the creation of the Independent Payment Advisory Board, accountable care organizations, and other payment pilots and demonstration projects to reward providers for delivering quality — rather than quantity — of care; and various cuts to Medicare providers and insurers. The administration has made clear that it is willing to go beyond the changes included in the law, particularly in the Medicare program, to ensure its solvency.
Source: kaiserhealthnews.org

IRS Clarifies Medicare Premium Deductions for Sole Proprietors, Partners and S Corporation Shareholder

Sole proprietors, partners (including LLC members) and two percent shareholders in an S corporation are not treated as “employees” for purposes of certain benefits. Among those benefits is employer provided health insurance coverage. While employer subsidies for health coverage are generally excluded from the income of employees, that is not the case for sole proprietors, partners and two percent S corporation shareholders. Those individuals must include in income the amount of any subsidy and can take a deduction for their health insurance coverage, if at all, on their individual Form 1040 under Section 162(l) of the Internal Revenue Code. A deduction under Section 162(l) is available only if the individual is not eligible for subsidized coverage through the spouse or through another employer.
Source: jdsupra.com

Weekly Dose of Health News

Posted by:  :  Category: Medicare

The New York State Office of Mental Health and the New York State Office of Alcohol and Substance Abuse Services held a joint public hearing on Thursday September 6th to hear input on the development of a statewide comprehensive plan for both agencies. Members of the public were able to provide testimony from spots around the state through the use of video conferencing. Advocates, providers, consumers and parents of children impacted by substance abuse and mental health issues offered suggestions to Commissioner of OMH, Michael Hogan and Commissioner of OASAS Arlene Gonzalez Sanchez during the almost three hour hearing. Common themes in the testimony included: the need for comprehensive assessments of individuals before they enter the behavioral health system; parental involvement and familial involvement in recovery efforts; meeting the needs of veterans in communities; the need for state investment in community based services and supportive services like housing; concerns regarding the role of managed care in the delivery of behavioral healthcare and the need for better integration of physical and behavioral healthcare services. Individuals who were unable to attend the hearing may submit testimony and comments through this dedicated email address transformation@omh.ny.gov
Source: newyorkhealthworks.com

Video: NYS Medicaid will no longer cover certian drugs starting October 1, 2011

The Handiest Girlie Of All

Her mother, Elaine, 76, formerly a secretary in a doctor’s office in Manhattan, had to quit work when she developed symptoms of Alzheimer’s disease. As the illness worsened, Ms. James’s father, now 80, retired from his job in a department store to help care for his wife. When she needed an adult day program in a nursing home, which rose to $2,400 a month, the family paid out of pocket. And Ms. James, 37, who works for a medical billing company, paid up to $1,000 a month for her mother’s medications when she hit her Medicare prescription “doughnut hole.”
Source: typepad.com

County to Offer Free Medicare Workshops

Case workers will provide information about Medicare Parts A, B, C, and D and explain how to use Elderly Pharmaceutical Insurance Coverage (EPIC) for even greater savings.  EPIC is a New York State-sponsored plan that helps eligible seniors pay prescription drug costs.  They will also discuss Medigap insurance, cost-sharing and preventive benefits.
Source: patch.com

JOE ROBACH AND OFFICE PROVIDE HEALTH INFORMATION TO SENIORS

Through the New York State Partnership for Long Term Care, the Medicaid program can help you or a family member pay for nursing home or home health care costs without exhausting all your life savings.  If you purchase affordable private long term care insurance that has been specifically approved for the Partnership program, the insurance must cover at least three years of nursing home or six years of home health care or an equivalent combination of both.  Once the minimum benefit duration is reached, an income eligible policy holder will qualify for Medicaid extended coverage for the remainder of his or her life without consideration of his or her assets.  For more information, contact the Partnership program at 1-888-697-7582. You can also visit the NYS Department of Services on the internet at: www.dfs.ny.gov or call 1-800-342-3736. You may also be eligible for a state and federal tax deduction if you purchase private long term care insurance.
Source: joerobachoffice.com

NPT Jobs: Executive jobs, Health jobs, Social Services jobs, New York jobs, New York jobs, Chief of HealthCare Operations at FEGS Health and Human Services System

Experience and Qualifications: • An advanced degree with emphasis in Healthcare Administration, Public Administration or Business Administration. • A well established and proven track record of at least 15 years of experience at the senior executive level overseeing operations of a substantial managed care entity, healthcare institution, hospital or non-profit organization or a combination of experience in the voluntary sector and in government at the Deputy or Commissioner level responsible for Medicaid, Medicare or other public health programs. • A broad and deep knowledge of healthcare systems and operations, NYS Medicaid and managed care, and preferably experience in at least two of the following arenas: behavioral health, developmental/physical disabilities, outpatient community healthcare or homecare. • Strong relationships with government agencies, hospitals and not-for-profit entities operating in the healthcare market in addition to a working knowledge and/or established relationships with the NYS Office of Mental Health, NYS Office of People with Developmental Disabilities and/or other related government entities funding healthcare initiatives in New York City and State. • Superior organization management, financial and operations skills and significant experience managing in large and diverse settings with bottom line responsibility for quality service delivery and financial performance of the enterprise. • Demonstrated ability to work in partnership at the Board level and with C-Level executives, business and community leaders. • An effective, articulate and persuasive communicator, both verbally and in writing. • Committed to the mission, purpose and values of F•E•G•S and its programs, with the desire to capitalize on and be part of the team that impacts the organization’s future. • Results oriented, team player with high energy, and a skilled communicator with superior relationship building skills. • An experienced senior executive–collaborative and team-oriented, who can take charge, build consensus, motivate others and affect change; must impart credibility, trust, enthusiasm, integrity and ethics.
Source: nptimes.com

First Edition: September 6, 2012

The Wall Street Journal: Clinton Makes Case For Obama He defended Mr. Obama from GOP attacks that he had raided Medicare to pay for his plan to expand health insurance coverage. Mr. Clinton noted that Rep. Paul Ryan, the GOP vice presidential nominee, includes the same savings in his budget plan. “It takes some brass to attack a guy for doing what you did,” he said…. Mr. Clinton cited Mr. Obama’s steps to rescue the auto industry, enact a health care overhaul and increase access to student loans as practical steps to support the middle class. He ticked through provisions of the health bill and said, “Let me ask you something: Are we better off because President Obama fought for health care reform? You bet we are” (Meckler and Lee, 9/6).
Source: kaiserhealthnews.org

State Cut Medicaid for Hundreds of Patients Needing 24

In April, Bed-Stuy seniors were dismayed to hear of  “The Ryan Plan,” introduced by House Budget Committee Chairman (and now Republican vice presidential candidate) Paul Ryan, R-Wisconsin, which would cut Medicare and Medicaid entirely for those under 55, and replace it with a $15,000 yearly voucher. Any medical costs over that amount were to be paid by the individual.
Source: patch.com

Managed Long Term Care Implementation: WCC Submits Recommendations to Governor

The WCC expects that every nursing home in the state will be forced to learn new operational arrangements and manage new systems. Providers, staff, beneficiaries and families will all need to learn entirely new procedures, new vocabulary, adapt to changes in their provider relationships, and learn new sources of information and responsibilities for health care decision making, to name a few of the areas that will be subject to modification. The state’s proposed swift transition of Medicaid from a fee-for-service plan to a managed care plan has left many in the advocacy community breathless from the speedy implementation, already begun. We can only imagine how difficult it will be for those not steeped in policy to comprehend the scope and nature of these changes that affect every aspect of their health care. We remember the recent implementation of the Medicare Part D program and the enormity of the task to educate and develop this benefit for the elderly. In that situation, the education and program changes were helped immeasurably by the fact that this was a national re-education program, supported by federal funds and federal activities, TV ads and a variety of forums available for discussion of the benefit. In this program makeover, NYS alone will be responsible for implementation and oversight.
Source: wccny.org