Who Put Me In Charge Of These People???: Things I Love (?) Thursday

Posted by:  :  Category: Medicare

Normally I would be posting about things I love. Today is not one of those days. My mom and dad purchased a Magic Jack about 2 years ago and sang its praises. They had the kind that plugs into your computer, so the only problem they had was when the computer got shut down or the power went off, then they’d need to start the MJ back up. But other than that, they loved it. I took their advice and I purchased a Magic Jack Plus in January. The MJPlus doesn’t require a computer – you just need high speed internet and a router and plug the device into that. For the most part, I’ve loved it. I paid $70 for the device from Walmart, which included my first year’s subscription ($20). The instructions were easy to follow and I had a home phone set up via my internet router in a matter of minutes. Easy peasy lemon squeezy! I also decided to purchase the additional extended warranty. For just $1, my warranty was extended to a full year. I’m glad I did, because the AC adapter for the device crapped out and I had to get a new one. Thankfully they are sending me a new one at no charge. Since January, I’ve been calling numbers all around Wisconsin and the United States with no problems. I loved the voice mail, I loved that it was free. I thought this was an amazing money-saver. Then, suddenly, last week I could no longer make calls within the area of my local phone carrier. So, calls to my husband’s work and to Sally’s preschool would not go through. I was given the option of purchasing a prepaid calling card to make these calls. That didn’t make sense to me, since I’d always been able to make the calls before. Never had a problem until last week. I googled it. That’s my answer for everything. I found some very technical info about “carrier termination charges” and “IPEC carriers” etc. I called my internet provider and asked them about it. They were well-versed with Magic Jack and said they’d made no changes, made no restrictions to calls, made no termination agreement changes or restrictions or anything like that. So I got on with Magic Jack customer service. In case you care, here’s the conversation: You are now chatting with ‘Jenna’
Source: texanmama.com

Video: Big Country

Pretty When She Kills by Rhiannon Frater tour

Therefore, it’s not very surprising that my books take place in my home state. I love the geographical and cultural diversity of the state. Plus, Texas is huge and there are plenty of regions to explore from South Texas to the Panhandle. At my former job as a governmental consultant, I drove from one end of the state to the other. I interacted with thousands of people and enjoyed the regional differences in each area of the state from the local accent, food, and culture. One of the things I enjoyed about writing the first book, PRETTY WHEN SHE DIES, was taking my character from East Texas to West Texas and then down in Central Texas. I also enjoyed touching on the various cultural groups in Texas from Amaliya’s Mexican-American grandmother to her redneck family and pretty much everything in between.
Source: frellathon.com

[High Value!] $2/1 Purex Target Store Coupon

Purex Plus Oxi (146-oz) $8.99 – $2/1 Purex Laundry Detergent, Purex with Zout  Stain Remover or Purex Plus Oxi Plus Target Printable Coupon AND – $1/1 Purex Big Value Size Coupon (8/19 RP) = $5.99
Source: thriftytexan.com

Vegan & A New Texan: Burgers!

Finally, a homemade vegan burger that held together really well. These burgers are from Chloe’s Kitchen. They contained steamed tempeh, cooked lentils, and walnuts, which are processed in the food processor. I made my lentils in the rice cooker to save time using this forum post as a guideline. These actually held together when I flipped them in the pan, plus running the ingredients through the food processor made that possible. I’ve made other lentil burgers that ended up being lentil hash on a bun. I wish I had thought about using the food processor on those days. The recipe also has a “special sauce” using silken tofu, fresh dill, pickle relish, ketchup, and mustard. Pretty easy to blend together and serve a little with each burgers. I never liked the sauces at fast food places, but it was a nice change from ketchup. I served these with sweet potato fries and peas (not pictured, they were in the microwave).
Source: blogspot.com

'''Medicare Part D

Posted by:  :  Category: Medicare

3.27.06 Los Angeles Times 1 by Korean Resource Center 민족학교If you fail to buy Medicare Part D when first eligible you will be charged a TAX by the U.S. Treassury and this tax is payable for life. Termed a late enrollment penalty (LEP) it is a tax surcharge equal to 1% per month for every month you couild have enrolled in a PDP (prescription drug plan) but failed to do so.
Source: georgia-medicareplans.com

Video: Medicare Part D and Prescription Drugs

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

Shingles Vaccinations Not Covered For Some Medicare Beneficiaries

A. Shingles is a painful rash caused by a virus that can lead to long-term nerve damage called postherpetic neuralgia. All Medicare Part D prescription drug plans cover the shingles vaccine, which is recommended by the Centers for Disease Control and Prevention for people age 60 and older. But Medigap plans, which may cover the deductible and coinsurance amounts for services provided under Medicare Parts A and B (hospitalization and outpatient care), don’t offer any financial help on the co-payments for vaccines and other drugs covered under Part D.
Source: kaiserhealthnews.org

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

What are the Effects of Repealing ObamaCare for Medicare Solvency and Its Impact on Beneficiaries?

In summary, the Medicare provisions of the ACA played an important role in putting Medicare on stronger financial footing, while offsetting some of the cost of the coverage expansions of the ACA and also providing additional benefits to people on Medicare.  These savings were achieved primarily by reducing payments to providers (such as hospitals and skilled nursing facilities) and Medicare Advantage plans.  As a result of these changes, Medicare spending per beneficiary is projected to grow more slowly than private health insurance spending per capita over the next decade; premiums and cost-sharing for many Medicare-covered services are lower than what they would be without the ACA; delivery system reforms are being developed and tested; and the Medicare HI Trust Fund has gained additional years of solvency.  Some have argued that the Medicare savings in the ACA may come at the price of reductions in access to care in the future, while others believe the ACA will leverage greater efficiencies without necessarily creating access concerns.  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.
Source: decisionsonevidence.com

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

Patient Assistance Programs In Place Of Medicare Part D

The process requires filling out forms, proving your income (or lack there of) and your doctor signing the form and submitting a prescription. The process can take several months for your medication to be approved and shipped to you. You will also have to reapply periodically; how often you must reapply depends on the policies of that medication company. There is a group in Utah who specializes in filling out the paperwork for you for a small fee.
Source: anxiety.li

Learn About Medicare Part D Enrollment at Senior Center’s Free Seminar

Hi! My name is Mitchelle Stephenson, and I love covering my community. Most recently, I was the founding Local Editor of Edgewater Patch (2010-2012). Prior to that, I was a staff writer and columnist at The Capital (2007-2010). I love meeting new people and telling their stories. If you have something you’d like to share with The Source, shoot me an email or call me (410-353-4706). I hope that together we can build a south county news site that brings people together and is useful to both businesses and consumers.
Source: southriversource.com

Medicare Part D premium to remain unchanged in 2013

Joseph S. Karp is a Florida Bar Certified and Nationally Certified Elder Law Attorney focusing on Elder Law, Probate, Estate Planning, Asset Protection, Special Needs Planning and Estate Litigation. He is AV rated by Martindale Hubbell. Mr. Karp is the founder of The Karp Law Firm, a South Florida law firm with offices in Palm Beach Gardens, Boynton Beach and St. Lucie, Florida.  Mr. Karp was named a 2011 SuperLawyer by SuperLawyer Magazine and a member of the 2011 Florida Legal Elite by Florida Trend Magazine. He is admitted to practice law in New York as well as Florida. Visit Mr. Karp’s Florida Elder Law and Estate Planning website. 
Source: lexisnexis.com

Florida Elder Law and Estate Planning: Medicare Part D premium to remain unchanged in 2013

The Center for Medicare and Medicaid Services has also announced that since the establishment of the Affordable Care Act, seniors and the disabled collecting Medicare benefits have saved nearly $4billion in prescription drug costs. In 2012, beneficiaries in the “doughnut hole” saved 50% on brand-name prescription drugs and 14% on generic prescription drugs. Under the law, the doughnut hole will gradually decrease through 2020, when the coverage gap disappears entirely.
Source: blogspot.com

Court Denies Maine Medicaid Lawsuit, Says To Give CMS Time To Rule On Cuts

Posted by:  :  Category: Medicare

Christiana Care Kicks off Participation in Home Care Program by Christiana CareKansas Health Institute News: Provider Groups Nervous About Lack Of KanCare Details Administration officials and insurance company representatives assured a legislative committee today that KanCare should be ready to launch as planned on Jan. 1, pending federal approvals. But spokespersons for hospitals, nursing homes and other Medicaid providers told members of the Joint Budget Committee that they were growing increasingly alarmed about the lack of operational details and remaining unanswered questions about how Gov. Sam Brownback’s anticipated Medicaid system makeover is expected to work. “We are increasingly anxious about the lack of specific answers concerning how KanCare will actually operate,” said Rachel Monger of Leading Age Kansas, an association of the state’s nonprofit nursing homes that was generally supportive of KanCare after the initiative was announced in November 2011 (Shields, 9/13).
Source: kaiserhealthnews.org

Video: Medicaid, Nursing Homes and Asset Protection

Nothing found for 2012 Senior

With our system you can generate your own Detailed Reverse Mortgage Quote as accurate as the information that you provide. You will then be emailed your quote by a qualified Legacy Reverse Mortgage Professional.
Source: legacyreversemortgage.com

Shopping for a Nursing Home? There's a Tool for That

Because Nursing Home Inspect lets you search (by state and city, by deficiency, by facility name, by keywords), it’s particularly valuable for regulators or reporters seeking patterns and trends. But it also makes it simpler for an individual like me to see that the temperature in the walk-in freezer at my father’s place was too high, so that frozen food felt soft to the touch. Among other kitchen/dining room issues, the inspector found charred “debris” in the ovens and a missing ceiling tile in a storeroom.
Source: nytimes.com

Medicare Studying Payment to Nursing Homes Based On Quality

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

Clinton’s Medicaid Attack

Republicans have promised to hold harmless from Medicare changes everyone under age 55, assuring high-voting senior citizens that they have nothing to fear from Republican budget plans. But while Medicare is left alone until 2023, Medicaid is immediately subject to very large cuts. Many of us may think of Medicaid as above all a program for the poor. It is also, however, increasingly the way in which America pays for nursing home care — and indeed nursing care is the fastest-growing part of Medicaid. Very large and immediate Medicaid cuts draw a large early question mark over the future of nursing care — not just for those now under 55, but for the current elderly.
Source: thedailybeast.com

NY Times: With Medicaid, Long

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

Medicare Helps People With Chronic Conditions Stay Home

Unknown to most people with Medicare, and contrary to what is often stated by the Centers for Medicare & Medicaid Services (CMS), the Medicare home health benefit can provide long term coverage for those who qualify. This webinar will help advocates understand the potential of this important coverage so that people with long-term and chronic conditions can obtain the nursing, therapy and home health aide care they need to remain at home. The presenters will explain:
Source: cmahealthpolicy.com

Medicare Premiums for 2013

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyThat’s right, the Department of Health and Human Services issued its estimate not long ago, and Businessweek reported it in an article titled “Medicare Drug Plan Premiums to Stay at $30 in Coming Year.” Indeed, according to the estimate and bids from private insurers, the premiums for Medicare drug plans are expected to hold steady at the $30 average where they stand today.
Source: idahoestateplanning.com

Video: Idaho Medicare Supplements

Idaho Medicare Insurance Plans

The Idaho Medicare Insurance plan is a state federal health insurance program. This is provided to those who are of 65 years and above. There can also be exceptions that can apply for the Medicare Insurance such as those receiving SSDI benefits or have kidney problems. This is a social insurance program that ensures that no medical debt is incurred. There is also protection incurred towards any medical expenses. This is also protective in most areas that private insurers are not.
Source: medicareidaho.com

Ryan Brands Himself ‘Gen X’ While Pitching Medicare

(SPRINGFIELD, Mo.) — Paul Ryan is only 42, the same age as Mitt Romney’s eldest son Tagg, and in an interview Thursday he tried to sell and explain his Medicare plan by mentioning that fact. “Well, Larry, as you know, I’m in the under 55 generation, from the X-generation,” Ryan told CNBC’s Larry Kudlow in excerpts released early from an interview to air Thursday evening. Kudlow asked Ryan about younger people not liking his signature health care plan because although it doesn’t touch Medicare for those over 55 it does overhaul it for those younger than 55. Ryan has said it’s the only way to save the program from bankruptcy, but Democrats say seniors could end up paying thousands more. “The proposals we’re advancing are bipartisan proposals,” Ryan said. “It has bipartisan support in Congress today. It’s an idea that came from Bill Clinton’s 1999 commission to save Medicare. And it’s an idea that says you get a list of guaranteed coverage options… You choose among these competing plans, including traditional Medicare, for your comprehensive Medicare benefit. And then Medicare subsidizes your premiums based on who you are — less for the wealthy, more for the middle income person, and total coverage for those who are low-income and sick. This is choice and competition.” Ryan also previewed his convention speech for Kudlow: “We believe we owe the country an alternative to the path the president has put us on. It’s a nation in debt, in doubt, and decline. We want to get back to the American idea that opportunity society with a safety net, a society of growth, of opportunity, of upper mobility. And I want to spell out exactly what that means, what the American idea is, and how we plan to retrieve that and get us back on the right track,” Ryan said. Copyright 2012 ABC News Radio
Source: eastidahonews.com

The Takeaway: Automatic Budget Cuts Will Reduce Medicare Payments To Doctors, Providers By $11 Billion

Lawmakers could still act to stop the cuts if they think doing so is in their best interests. In order to avoid a government shutdown in the middle of election season, party leaders in both chambers just cut a deal to prevent the government from running out of money when the fiscal year ends in September. The House voted yesterday to approve the six-month package and the Senate is expected to send it to Obama next week.
Source: aarp.org

Idaho Has Several Parts to its Medicaid Plan

The Basic Benchmark plan gives you all that, plus coverage for dental, vision, basic mental health, therapies, prosthetics / orthotics, durable medical equipment and supplies, and school based services. The Enhanced Benchmark plan gives you all of that coverage, plus private duty nursing, ICF/ID, expanded mental health clinic, psychosocial rehabilitation, and more.
Source: families.com

DisAbility Rights Idaho Blog: Idaho Medicaid Managed Care Proposal

The PMPM method does not by itself provide incentives for effective DD supports services or treatment. The goal of these supports is to increase the capacity of the person for self determination, independence and community integration. The success of such services is not measured by their physical health status or need for more expensive medical treatment. Short of institutional placement, there is no consequence to the MCO for providing inadequate or ineffective services and supports. Placement in a state facility like SWITC would even be a net savings to the MCO and for certain individuals ICF/ID placement could be a savings over a robust and effective community supports plan. To be effective, there must be a strong incentive to provide effective developmental services and supports. This can only be accomplished with a robust and accurate quality assurance system and well designed incentives to meet the expectations of that system. We are not aware of any examples of such a system. Traditional health insurance plans do not have expertise or experience with these services.
Source: blogspot.com

Connecticut Nursing Jobs: Health Navigator (NR12

Posted by:  :  Category: Medicare

Further informations about this occupation opportunity kindly read the description below. Reports to: Supervisor, Medicare Case Mgmt UnitFLSA: ExemptManages: NonePurpose: Provides telephonic health navigation services to high-risk dual eligible members enrolled in ConnectiCare’s Medicare Advantage products. Navigator services include Care Transition Interventions, appointment scheduling, transportation coordination, telephonic outreach, dissemination of educational messages, and linkage to internal and external/community resources. Works directly with members, caregivers and other health care delivery system entities, and communicates with physicians and nursing staff to enhance the coordination of care for members.KEY ACCOUNTABILITIES:1. Independently completes designated call outreach to Medicare beneficiaries for the purpose of program introduction, health screening, psychosocial assessment, functional assessment, health coaching and/or triage.2. Expected to manage a flexible work schedule in order to meet the needs of beneficiary and to optimize reach rates.3. Utilizes good judgment and discretion in referring cases to a Nurse Case Manager, Social Work Case Manager and/or Pharmacist when appropriate.4. Enters and maintains critical data in ConnectiCare case management/ physician office electronic medical record systems meeting defined timeframes and performance standards.5. Provides Care Transition Interventions including discharge plan review, medication review, ensures post-discharge appointment with PCP or specialist, assists with scheduling needed tests, arranges for transportation identifies early warning signs for re-hospitalization and creates a plan of action with member, and links member to internal and external resources6. Identifies all HEDIS measures for which the member is eligible, determines if member is already compliant and if works with the member to achieve HEDIS compliance for all eligible measures7. Identifies chronic conditions that have not been diagnosed and documented in the calendar year and works with PCP to ensure member has a PCP visit and the conditions are appropriately captured. Actively collaborates with medical group physicians and nursing staff as well as other ConnectiCare case managers and navigators.8. Actively collaborates with medical group physicians and nursing staff as well as other ConnectiCare case managers and navigators.9. Performs other related projects and duties as assigned. 1. At least 3 – 5 years experience in a managed care setting with familiarity with care coordination is required. Experience in discharge planning, care transition interventions, HEDIS measures and HCC coding preferred is desirable.2. Excellent oral and written communication, organizational, and interpersonal skills required.3. Previous system user experience in a highly automated environment and strong personal computer literacy on Windows products required.4. Demonstrated ability to work independently and effectively offsite, and to prioritize multiple tasks required.5. Experience with coordination of internal and external/community resources preferred6. Bilingual in English/Spanish or English/Polish preferredCOMPETENCIES:1. Member and Customer Focus: Recognizes that members and customers (internal & external) are the driving force behind every business activity. Continuously makes an effort to exceed the expectations of members and customers.2. Quality Orientation: Assumes responsibility for providing the highest level of quality to members and customers.3. Innovation: The ability to see opportunities for change, to capitalize on them and implement them when appropriate for the benefit of ConnectiCare.4. Communication: The ability to communicate with clarity both orally and in writing.5. Teamwork: Demonstrates enthusiasm for the mission of ConnectiCare and inspires the same in others.6. Results Orientation: The ability to break a complex problem down into its component parts and arrive at the appropriate solution in a timely fashion.7. Change Mastery: Embraces change.8. Learning Orientation: Assumes responsibility for personal and professional development.ConnectiCare is an equal opportunity employer. M/F/D/V – . If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to ConnectiCare Inc..
Source: blogspot.com

Video: ConnectiCare Television Commercial — “You Know Us By Heart”

Take Time to Get a Flu Vaccine: Protect Yourself and Your Family

While flu is very unpredictable and varies each season, flu activity can begin as early as October and continue as late as May. Getting an annual flu vaccination is the most important step in preventing the flu and it complications. The Centers for Disease Control (CDC) recommend that everyone six (6) months of age and older should get their seasonal flu vaccine as soon as it becomes available in their community. Even healthy children and adults can become very ill from the flu. Flu vaccine is available at a variety of venues. Getting a vaccine is now more convenient than ever before. In New Britain, vaccines are already available at the Health Department, local physicians’ offices, clinics, retail pharmacies as well as grocery stores.
Source: nbcityjournal.com

Aetna, ConnectiCare Push Collaborations With Health Providers In Private Medicare Plans

Treatment of some Medicare patients presents unique challenges, the insurers say. Patients who require more than basic care often have several doctors or other points of contact in the medical care system, which means coordinating treatments can be more difficult. For instance: ConnectiCare said a typical Medicare patient sees more than seven doctors in a year and uses nine different medications, so a key piece of its pilot program will be identifying high-risk patients and providing data to help coordinate their care.
Source: courant.com

Connecticare Sets The Stage For Fun In 2010

PRLog (Press Release) – May 25, 2010 – Inspired by timeless adages such as “Laughter is the Best Medicine” and “An Active Mind is a Healthy Mind,” ConnectiCare has created the 2010 “Setting the Stage” program for its VIP Medicare members. The program will provide free admission to events such as trivia game shows, dance classes, museums, movies, comedy shows and more to give members incentive to stay active and healthy. “Our ‘Setting the Stage’ program will provide free admission to a number of fun events around the state for our VIP Medicare members. It’s a great way to help keep our members feeling vital, fit and always smiling,,” says Tony Tedeschi, Director of Medicare Program Management with ConnectiCare. “Additionally, we are hosting four trivia competitions at locations around the state to see who knows the most about the 1950s through the 1980s. The top three contestants will advance to a final challenge in September in Cromwell hosted by Scot Haney of WFSB TV 3 and Better Connecticut, where the top finisher will be crowned the ‘Know it by Heart’ trivia king or queen. It should be lots of fun and an event-filled summer for all of our members.” Details about all of the ConnectiCare VIP Member exclusive events can be found on ConnectiCare’
Source: prlog.org

Connecticare Health Insurance

Connecticare Health Insurance is founded over 24 years and is dedicated to giving all healthcare services and coverage which are truly based on health needs of the customers. This company is known to almost every person because of its proficient customer services, professional working system and also one of their best services i.e. disease-management program which is specially designed to help those people who are suffering from chronicle illness. Numerous doctors from Hartford Hospital founded this company and it is rated also on top most HMO’s. Since then time period, Connecticare has expanded in a company with more than 500 employees and helping more than million of members in Western Massachusetts, Connecticut and other parts of New York.
Source: insurancedays.com

ConnectiCare Enters Medicare Advantage Market

Consumers looking for a Medicare Advantage product will find many options to match their health insurance needs from ConnectiCare. Individuals, who enroll in our Medicare Advantage plans, will receive all the benefits of original Medicare plus benefits such as disease management programs, health and wellness support, limited dental benefits and more.
Source: wordpress.com

Is That Pack Causing a Pain in the Back?

If you or your child is experiencing backpack-related discomfort, and would like more information on how physical and/or occupational therapy can help, please contact any one of the locations listed below. We would be happy to answer your questions regarding services at ECHN or to schedule an appointment. Please note that ECHN’s physical therapy services are covered by Medicare, Medicaid, CIGNA, Blue Cross, ConnectiCare, Aetna, and other carriers.
Source: patch.com

Flu shots available Tuesday in Fairfield

Insurance plans accepted for flu shots and/or pneumonia shots include: Aetna, Medicare Part B; Connecticare — commercial plans and Medicare Advantage plans; Anthem Blue Cross and Blue Shield — commercial plans and Medicare Advantage Plans. Without that specific insurance coverage plans, the cost for the flu shot is $25 and for the pneumonia vaccine it is $45. People getting inoculations should bring their insurance cards to the clinic.
Source: ctnews.com

Emdeon Current: New Payer Transactions

Claims Management Services, Payer ID: 39141 Clarian Health Plans Inc., Payer ID: 95444 Connecticare – Medicare, Payer ID: 78375 CoreSource Little Rock, Payer ID: 75136 DiaTri LLC, Payer ID: 36439 Employee Benefit Systems, Payer ID: 42149 Fallon Community Health Plan, Payer ID: 22254 GHI – Medicare Private Fee for Service, Payer ID: 22937 GHI – New York (Group Health Inc.), Payer ID: 13551 GHI HMO, Payer ID: 25531 Geisinger Health Plan, Payer ID: 75273 Group Health Cooperative of South Central Wisconsin, Payer ID: 39167 Group Health Inc., Payer ID: 22937 HIP – Health Insurance Plan of Greater New York, Payer ID: 55247 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas), Payer ID: 62061 Harvard Pilgrim Health Care, Payer ID: 4271 ISLAND HOME INSURANCE COMPANY, Payer ID: IU Medical Group Primary Care, Payer ID: SX172 Integra Group, Payer ID: 31127 LIFE Pittsburgh, Payer ID: 25181 Landmark Healthcare Inc, Payer ID: LNDMK MED PAY, Payer ID: 88058 MEDICA HEALTH CARE PLAN INC., Payer ID: 78857 March Vision Care Inc., Payer ID: Call Meritain Health / Agency Services, Payer ID: 64158 Meritain Health/North American Administrators, Payer ID: 64157 Metropolitan Health Plan, Payer ID: 10850 Montefiore Contract Management Organization, Payer ID: 13174 Network Health, Payer ID: 4332 Network Health Insurance Corp-Medicare, Payer ID: 77076 North American Administrators Inc., Payer ID: 64157 North American Health Plan, Payer ID: 64157 North American Preferred, Payer ID: 64157 Northstar Advantage, Payer ID: 60058 ODS Health Plan, Payer ID: 13350 PacificSource Health Plans, Payer ID: 93029 Paragon Benefits Inc., Payer ID: 58174 Prism-First Health, Payer ID: 37303 Screen Actors Guild, Payer ID: 99289 Touchstone Health PSO, Payer ID: 23856 Trellis Health Partners, Payer ID: 36397 Vytra Healthcare, Payer ID: 22264 Weyco Inc., Payer ID: 38232 Wisconsin Department of Corrections, Payer ID: 74101 Anthem Blue Cross, Payer ID: 47198 Associated Benefits, Payer ID: 50266 Blue Cross Blue Shield of New Mexico, Payer ID: SB790 Blue Cross Blue Shield of Oklahoma, Payer ID: SB840 Illinois Medicaid, Payer ID: SKIL0 Nebraska Medicaid, Payer ID: SKNE0 New Hampshire Medicaid, Payer ID: SKNH0 Eligibility Inquiry and Response Ameritas Group, Payer ID: AMERITAS Ameritas Life Insurance Company, Payer ID: 425 CoreSource – FMH, Payer ID: CORSE00204 CoreSource – FMH, Payer ID: CRSKC CoreSource – Little Rock, Payer ID: CORSE00205 CoreSource Little Rock, Payer ID: CRSAR Coresource – FMH, Payer ID: 204 Coresource Little Rock, Payer ID: 205 First Ameritas of New York, Payer ID: 426 First Ameritas of New York, Payer ID: AMTAS00426 First Reliance Standard Life Ins Co., Payer ID: 428 First Reliance Standard Life Insurance Company, Payer ID: AMTAS428 MMSI, Payer ID: 85 MMSI, Payer ID: MMSI Medica, Payer ID: 404 Medica, Payer ID: MEDIC Medical Mutual of Ohio, Payer ID: 211 Medical Mutual of Ohio, Payer ID: MMO00211 Nippon Life Benefits, Payer ID: NIPON Peoples Health, Payer ID: PPLSH Reliance Standard Life Insurance Company, Payer ID: 427 Reliance Standard Life Insurance Company, Payer ID: AMTAS00427 SAMBA Health Benefit Plan, Payer ID: SAMBA Standard Insurance Company, Payer ID: 429 Standard Insurance Company, Payer ID: AMTAS00429 Standard Life Insurance Company of New York, Payer ID: 430 Standard Life Insurance Company of New York, Payer ID: AMTAS00430 ameritas, Payer ID: AMTAS00425 Blue Cross Blue Shield of Pennsylvania (Highmark), Payer ID: BCPAC Blue Cross Blue Shield of Pennsylvania – Highmark, Payer ID: 440 Mountain State, Payer ID: MTNST Affinity Health Plan, Payer ID: AFNTY New Jersey Medicaid, Payer ID: AID19 New Jersy Medicaid, Payer ID: NJ South Dakota Medicaid, Payer ID: AID28 South Dakota Medicaid, Payer ID: SD Claim Status And Response: Ameritas Group, Payer ID: AMERITAS Ameritas Life Insurance Company, Payer ID: 425 CoreSource – FMH, Payer ID: CORSE00204 CoreSource – FMH, Payer ID: CRSKC CoreSource – Little Rock, Payer ID: CORSE00205 CoreSource Little Rock, Payer ID: CRSAR Coresource – FMH, Payer ID: 204 Coresource Little Rock, Payer ID: 205 First Ameritas of New York, Payer ID: 426 First Ameritas of New York, Payer ID: AMTAS00426 First Reliance Standard Life Ins Co., Payer ID: 428 First Reliance Standard Life Insurance Company, Payer ID: AMTAS428 MMSI, Payer ID: 85 MMSI, Payer ID: MMSI Medica, Payer ID: 404 Medica, Payer ID: MEDIC Nippon Life Benefits, Payer ID: NIPON Peoples Health, Payer ID: PPLSH Reliance Standard Life Insurance Company, Payer ID: 427 Reliance Standard Life Insurance Company, Payer ID: AMTAS00427 SAMBA Health Benefit Plan, Payer ID: SAMBA Standard Insurance Company, Payer ID: 429 Standard Insurance Company, Payer ID: AMTAS00429 Standard Life Insurance Company of New York, Payer ID: 430 Standard Life Insurance Company of New York, Payer ID: AMTAS00430 For all payers, visit https://access.emdeon.com/PayerLists/
Source: blogspot.com

New Obama ads in Virginia hit Romney on taxes, Medicare

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyOne, titled “Won’t Say,” criticizes Republican presidential candidate Mitt Romney for not releasing more of his income tax records. With an image of Romney against the backdrop of a jet emblazoned with “Trump,” the ad claims that Romney would push tax policies that favor the rich and clobber the middle class.
Source: 1minutegetaway.com

Video: Vice President Joe Biden on Medicare – Blacksburg, VA

Senate race has national tone in Virginia

Ashleigh Dye Caroline County Celebrate Virginia Live City Council Civil War cooling shelter crime Culpeper Culpeper County Daniel Harmon–Wright derecho Dominion Virginia Power earthquake Eddie Chewning Fredericksburg Fredericksburg Va. Getting There Health Care Interstate 95 july 4 King George King George County Louisa Michelle Obama Natatia Bledsoe Orange County outage Patricia Cook police shooting power outage Rappahannock River robbery spotsylvania Spotsylvania County Spotsylvania schools Stafford Stafford County storm UMW University of Mary Washington VDOT Virginia State Police VRE weather Westmoreland County
Source: fredericksburg.com

DECISION VIRGINIA: Ryan defends Medicare stance

Before Ryan became a vice-presidential candidate, he was a House budget architect and drew up a controversial budget that called for similar growth reductions to Medicare. A fact Democrats like Rep. Bobby Scott (R-Newport News) often point out.
Source: nbc12.com

West Virginia Blue:: Rockefeller takes on Ryan

Copyright 2011 West Virginia Blue Site content may be used for any purpose without explicit permission unless otherwise specified. This site exists thanks to financial support from BlogPAC, dedicated volunteers and participation by members of this community. The views expressed at West Virginia Blue belong solely to their respective authors.
Source: wvablue.com

How to Locate Medicaid Doctors in Virginia · Knowled

Search the Virginia Medicaid site (see References). The Virginia Department of Medical Assistance Services manages Medicaid services within the commonwealth of Virginia, and the agency maintains a directory of physicians who accept Medicaid and provide Medicaid services to patients. The agency offers a search tool on its website that lets you find a Medicaid doctor by specialty, city, county or Zip code. Check the Virginia Board of Medicine directory (see References). The Virginia Board of Medicine maintains a searchable directory of all physicians licensed to practice medicine within the commonwealth of Virginia, and among the data collected on all doctors in the state is whether they accept Medicaid. You can use the search tool on the Virginia Board of Medicine website to locate a Medicaid doctor in Virginia–simply search by city, county or medical specialty, and the search results will tell you which doctors accept Medicaid. Contact information for each doctor is also available. Look in the National Provider Identifier database (see References). Medicaid doctors must have a National Provider Identifier in order to receive payment from Medicaid for their services. The National Provider Identifier database allows you to search for Virginia doctors who have an NPI number–and who therefore accept Medicaid. The NPI online search tool requires that you enter state and Zip code in order to search; search results provide a list of doctors in your area who accept Medicaid, as well as their specialty, office address and contact telephone and FAX numbers.
Source: co.uk

Weekly Standard: Obama 290, Romney 222

As for winning in Florida, Romney would be well served by doing three things: One, start emphasizing Obamacare, which — by a 24-point margin (59 to 35 percent) seniors want to see repealed (according to the latest Rasmussen polling). Two, start highlighting Obama’s Senior Swindle, his shady ploy to try to hide Obamacare’s Medicare Advantage cuts from seniors until after the election. Drawing attention to this ploy — the legality of which has openly been called into question by the Government Accountability Office — would not only alert seniors that millions of them are projected (by nonpartisan government scorekeepers) to lose their Medicare Advantage plans courtesy of Obamacare, but would also remind voters of all ages of the Cornhusker Kickback, the Louisiana Purchase, Gator Aid, and all the rest of the shady back-room deals that were essential to Obamacare’s passage. And three — in the spirit of Romney’s comments honoring Neil Armstrong during his GOP Convention speech — start championing the space program, the embarrassing decline of which is one of the most glaring examples of Obama’s lack of regard for (or belief in) American exceptionalism. The country that proudly put a man on the moon shouldn’t have to purchase a ride from the Russians to get into space. As for winning in Ohio, Romney would be well served to explain how he would get the economy moving again and, in particular, to emphasize his determination to shield Main Street, U.S.A. from the sorts of high taxes, heavy regulations, and crony capitalism that are the essence of Obamacare and so much of the Obama agenda. Moreover, he would be well served, in a state in which — amazingly — voters in all 88 counties backed a referendum disavowing Obamacare’s individual mandate, to highlight that mandate. Whether Romney chooses to remind Ohio voters that state governments often require people to buy products or services (auto insurance, for example) or, better yet, to reassure Ohio voters that what happened in Massachusetts stays in Massachusetts, he shouldn’t let his own support for an individual mandate in the Bay State keep him from highlighting perhaps Obama’s greatest political vulnerability: Under Obamacare, the federal government would, for the first time in American history, compel private citizens to purchase a product or service of the federal government’s choosing, merely as a condition of living in the United States.
Source: wnyc.org

Medicare Plans of Virginia: Turning 65 or New to Medicare in Virginia?

With more than 10 years experience in health insurance and the changes that have occurred with Medicare, I would be happy to help you with finding a plan to meet your needs! Contact Rev. Todd Childers at (540) 339-7890 to schedule an appointment. Medicare AARP Medicare Plans Part D Prescription Plans Medicare Supplement United Healthcare Medical Coverage Turning Age 65 Social Security
Source: blogspot.com

Daily Kos: Virgil Goode makes the presidential ballot in Virginia, but a Republican challenge looms

In many cases, this’ll mean taking time to go where he’s needed anyway. There are plenty of districts in FL, OH, PA, MO, NV where his appearance could get a new Democrat elected.  But it would also mean going to some districts (CO-3 and 4, NM-2, several in CA and upstate NY) where he’s got the state but needs Republican-held districts to flip to get a legislative partner in 2013.  There may also be some states where he’s losing but a particular district would benefit from his appearance (maybe in Georgia, North Dakota or Arizona…these are trickier, since a state that even now intends to vote for Mittens may hate Obama so much that an appearance there might actually hurt the downballot).
Source: dailykos.com

Let Every Senior Know About the $8.3 Billion Snooker!

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ...More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Medicare Advantage lets seniors pay a premium to private insurers to receive services above and beyond what normal Medicare would cover, such as vision and dental coverage – and seniors love it! The Medicare Advantage program will suffer severe cuts from the implementation of Obamacare. The claim is that the evil private insurers were overpaid in past years, so the cuts will eventually force seniors into the regular Medicare program.  After all, equality of outcome is the objective.
Source: wordpress.com

Video: Senior Advantage Medicare

Weekly Standard: Obama 290, Romney 222

As for winning in Florida, Romney would be well served by doing three things: One, start emphasizing Obamacare, which — by a 24-point margin (59 to 35 percent) seniors want to see repealed (according to the latest Rasmussen polling). Two, start highlighting Obama’s Senior Swindle, his shady ploy to try to hide Obamacare’s Medicare Advantage cuts from seniors until after the election. Drawing attention to this ploy — the legality of which has openly been called into question by the Government Accountability Office — would not only alert seniors that millions of them are projected (by nonpartisan government scorekeepers) to lose their Medicare Advantage plans courtesy of Obamacare, but would also remind voters of all ages of the Cornhusker Kickback, the Louisiana Purchase, Gator Aid, and all the rest of the shady back-room deals that were essential to Obamacare’s passage. And three — in the spirit of Romney’s comments honoring Neil Armstrong during his GOP Convention speech — start championing the space program, the embarrassing decline of which is one of the most glaring examples of Obama’s lack of regard for (or belief in) American exceptionalism. The country that proudly put a man on the moon shouldn’t have to purchase a ride from the Russians to get into space. As for winning in Ohio, Romney would be well served to explain how he would get the economy moving again and, in particular, to emphasize his determination to shield Main Street, U.S.A. from the sorts of high taxes, heavy regulations, and crony capitalism that are the essence of Obamacare and so much of the Obama agenda. Moreover, he would be well served, in a state in which — amazingly — voters in all 88 counties backed a referendum disavowing Obamacare’s individual mandate, to highlight that mandate. Whether Romney chooses to remind Ohio voters that state governments often require people to buy products or services (auto insurance, for example) or, better yet, to reassure Ohio voters that what happened in Massachusetts stays in Massachusetts, he shouldn’t let his own support for an individual mandate in the Bay State keep him from highlighting perhaps Obama’s greatest political vulnerability: Under Obamacare, the federal government would, for the first time in American history, compel private citizens to purchase a product or service of the federal government’s choosing, merely as a condition of living in the United States.
Source: wnyc.org

Senior Advisor Group Provides Medicare Insurance Advice to seniors

The Senior Advisor Group now provides comprehensive advice on Medicare Supplemental Insurance to Individuals on Medicare in 38 states. The Senior Advisor Group provides advice on Medicare Supplement Plans (Medigap), Medicare Advantage Plans, and Medicare Part D (Rx drug Plans), which safeguard one’s health and provide gap and prescription drug insurance coverage. Their highly trained professionals provide Medicare beneficiaries’ objective and unbiased advice on Medicare Supplemental Insurance, and Part D coverage. Their professional advisers will help resolve the confusion and misinformation associated with the various types of Medicare Insurance. They will further assist in the selection and enrolment in the insurance options available in the area. Through extensive research, they understand the various plans available and who offers the best value in each particular area of the country. They will work directly with each Medicare beneficiary to find a plan that suits their specific needs. A client of the Senior Advisors Group recently stated, “I wanted to thank you for all of your efforts and your time spent explaining the intricacies of the new Medicare plans. Your help was invaluable and greatly simplified the selection of a replacement for our cancelled Medicare Advantage Plan.” About The Senior Advisor Group By partnering with over 40 different insurance companies, the Senior Advisors Group remains squarely on the side of their clients and has no obligation to any one insurance company. They will search from their database of top rated insurance providers to find the best Medicare plan, at the best price, from over 40 well known carriers. They provide one stop, personalized service, on all the brand names you’ve come to know and trust. To learn more visit http://www.mysenioradvisorsgroup.com/ or call 610-399-8700.
Source: sbwire.com

Obama, Romney Run Misleading Medicare Ads

Anchorage, Alaska News and Weather and its affiliated companies are not responsible for the content of comments posted or for anything arising out of use of the above comments or other interaction among the users. We reserve the right to screen, refuse to post, remove or edit user-generated content at any time and for any or no reason in our absolute and sole discretion without prior notice, although we have no duty to do so or to monitor any Public Forum.
Source: ktva.com

Brane Space: Samuelson at it again: Mixing Medicare Advantage with Ryan’s Medicare Vouchers

, on the order of $3,000 -$5,000 or more, for the simple reason that the insurers will be having to take chances (with no regularly promised gov’t subsidies, only the single voucher payment) with a person in a putative high risk health pool! It doesn’t take a genius to see that with such deductibles in play, and assuming the private insurer even accepts the senior, much of the voucher will be eaten up before the first real care is even delivered. In many ways this is analogous to the sort of private insurance plans I was offered, at age 63 – before going onto Medicare. In nearly all cases, I’d  have had to cough up a mammoth deductible, $5,000, and then the premiums themselves were sky high – like $600- $700 a month. And that was BEFORE I’d learned I had prostate cancer(this year). Now, if I had to go cap in hand with a $10-15k Ryan-voucher to try to snag an insurance company to pay for my care, I’d likely be laughed out of their offices! They’d probably think I was some kind of comedian out to try his new shtick. No wonder, given all the above, Samuelson can make the bald and devious claim that “
Source: blogspot.com

Medicare Advantage Plans Part 2

Also, consider the health condition of the individual. A healthy individual could save money initially with a MA Plan due to lower premiums and fewer claims, but what about later in life? Or if currently in poor health? Then Original Medicare with a good supplement may be the way to go. The problem is that once you enroll in certain MA Plans, you can only switch plans under certain conditions. So think hard and plan ahead if at all possible – it could save you or your loved one a lot in the long run.
Source: seniorliving.net

Grouchy Old Cripple: Where Are The Sob Stories?

I’m close enough to Medicare age that I’m startin’ to get lots of stuff in the mail about all the wonderful plans that people want to sell me. Sounds to me as if both Parties want to keep the insurance companies makin’ big money, even while we hear how “evil” they are. It’s bein’ suggested to me that when I retire, I take my couple of hundred K from my TSP and let an insurance company sell me an annuity. Do they think I don’t remember a company called AIG? The Dems ain’t done much to help me, that I can see, but the Repubs don’t seem to have much to offer that’ll do me all that much good, either. I’ll be votin’, but I’ll be holdin’ my nose again when I mark my ballot. Sure wish they’d give me somebody like Herman Cain, instead of the same ol’ retreads. Romney ain’t much of a choice. I want somebody who ain’t a career politician.
Source: grouchyoldcripple.com

Louisiana Resident Sentenced to 18 Months in Prison for Role in Medicare Fraud Scheme

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ...More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524WASHINGTON—A patient recruiter for several Louisiana durable medical equipment (DME) companies was sentenced today to serve 18 months in prison for her role in a Medicare fraud scheme involving fraudulent claims and illegal kickback payments for unnecessary DME, announced the Department of Justice, the Department of Health and Human Services (HHS), the FBI, and the Louisiana State Attorney General’s Office. Karen T Rayburn, 47, was sentenced today by United States District Judge James J Brady of the Middle District of Louisiana. In addition to her prison term, Rayburn was sentenced to two years of supervised release and ordered to pay $3.18 million in restitution. Rayburn pleaded guilty on January 19, 2012, to one count of conspiracy to commit health care fraud. According to court documents, Rayburn worked as a recruiter for Healthcare 1 LLC, Medical 1 Patient Services LLC, and Lifeline Healthcare Services Inc ., Louisiana-based companies that fraudulently billed medical equipment to the Medicare program from 2004 to 2009. She and other recruiters were hired to obtain prescriptions for medical equipment such as leg braces, arm braces, power wheelchairs, and wheelchair accessories. Rayburn obtained information from Medicare beneficiaries as well as falsified prescriptions for medical equipment. These prescriptions were then used to submit fraudulent claims to the Medicare program. According to court documents, from 2004 to 2009, the companies involved in these schemes submitted more than $21 million in fraudulent claims to Medicare, and as a result of the prescriptions that Rayburn collected, the companies submitted more than $6 million in fraudulent claims. Eight other defendants have been sentenced for their roles in this scheme, and three additional defendants await sentencing. Today’s sentence was announced by Assistant Attorney General Lanny A Breuer of the Justice Department’s Criminal Division; United States Attorney Donald J Cazayoux, Jr of the Middle District of Louisiana; Mike Fields, Special Agent in Charge of Dallas Region for the HHS Office of the Inspector General (HHS-OIG); Michael Anderson, Special Agent in Charge of the FBI’s New Orleans Division; and James Buddy Caldwell, Louisiana State Attorney General. The case was prosecuted by Assistant Chiefs Ben Curtis and William Pericak and Trial Attorneys David Maria and Abigail Taylor of the Criminal Division’s Fraud Section. The case was investigated by the FBI, HHS-OIG, and the Medicaid Fraud Control Unit of the Louisiana State Attorney General’s Office (MFCU) and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the United States Attorney’s Office for the Middle District of Louisiana. Since its inception in March 2007, the Medicare Fraud Strike Force operations in nine locations have charged more than 1,330 defendants who collectively have billed the Medicare program for more than $4 billion. In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to www.stopmedicarefraud.gov. Reported by: FBI
Source: 7thspace.com

Video: Elder Law Boston Attorney Medicare Law

Miami: Medicare Fraudster a Turncoat

Waste, fraud, and abuse, the trifecta used to undermine even the most well-conceived and intentioned government programs.  Oscar L. Sanchez, who pleaded guilty to laundering millions in stolen Medicare payments, has agreed to cooperate fully’ with the U.S. attorney’s office.  Yeah, but, two questions:  1) How do we get our money back; and, 2) How do we prevent it from happening in the future.
Source: miamiinternationalbusinessattorneys.com

Tennessee Federal Judge Grants Relator Attorney Fees In Medicare Case

NASHVILLE, Tenn. – A Tennessee federal court judge on Aug. 16 granted the relator’s counsel’s request for attorney fees in a False Claims Act (FCA) case alleging violations of the Medicare Act but reduced the amount requested (United States of America ex rel. Karen J. Hobbs v. Medquest Associates Inc., et al., No. 06-1169, M.D. Tenn.; 2012 U.S. Dist. LEXIS 116056).Full story on lexis.com
Source: lexisnexis.com

Changes Coming for Medicare Set

Currently, parties in workers’ compensation cases may utilize a Medicare review process to determine how much money must be put into a MSA for future medical expenses.  But no such option exists for liability settlements because MSAs in liability settlements are much more complicated.  Settlements in liability cases usually resolve all claims in the case, which could include property damages, past and future medical expenses, pain and suffering, etc.  Consequently, it is often impossible to determine how much of a settlement the parties intended to compensate for future medical expenses.  Obviously, most plaintiffs who are covered by Medicare prefer to have as little of the settlement funds allocated to future expenses as possible.  But defense lawyers and their clients have to protect themselves against any future claims from Medicare if plaintiffs misappropriate settlement funds that they should have used for future medical expenses.  
Source: dbllaw.com

Making sense of the disability system: Medicare coverage

If you file a claim for SSDI benefits and the Social Security Administration determines that you are disabled, you will automatically be enrolled in the Medicare program after receiving two years worth of benefits. Stated another way, if your claim was approved after a hearing with an administrative law judge (the majority of cases), chances are you won’t have to wait more than a few months to qualify.
Source: portlandssdattorney.com

Several Reasons to Trust Whistleblower Attorneys

If you are observing some type of corruption in your healthcare institutes, then what action are you waiting for? Contact Whistleblower Action Network, which is the hub of whistleblower attorneys. Reliability, success and true justice is guaranteed for every simple or complex filed with the attorneys. Let us understand the reasons that ensure win to the clients. Points are listed below: •    Experienced whistleblower attorneys serving the law sector for years •    Knowledge and information about all types of clauses in state and federal law •    Received several opportunities to handle cases in the medical areas such as healthcare, medicare, pharmaceutical, false claim act, etc •    Expert in eliminating all loopholes from the case •    Have own resource that help find the evidences and witness for the case •    Medicare fraud attorneys have made several clients highly satisfied by resolving all medicare fraud and abuse issues •    Detail oriented appeals and strong prosecution during jurisdiction These are some strong points that ensure sure win, if whistleblower attorneys in Whistleblower Action Network are contacted. To know more, visit the website (www.whistlebloweraction.com) today! Whistleblower Action Network 500 N. Michigan Ave. Suite 850 Chicago, Illinois 60611 (312) 327-8800 (Cohen Law Group) (312) 629-0000 (Behn & Wyetzner) (775) 883-2348 (The Terry Law Firm) Fax: (312) 327-0266
Source: bsnclassifieds.com

L.A. doctor, already in prison, convicted of Medicare fraud

Firempong is scheduled to be sentenced by U.S. District Judge Gary A. Feess on Dec. 10. He faces as many as 50 years in federal prison. He is now in custody after having been sentenced in Michigan last year to 324 months in federal prison in an unrelated case of cocaine trafficking and money laundering. He is appealing that case.
Source: latimes.com

Scammers targeting Medicare users, says state attorney general 

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Source: wvgazette.com

Medicare Fraud Protection Tips from Cleveland Medicare Fraud Attorney

In addition, there are certain things that a supplier, healthcare provider, or doctor may do that should also raise suspicions. For instance, if you are offered free equipment or services, but then you are asked to supply your Medicare number, it may be a sign you are about to become a victim of fraud.
Source: christophermellino.com

Medicare penalties to hospitals for readmissions

It appears the U.S. government has stepped into the ring in an effort to keep instances of medical malpractice at a minimum by imposing penalties on hospitals for readmission rates. Beginning October 2, 2012, Medicare will reduce a hospital’s Medicare reimbursement allowance if the hospital readmits patients. This is part of the Affordable Care Act effort to encourage hospitals to ensure patients obtain all required care during their first visit.
Source: newhavencountypersonalinjuryattorney.com

Health care act empowers smarter Medicare fraud investigations

The statute provides enough funding for investigators to begin using more sophisticated computer software. Much like the software that warns credit card companies of potentially fraudulent purchases, this new approach scans healthcare claims for unusual or suspicious patterns.
Source: miamifederalcriminaldefenseattorney.com

Community health centers marked by Medicare fraud in Louisiana, other states

Despite the prevalence of Medicare fraud and other forms of health care fraud, it is important for each and every person accused of these crimes to take the steps to protect themselves and claim their rights. Failing to do so can lead to a false or inaccurate conviction and a future of having to deal with the consequences of conviction.
Source: batonrouge-criminallawyer.com

Why Medicare Cards Still Show Social Security Numbers

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonIn 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

Video: Medicare Cuts Cost GOP New York’s 26th District

A New York City Hospital Ordered to Pay $13.4 Million in Medicare and Medicaid Fraud Settlement

Fraud is big business and very profitable, even in unsuspecting places. Well established corporations can fall prey to fraud when the return on investment may help the bottom line in a down economy. Strong internal controls and audit oversight is needed throughout all companies. Fraud departments should also work with internal audit and risk management to shore up any vulnerability points.  Increase due diligence of any new vendors, conduct random reviews of internal control, and annual fraud education to keep employees on their toes. We need everyone’s help to stop fraud, says Linda Webb, leading fraud expert aka the Fraud Dog.
Source: thefrauddog.com

New York Times Article Highlights Success of Medicare Advantage Plans

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

Laura D'Andrea Tyson: Evidence vs. Ideology in the Medicare Debate

Both Governor Romney and Representative Paul D. Ryan have promised to repeal the Affordable Care Act and with it the reforms behind the $716 billion in Medicare savings (although Mr. Ryan duplicitously counts the savings from these reforms in his deficit-reduction plan). Medicare beneficiaries would be the losers. They would lose the benefits of better care at lower cost. They would lose the plan’s expanded Medicare coverage for prevention benefits and prescription drugs, and they would be forced to pay higher premiums and co-pays as a result of faster growth in Medicare costs.
Source: nytimes.com

Boomers and Seniors Paying Close Attention to Medicare Debate

As members of the baby boomer generation slowly transition from the working world and head towards retirement, they will find themselves facing new decisions like the need to buy wheelchairs and other health assistance devices. After feeling the squeeze of the current economic crisis and facing the prospect of reduced standards of living in their retirement years, there can be no doubt that boomers and seniors may very well be the deciding factor in the 2012 Presidential election.
Source: voicesacrosstime.org

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

New Initiative: NY Medicare Rx Access Network

In the new report, IMS examined the medicines covered under Medicare Part D from 2006 to 2010. It found that a group of brand-named (patented) medicines representing 28% of the all Part D 2006 spending lost patent protection during this period. At the same time, generic versions of those medicines became available to patients. This generic competition with brand name drugs helped save Medicare $8.1 billion. IMS also reports that generic competition will result in additional savings to Medicare over the next several years as another large group of medicines will lose patent protection.
Source: newyorkhealthworks.com

New York Downtown Hospital Settles False Claims Allegations for $13.4 Million

According to the allegations, NY Downtown, together with Special Care Hospital Management Corporation, a Missouri-based company, ran an inpatient drug and alcohol detoxification program under the name of New Vision.  The companies allegedly operated New Vision without the necessary license from the NY State Office of Alcoholism and Substance Abuse Services.  Without the required license, NY Downtown would not be allowed to bill Medicare and Medicaid for any treatment provided by the program.  Additionally, the complaints accused NY Downtown of paying Special Care for Medicaid and Medicare patient referrals, thereby violating anti-kickback statutes.  Finally, NY Downtown was accused of providing services to Medicare and Medicaid patients that were either medically unnecessary or did not meet professionally recognized standards of care.
Source: wordpress.com

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

Kentucky Health News: Medicare is a hot topic on the presidential campaign trail; federal agency says reform has saved seniors money

Posted by:  :  Category: Medicare

Racism by elycefelizThe federal health reform law continues to be a major point of contention in the presidential campaign. Yesterday, Republican vice presidential candidate Paul Ryan said, “Medicare should not be a piggybank for Obamacare,” while at a rally in New Hampshire yesterday and blasted President Obama “for using $716 billion in savings from Medicare and applying it to his health care law,” reports Matt Viser for The Boston Globe. Most of that amount was taken from reductions to Medicare Advantage, a category of Medicare plans that are run by private insurance companies. The idea behind the program “was that competition among the private insurers would reduce costs,” reports Politifact.com, a Tampa Bay Times project that fact-checks statements on public policy. “But in recent years the plans have actually cost more than traditional Medicare. So the health-care law scales back the payments to private insurers.” Ryan has proposed his own fix, a voucher program for Medicare, which Obama sharply criticized Saturday: “Now you think they’d avoid talking about Medicare, considering both of them have proposed to voucherize the Medicare system,” he said. “They want seniors to get a voucher to buy their own insurance, which would force seniors to pay an additional $6,400 for their health care.” Meanwhile, the Centers for Medicare and Medicaid Services released a press release detailing how much the Patient Protection and Affordable Care Act has saved seniors. Kentucky seniors and those with disabilities have saved $78.4 million on prescription drugs since 2010. In 2012, seniors in Kentucky saved an average of $579 because of the Patient Protection and Affordable Care Act. The law covers the prescription drug coverage gap known as the “donut hole.” In the first seven months of 2012, 477,235 Kentuckians with Medicare also got at least one preventive service for free because of a provision in the law, a CMS reports. “The health care law has saved people with Medicare over $4.1 billion on prescription drugs, and given millions access to cancer screenings, mammograms and other preventive services for free,” said Kathleen Sebelius, secretary for the Department of Health and Human Services. “Medicare is stronger thanks to the health care law, saving people money and offering new benefits at no cost to seniors.”
Source: blogspot.com

Video: Rand Paul In The ’90s: Medicare Is Socialism And Social Security Is A Ponzi Scheme

Roundup: Ky. Judge To Hear Christians

HealthyCal: Got Docs? A new county health plan for low-income residents, Riverside County Health Care, created in January 2012, was expected to ease the economic burden and address health disparities. So far, however, it’s falling short of expectations. The plan promises a full range of medical services: primary care, mental health services and access to specialists. The idea is that an up-front investment in comprehensive care will have a long-term payoff in fewer emergency room visits and hospital stays. Riverside County, as well as 46 other counties in California, are in the process of rolling out new health plans for the poor—essentially an expansion of Medicaid—in anticipation of the full implementation of the federal Affordable Care Act in 2014 (Urevich, 8/6).
Source: kaiserhealthnews.org

Kentucky Court Finds Insurer Did Not Commit Bad Faith in Delaying UM Benefit Payment Until Medicare Lien Was Determined

The insurer attempted to determine the value of Medicare’s lien and asked for permission to discuss the lien with Medicare. The claimant refused the request and instead asked the insurer to deposit the full policy limits into an escrow account from which the Medicare lien would be paid. The claimant agreed to hold the insurer harmless from any claim by Medicare; however, Medicare was not involved in and not bound by this agreement. As an alternative, the insurer suggested including Medicare as a payee on the settlement check. Claimant also rejected this request. Finally, the insurer decided to await Medicare’s determination of the value of the lien and then issue separate checks to Medicare and plaintiff.
Source: badfaithblog.net

BEVERLY TRAN: Federal court rejects Maine’s Medicaid lawsuit

The 1st U.S. Circuit Court of Appeals in Boston on Thursday declared the lawsuit premature because the federal Centers for Medicare and Medicaid Services has 90 days – until Nov. 1 – to consider Maine’s waiver request. The ruling came a little more than a week after the state sought an injunction.
Source: blogspot.com

Senior Benefit Services, Inc.

American Continental has received approval for a rate adjustment on Medicare Supplement policies currently available in Kentucky. A rate DECREASE is approved for all currently marketed (open block) MIPPA** plans B, G, and N. There will be no rate adjustment for plans A, F, and high deductible F.
Source: srbenefit.com