Campaigns Dispute Impact Of Medicare ‘Voucher

Posted by:  :  Category: Medicare

Medicare for All by juhansoninNational Journal: Mixed Message From Obama Advisers On Medicare President Obama has seized on Republican proposals to overhaul Medicare as a top campaign issue, saying that the GOP plan to add a private insurance option would end seniors’ guarantee of government health care. But behind the election-season politics, influential experts who have advised Obama on health care are open to a future for Medicare that includes competition among private insurance plans. … In [private] e-mail exchanges with the staff of the White House-appointed fiscal commission that were obtained by National Journal, David Cutler and Jonathan Gruber, who have both advised Obama, gave qualified support to a Medicare voucher plan offered by Ryan and former Clinton budget director Alice Rivlin (McCarthy, 9/10).
Source: kaiserhealthnews.org

Video: Kaiser Medicare Part D Insurance – Compare to over 180 Comp

Data Note: Repealing the Affordable Care Act: Implications for Medicare Spending and Beneficiaries

A number of Republican proposals to repeal the 2010 health reform law, the Patient Protection and Affordable Care Act (ACA), include the elimination of the law’s Medicare provisions. This Data Note reviews the impact of repealing those provisions for Medicare beneficiaries and program spending. If the ACA was repealed, Medicare spending would increase by an additional $716 billion over 10 years, Medicare’s hospital trust fund would be projected to be insolvent beginning four years from now, in 2016, eight years earlier than current projections, and many beneficiaries could see increases in premiums and costs for other services.
Source: kff.org

Shingles Vaccinations Not Covered For Some Medicare Beneficiaries

ABC News AIDS Associated Press BBC News California Cancer CBS News CNN Conditions and Diseases Daily Mail drugstore drug store DrugStoreSource.com Eyecon Pill Counting System FDA Food and Drug Administration Fruit Gene Google News health HIV Los Angeles Los Angeles Times McDonald Medical News Today Mental health Mutation news Pharmacist pharmacy Pink Slime prescription Prescription medication public recent Reuters rx Shopping Tenofovir/emtricitabine Tobacco United States USA USA Today walgreens Washington Post
Source: wordpress.com

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

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

Are Medicare's new quality incentives large enough to change hospital behavior?

The program is part of a major shift for Medicare, which historically has paid hospitals and doctors based on the nature of services they provided to patients without taking into account how good a job they did. Medicare has already launched several trial programs that are intended to reward hospitals based on performance, but those are voluntary; the value-based purchasing program is the first one that will be applied to nearly all acute care hospitals regardless of whether they want to participate. It kicks in at the same time that 2,211 hospitals will also begin losing money because of high readmission rates, another program created in the health law. 
Source: minnpost.com

Kaiser Health Roundup: ‘No

The Wall Street Journals’s Venture Capital Dispatch: Hospitals Investigate Start-Up Technologies For Superbug Disinfection The Centers for Medicare & Medicaid Services has said 2012 will be the year that hospitals should start paying to treat infections contracted on their premises. Many investors have the issue pegged as a janitorial concern, and not necessarily the purview of high-tech gadgets. But others see an enormous unmet need, where several small companies are vying to unseat giants like Johnson & Johnson in a potentially lucrative field. Hospitals are now turning to esoteric technologies–including robots that use xenon ultraviolet light technology–to combat the germs (Hay, 8/1).
Source: medcitynews.com

What Is the Most Significant Medicare Coverage Gap?

The Medicare Plan D covers the bulk of prescription drug costs with the insured paying a straightforward reasonable copayment. This continues until the combined payments of the insured and Medicare insurance reach $2,930, at which time Medicare stops payment until a total of $4,700 is paid. This area between $2,930 and $4,700 is the Medicare coverage gap and it results in a $1,770 out of pocket expense to the senior. These gap numbers are not some sort of inflation-adjusted amount, they come from the 2012 Official U.S. Government Medicare Handbook. If a conservative 3.4 million, which, according to a 2008 study from the Kaiser Family Foundation, is the number of people that reached the gap, is used to multiply this $1,770 gap payment, the magnitude of the Medicare coverage gap becomes quite significant.
Source: seniorcorps.org

Health safety Poll economic system Trumps Medicare Womenamp39s Health Issues Kaiser

A Republican national convention opens now with leader Obama plus presumptive nominee Mitt Romney operating evenly, along with voters more focused With Obamas dealing with with the nations flagging economic climate than on Some issues taking over a political debate Inside recent months. … fewer voters place fantastic significance With additional issues that boast roiled the campaign, such as freshly struck GOP vice presidential candidates want to restructure Medicare, variations between your celebrations On womens issues and Romneys managing with his tax returns. a proposed Medicare changes included in Ryans finances proposal inside your home happen to be a target with well-defined debate given that He had been chosen through Romney a couple of months ago, and the particular changes for the health-care system really are seen negatively through regarding two to 1 (Balz and also Cohen, 8/27).
Source: co.cc

Repealing ACA Could Increase Health Care Costs, Report Finds

The ACA includes several provisions that would reduce costs for Medicare beneficiaries and improve costs and delivery efficiency elsewhere in the health care system, an accompanying brief notes. “Repeal of the ACA would undo these changes, raise costs for beneficiaries and increase federal spending at a time when the nation is struggling to address the deficit and debt,” the brief states.
Source: californiahealthline.org

Horizon Medicare Advantage Blue Value with Rx

Posted by:  :  Category: Medicare

Please read through the full Horizon Medicare Blue Value with Rx HMO Summary of Benefits attached here for a more thorough review of the plan. I am also available to review this plan with you in a meeting if you wish. Due to marketing regulations, I have decided to list just the basics of the plan and but welcome appointments to discuss your full needs. Contact Mike at NewJerseyInsurancePlans
Source: newjerseyinsuranceplans.com

Video: Prolifics Video Case Study: Horizon BCBS of NJ and BPM CoE

Horizon Medicare Advantage Blue Value with Rx

With more than 25 years of health plan experience, Deanna brings to SCAN a solid background in Medicare Advantage sales management, sales operations and marketing. Immediately prior to joining SCAN she served as corporate director of Medicare marketing for Molina Healthcare where she was instrumental in optimizing marketing, sales and enrollment operations. She has held sales leadership positions at several other large healthcare companies including PacifiCare Health Systems/Secure Horizons and Aetna. Source: pepperdine.edu
Source: medicaresupplementalco.com

Horizon Blue Cross Blue Shield of New Jersey’s Medicare HMO and Commercial POS (Direct Access) Plans Receive “Excellent” Rating By NCQA

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a tax-paying, not-for-profit health services corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving more than 3.6 million members with headquarters in Newark and offices in Wall, Mt. Laurel, and West Trenton. Learn more at www.HorizonBlue.com
Source: pymnts.com

Horizon Blues chooses family friend for non

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a not-for-profit health services corporation, providing medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving 3.6 million members with offices in Wall, Mt. Laurel, and West Trenton, N.J.
Source: ifawebnews.com

Horizon NJ Health Slashes Medicaid Reimbursements for Home Healthcare

Thomas Vincz, spokesman for Horizon Blue Cross Blue Shield of New Jersey, the parent company of Horizon NJ Health, called the reimbursement reductions “difficult decisions,” but said that they “demonstrate the realities of today’s healthcare in having to do more with fewer resources.” Horizon is seeing a reduction in the rates it receives from the state to administer “various government health programs,” Vincz said, while “benefit utilization” and overall costs were growing.
Source: wnyc.org

One Million Blue Button Downloads At VA

The Blue Button enables patients to assemble and download personal health information into a single, portable file that can be used inside a growing number of private health care electronic records–as well as those in the VA, Department of Defense, Centers for Medicare and Medicaid Services, and private sector partners.  The VA Blue Button PHR includes prescription history, the ability to review past appointments and medical history details, wellness reminders and emergency contact information. Because it is web-based, the information is available anywhere, any time.  Its security measures are identical to those employed by retail websites that accept credit cards.
Source: newhorizonsilc.org

A Few Seconds Is All It Takes to Save Your Practice from Being Penalized for Hiring or Contracting with Medicare Excluded Individuals

Posted by:  :  Category: Medicare

The effects of an exclusion are outlined in the OIG’s Special Advisory Bulletin on the Effect of an Exclusion (http://oig.hhs.gov/exclusions/effects_of_exclusion.asp), but the primary result is that Medicare, Medicaid, and most federally funded programs that provide health benefits will not pay for items or services furnished, ordered, or prescribed by an excluded individual or entity.  Additionally, to be extra thorough, you may also check the federal government’s full debarment list, the Excluded Parties List System (EPLS) which contains debarment actions taken by various federal agencies. The LEIE contains just the exclusion actions taken by the OIG. You may access the EPLS at https://www.epls.gov.
Source: wordpress.com

Video: Using the OIG’s Exclusions Database

Medicare Program Exclusion Can have Devastating and Far

Few health care practitioners really understand the significance that being excluded from the Medicare Program may have.  Exclusion usually occurs as a direct result of disciplinary action being taken by the state board of medicine, board of nursing, board of psychology, board of pharmacy or other health care licensing entity.  If revocation, suspension, restriction or limitation of a license occurs, this is reported to the National Practitioner Data Bank (NPDB).  What few understand is that if the licensed individual or business entity voluntarily surrenders the license after charges have been filed or an investigation has been opened, this is treated the same as a disciplinary revocation and is reported out to the NPDB the same way.  This occurs, even if the professional has similar valid licenses in other states or a different type of license.
Source: thehealthlawfirm.com

Medicaire Part D Exclusion Effects Tx of Anxiety

First-Line Treatment The Medicare Modernization Act (MMA) led to the provision of prescription drug coverage through Medicare Plan D starting in 2006, but it included the caveat that benzodiazepines be excluded. "As a result, only patients with supplemental drug insurance through Medicaid or private secondary insurance, for example have access to benzodiazepine coverage," write the investigators. "However, when used appropriately, benzodiazepines are an effective, low-cost treatment for anxiety. A major concern regarding the MMA’s…exclusion was potential adverse effects on patients with anxiety disorders," they add. The researchers note that few studies have assessed the exclusion’s effects on patients overall, and none have examined the effect on those specifically with anxiety disorders, "the population most likely to be adversely affected by the policy’s implementation." The investigators examined records for 8397 people older than 64 years (mean age, 75.5 years; 79% women) enrolled in the Medicare Advantage Plan, which has the benzodiazepine exclusion, and 1657 people between the ages of 60 and 64 years (68.9% women) who had a different managed healthcare plan. For this analysis, data on just the patients diagnosed with a new anxiety disorder in the first 6 months of 2005, 2006, or 2007 were assessed. "If anybody was going to be affected by the exclusion, it would be these types of patients because benzodiazepines are a first-line treatment for anxiety disorders," said Dr. Ong. Higher Costs, Reduced Treatment? Results showed that the participants enrolled in the Medicare plan who were diagnosed with the disorder in 2005 had significantly higher rates of claims for benzodiazepines than Medicare enrollees diagnosed in 2006 or 2007 (63% vs 0.9% and 1.3%, respectively). They also had significantly higher rates of claims for all psychotropic drugs (75.4% vs 45.9% and 50%, respectively), fewer claims for nonbenzodiazepines, and lower expenditures for all psychotropic medications. "There were no significant differences over time in utilization or expenditures related to psychotropic medication among the comparison group," report the researchers. In addition, no significant changes were found for either group in outpatient visits for behavioral care, or in hospital stays related to benzodiazepine withdrawal, or inappropriate use of the medications. "The decline in covered claims for psychotropic medication following the implementation of the MMA may reflect an overall reduction in treatment of anxiety, given that we did not find evidence that outpatient behavioral care use had increased" as a substitute, write the investigators. "Even if implementation of the MMA reduced inappropriate benzodiazepine use, any reductions achieved did not result in reduced hospitalizations or emergency department visits and were accompanied by slightly higher medication expenditures," they add. Overall, the researchers note that although the exclusion may have improved care for Medicare enrollees who do not have anxiety disorders, those newly diagnosed with the disorders have faced higher costs and reduced treatment. "These findings suggest that states seeking to reduce budget costs through restrictions of benzodiazepines may actually increase overall costs." A "Slippery Slope" However, Brent Forester, MD, director of the Geriatric Mood Disorders Research Program at McLean Hospital in Belmont, Massachusetts, and assistant professor of psychiatry at Harvard Medical School in Boston, has a different view on the role of these medications in an elderly population.
Source: dr-bob.org

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

AHCA Submits Comments on Guidance Relating to Medicaid/Medicare Exclusion List

Recently, the Department of Health and Human Services’ ("HHS") Office of Inspector General ("OIG") solicited comments from Medicare and Medicaid providers as to the potential need for updated guidance as to the OIG’s excluded provider program.  Under the program, the OIG has the authority to exclude from participation in the Medicare and Medicaid program providers who have committed certain health care-related offenses, or have had their licenses revoked or suspended (as well as for many other reasons).  If a provider is excluded, and an entity subsequently bills Medicare or Medicaid for services attributable to that excluded provider, the OIG can recover the sums paid, in addition to hefty penalties.  The current OIG "authority" on the matter comes in an outdated 1999 Special Advisory Bulletin, where the OIG outlined the ins and outs of the exclusion program.  It looks like something new might be coming out though, and if the American Health Care Association’s ("AHCA") comments are taken to heart, the new OIG guidance will include information about the OIG’s intent to further utilize its current exclusion authority with respect to individuals based on their relationships with corporations that have been found guilty of health care-related offenses.  Additionally, AHCA smartly suggested that the OIG make clear what happens when a provider self-discloses the fact that they may have billed for services provided by an excluded provider?  Hopefully, the OIG will take all of the AHCA’s suggestions into consideration.  New OIG guidance on these matters is expected sometime this Spring.  If you have questions about the Medicaid/Medicare exclusion program, or about AHCA’s recent comments to the OIG, please contact Susan Ziel at 317-238-6244, or Leigh Ann Lauth O’Neill, at 317-238-6346.
Source: kdlegal.com

Health First Medicare Supplements Address Coverage Gaps

Posted by:  :  Category: Medicare

Record shop Ithaca, NY by exaktaPlus, as an added service not covered by Medicare, all policy holders are entitled to a free fitness membership at the Health First Pro-Health & Fitness Centers in Melbourne, Merritt Island, Palm Bay and Viera, and Parrish Health & Fitness Center in Titusville.
Source: spacecoastmedicine.com

Video: Medicare Locals Video

Medicare supplemental insurance Blueprints For the Better Health care coverage

Having said that, the Medicare supplemental insurance Blueprints tend to be 100 % implemented in addition to available because of the non-public health care insurance providers for you tend to be an even dozen regular Medicare supplement ideas obtainable. There are a variety connected with healthcare expenses which can be taught in Authentic Medicare programs. Alternatively to say most of the health care pricing is covered by the primary Treatment blueprints but still at this time there continue being many expenses which the Initial Treatment would not go over thus such cases there is a need for the Medicare Supplement Blueprints. It will help the receiver to pay for these costs are not also been integrated under the coverage on the primary Medicare health insurance blueprints. Efforts selection underneath the letter protects Your via L every of them have their own coverage. Nevertheless the rest of the options provide the standard important things about approach Your in addition to T. This plans Any in addition to M are called the basic ideas because these ideas offer benefits just like Original Medicare health insurance.
Source: ezinepr.com

MHA Press Room: New report finds that potential Medicare cuts could lead to more than 8,000 jobs lost in Mississippi

A new report found that over 8,000 health care and related jobs could be lost in Mississippi by 2021 as a result of the 2 percent sequester of Medicare spending mandated by the Budget Control Act of 2011. Nationally, more than 766,000 jobs would be lost according to the report released today by the American Hospital Association (AHA), the American Medical Association (AMA) and the American Nurses Association (ANA) at a press conference in Washington, DC. The report, produced by Tripp Umbach, a firm specializing in conducting economic impact studies, measures the anticipated effect of these cuts in Medicare payments on health care providers and other industries. The Tripp Umbach model reflects how reductions in Medicare payment for health care services will lead to direct job losses in the health care sector, reduced purchases by health care entities of goods and services from other businesses which in turn will lay-off workers, and reduced household purchases by workers who lose their jobs. As the impact of these cuts ripples through the economy, jobs will be lost across many sectors beyond health care. This model estimates that, during the first year of the sequester, more than 496,000 jobs will be lost. The report found that the job losses will affect many economic sectors beyond health care. The health care sector has long been an economic mainstay providing stability and growth even during times of recession. The Bureau of Labor Statistics data shows that health care created 169,800 jobs in the first half of 2012 and accounted for one out of every 5 new jobs created this year.
Source: typepad.com

Medicare’s New Price Control Board

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

Local Public Forums Provide Original Medicare Education

Tagged With: Brevard County, BREVARD COUNTY FLORIDA, Cape Canaveral Hospital, Cocoa Beach, Crane Community Center, Florida, Government, Health, Health First Health Plans Inc., healthcare needs, Healthcare reform in the United States, Holmes Regional Medical Center, Indian River County, Indian River County Chamber of Commerce, Margaret Haney, Medicare, Melbourne, Rockledge, Social Issues, United States National Health Care Act, Vero Beach
Source: spacecoastmedicine.com

Adler ad uses football metaphor to tackle Runyan on Medicare

“I think the ad is awful,” he said. “I hope they put a lot of money behind it.  In the meantime, we’ll be happy to continue talking about how Shelley Adler repeatedly voted to increase property taxes and government spending as a Cherry Hill Councilwoman, doesn’t even live in the district she’s running to represent, and supports diverting $700 billion from Medicare to pay for a big government takeover of our healthcare system.  Also, I can’t resist offering one piece of unsolicited advice to the Adler team: When you run a football-themed ad in media markets full of rabid Eagles and Giants fans that refers to someone being ‘rejected’ in a football game, you are begging to be mocked.”
Source: politickernj.com

Sleep apnea Medicare coverage

Posted by:  :  Category: Medicare

1pic1thoughtinAug 16 spinach for brains by KatieTTMedicare coverage for oral sleep apnea appliances is relatively new.  Medicare covers the appliance as a DME ( durable medical equipment).  If you have the appliance made by a dentist, who is not a DME provider it will not be covered by Medicare.  Make sure your dentist can submit for your appliance as a DME before you proceed.   If you have questions about coverage ask us or ask your dentist if they are a DME provider.
Source: wordpress.com

Video: Dentist to plead guilty to medicare fraud

In Pennsylvania, Medicaid Cuts Reduce Options For Dental Care

Medicaid, a program funded jointly by the federal government and the states, covers the the poor and disabled, and coverage varies by state.  Most states don’t pay for any dental care. Now, in Pennsylvania, Republican Gov. Tom Corbett has reduced Pennsylvania’s 2 million adult Medicaid patients to basic dental care – eliminating root canals, periodontal disease work and limiting the number of dentures a patient can receive. The plan now covers little more than cleanings, fillings — and extractions.
Source: kaiserhealthnews.org

Dentist Indicted on $20 Million Medicaid Scam Charges 

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

Dentists angered by Medicare rort claims

Tagged as ABC, abc news, administrative perspective, Anyone, Association, association ada, association president, Australia, Australian, australian dental association, blowouts, breakfast, cannot, care, Chronic, chronic illnesses, Community, cost, demand, Dental, dental care, dental disease, dental treatment, dental work, dentists, disease, dozens, eligibility, exception, Federal, federal government, fraction, fryer, government, health, Human, information, Law, majority, measure, Medicare, Millionaire, Minister, money, News, obligation, person, Perspective, place, president, president dr, program, responsibility, rort, scheme, September, shane, statement, taxpayer, thing, Topics, treatment, Updated, utilise, video, work, year
Source: dentistreviewsusa.com

Pediatric Dentists Who Accept Medicaid Insurance

The Centers for Medicare and Medicaid Services offers a comprehensive list with all the dentists and other types of doctors who accept Medicaid. It is important to keep in mind that in these databases you will not be able to search separately for general dentists and pediatric dentists.
Source: worldental.org

HHS Says Medicare Part D Premiums Steady for 2013

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98The 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

Video: Shields and Lowry on GOP Veep Choice Paul Ryan, Medicare

WellCare to Acquire Easy Choice Medicare Advantage Plans

About Angela Atkinson Angela Atkinson is the managing editor at Scrubs & Suits. She spent several years working in corporate healthcare before becoming a full-time writer and editor. Her experience on the corporate side of the healthcare and health insurance industries has given her a deep understanding of the industry. View all posts by Angela Atkinson →
Source: scrubsandsuits.com

Just Turned 65? Medicare Choice Comes Around Again

Is your Medicare plan changing in 2013? If you have a Medicare Advantage plan or a prescription drug plan, your plan will send you a document called an Annual Notice of Changes by the end of September. This is a big, thick doorstopper of a document. Don’t toss it aside. You need to review it carefully because your plan could make changes that affect you. For example, the co-pay could change for a drug you take, or a specialist you see may have dropped out of the plan’s network.
Source: allsup.com

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

Romney’s Choice Of Ryan Is Key To Politics Of Medicare Debate

MARILYN WERBER SERAFINI:  Paul Ryan has been talking about Medicare, and he has had a plan on the table to fundamentally restructure Medicare for a number of years.  Now, the House has passed his plans as part of their budget resolutions for the past two years, but he had a couple year head start on that.  He started out with a true voucher program: Give people a set amount of money; let them buy private plans in the private marketplace.  That has evolved over the years.  The current plan that he is talking about – the most recent plan that the House passed this year as a part of its budget resolution, which went no further, but it passed the House – would have specified a certain about of money that would go to individuals to purchase insurance.  Now that insurance could be a private plan – it could be the traditional government-run Medicare plan.
Source: kaiserhealthnews.org

Medicare Voucher Plan Remains Unpopular

Six-in-ten (60%) Republicans call Ryan an excellent or good choice, 20% say he is an only fair or poor choice and 20% do not offer an evaluation. Nearly seven-in-ten (68%) conservative Republicans say Ryan is an excellent or good choice, just 16% give the selection an only fair or poor rating. Independents view the Ryan selection somewhat more negatively than positively – 30% call him an excellent or good choice, compared with 42% who say he is only a fair or poor choice; 27% of independents offer no rating. Democrats view the Ryan choice overwhelmingly negatively – 70% say he is an only fair or poor selection; just 8% say excellent or good.
Source: people-press.org

Medical Health Insurance: United Healthcare Medicare Plans

United Healthcare is a popular choice and based on the company, they enroll one in five Medicare beneficiaries into their health plans. They also provide coverage through SecureHorizons, AmeriChoice, and Evercare. You may want to consider a United Healthcare Medicare plan if you have recently turned 65 and are just becoming eligible for Medicare. You may currently be enrolled in a Medicare health plan but aren’t happy and want to change providers. You might be in a situation where you move to a new location and aren’t able to receive coverage under your old plan. You may be interested in a Medicare health plan if you’re concerned about getting coverage for your prescription drugs. United Healthcare Medicare plans are offered in a number of options that include HMO plans, supplement insurance plans, special needs plans, and Medicare part D prescription drug plans. These plans offer different kinds of coverage and the best one for you will depend upon your individual health condition. For example, United Healthcare Medicare HMO plans are simple to use and understand. You simply pay a set amount anytime you need medical services. You know in advance what your costs will be and aren’t surprised by a huge doctor’s bill. An HMO plan charges you a set fee for an office visit, emergency room visit, and hospital stay. The fees are lower than you would pay with traditional Medicare coverage. The only potential drawback to an HMO plan is that you must use doctors within the network unless you need emergency care. If you use a doctor outside the network, you must pay full out-of-pocket cost. United Healthcare Medicare plans also include supplement insurance. This insurance helps you cover the costs incurred in Medicare part A and part B expenses. The special needs programs are only for those with certain medical conditions and life situations and are not open for general enrollment. United Healthcare Medicare prescription drug coverage may be vital to you if you want to take drugs on an continuing basis. With this coverage, you pay a flat fee for drugs or get them for free. Coverage is extended to include the majority of the commonly prescribed drugs for seniors. There is lots to consider when choosing a Medicare health plan. You can study about the different programs on the government’s official website and the websites of various insurance providers. In addition, once you are on Medicare and the enrollment period approaches, you will probably receive invitations to seminars in your city that explain the advantages of Medicare health plans and offer you assistance in enrolling. Before joining the United Healthcare Medicare plan or any other, make sure to understand the benefits you will acquire so your medical expenses will be adequately covered, because you will have to wait a year to change providers. 
Source: blogspot.com

Tell Congress To Support Medicare Choice

Urge your lawmakers to support the Medicare Patient Empowerment Act (H.R. 1700/S.1042). This legislation would allow patients to use their Medicare coverage to help cover the cost of seeing any physician, even those who do not accept Medicare.
Source: wordpress.com

Rationing vs. Individual Choice: Two Approaches to Medicare Reform

What gets lost in the debate about Medicare is that both Democrats and Republicans know that Medicare is broke, and responsible members of both parties have proposed plausible reforms of the program. Indeed, both Obamacare and the 2012 GOP budget authored by Paul Ryan would impose comparable reductions in the growth of Medicare spending. Where the president and Rep. Ryan differ is less in the “how much,” and more in the “how.” Put simply, the Obama approach puts government experts in charge of controlling costs, and the Ryan approach hands more control to individual seniors.   In today’s Wall Street Journal, Dan Kessler and John Taylor expand on this theme, pointing out that both Paul Ryan’s and President Obama’s plans for Medicare reform “place limits on spending growth that are far below that projected under the current Medicare law. The most important difference between the plans is their approach to containing spending within these limits.”
Source: medibid.com

Medicare Reimbursements and Shortages of Sterile Injectable Pharmaceuticals

This paper investigates the rise in shortages of sterile injectable pharmaceutical drugs in the US. I examine a policy change in 2005 that differentially reduced Medicare Part B payments for pharmaceuticals. Drugs that were subject to a greater pol- icy change because they serve older patient populations have had greater increases in shortages. I interpret these results using a model of capacity choice with supply uncertainty. I conclude that Medicare’s generous payments before the policy change provided manufacturers with incentives to invest in capacity or induced entry. The effect on total welfare of lowering payments is theoretically ambiguous.
Source: stanford.edu

Paul Ryan, VP Choice, and Medicare Reform

Ryan’s proposal dramatically changes Medicare from a defined benefit program to a premium support program. Under the Ryan plan, people who become eligible for Medicare after 2021 would receive an annual “premium support” payment that could be used to buy a private health plan or traditional Medicare. The private plans would be required to provide benefits with the same actuarial value as traditional Medicare.
Source: about.com

Why Not Give Current Seniors a Choice in Medicare?

Mitt Romney and his new running mate, Rep. Paul Ryan, R-Wis., agree that when Americans reach old age, they should be given the choice between staying in traditional Medicare or enrolling in competing private health insurance plans. Yet their plan would deny this choice to today’s seniors. As with most proposals to reform retirement programs, Ryan has emphasized that the plan he authored as chairman of the House Budget Committee would not affect anybody 55 or older. Romney’s structurally similar but less detailed campaign plan also promises that “Nothing changes for current seniors or those nearing retirement.” The political rationale for this is pretty clear. Medicare is a popular program that covers 50 million mostly elderly Americans. They are an active and easily scared voting bloc, so it seems safer to emphasize that nothing will change for them. Also, older Americans who have made decisions based on the current system have less flexibility to adapt to any changes. But these arguments were much stronger when applied to an earlier iteration of Ryan’s plan, which would have eventually transitioned Medicare into a system in which all plans available to participants would have been privately administered. But Ryan’s most recent proposal, like Romney’s, would permanently preserve traditional Medicare as an option for seniors, and so it’s hard to see why there needs to be a 10-year waiting period. Current seniors might welcome more choices. There are costs to waiting. To start, the longer changes to Medicare take to kick in, the longer it will take to realize savings from moving to a competitive model for the program. Also, the longer reforms take to be implemented, the greater the likelihood that they will be rescinded by future Congresses. Right now, the only reason repealing Obamacare is even a possibility is that Democrats delayed the implementation of its major provisions until 2014, roughly four years after the law passed. Even if Romney and Ryan win the election and pass an ambitious legislative agenda, it will take a decade for the Medicare reforms to be implemented. A lot can happen in 10 years, and it isn’t very difficult to see Democrats retaking Congress and the White House at some point, or future Republicans getting weak-kneed, in which case Medicare reforms could easily disappear. Earlier this year, Wisconsin Gov. Scott Walker successfully staved off a recall challenge triggered by his reforms to public-sector unions. When I spoke with Walker in the run-up to the election, he told me a big reason his reforms became popular is that they were actually able to go into effect. Parents realized during the school year that the dire predictions the unions had made never came true. If Romney and Ryan delay their reforms, it will give Democrats a full decade to demagogue them before seniors realize the benefits of the new system. This May, when Ryan met with The Washington Examiner’s editorial board, I raised the issue of giving seniors a choice earlier. Ryan called it a “good idea” that was “worth considering,” pending more technical analysis. Since Saturday’s vice presidential announcement, Romney and Ryan may very well have boxed themselves in by emphasizing that they wouldn’t make changes to Medicare that affect current seniors. But it isn’t clear that this is necessarily the best way to sell Medicare reform politically. The line that current seniors have nothing to worry about is meant to reassure current seniors, but it may have the exact opposite effect by implicitly portraying their future reforms as something worrisome. In contrast, if Romney and Ryan were to allow the changes to kick in sooner, they could make a much more confident case for the benefits of injecting more choice, competition and patient control into Medicare.
Source: newmediajournal.us

Secretary Gary Locke, Outstanding Advocates and Top Ten Best Companies for Asian Pacific Americans to Be Awarded at the Beverly Hilton on September 16

Posted by:  :  Category: Medicare

Los Angeles, Calif.- Year after year, brilliant, hardworking, resilient and innovative members of the Asian Pacific American business community create milestones and reach extraordinary heights in their respective fields, and in so doing, foster hope and inspiration in the hearts of countless others even in the midst of trying economic times. It is for this reason the Asian Enterprise Magazine continues to recognize and celebrate these worthy individuals at the upcoming Asian Entrepreneur of the Year Awards. Each year, scores of respected entrepreneurs, community advocates, business owners, public servants and representatives from Fortune 500 companies gather from all over the nation to laud and celebrate the achievements of the most exemplary entrepreneurs and small businesses from the Asian Pacific American (API) business community. This year is definitely no exception; among the honored guests are U.S. Commerce Secretary Gary Locke, who will be receiving an award for Public Service Advocate of the Year, and former Clinton Administration’s Commerce Secretary, and former Bush Administration’s Transportation Secretary Norman Y. Mineta, who will be delivering the keynote address.
Source: indonesiamedia.com

Video: Medicare Basic Overview by United Healthcare Medicare Solutions

Maximizing Medicare Prescription Drug Coverage

Medicare 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

United Healthcare Medicare Solutions

/url?q=http://www.health-care-articles.info/&sa=U&ei=fDVdT5CDGuLq2AXU4MSYBQ&ved=0CN8BEBYwRzgB&usg=AFQjCNHZYgJSAiW7iKpvkZBie63dC1I_hA /url?q=http://health.coolishgroup.com/&sa=U&ei=fDVdT5CDGuLq2AXU4MSYBQ&ved=0CPkBEBYwUDgB&usg=AFQjCNF4nrQHL4etT3RvHdKDzVoEX_BCJg /url?q=http://www.healtharticlesonline.com/&sa=U&ei=fDVdT5CDGuLq2AXU4MSYBQ&ved=0CLICEBYwYjgB&usg=AFQjCNFMR_gb1WV7UA_pNC5CO4eDFSjULw /url?q=http://www.healthhype.com/&sa=U&ei=fTVdT8XzBeKG2gWI3oHzDg&ved=0CJIBEBYwKThl&usg=AFQjCNEuMsmmRYRKWRZ1O7GR4BWFSiYDIQ /url?q=http://www.thedailybeast.com/topics/health.html&sa=U&ei=fTVdT8XzBeKG2gWI3oHzDg&ved=0CL4BEBYwOThl&usg=AFQjCNFJ2KAhuQBYkkIVUz_K4_bZj6MDlw /url?q=http://lisakifttherapy.com/&sa=U&ei=fTVdT-T4K6Pa2AW25pzyDg&ved=0CN8BEBYwRjjJAQ&usg=AFQjCNGNTDIRZVbZCLXAy-2mYGFpJNTAVw /url?q=http://www.tucsonlifestyle.com/index.php%3Fsrc%3Dgendocs%26ref%3DInhealtharticles%26category%3DHealth&sa=U&ei=fTVdT-T4K6Pa2AW25pzyDg&ved=0CIECEBYwUjjJAQ&usg=AFQjCNH_et1ggG-vFMWqgkG8dpOFTs-Ruw /url?q=http://www.talktothevet.com/ARTICLES/index.html&sa=U&ei=fTVdT-T4K6Pa2AW25pzyDg&ved=0CJgCEBYwWzjJAQ&usg=AFQjCNHHAcPjpKhpf01ydtMmhHepsgQosA
Source: yourhealthwellness.org

Uhcmedicaresolutions.com UnitedHealthcare Medicare Solutions

Uhcmedicaresolutions.com has 4 years old, it is ranked #277,433 in the world, a low rank means that this website gets lots of visitors. This site is worth $31,053 USD and advertising revenue is $16 USD per day. The average pages load time is 1.173 seconds, it is very good. This site has a very good Pagernk(5/10), it has 827 visitors and 4,300 pageviews per day. Currently, this site needs more than 562.24 MB bandwidth per day, this month will needs more than 16.47 GB bandwidth. Its seo score is 57.3%. IP address is 149.111.129.3, and its server is hosted at Cypress, United States. The server distance from you is 1,972.31 km (1,225.53 miles). Last updated on Thu, 23 Aug 2012 00:12:04 GMT.
Source: statscrop.com

United Healthcare Medicare Solutions

Jobs in Portland OR: Due to market expansion, we have immediate openings in our Senior Health Insurance Products Division. This is a career agent position, and requires a State Health Insurance License. United Healthcare is a 55 Billion Dollar company, with over 73,000 employees, and over 70 million customers. Named by Fortune Magazine as the most admired Health Insurance Company in the World, United Healthcare truly has a lot to offer. We provide year round marketing and training support, specific to your market. We provide personalized lead support, dedicated training, and ongoing coaching. We also offer a full agent contract, no assignment of commissions, no separate contract to sign, you would be directly appointed with United Healthcare. This means that you own your own book of business. Our exclusive and proprietary marketing campaign is ongoing, and generates leads throughout the year. We do not charge for leads, and we do not charge for supplies. We are exclusive to United Healthcare for Medicare Products. In order to receive our leads, you would need to be exclusive to United Healthcare for these products also. If you are contracted with a competitor, we can still work with you, but we cannot provide leads to you. We are looking for either career agents, who are interested in a year round career opportunity, with leads and ongoing support and resources, or those who are interested in helping their current clients, on a very part time/occasional basis, and who would not want/need lead support as a result. We are open to any reasonable combination of these opportunities as well. Full training is provided, as well as personalized coaching, individual strategy planning, etc. If you don’t currently have e&o insurance, ask us about our complimentary e&o program (no cost). Here are some highlights of the products we offer: – 0 Premium Product – $400 average first year commissions per sale – 12 month advance – 10 year payment cycle (1st year + 9 yr renewals) – No cost lead support – Local training and resources – Local & National Support – Direct Company Appointment – Commissions paid twice weekly – Year Round Opportunity – Ongoing Marketing Support – No Assignment of Commissions – You Own Your Own Book – Agency Opportunities – General Agent Opportunities – Ask us about our Complimentary E&O program This means that if you average 5 sales per week, you can earn up to $100,000 first year in commissions, and $48,000 per year in renewals. At 7 sales per week, you can earn up to $140,000 first year commissions, and $70,000 per year in renewals. After a few years, your renewals could easily exceed your first year commissions, and the good news is that there is no time frame requirement to become vested, and you own your own book of business. We are in the midst of a major marketing campaign, including a variety of ongoing strategic efforts. This is an exciting time for us, and the good news is that if you would like to be part of our success, there is still time to contract. This contract would include AARP Medicare Complete, AARP RX Saver, Secure Horizons, and Evercare Products, as well as the AARP Medicare Supplement Products (including the new modernized plans). This is for a direct appointment, with a full agent contract, and is intended as a career opportunity. Please let us know if you are interested, by email, and we can discuss the opportunity further. Time is of the essence, since contracting and becoming certified to offer these great products takes approximately two weeks, and the busiest season of the year is fast approaching. We are busy year round as well, but we are currently in immediate need of dedicated agents to help us service opportunities during this exceptionally busy time. We are filing limited slots. For immediate consideration, reply to this posting and please include your phone number, and a summary of your experience. We will respond to qualified candidates promptly. If you are primarily interested in marketing to your current clients, and/or professional networking, we can provide ongoing support for your efforts as well. For highly qualified candidates, General Agent opportunities may be available in specific markets. Thank you for your interest in United Healthcare Medicare Solutions, and Secure Horizons. Location: Statewide Compensation: 50,000 to 130,000 First Year Commissions + Renewals Principals only. Recruiters, please don’t contact this job poster. Please, no phone calls about this job! Please do not contact job poster about other services, products or commercial interests.
Source: inportland.info

Process Engineering Manager

You’re empowered to do your best and to be a Strategic Resource! Join us to conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. Support short and long term operational/strategic business activities – by developing, enhancing and maintaining operational information and models. Develop and implement effective/strategic business solutions through research and analysis of data and business processes.
Source: careers.org

Phenytoin Buy Online :: Online Pharmacy, Best Offer

Phenytoin Buy Online Are you ready for the Annual Election Period (AEP) beginning on October 15, 2011? UnitedHealthcare Medicare Solutions is announcing the Phenytoin Buy Online launch of our 2012 certification courses on July 25, 2011. This is a week earlier than previously communicated to allow Phenytoin Buy Online additional time for certification.
Source: osbornassoc.com

VIDEO: Nationally Recognized TV Personality, Maria Antonieta Collins, Explains Medicare Benefits in First of Its Kind Spanish

Easily Stay Informed about what is happening in the Hispanic/Latino world. Hola, my name is Tomás and I am a Hispanic News Leader. Since 2005, I have curated (explored, organized and shared) relevant news creating 1000s of authoritative news reviews that I have also shared in my amazing newsletter. I am one of the very few authentic and trusted voices in the English language Hispanic News niche. My mission and passion has been keeping people easily informed about this incredibly diverse, vibrant and vital group and I have done that for seven years reaching over four million people on this website alone. Resume, About and LinkedIn FOLLOW
Source: hispanictips.com

The Most Suitable Medicare Supplement Insurance

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSHealth care emergencies can come anytime and you should be geared up. The life of your spouse and children is precious and it is your current responsibility to protect them, to take care of them and to ensure that you have all the time at hand when it comes to hospitalization or paying additional hefty medical expenses. The lives all of us lead today tend to be highly stressful, along with you never know when you may need to call upon a doctor to take care of you.
Source: longlivethedj.com

Video: Learn About Medigap Plans

The Most Suitable Medicare Supplement Insurance

Nonetheless you could also check out the other businesses that offer you a supplement medicare insurance insurance as the deal you are certain to get maybe better. You might have made a mistake taking on the first insurance because it failed to cover you completely. Be wise, and check, do your homework, before trusting the agent, check around to see if the insurance you are buying on this occasion is enough to cover all of your medical expenses.
Source: hot4shopping.com

The Most Suitable Medicare Supplement Insurance

However you could also check out the other companies that offer you a supplement medicare health insurance insurance as the deal you is certain to get maybe better. You could have made a mistake dealing with the first insurance because it would not cover you completely. End up being wise, and check, research your options, before trusting your current agent, check around to ascertain if the insurance you are buying these times is enough to cover your entire medical expenses.
Source: seasonscaptured.com

The Most Suitable Medicare Supplement Insurance

Medical emergencies can come whenever you want and you should be prepared. The life of your family members is precious and it is your responsibility to protect these, to take care of them also to ensure that you have all the time at hand when it comes to a hospital stay or paying various other hefty medical charges. The lives we all lead today are generally highly stressful, and you never know when you might need to call upon a doctor to help remedy you.
Source: funclub24.com

Medicare supplemental insurance Blueprints For the Better Health care coverage

Having said that, the Medicare supplemental insurance Blueprints tend to be 100 % implemented in addition to available because of the non-public health care insurance providers for you tend to be an even dozen regular Medicare supplement ideas obtainable. There are a variety connected with healthcare expenses which can be taught in Authentic Medicare programs. Alternatively to say most of the health care pricing is covered by the primary Treatment blueprints but still at this time there continue being many expenses which the Initial Treatment would not go over thus such cases there is a need for the Medicare Supplement Blueprints. It will help the receiver to pay for these costs are not also been integrated under the coverage on the primary Medicare health insurance blueprints. Efforts selection underneath the letter protects Your via L every of them have their own coverage. Nevertheless the rest of the options provide the standard important things about approach Your in addition to T. This plans Any in addition to M are called the basic ideas because these ideas offer benefits just like Original Medicare health insurance.
Source: ezinepr.com

2012 Medicare Open Enrollment Period

You 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

Good News for Medicare Supplement Buyers: Open Enrollment Is Not For You

abuse Advance Directives advantage plans affordable care act baby boomers budget Congressional Budget Office Dan Morhaim donut hole election fraud gap coverage healthcare Health Care healthcare reform Health Care Reform health exchange individual mandate provision Living Wills medicaid medicare medicare advantage medicare benefits medicare budget medicare cuts medicare fraud medicare news medicare politics medicare refor medicare reform medicare supplement medigap obama obamacare part d plans paul ryan Politics News romney Sarah Palin seniors supreme couty tax breaks unitedhealth waste wealthy
Source: medicarewire.com

Medicare Supplement Insurance

When you go out on the net searching for the perfect strategy, that you are probably to land on internet websites that have only 1 target and that may be to collect your individual details. Why do they want to do this? You can find plenty of insurance coverage agency who do not know how to find new company, so naturally, they have to buy leads from somebody who does. Quite a few of those businesses make it look like they are selling medicare supplement insurance, but in reality, they may be only promoting your name and number to a bunch of agents.
Source: aifomd.org

Low cognitive ability impairs enrollment in Medicare supplemental plans

Because traditional Medicare leaves substantial gaps in coverage, many people obtain supplemental coverage to limit their exposure to out-of-pocket costs. However, some Medicare beneficiaries may not be well equipped to navigate the complex supplemental coverage landscape successfully because of their lower cognitive ability or numeracy—that is, the ability to work with numbers. We found that people in the lower third of the cognitive ability and numeracy distributions were at least eleven percentage points less likely than those in the upper third to enroll in a supplemental Medicare insurance plan. This result means that many Medicare beneficiaries do not have the financial protections and other benefits that would be available to them if they were enrolled in a supplemental insurance plan. Our findings suggest that policy makers may want to consider alternatives tailored to these high-need groups, such as enhanced education and enrollment programs, simpler sets of plan choices, or even some type of automatic enrollment with an option to decline coverage.
Source: pnhp.org

Are Medicare Supplemental Insurance Policies Expensive?

As mentioned before, Medicare supplemental insurance policies are acquired through a private financial institution. Therefore, the prices vary from one insurance company to another. Only the prices vary since the coverage is standardized by the federal government. If you are aiming to get a cheaper and Medigap insurance policy, then it is vital that you check as many Medigap insurance providers as you can. It is not rare to find Medigap insurance rates that are almost half of the cost when you compare it to another insurance provider. Since the coverage is standardized, this means that you can get lower priced insurance without sacrificing any kind of coverage. However, prices do vary from one state to another. It is best that you compare insurance rates that are offered in a single state.
Source: seniorcorps.org

The Most Suitable Medicare Supplement Insurance

Health care emergencies can come anytime and you should be geared up. The life of your loved ones is precious and it is your current responsibility to protect all of them, to take care of them and also to ensure that you have all the time at hand when it comes to hospitalization or paying some other hefty medical expenses. The lives all of us lead today are usually highly stressful, along with you never know when you may need to call upon a doctor to take care of you.
Source: welcometocoastcity.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

Maine Sues CMS Seeking Medcaid Cuts Resolution

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&SSThe Associated Press/Houston Chronicle: Maine Sues For Medicaid Waiver The state is suing the federal government for failing to act swiftly on its Aug. 1 waiver request seeking to eliminate Medicaid coverage for more than 20,000 residents, demanding that the federal government either approve the waiver or pay the difference in coverage. The lawsuit was filed Tuesday after the federal Centers for Medicare and Medicaid Services informed the state Friday that it needed more time to review the state’s request. The Republican-controlled Maine Legislature voted to eliminate coverage for parents with incomes between 100 percent and 133 percent of the federal poverty level, along with 19- and 20-year-olds, and seniors and disabled people in the Medicare Savings Program (9/4).
Source: kaiserhealthnews.org

Video: Maine Medicare

AG goes to court to get LePage’s Medicaid cuts approved — Politics — Bangor Daily News — BDN Maine

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

DHHS will wait for federal OK before telling Medicaid recipients they’re losing coverage — Politics — Bangor Daily News — BDN Maine

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

Maine Sues Federal Government to Drop 33,000 Medicaid Eligibles

At issue is the “maintenance of effort” requirement in the Affordable Care Act that requires states keep the exact same Medicaid eligibility levels that were in place in 2010 when the law passed. AG Schneider argues that the Supreme Court ruling on the Affordable Care Act in fact creates the authority for Maine to set its own eligibility and not lose all Medicaid funding.
Source: csg.org

Maine Clashes with Feds Over Medicaid

Access Andrew Cuomo Avik Roy Barack Obama Block Grant Bob McDonnell Cato Institute Costs Costs to the States Cutbacks Dental Care Eligibility Enrollment Final Notice: Medicaid Crisis Flexibility GAO Gary Alexander Grace-Marie Turner Haley Barbour Innovative Ideas Jagadeesh Gokhale John Barrasso John Graham Kaiser Family Foundation Kathleen Sebelius Legislation Medicaid Expansion Medicaid Ghetto Medicaid waiver Michael Cannon MISEA National Center for Policy Analysis Opt Out PPACA Richard Burr Richard Foster Rick Perry Saxby Chambliss SCHIP SCOTUS Studies Texas Texas Public Policy Foundation Tom Coburn Waste Fraud and Abuse
Source: reformmedicaid.org

Maine Hospitals Facing Medicare Penalties

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Source: mpbn.net

Maine Files State Plan Amendment To Implement Medicaid Reductions Enacted by Maine Legislature

In June, the Maine State Legislature approved changes in Maine’s Medicaid program that would eliminate coverage for 19- and 20-year olds, reduce coverage for non-pregnant, non-disabled adults to 100 percent of the Federal Poverty level and impose a 10 percent reduction in the Federal Poverty Level for those enrolled in various categories of the Medicare Savings Plan, which is a Medicaid program for individuals who are dually eligible for Medicaid and Medicare..
Source: themainewire.com

Maine hospitals among 2,211 to be penalized by Medicare for readmissions — Health — Bangor Daily News — BDN Maine

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Source: bangordailynews.com

Paul Krugman on Mitt Romney: An Unserious Man

The first sign of trouble has already surfaced over the issue of Medicare. Mr. Romney, in an attempt to repeat the G.O.P.’s successful “death panels” strategy of the 2010 midterms, has been busily attacking the president for the same Medicare savings that are part of the Ryan plan. And Mr. Ryan’s response when this was pointed out was incredibly lame: he only included those cuts, he says, because the president put them “in the baseline,” whatever that means. Of course, whatever Mr. Ryan’s excuse, the fact is that without those savings his budget becomes even more of a plan to increase, not reduce, the deficit.
Source: maineinsights.com

Health Care Reform Update

Tom Koutsoumpas, TKoutsoumpas@mlstrategies.com Jeremy Rabinovitz, JRabinovitz@mlstrategies.com Alexander Hecht, AHecht@mlstrategies.com Gary Bacher, GEBacher@mintz.com Kevin M. Kappel, KMKappel@mlstrategies.com Robert C. Skinner, RCSkinner@mlstrategies.com Joshua Booth, JBooth@mintz.com ML Strategies, LLC 701 Pennsylvania Avenue, N.W. Washington, D.C. 20004 USA 202 434 7300 202 434 7400 fax www.mlstrategies.com www.mlstrategies.com HEALTH CARE REFORM UPDATE September 4, 2012 Implementation of the Affordable Care Act (ACA) On August 31st the IRS released guidance to help employers determine whether employees count as full-time employees for purposes of the ACA’s employer shared responsibility provisions. The guidance document can be found here. On August 31st the Centers for Medicare and Medicaid Services (CMS) sent a letter to Maine Governor Paul LePage stating that it would need more time to consider Maine’s proposed cuts in eligibility for its Medicaid program. Maine had previously requested that it be allowed to cut eligibility in its Medicaid program, in spite of ACA “maintenance of effort” rules prohibiting states from scaling back eligibility. Maine has argued that the Supreme Court’s June decision making the Medicaid expansion optional for states also makes the maintenance of effort provisions optional. CMS has not clearly indicated whether it agrees with Maine’s interpretation. News coverage can be found here. On August 31st CMS announced that it would be providing more than $160 million in loans to two organizations that intend to create Consumer Operated and Oriented Plans (CO-OPs) in Massachusetts and Tennessee. The loans are part of the ACA’s CO-OP program, which encourages the creation of such plans. A press release can be seen here. News coverage can be found here. On August 30th CMS released an amendment to regulations clarifying that children of illegal immigrants who are exempted from deportation under a policy announced by the Obama Administration are not eligible to participate in the ACA’s Pre-existing Condition Insurance Plan or in health insurance exchanges. The rule can be found here. Other HHS and Federal Regulatory Initiatives On August 29th the Department of Health and Human Services (HHS) announced almost $50 million in new funding to improve the public health workforce, including funding for centers that train public September 4, 2012 Page 2 www.mlstrategies.com health workers and funding for fellowships within state and local health departments. A press release can be found here. On August 31st the White House issued an executive order to expand suicide prevention services and mental health and substance abuse treatment for veterans, service members, and their families. The executive order can be seen here. A White House press release can be seen here. Other Congressional and State Initiatives On August 27th Rep. Henry Waxman (D-CA), Ranking Member of the House Energy & Commerce Committee, sent a letter to the FDA calling attention to a CDC report finding that the recent decrease in cigarette smoking by young people is largely offset by an increase in cigar smoking. Rep. Waxman asserts that tobacco companies have been taking advantage of regulatory loopholes to promote cigar smoking, and urges the FDA to take action to prevent this. The letter can be read here. Other Health Care News On August 27th Towers Watson released a survey on employer-provided health care. The survey finds that employers are facing rising costs in health care and shifting a greater percentage of premiums to employees. However, few employers -less than 3 percent -stated they were likely to cease offering coverage in 2014. The report can be found here. On August 29th the Robert Woods Johnson Foundation released a study finding that, between 2008 and 2010, the number of children enrolled in Medicaid and the CHIP increased by 5.6 percent. Overall, while the number of uninsured adults increased during the period, the number of uninsured children actually decreased—from 9.7 percent to 8.5 percent. The report can be found here. On August 28th at the Republican National Convention, the GOP adopted its party platform. The platform calls for repealing the ACA and adopting Rep. Paul Ryan’s (R-WI) plans on Medicare and Medicaid. A summary of news coverage on the platform can be seen here. The platform can be seen here. On August 29th Health Affairs published a study finding that comparing “amenable mortality”—the rate of deaths that could be avoided with timely and appropriate health care—in the U.S. and several European countries. The study finds that, while all of the countries studied had made progress in reducing amenable mortality over the past decade, the U.S. lagged behind the European countries. A Health Affairs post describing the study can be found here. Hearings & Mark-ups Scheduled Both the Senate and the House of Representatives are in recess until September 10, 2012.
Source: jdsupra.com

Maine Writer: Medicare Voucher

“If the Medicare Voucher program proposed is anything like the Medicare Plan D for drugs, it will be a disaster.” The reason Jacques says this is because the Plan D started at $6/month for every company and the plans were identical. Now, the plans cost from $30-60/month and have many options, like no deductible, no co-pays, no doughnut hole, … To get the cheapest plan, he needs to go to the Medicare website every November and see which is the cheapest for him and his wife, given their drug mix. Every year, a new company comes up with a plan cheaper that all the others, sometimes by a factor of two to three. Each year there’s another “lowest” plan; he never knows which will be the best plan from one year to the next. He changed plans three times in four years. And sometimes, the best one for Jacques is not the best one for his wife. The drug companies hope beneficiaries won’t do their homework and will stick with the same plan for another year, without realizing that the price changed. It’s a mess, but, he says, still manageable and he only needs to contact one pharmacy with his new plan information. “If I had to go through this exercise every year for my Medicare and supplemental plan, I would go crazy, picking the cheapest one every year, and come January, I have to contact all our doctors, clinics, hospitals, with our new plan information, not to mention the problems resulting with illnesses that overlap multiple plans. This would be a nightmare.” In fact, Jacques, who has a PhD in astrophysics, is absolutely correct.
Source: blogspot.com

Why Maine should NOT expand Medicaid under Obamacare

Medicaid is a joint federal and State funded program.  The courts have previously ruled that the federal government can condition the funds provided to the States for Medicaid regarding how those funds can be utilized.  However, the Supreme Court found that the Medicaid expansion under Obamacare violated the Constitution by threatening States with the loss of their existing Medicaid funding if they decline to comply with the expansion.  In short, new federal funds for Medicaid can be conditioned on the states expanding eligibility as directed under the ACA, but existing Medicaid funding cannot be pulled should states choose not to comply with the expansion.[3]
Source: mainepolicy.org

MEDICARE AND SOCIAL SECURITY KEEP ELDERLY OUT OF POVERTY

Posted by:  :  Category: Medicare

Running Amok Again by elycefelizIn Florida, where legions of retirees are so important to election outcomes, voters from seniors to young people express strong feelings about the future of Medicare. The debate is playing out in the presidential campaign as well as House and Senate races that will help determine the balance of power on Capitol Hill.
Source: msbcollege.edu

Video: Minnesota Seniors to Cravaack: Cut Cake, Not Medicare

Minnesota Medicaid, Medicare fraught with overspending

The U.S. House of Representatives Committee on Oversight and Government Reform found that the state used an accounting trick in order to leverage federal reimbursement of state Medicaid spending as far back as 2010: “The state was intentionally lowering the rates paid to the managed care companies for plans outside the Medicaid program and increasing the rates within the Medicaid managed care program,” a House staff report reads.
Source: dailycaller.com

Romney and Obama now fight for edge on Medicare

Romney and the White House also condemned a new round of anti-Israel remarks by Iranian President Mahmoud Ahmadinejad. Romney told 80 people at a fundraiser overlooking the Long Island Sound: "Ahmadinejad of Iran made another series of vile statements about Israel, and excising Israel from the body of humanity, and so forth. And you recognize how critical it is to have leadership that describes precisely what it believes, describes what actions it’s willing to take, and stands for something."
Source: publicradio.org

Obama vs. Romney Medicare Plans

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

Bachmann Calls For Federal Audit Of Minnesota Medicaid Program

Minnesota Public Radio: Bachmann Wants Independent Audit Of State’s Medicaid Program Michele Bachmann is stepping up her campaign for federal officials to take a deeper look at how Minnesota’s Medicaid managed care plans operate. Later today, the Minnesota Republican congresswoman will send a letter to Marilyn Tavenner, the head of the Center for Medicare and Medicaid Services, asking that the federal government conduct an independent, third-party audit of Minnesota’s management of the federal-state health care program for the poor. Bachmann’s request comes after a House hearing in April that paid particular attention to Minnesota’s contracts with nonprofit managed care organizations and UCare’s $30 million payment to the state in 2011 (Neely, 6/7).
Source: kaiserhealthnews.org

Top DHS officials leaving agency

The allegations of mishandling federal funds appear to be spurred by ongoing questions surrounding UCare’s decision last year to return $30 million in Medicaid funds to the state in order to help solve the state’s budget deficit. UCare is another of the four main HMOs that contract with the state to deliver Medicaid coverage to roughly 600,000 low-income individuals. In a letter to Sen. David Hann, R-Eden Prairie, chair of the Health and Human Services Committee, in March, 2011,UCare President Nancy Feldman explained the nonprofit group’s rationale for making the unprecedented contribution. “Historically, DHS rates set for General Assistance Medical Care resulted in health plan losses which were offset by higher Medical Assistance payments,” Feldman wrote. (“Medical Assistance” is the name of Minnesota’s Medicaid program.) “When GAMC moved out of managed care in mid-year 2010, Medical Assistance rates were not lowered to reflect this overpayment.”
Source: politicsinminnesota.com

People with Medicare save over $4.1 billion on prescription drugs

The health care law also makes it easier for people with Medicare to stay healthy. Prior to 2011, people with Medicare had to pay extra for many preventive health services. These costs made it difficult for people to get the health care they needed. For example, before the health care law passed, a person with Medicare could pay as much as $160 for a colorectal cancer screening.  Thanks to the Affordable Care Act, many preventive services are offered free of charge to beneficiaries, with no deductible or co-pay, so that cost is no longer a barrier for seniors who want to stay healthy and treat problems early.
Source: hometownsource.com

GAO: Feds lose $80M looking for Medicaid fraud

The audits relied on Medicaid data that was often missing basic information, such as beneficiary’s names or addresses and provider ID numbers, experts testified during a Senate hearing Thursday. The federal government doesn’t share the names of potential criminals in the Medicare fraud program with states. That means state officials can’t check to see if those providers are enrolled in the Medicaid program. States also do not have a uniform technology system to share data.
Source: publicradio.org