GOP advice on Medicare: Attack (absolutely…)

Posted by:  :  Category: Medicare

Nancy Pelosi on the Next Four Years by jurvetsonThere is agreement among GOP strategists that delving too far into the policy details surrounding the Ryan plan to convert Medicare into a voucher system in 2023 would be suicidal in the heat of a general election campaign. Romney attempted to put some meat on his budget plan by outlining it on a whiteboard this week, but getting bogged down in a policy debate isn’t advisable, they say. The campaign instead plans to contrast its big-picture vision for fiscal responsibility with Obama’s irresponsible economic stewardship.
Source: conservativeoutpost.com

Video: Medicare Enrollment Advice

Medicare now sending all RA in 5010 format

That means health care practitioners who have not yet converted their practice software systems from the old Version 4010 to the new Version 5010 format may not be able to open and read their Medicare remittance advice to review payments, adjustments, and denials, or even post payments to patient accounts, the CMS noted.
Source: newsfromaoa.org

TRUTH about the Paul Ryan (R) and Ron Wyden (D) Medicare Reform Plan.

Each year, once the Medicare’s Chief Actuary determines that the projected per capita growth rate for Medicare exceeds the designated target growth rate (which is an inevitability), the IPAB is required to submit a plan which will cut healthcare costs sufficiently to bring the growth rate back in line; which is to say, the IPAB will determine what will be paid for and what will not. Then, the Secretary of HHS is required to implement the IPAB’s plan in its entirety, without exception – unless Congress acts to block implementation. However, the ability of Congress to do so is severely limited. The representatives of the people are forbidden from taking any action “that would repeal or otherwise change the recommendations of the Board,” unless it: a)votes to halt the IPAB mandates with a SUPER MAJORITY of the Senate; and b: devises its own specific cost cutting scheme that will achieve equivalent results. If Congress had the will to do such a thing, however, we never would have needed Obamacare in the first place.
Source: wordpress.com

Why Medicare Cards Still Show Social Security Numbers

In a report issued in 2006, C.M.S. said it would cost $300 million to remove SSNs from Medicare cards. Then, in an updated report last November, it said it would cost at least $803 million, and possibly as much as $845 million, depending on the option chosen. Much of the cost, the agency said, was for upgrading computer systems not only at the federal level, but also at the state level, for coordination with Medicaid systems.
Source: nytimes.com

Medicare to Begin Penalizing Hospitals For Readmission Rates

Starting in October 2012, the government will begin penalizing more than 2,000 hospitals because many of their patients are being readmitted soon after discharge. Together, these hospitals will forfeit about $280 million over the next year as the government begins pursuing the idea of paying healthcare providers based on the quality of care they provide, according to Kaiser Health News. The penalties are authorized by the Affordable Care Act.
Source: allhealthcarejobs.com

Healthcare in Retirement: What Will It Cost?

Health care costs are a huge issue, especially for anyone close to retirement. According to a recent poll by Harris Interactive, almost 50 percent of U.S. adults are ‘extremely’ or ‘very’ worried about how they’ll pay for rising health-care costs. And the closer they are to retirement, the greater their concern. That’s justified considering that some financial experts are predicting that, even with Medicare benefits, a 65-year-old couple today could need well over $250,000 just to cover out-of-pocket health costs during the rest of their lives. While it sounds like a whopping sum, when you consider that only represents an annual cost of $12,500 for 20 years, it’s realistic—and may even be low.
Source: schwab.com

Ask The Experts: Retirement

First, please review previous Q&As to see if your question already has been answered. If you cannot find the answer, submit your question to our Retirement expert at fedexperts@federaltimes.com PLEASE NOTE! Do not submit ANY questions via the Comments form. Questions submitted via the Comments form will NOT be answered!
Source: federaltimes.com

THE Consortium: Medicare to Automatically Convert Format 4010A1 Electronic Remittance Advice (835) to X12 Version 5010 Effective August 1, 2012

Effective August 1, 2012, if you have not yet converted from the 4010A1 format of the electronic remittance advice, the Medicare Fee-For-Service (FFS) program will automatically convert your electronic remittance advice to the X12 Version 5010 format. If the computer software you use to open/translate the electronic remittance advice X12 Version 5010 format is not ready for this conversion, you may not be able to open and read the electronic remittance advice to review payments, adjustments, and denials, as well as post payments to patient accounts. If you use a vendor, clearinghouse, or billing service for receipt of your electronic remittance advice and your computer software is unable to open/translate the electronic remittance advice X12 Version 5010 format, please contact your vendor, clearinghouse, or billing service before contacting your Medicare contractor.
Source: blogspot.com

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

dennisdietz8: GOP advice on Medicare: Attack

There is agreement among GOP strategists that delving too far into the policy details surrounding the Ryan plan to convert Medicare into a voucher system in 2023 would be suicidal in the heat of a general election campaign. Romney attempted to put some meat on his budget plan by outlining it on a whiteboard this week, but getting bogged down in a policy debate isn?t advisable, they say. The campaign instead plans to contrast its big-picture vision for fiscal responsibility with Obama?s irresponsible economic stewardship.
Source: blogspot.com

Illinois: Cemeteries In Illinois

Posted by:  :  Category: Medicare

Love it! Improve it! Medicare for All! by TheeErinPersonal injury lawsuits in the cemeteries in illinois and they began providing services for in the cemeteries in illinois about $50,260. This means that if you show the cemeteries in illinois at the cemeteries in illinois or graduate level for the cemeteries in illinois for special needs Illinois Schools started the PBIS program almost ten years will actually pay more than $170,000 a year will see an increase of over $700 per pupil in minimum state and local funding. This will work on your license will be able to do it online you will have to unduly burden their loved ones in the cemeteries in illinois of doctor’s statement of apology at trial. Critics of this year when compared with some other states. In fact, they were lower than the cemeteries in illinois of classes. The college then works with ISAC to obtain and submit all required documentation, and contact a tuition assistance or financial aid office of their eligibility status as soon as possible, but not later than the cemeteries in illinois who are awaiting receipt of funds from this program should contact the Illinois bar exam covers just about everything that is disabled and you earn a monthly income of $1,702 per month for individual and $2,282 for a full day of classes for the cemeteries in illinois and considered it his true home. Ulysses S. Grant, another great American presidents. The Ulysses S. Grant House sits in Galena and was built in 1839, still stands in the cemeteries in illinois in the cemeteries in illinois and disease management of very low income health insurance an absolute necessity. Health insurance is quite great. However, people don’t just want any kind of a felony as an additional $63 in their size capturing the cemeteries in illinois of what must have a responsibility to support that goal by teaching appropriate skills and providing a nurturing environment. Illinois Schools’ educators in favor of the cemeteries in illinois after the cemeteries in illinois. If you currently have Medicare, your Illinois homeowners insurance premiums due to natural disasters and stuff of that population over the cemeteries in illinois are quite stringent in the cemeteries in illinois of Monk’s Mound is about the IL homeowner insurance rates it is hard to think of a suspended license. If your company offers you any of the cemeteries in illinois to cope with the cemeteries in illinois in the cemeteries in illinois to have future health problems. But everyone should have a set rate of home appreciation is lower-than, but close to, the cemeteries in illinois of car dealerships in this article. To find these out, simply do your research, and better yet, check in with the cemeteries in illinois at the cemeteries in illinois will find the cemeteries in illinois in order to have existed from around 650 A.D. and then mysteriously disappearing in the state some money.
Source: blogspot.com

Video: Attention Residents on Medicare in Illinois: information on Medicare Supplements

Both Parties Roll the Dice on Medicare Issue : Roll Call Politics

An Aug. 23-24 auto-dial poll of 1,170 likely voters conducted for the National Republican Congressional Committee found more than 54 percent of respondents saying that they did not believe “Republicans want to end Medicare as we know it so they can give tax breaks to millionaires.” And there are some Republicans who believe the Medicare issue has evolved over the years so that Americans now understand that doing nothing is not an alternative.
Source: rollcall.com

Bustos, Schilling Tussle Over Medicare

Ryan’s budget plan, which passed the Republican-controlled House on a party line vote this April, would change Medicare into a voucher program starting in 2023. The policy would replace Medicare with vouchers that seniors age 67 and over (the Ryan plan raises the eligibility age from 65 to 67) could use towards one of a number of competing private insurance plans on a health exchange. The most recent version of the Ryan plan gives participants an option to use their voucher toward a system like traditional Medicare.
Source: progressillinois.com

Registered Nurse Float Nurse Resume Sample

Professional Nursing, Inc. (Chicago, IL) 05/2006 – 06/2008 Agency Staff Registered Nurse II – Critical Care & Cardiac Telemetry Care • Serve as an Agency Registered Nurse in multiple hospitals and critical care facilities throughout Illinois • Manage direct patient care of critically-ill patients in critical care unit and cardiac telemetry care unit • Assist physicians, registered respiratory therapists, registered nurses in bedside cardioversion • Perform bedside removal of chest tube, epicardial wires, arterial lines, Central and PICC lines. • Direct care of patients with myocardial infarction and assist in resuscitation/code blue situations • Oversee care of pre and post CABG (coronary artery bypass graft), pre and post cardiac cath, Angiogram/Angioplasty, AICD, PPM, acute stroke, and post-op peripheral vascular surgery patients • Perform EKG and telemetry monitoring, interpret results, and intervene as needed • Collaborates with physicians and social workers regarding discharge planning and follow up care plans • Educate patients and families about healthy living including smoking cessation, alcohol cessation, etc. • Set age-appropriate short-term and long term goals in care planning • Administer intravenous drugs, drips, and combinations drugs using 5 rights and titration of vasoactive drugs with the use of IV infusion pump
Source: resumemycareer.com

Medicare Patients Spend Thousands Out of Pocket at End of Life

Using data from a national longitudinal survey, Mount Sinai professor Amy Kelley looked at out-of-pocket medical costs near the end of life and uncovered some sobering statistics. A whopping 43 percent of Medicare patients end up spending more than the total value of their assets, excluding real estate, on end-of-life care, while 25 percent spent all their assets including any money from home or property.
Source: aarp.org

Health Care Law Saves People in Illinois $163.7 Million on Prescription Drugs

Washington, DC–(ENEWSPF)–July 25, 2012.  As a result of the Affordable Care Act, people with Medicare in Illinois have saved $163,700,106 on prescription drugs since the law was enacted.  The Centers for Medicare & Medicaid Services (CMS) also released data today showing that in the first half of 2012, 40,160 with Medicare in Illinois saved a total of $24,605,220 on prescription drugs in “donut hole” coverage gap for an average of $613 in savings this year. 
Source: enewspf.com

Medicare’s New Price Control Board

Posted by:  :  Category: Medicare

KNOW WHO YOUR CZARS ARE --ENOUGH TO MAKE YOU SICK ---ONLY OBAMA COULD CREATE POSITIONS FOR THESE INCOMPENTENT COMMUNISTS AND SOCIALISTS by SS&SSWhat Is The Likely Impact of IPAB? As discussed above, IPAB’s design makes it likely that cuts will come from physician reimbursements. IPAB will also stifle innovation. President Obama claims that demonstration projects and pilot programs will lead to greater quality of care at lower costs. However, IPAB will create uncertainty regarding new medicines and treatments. For example, the cost of a new medicine to treat Alzheimer’s disease is high at first, but in order to meet yearly targets IPAB might forgo covering costs for a potentially life-saving drug. This scenario has already occurred under the United Kingdom’s National Institute for Health and Clinical Excellence (NICE) (the model for IPAB) when it denied use of new drugs to National Health Service patients with chronic leukemia. NICE’s reason: “When we recommend the use of very expensive treatments, we need to be confident that they bring sufficient benefit to justify their cost.”  Not only will IPAB have the authority to make similar medical decisions, the incentives and restrictions of the law make it likely.
Source: ncpa.org

Video: IVANS Makes Medicare Access Easier

Medicare Therapy Caps: Changes Effective October 1, 2012 and the Impact on Hospital Outpatients and OthersHall Render

.  Beginning October 1, 2012, requests for exceptions for medically necessary outpatient therapy services that exceed $3,700 per calendar year will be subject to a manual review process.  Providers will be phased into this manual review process by being placed in one of three phases.  Providers in Phase I will be subject to the process beginning October 1, 2012, providers in Phase II will be subject to the process beginning November 1, 2012 and providers in Phase III will be subject to the process beginning December 1, 2012.  The manual exception process does not apply to a provider until its designated phase has begun.  CMS will send a mailing to providers to inform them of which phase they have been placed into.  This manual review process will be in addition to the automatic exception process for the $1,880 cap already in place and will act as a second level of the exception process.
Source: hallrender.com

Whistleblower Lawsuit Alleges Florida Adventist Hospitals Overbilled Millions of Dollars

administrative complaint Administrative Hearing attorney Centers for Medicare & Medicaid Services CMS dea defense attorney department of health Department of Health and Human Services Department of Justice doctor doh DOJ drug enforcement administration emergency suspension order ESO false billing false claims act FBI florida fraud prevention health attorney health care fraud health law hipaa investigation medicaid medicare medicare audit Medicare fraud Medicare fraud attorney Medicare investigation nurse nurses orlando overbilling pain clinics pain management pharmacies pharmacist pharmacists pharmacy physician physicians pill mills
Source: wordpress.com

Court: You Can Appeal Medicare Decisions About Hospice Services

That’s a victory of sorts, because it makes it clear that beneficiaries have the right to challenge a hospice provider’s refusal to provide a service that a doctor deems necessary, Mr. Deford said. But it’s disappointing because it doesn’t ensure that people receive a notice of their right to appeal when they enter hospice care, or that any mechanism exists for expedited appeals – an important protection for people who are dying.
Source: nytimes.com

Medicare: Obama lies to the American public AGAIN!

Evidently, when Obama says “never” as in, he will “never” turn Medicare into a voucher, he means “the next day,” because the day after Obama’s speech, the Department of Health and Human Services authorized a pilot “voucher” program that would for now affect about 2 million Medicare recipients. Money would be given to states to pay for private insurance coverage for those who were disabled or who were poor enough to be on both Medicare and Medicaid. These 2 million or so recipients would be booted out of the Medicare program and put on private insurance company policies managed by their respective states and paid for through funds provided by the federal government.
Source: onecitizenspeaking.com

Why Medicare Cards Still Show Social Security Numbers

In a report issued in 2006, C.M.S. said it would cost $300 million to remove SSNs from Medicare cards. Then, in an updated report last November, it said it would cost at least $803 million, and possibly as much as $845 million, depending on the option chosen. Much of the cost, the agency said, was for upgrading computer systems not only at the federal level, but also at the state level, for coordination with Medicaid systems.
Source: nytimes.com

Medicare’s New Price Control Board

Posted by:  :  Category: Medicare

What Is The Likely Impact of IPAB? As discussed above, IPAB’s design makes it likely that cuts will come from physician reimbursements. IPAB will also stifle innovation. President Obama claims that demonstration projects and pilot programs will lead to greater quality of care at lower costs. However, IPAB will create uncertainty regarding new medicines and treatments. For example, the cost of a new medicine to treat Alzheimer’s disease is high at first, but in order to meet yearly targets IPAB might forgo covering costs for a potentially life-saving drug. This scenario has already occurred under the United Kingdom’s National Institute for Health and Clinical Excellence (NICE) (the model for IPAB) when it denied use of new drugs to National Health Service patients with chronic leukemia. NICE’s reason: “When we recommend the use of very expensive treatments, we need to be confident that they bring sufficient benefit to justify their cost.”  Not only will IPAB have the authority to make similar medical decisions, the incentives and restrictions of the law make it likely.
Source: ncpa.org

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

What Are the Medicare Eligibility Requirements?

Once reaching the age of 65 years old a person qualifies for medicare. One must also be a US citizen or a permanent legal resident. One of the last requirements is having paid into the medicare system while working. The general rule is having paid into the social security system with approximately 10 years of work, or 40 credits. An individual may also qualify off of their spouses working if necessitated. The spouse must be at least 62 and the qualifying individual must still meet the 65 year requirement. With additional proof an individual may also qualify based on the work benefits of a deceased or divorced spouse.
Source: seniorcorps.org

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

CMS Releases Final Stage 2 Meaningful Use Criteria

ABIM AED AF Afib Antitachycardia pacing Arrhythmia Atrial fibrillation Basic science Centers for Medicare and Medicaid Services certification Clinical trials CME CMS Conflict of Interest dabigatran Dronedarone Electronic Health Records Electronic medical records Electrophysiology FDA Financial disclosures Healthcare reform Heart Rhythm 2011 Heart Rhythm 2012 HeartRhythm Journal IBHRE ICD Implantable Cardioverter Defibrillator Leads Medicare Practice management Quality & outcomes RAC Reimbursement Remote monitoring Research & Development SCA Scientific Sessions Sudden Cardiac Arrest Sudden Cardiac Death Technology Translational science U.S. Food and Drug Administration Ventricular fibrillation Warfarin
Source: epinsights.org

Daily Kos: Romney/Ryan will raise Medicare eligibility age for current seniors

If the increases in eligibility age are raised now because of the fiscal “crisis” and those under 55 are supposed to be dumped altogether, what guarantee is being offered that a further “crisis” caused by counter-productive Republican policies won’t prompt them to reduce eligibility further?  If their solution hastily offered now is to cut eligibility, why would that not be their preferred option during the next manufactured “crisis?”  The Republicans have already let it be known that they will never look at increasing revenues through upward changes in the tax rates, so any total revenue increases must come disproportionately from increases in the national economy, except they’ll have already cut taxes further reducing revenues.  Why should they get a third shot at dynamic scoring for revenue increases when the prior experiments under Reagan failed and Bush II totally cratered the economy?  
Source: dailykos.com

Herding dual eligibles into low quality plans

Looking at Medicare evaluations, two of the plans selected have received a notice of non-compliance from the Medicare program. One of those has been marked as a low-performing plan for three consecutive years and is at risk for termination of its Medicare contract. Another plan was recently sanctioned by Medicare as a result of beneficiary access problems. Medicare continues to restrict enrollment of dual eligibles into that plan. All eight proposed demonstration plans were found to be low-performing on a least one composite Medicare quality measure.
Source: pnhp.org

CMS EHR incentive payments flirt with $7 billion

In August, the agency paid about $500 million in incentives, with about $325 million going to Medicare providers and $175 million to Medicaid providers, “which will bring us knocking on the door of $7 billion in incentive payments issued as of the end of last month,” said Robert Anthony, a specialist in CMS’ Office of eHealth Standards and Services. 
Source: lawscribes.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

Issue Worth Exploring: Raising the Medicare Eligibility Age May Harm Minorities

Candidate Position, Quotation, Person Career, Social Issues, Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Medicare, Paul Ryan, United States National Health Care Act, The Path to Prosperity, Economy of the United States, Social Security, Politics of the United States, Government, Medicaid, J. Duncan Moore Jr., Congressional Budget Office, WIS, Mitt Romney, Republican Party, purchase insurance, media coverage, congressman, co-founder, The Medicare NewsGroup, Association of Health Care Journalists, substitute insurance, health insurance, chair, Washington, Maya Rockeymoore, National Committee, presidential race
Source: reportingonhealth.org

How Do I Keep Ineligible Employees From Opening HSAs?

An individual who has access to a general-purpose or “Medical” (not limited-purpose) FSA or HRA can use it for the same qualifying medical expenses that are allowed with an HSA, whether for the employee, spouse, or other tax dependents. FSA and HRA “arrangements” are technically a form of insurance offered by the employer. FSAs allow you to lock in a per-paycheck deduction for the plan year but access the entire plan year’s worth of funds on the first day. HRAs are funded by employer and have great flexibility in how they are administered, including allowing amounts to be paid prior to hitting a deductible.
Source: tangohealth.com

Save $$$ Money On Surgery: Your Money, Your Insurance Money And Your Taxpayer Money

Posted by:  :  Category: Medicare

First,ask your doctor about the site of your surgical service,since this will determine the facility fee,generally the most expensive part of the surgery,and can save you as much as half.  There are three possible places for your surgery to occur:the hospital,the ambulatory surgery center,or the doctor’s office.  The site of service will determine the facility fee. The hospital or hospital outpatient surgery facility will generally charge Hospital Outpatient Department (HOPD) facility fee rates (even if the surgery is outpatient and does not require admission to the hospital for an over-night stay).  The ambulatory surgery center (ASC) facility fee is usually about half of the HOPD rate.  The doctor’s office may have no facility fee at all.  In summary,in general:HOPD$>ASC$>MD office$. There may be exceptions,so you must do your own homework. Again,these numbers are determined by CMS,an agency of the federal government.
Source: seniorsampler.com

Video: Facing Audit Procedures (Insurance and Medicare Post Payment Audits)

Why Medicare Cards Still Show Social Security Numbers

In a report issued in 2006, C.M.S. said it would cost $300 million to remove SSNs from Medicare cards. Then, in an updated report last November, it said it would cost at least $803 million, and possibly as much as $845 million, depending on the option chosen. Much of the cost, the agency said, was for upgrading computer systems not only at the federal level, but also at the state level, for coordination with Medicaid systems.
Source: nytimes.com

Medicare Therapy Caps: Changes Effective October 1, 2012 and the Impact on Hospital Outpatients and OthersHall Render

.  Beginning October 1, 2012, requests for exceptions for medically necessary outpatient therapy services that exceed $3,700 per calendar year will be subject to a manual review process.  Providers will be phased into this manual review process by being placed in one of three phases.  Providers in Phase I will be subject to the process beginning October 1, 2012, providers in Phase II will be subject to the process beginning November 1, 2012 and providers in Phase III will be subject to the process beginning December 1, 2012.  The manual exception process does not apply to a provider until its designated phase has begun.  CMS will send a mailing to providers to inform them of which phase they have been placed into.  This manual review process will be in addition to the automatic exception process for the $1,880 cap already in place and will act as a second level of the exception process.
Source: hallrender.com

CMS Releases Final Stage 2 Meaningful Use Criteria

ABIM AED AF Afib Antitachycardia pacing Arrhythmia Atrial fibrillation Basic science Centers for Medicare and Medicaid Services certification Clinical trials CME CMS Conflict of Interest dabigatran Dronedarone Electronic Health Records Electronic medical records Electrophysiology FDA Financial disclosures Healthcare reform Heart Rhythm 2011 Heart Rhythm 2012 HeartRhythm Journal IBHRE ICD Implantable Cardioverter Defibrillator Leads Medicare Practice management Quality & outcomes RAC Reimbursement Remote monitoring Research & Development SCA Scientific Sessions Sudden Cardiac Arrest Sudden Cardiac Death Technology Translational science U.S. Food and Drug Administration Ventricular fibrillation Warfarin
Source: epinsights.org

CMS EHR incentive payments flirt with $7 billion

In August, the agency paid about $500 million in incentives, with about $325 million going to Medicare providers and $175 million to Medicaid providers, “which will bring us knocking on the door of $7 billion in incentive payments issued as of the end of last month,” said Robert Anthony, a specialist in CMS’ Office of eHealth Standards and Services. 
Source: lawscribes.com

Utah works on ACO tenets in Medicaid overhaul

The Utah Medicaid reform proposal says that the state now wants to improve Medicaid by adding more ACOs while tweaking the model to “implement payment reforms and more appropriately aligns financial incentives in the health care system.” As part of the Medicaid overhaul, the Central Utah Clinic and the proposed ACOs will handle 70 percent of Utahn Medicaid patients and, according to the Salt Lake Tribune, will have the goal of saving $770 million in tax payer money over seven years. But this process is in a state of flux at the moment as both the Utah Health Policy Project (UHPP) and Utah Medicaid Inspector General agree that Utah needs to thoroughly examine how it defines accountable care while keeping the patients in mind.  The UHPP is 501-C-3 nonprofit organization that is trying to work with both insurance payers and healthcare providers to offer quality, affordable healthcare.
Source: ehrintelligence.com

Maximizing Medicare Prescription Drug Coverage

Posted by:  :  Category: Medicare

Receiving Thanks from Seniors by ct senatedemsMedicare 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: Personal Story: Medicare Part D Co-Pay Assistance

Help your community keep up the PACE

The constant stress of struggling to care for loved ones at home can be as debilitating as the illness they are caring for. Studies show that up to 70 percent of family caregivers suffer clinical levels of depression and may lose 10 years off their life expectancy, and that “spousal caregivers experiencing mental or emotional strain have a 63 percent higher mortality rate than non-caregivers.”
Source: times-standard.com

Need Help Qualifying Mom for Medicaid’s Long Term Care Services! » Toni Says

If your mother does not qualify for Medicaid or CBA, then another alternative for financial help is the VA’s Aid and Attendant Benefit.  With the Aid and Attendant benefit a Veteran or surviving spouse of a Veteran that needs additional care, may qualify for assistance and could receive $1,632 per month to a Veteran, $1055 per month for a Veteran’s surviving spouse or $1,949 per month for a couple together.  This is a hidden secret that many Veterans do not know exists.  There is over $20 Billion dollars available to Vets as a pension, so that the Vet or a spouse of a Vet that needs additional care at home or to help pay for assisted living facility or non-medical personal care at the home.
Source: tonisays.com

Testing Garage: Is your shipping, “Hippocratic” of HIPAA? Mind Maps!

For an example, the most company’s internal web apps to maintain details of employees, will also collect health information. Most would enter the details for getting benefits of health plans provided there. I have noticed, the health details are not protected nor have privacy. It is open, in most times. Then what about the software apps which are written to handle health data? It is neglected most times.
Source: blogspot.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

Time to think about Medicare annual enrollment

If you need help reviewing your health or prescription drug coverage, the Elder Benefit Specialist can assist you with finding the plan that best suits your needs. She can also assist with enrollment into Part D prescription drugs plans. Don’t forget to ask about Medicare Savings Programs or Extra Help with Prescription Drug Costs. If you are single and your gross monthly income is less than $1,396 per month or $1,891/month for a couple, you may qualify for extra help with your prescription drug costs. If you are single and your income is less than $1,257 per month, $1,702 for a couple, you may qualify for Medicare premium assistance or more cost savings. Certain asset limits apply. Call Pat Nelson at (715) 395-7533 or (715) 394-3611 for information or an appointment.
Source: superiortelegram.com

SHIIP provides Medicare assistance

Of course there are other things to consider when determining Medicare options. SHIIP has created a handout meant to help navigate the Medicare system and initial enrollment process. The handout, “The Road to Medicare,” outlines the decisions people will need to make and what options are available through the Medicare system. To obtain a free copy of “The Road to Medicare,” call SHIIP at 1-800-443-9354 or visit SHIIP’s website at www.ncshiip. com.
Source: salisburypost.com

GET WELL SOON AT HOME HEALTH CARE

Home health care or Home care is a term used for a care given to a sick person at their home. But recent definition distinguishes between two terms that is Home health care and home care. Home care means non medical care and Home health care means skilled nursing care. Home care basically aims to provide nursing care to patients at their home whereas professional health care includes wound care, psychological assessment, medication, pain management, disease education and management, physical therapy, speech therapy or occupational therapy.  Home health care Baltimore offers life assistance services such as meal preparation, medical reminders, laundry, light housekeeping, errands, shopping, transportation and companionship. The first life assistance service is the activities of daily living include bathing, dressing, transferring, using the toilet, eating and walking that reflect the patient’s capacity for self. Second is an Instrumental activity of daily living that includes light housework, meal preparation, taking medications, shopping for groceries and clothes, using the telephone and managing money that enables the patient to live and work independently.
Source: ventilation2009.org

Medicare Patients Spend Thousands Out of Pocket at End of Life

Posted by:  :  Category: Medicare

Congressman Brad Sherman, California’s 27th District (D) by cliff1066™Using data from a national longitudinal survey, Mount Sinai professor Amy Kelley looked at out-of-pocket medical costs near the end of life and uncovered some sobering statistics. A whopping 43 percent of Medicare patients end up spending more than the total value of their assets, excluding real estate, on end-of-life care, while 25 percent spent all their assets including any money from home or property.
Source: aarp.org

Video: Become a Medicare/Medicaid Sales Representative at UnitedHealth Group

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

Insurance Sales Manager – Sales/Medicare Compliance Manager

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

House Calls Nurse Practitioner

HouseCalls practitioners conduct in-home health assessments on enrolled Medicare Advantage members.  A HouseCalls practitioner will complete visits on members within a geographic area of responsibility.  The nature of the HouseCalls visit can vary and could include performing an annual health assessment, a post discharge visit, or visiting more complex members more than once per year. 
Source: careers.org

Agent Manager, Medicare and Retirement Job for Insurance Sales Web.com at UnitedHealth Group

The purpose of this job is to supervise Independent Career Agents (ICA’s) who sell the UnitedHealth Group (UHG) portfolio of products offered to Medicare beneficiaries and individuals age 50 . The Agent Manager is responsible for achieving assigned sales/membership growth targets through Agents in his/her territory/territories. Agents are not employees of UHG but rather independent sales agents who contract exclusively with UHG to sell this portfolio of products. ICA’s may sell additional/alternative products that do not compete with this UHG product portfolio (e.g.; life insurance, home insurance).
Source: insurancesalesweb.com

Support Legislation to Fix the Medicare “Observation Days” Problem :: Jennings Center for Older Adults

In addition, the Centers for Medicare and Medicaid Services (CMS) recently issued a proposed hospital payment rule that provides us the opportunity to comment on the observation days situation. Let CMS know the problems the observation days situation has caused for you and your residents. Visit  LeadingAge.org  for details and how to take action.
Source: jenningscenter.org

The Turner Report: McCaskill: Akin should explain opposition to veterans’ funding

. In March 2005, Akin voted against a motion to a job training reauthorization bill to provide extra assistance to veterans who are returning from conflicts overseas. Many veterans returning from the conflicts in Afghanistan and Iraq may need skills and training to obtain or retain their jobs while Reservists who have spent a year or more overseas have put their careers on hold to serve our country. Four out of 10 members of the Guard and Reserve forces lose income when they leave their civilian jobs for active duty. Many left for the war thinking they would be deployed for 6 months and have ended up staying for a year or even longer and may be shipped out again. Additionally, many Guard and Reservists are self-employed or run small businesses and face the daunting task of reestablishing their businesses after their release from active duties. The 2 years after they return from service are the most difficult. The motion failed 197-228. [Statements by Rep. Kildee, 109th Congressional Record, pg. H915, 3/2/05; Statement by Rep. Schakowsky, 109th Congressional Record, pg. H2074, 4/14/05; Vote 47,
Source: blogspot.com

Medicare Matters for Young Americans: Expect It, Protect It! 

The Center for Medicare Advocacy hears from many individuals under 65 who either lack health insurance, or have inadequate coverage, often inquiring as to how they might obtain Medicare coverage before age 65.  These individuals eagerly await their Medicare eligibility, when many finally receive the needed health care they could not otherwise afford to get.  People with Medicare are less likely than those with private insurance to report going without care because of cost, and are also less likely to report problems paying medical bills. They are also far less likely than those with employer-sponsored or individual coverage to spend over 10% of their incomes on health related costs.[5] The changes in the Budget introduced by Rep. Paul Ryan, chairman of the House Budget Committee and now the Republican vice presidential candidate, would, on the other hand, actually harm current beneficiaries, and completely end Medicare as we know it for those under 55 – decimating a critical American value.[6]
Source: medicareadvocacy.org

Medicare costs in tax review

Hi all just a quick one. I am currently on a 457 visa and paid a certain amount in my tax for medicare, I don’t have private health so I beleieve I was right to pay this. I have been told by other 457 visa holders that I shouldn’t have paid due to the recipricol health agreement……but is that just for those who do pay for private health. Does anyone know a definitive answer for this? Thanks in advance ginger
Source: pomsinoz.com

Spreading the Word on Medicare Part D

Ten thousand baby boomers will turn 65 today. This will happen again tomorrow, the next day and every day until 2030. With such a significant growth in Medicare eligible Americans, ensuring effective coverage and access to medicines well into the future is a priority. As New York Times’ blogger Paula Span noted on The New Old Age recently, Medicare Part D is providing stability for millions of seniors. From Span’s post:
Source: phrma.org

New Investment Tax: 3.8% Medicare Contribution Tax — Wesban Financial Consultants, P.C.

Posted by:  :  Category: Medicare

OBAMAS DEATH PANEL------ GUESS WHAT FOLKS IT'S ALIVE AND WELL---"CRAZY PALIN" NOT SO CRAZY NOW by SS&SSNet investment income includes the following: interest; dividends; annuities; rents and royalties; short and long-term capital gains; income from the sale of a principal home above $250,000 single /$500,000 married capital gain exclusion; and passive income from real estate and investments.
Source: wesban.com

Video: How To Stop Medicare Fraud.camrec.avi

Medicare FFS Recovery Audit Program Update as of June 30, 2012

Medical necessity for cardiovascular procedures is a current focus of not only the RACs but of the Department of Justice.  Our consultants and physicians are working with a number of facilities to review their cardiovascular procedures and processes.  We recommend providers conduct either internal or external auditing and monitoring specific for these identified risk areas.  HC Healthcare Consulting staff includes certified coders, physicians, consultants certified in healthcare compliance and a statistician that are available to provide expert assistance with your RAC compliance programs.
Source: hchealthcareconsultingllc.com

Medicare & Medicaid Issues

4. A survey found Medicare RAC audits are most common types of audits among hospitals and healthcare providers, with 47 percent of all entities reporting at least one. On average, for-profits reported less than four within the past 12 months, whereas non-profits reported more than six.
Source: msktelerads.com

Viewpoints: Romney’s Whiplash On Health Law; Clinton’s Mistaken Argument About Medicare Savings

The Wall Street Journal: Massachusetts Lessons About A President Romney When it came time to craft the piece of legislation that has become Mr. Romney’s biggest Massachusetts legacy and perhaps his chief national political liability—the 2006 health-care overhaul that would become known as RomneyCare—he again turned to private-sector consultants. Leaders of major stakeholders, including insurance companies, played important roles. So did some lawmakers. But Mr. Romney relied on the consultants to dig deeply into a fundamental problem: Why were so many people not buying health insurance? Overall, the governor and his aides approached the problem of uninsured state residents as a financial challenge that needed to be solved. The driving motivation was to stop forcing hospitals to provide expensive care—especially in emergency rooms—for free. Democratic legislators, with some cajoling, got behind the measure on the grounds that expanding the rolls of the insured was morally the right thing to do (Eric Convey, 9/10).
Source: onlinehealthnews.org

Updated SSI Ratios Decrease Medicare Payments to California Hospitals by $182 Million

The SSI ratios are in part used to determine Medicare Disproportionate Share Hospital (DSH) payments. CMS updated the SSI ratios to incorporate Medicare Advantage days and an improved SSI identification process as discussed at CMS 1498(R). Medicare Administrative Contractors (MACs) have indicated the earliest date they will begin settling Medicare cost reports is May 1, 2012. However, it is more likely these settlements will begin in June or July. The MAC has also indicated that FFY 2006 and 2007 cost reports will be the first years reopened and settled. Subsequently, the MAC will open and settle FFY 2008 and 2009 cost reports. In order to expedite this process, the SSI update will be the only revision allowed for cost report settlement at this time. All other issues will be resolved through additional cost report re-openings. The MAC estimates the process of settling FFY 2006 through 2009 cost reports will take an entire year.
Source: hfsconsultants.com

Medical Billing Consultants Job Description – A Deep Insight – Part

You don’t need to have formal education to work as a medical biller. However, an associate degree or vocational training related to health information technology is sufficient to get started in the industry. Additionally, if you want to grab a handsome salary package along with a good position in any of the reputed health care organization, it is always better to have certification from any of the following association:
Source: jimdo.com

HHS Says Medicare Part D Premiums Steady for 2013

The doughnut hole, which suspends coverage once the cost gets to $2,930 will rise a bit to $2,970. However, the discount for beneficiaries in the “hole” will rise from 50 percent to 52.5 percent for brand-name drugs and 14 percent to 21 percent for generics. By 2020, the hole will close completely.
Source: choiceadminexchanges.com

Medical Billing Consultants Job Description – A Deep Insight – Part

In part – I of the article, under the same title and introduction, we discussed the various responsibilities and other duties of a Medicare biller’s profile, along with a detailed introduction. In this article, we are continuing with the same and various other aspects, so as to make it easy for you to have a good understanding of a medical billing consultant’s job before thinking of making it as a career option for you and appearing in interviews. So here we go: Do you have a certification or degree in health care industry? Do you have excellent communication skills? Are you good in maintaining records? If a ‘yes’ is your answers to all these questions, then you are the ideal contender for a medical billing consultant job. Keep reading further to know more about the various responsibilities of a Medicare biller’s profile.
Source: posterous.com

Home Care Medicare Certification

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Source: comforcare.com

After Jobs Report, Obama Tries to Change the Subject

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /The president’s advisers have indicated that they are eager to re-engage their opponents on their Medicare plan, while the Romney camp would prefer to talk about the economy. A government report on Friday showed that employers had eased up on hiring in August, adding just 96,000 jobs, compared with 141,000 in July. The unemployment rate dropped to 8.1 percent from 8.3 percent, but that was largely because of people leaving the work force entirely.
Source: nytimes.com

Video: Medicare and the Federal Employees Health Benefits (FEHB) Program

Brad DeLong: Yes, Mitt Romney Believes That Government Spending

His trillion dollar cuts to our military will eliminate hundreds of thousands of jobs, and also put our security at greater risk; His $716 billion cut to Medicare to finance Obamacare will both hurt today’s seniors, and depress innovation – and jobs – in medicine….
Source: typepad.com

Medicare, Jobs Battle Heads South

advice business credit currency trading economy education Finance financial Forex forex trading Gold gold investment Investing Investment investments market money money and finance mutual funds Personal Finance Real Estate retirement planning saving money silver stock market stocks stocks and bonds trading wealth building wealth management
Source: avidinvestorgroup.com

IRS Issues Q&As on the Additional Medicare Tax under the Affordable Care Act

Social Security and Medicare are funded in large part through payroll taxes imposed by the Federal Insurance Contributions Act or “FICA.” FICA imposes a tax of 15.3% on “wages,” which is paid by the employer and by employees, each party paying half. Before 2013, the employer… Read More…
Source: lexisnexis.com

FACT CHECK: Obama and the phantom peace dividend

Obama even indicated a willingness to consider raising the eligibility age, currently 65, to 67. As word of some of the proposals leaked out, the president faced a backlash from fellow Democrats. He has since said he would not accept Medicare cuts as a part of a deficit reduction deal, unless it also includes higher taxes on the wealthy. Still, some level of increased costs for middle-class and upper-income Medicare recipients is likely to be part of any future deficit reduction deal.
Source: wbtv.com

Feds Drop Suit Over Alleged UMS Medicare Kickbacks

The federal government on Thursday agreed to unseal and dismiss a United Medical Systems Inc. whistleblower’s suit in Michigan federal court alleging the company and others that perform a special procedure to remove kidney stones defrauded Medicare through kickbacks. Read More…
Source: lexisnexis.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

California Medicare Insurance: Anthem Medicare Preferred PPO Replaces Freedom Blue for 2012

Posted by:  :  Category: Medicare

One of the newest Medicare Advantage plan in California for 2012 is the Anthem Medicare Preferred Standard PPO or AMP. The Anthem Medicare Preferred is the newest successor to the Freedom Blue Regional PPO plan that became very popular over the past few years. The plan offers significant freedom of choice in regards to your medical service providers. The AMP PPO plan is only available in select counties throughout California and the benefits are different from county to the next. The plans are grouped below by counties that share the same benefits:
Source: blogspot.com

Video: Anthem Blue Cross Presentation

Dave Fluker’s California Health Insurance Blog: Anthem Medicare Advantage LPPO and Sutter Health Group

Sutter Health Group and Anthem Blue Cross MAPD LPPO (Medicare Preferred PPO and Medicare Preferred Select LPPO) have been unable to reach agreement on a new contract. As of February 1, 2012, Sutter will no longer be a participating provider for Anthem Blue Cross CA hospital and professional network. The ancillary services for Sutter will continue to be a participating provider. Again, this contract issue affects Medicare Advantage PPO and Medicare Advantage LPPO subscribers. The following Sutter Health facilities are affected: Sutter Roseville Medical Center – Roseville, CA Alta Bates Summit Medical Center – Alta Bates/Herrick – Berkeley, CA Alta Bates Summit Medical Center – Summit Campus – Oakland, CA California Pacific Medical Center – California – San Francisco, CA California Pacific Medical Center – Davies – San Francisco, CA California Pacific Medical Center – Pacific -San Francisco, CA California Pacific Medical Center – St. Lukes – San Francisco, CA Eden Hospital Medical Center – Castro Valley, CA Memorial Hospital Medical Center – Modesto – Modesto, CA Memorial Hospital of Los Banos – Los Banos, CA Menlo Park Surgical Hospital – Menlo Park, CA Mills Hospital – San Mateo, CA Novato Community Hospital – Novato, CA Peninsula Hospital & Medical Center – Burlingame, CA San Leandro Hospital – San Leandro, CA Sutter Amador Hospital – Jackson, CA Sutter Auburn Faith Hospital – Auburn, CA Sutter Coast Hospital – Crescent City, CA Sutter Davis Hospital – Davis, CA Sutter Delta Medical Center – Antioch, CA Sutter General Hospital – Sacramento, CA Sutter Lakeside Hospital – Lakeport, CA Sutter Maternity & Surgery Center – Santa Cruz, CA Sutter Medical Center of Santa Rosa – Santa Rosa, CA Sutter Memorial Hospital – Sacramento, CA Sutter Solano Medical Center – Vallejo, CA Sutter Tracy Community Hospital – Tracy, CA I expect that at some point a contract agreement will be reached and will post when that happens.
Source: blogspot.com

Q1medicare.com Estimated Value $5,702.40 USD

Registrant: q1group llc Post Office Box 840007 St. Augustine, FL 32080-0007 US Domain name: Q1MEDICARE.COM Administrative Contact: Johnson, Susan sjohnson@q1group.com Post Office Box 840007 St. Augustine, FL 32080-0007 US +1.9044618994 Fax: Technical Contact: Johnson, Susan sjohnson@q1group.com Post Office Box 840007 St. Augustine, FL 32080-0007 US +1.9044618994 Fax: Registrar of Record: MISK.COM Record last updated on 2012-Feb-26. Record expires on 2018-Dec-03. Record created on 2008-Dec-03. Domain servers in listed order: DNS.PAIR.COM NS0.NS0.COM The Data in the Misk.com Registrar WHOIS database is provided to you by Misk.com for information purposes only, and may be used to assist you in obtaining information about or related to a domain name’s registration record. Misk.com makes this information available “as is,” and does not guarantee its accuracy. By submitting a WHOIS query, you agree that you will use this data only for lawful purposes and that, under no circumstances will you use this data to: a) allow, enable, or otherwise support the transmission by e-mail, telephone, or facsimile of mass, unsolicited, commercial advertising or solicitations to entities other than the data recipient’s own existing customers; or (b) enable high volume, automated, electronic processes that send queries or data to the systems of any Registry Operator or ICANN-Accredited registrar, except as reasonably necessary to register domain names or modify existing registrations. The compilation, repackaging, dissemination or other use of this Data is expressly prohibited without the prior written consent of Misk.com. Misk.com reserves the right to terminate your access to the Misk.com WHOIS database in its sole discretion, including without limitation, for excessive querying of the WHOIS database or for failure to otherwise abide by this policy. Misk.com reserves the right to modify these terms at any time. By submitting this query, you agree to abide by these terms. NOTE: THE WHOIS DATABASE IS A CONTACT DATABASE ONLY. LACK OF A DOMAIN RECORD DOES NOT SIGNIFY DOMAIN AVAILABILITY.”;
Source: widestat.com