Blue Cross Blue Shield of Texas Medicare Supplement Plan

Posted by:  :  Category: Medicare

Medicare Supplement Insurance in Texas, like all other traditional forms of coverage does have rate increases and I dislike them as much as you do. BCBS seems to have some of the most stable rates in the industry, where some carriers have pounded the rates some 10 and 12% these guys have not exhibited that type of behavior. They actually experienced a rate decrease this last October which was a pleasant surprise to most seniors. Of course there is no way of knowing what may or may not happen from one year to the next so yes, they could raise rates soon, but so far so good.
Source: medicareinsurancetexas.com

Video: Excellus BCBS Medicare plan travels with you

Fayetteville Technical Community College Continuing Education

Generally, the first issue is money. What can you afford, and will that be sufficient for the needs of you and your familyc The Options Plan offered by BCBS is the most economical pick. This BCBS plan has a high deductable but lower premiums. For qualifying members the plan can result in greater savings as a Health Savings Plan provides some medical expenses tax free. Members can choose their own doctor, and there are options for those under 65 and medically eligible. This BCBS Option Plan offers flexibility for the changing dynamics of a family. Your independent insurance agent is prepared to help you decide if this is the right plan for you.
Source: atesta.net

Free Health Insurance U.S.

Free Health Insurance is owned and operated by Barry White, a former Health Insurance Specialist with 16 years experience in the health insurance industry. Mr. White now dedicates his time to helping families find affordable insurance in a quickly changing marketplace. He provides this quoting service free of charge to consumers, and makes no commissions from any insurance company or agent.
Source: freehealthinsurance.us

Nothing found for 2012 05 14 Health

accountable care organization account receivables ACO Aetna affordable care act Blue Cross Blue Shield Cigna CMS co-op coding collection agency collections debt collection denial rate health health care health care insurance health care reform health insurance health IT health plan health policy Humana insurance fraud internal medicine internist managed care medicaid medical billing medical practice management Medicare patient protection and affordable care act Pediatrician pediatrics physician physician reimbursement primary care profit recovery revenue cycle management Ron Wyden single-payer U.S. Congress U.S. Health and Human Services U.S. Senate United Healthcare
Source: wordpress.com

State Roundup: Mich. Gov. Proposes Making BCBS A Tax

Detroit Free Press: Recast Blue Cross Blue Shield As A Tax-Paying Insurance Company, Snyder Proposes Blue Cross Blue Shield of Michigan would no longer be exempt from about $100 million a year in state and local taxes but would be subject to more streamlined and speedier rate reviews and approvals under legislation proposed today by Gov. Rick Snyder. The nonprofit health insurer would also pay $1.5 billion over 18 years into a separate nonprofit aimed at tackling issues such as obesity and infant mortality to improve the health of all Michigan residents, Snyder said at a news conference. Snyder is proposing legislation that would make BCBS a mutual insurance company while maintaining its nonprofit status. Blue Cross Blue Shield issued a statement saying it is open to considering the proposal. Attorney General Bill Schuette issued a statement saying the proposal needs a thorough review. Snyder said the special status accorded BCBS under 1980 legislation as the “insurer of last resort” is outdated (Egan, 9/11).
Source: kaiserhealthnews.org

Blue Cross and Blue Shield of North Carolina

Blue Cross and Blue Shield of North Carolina recently discovered that it mistakenly mailed claims information as part of a welcome kit to a small number of new BCBSNC members. The information included claims for medical services received about 10 years ago and affects approximately 100 individuals. See our notice for more information.
Source: bcbsnc.com

Trouble Managing Accounts Receivables? Med Care Solutions Can Help!

Posted by:  :  Category: Medicare

Ambulance Flyby by Just Us 3Are you unemployed and need to find a job now? Do you have an interview coming up and you need to prepare? Do you lack confidence because you haven’t been on a job interview in a while? Are you short on time and need tips now? Find out how to stand out from the competition, sharpen your interviewing skills and get started on your new career. In “10 Things You Need to Know about Job Interviews: How to Land Your Dream Job” you’ll learn how to brush up on your interviewing skills and get the job you deserve.
Source: scoop.it

Video: Excellence in Surgery Services Awarded to Medcare Hospital Dubai at the Arab Health 2011

Virtual health care: MedCARE House Calls is high

The company’s management team includes Dr. John Borders, chief medical officer; David Owen, president and CEO; Tim Evans, executive vice president/branding; Molly Burchett, National Director Market Development; Melanie Calitri, Lexington practice administrator;  Lorri Mills, community service advisor; Candy Le’Oso, vice president, medical operations; and Todd Layne, CAREWorks director.  Members of the governing board are still being identified.
Source: kyforward.com

Midwives & Medicare: What’s Covered?

Posted by:  :  Category: Medicare

The good news is that Australia is one of the safest countries in which to give birth or be born. However, that doesn’t mean that the country has been meeting the needs of all Australia women when it comes to maternity care, according to the 2009 publication “Improving Maternity Services in Australia” That publication was based on the national Maternity Services Review in which women expressed frustration at the limited options available to them and called for new midwifery models of care that could provide greater continuity of care throughout their pregnancy. In response to this survey and report, the Government initiated the Maternity Services Reform.
Source: com.au

Video: Medicare Levy Surcharge 2011/2012: nib Health Insurance Explained

Governmentalert.com.au: Joomla @ SEOValidator.Net

On average, governmentalert.com.au is ranked #22,947,177 across major traffic ranking services such as Alexa. This metric shows the popularity of this site compared to other sites around the web. It reaches roughly 26 unique users each day. Visitors to the site view an average of 2 unique pages per day. It has an average of 5,680 pages indexed in major search engines like Google™. There are an average of 5 links pointing back to governmentalert.com.au from other websites. The estimated daily revenue is $1 USD. It has an estimated value of $187 USD. Out of the 19 unique keywords found on governmentalert.com.au, “sydney morning herald” was the most dense. This site has Google PageRank™ 2 of 10. At the DMOZ open directory project we found no listing for this site.
Source: seovalidator.net

aust unity calls for govt rethink

“Our view is that the pressures on the state governments and federal government in relation to service delivery are so significant and so pressing that what we need is a business model change in relation to key elements of service delivery in the social policy arena,” managing director Rohan Mead said on Thursday.
Source: com.au

Temp residents can get refund on Medicare levy 

This certificate must show they were not entitled to Medicare benefits because they were a temporary resident for Medicare purposes, and either they did not have any dependants for that period, or all their dependants were in an exemption category for that period.
Source: com.au

Medicare Whistleblow Lawsuit in Cleveland Seeks Justice for Fraud

Posted by:  :  Category: Medicare

Romney Ryan Plan for Medicare and SSI by DonkeyHoteyOne of the biggest types of fraud against the U.S. Federal Government is Medicare fraud. Medicare fraud is a serious crime that costs taxpayers an estimated $60 billion each year, with many experts claiming the real total could be twice that amount. Although it is mostly fraudulent medical supply companies, pharmacies, and clinics involved in these schemes, drug dealers, auto mechanics, and clerks may be involved as well. If you become aware of any type of Medicare fraud, you have the right to file a Medicare whistleblow lawsuit in Cleveland, Ohio without retaliation. In order to protect your legal rights and having the support to build a solid case, it’s wise to get in touch with an attorney who is familiar with the process that pertains to these cases.
Source: christophermellino.com

Video: Tax Forms & Deductions : How to Calculate Medicare Taxes Withheld

Medicare Advantage enrollment projected to grow 11 percent in 2013

Health and Human Services Secretary Kathleen Sebelius said the latest data shows that the reform law’s curbs on premium rate increases and other regulations on private insurers has made Medicare Advantage more accessible to the nearly 50 million senior citizens and disabled Americans who are Medicare beneficiaries.
Source: medcitynews.com

Obamacare: The Upcoming Medicare Tax Hike and What to Do About It

In other words, if your income is more than $200,000 for a single person, $125,000.00 for a married person that doesn’t file jointly, or $250,000.00 for a married couple filing jointly, you can expect to pay the tax.  It will be assessed on your net investment income or the excess of your modified adjusted gross income over the applicable amount.  If your income isn’t over the threshold that applies to you, you don’t need to worry about the tax.
Source: fortenberrylaw.com

Federal Fraud False Claims Act Lawyer Reports on $4.1 Million Settlement in Georgia

As False Claims Act attorneys, and especially attorneys who represent clients that have the courage to blow the whistle on fraud against the federal government, we are pleased to see that the United States Attorney’s Office for the Northern District of Georgia announced that it has reached a settlement with Georgia Cancer Specialists I PC, which agreed to pay $4.1 million to settle claims that it violated the False Claims Act by billing Medicare for evaluation and management services that were not permitted by Medicare rules. Georgia Cancer Specialists is one of the largest private oncology practices in the country with 27 offices located throughout the Atlanta metro area.
Source: midsouthtriallawyer.com

Adventist Health System Accused of Filing Millions of Dollars in False Medicare Medicaid and Tricare Claims

In addition to our other experience in Medicare, Medicaid and Tricare cases, attorneys with The Health Law Firm also represent health care professionals and health facilities in qui tam or whistleblowers cases. We have developed relationships with recognized experts in health care accounting, health care financing, utilization review, medical review, filling, coding, and other services that assist us in such matters.
Source: thehealthlawfirm.com

Court throws out LePage lawsuit seeking expedited approval for Medicaid cuts — 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

Criminal Justice News: Richmond Woman Sentenced to More Than 11 Years for Health Care Fraud and Filing False Tax Return

Cunningham was found guilty on March 15, 2012, and convicted of 26 counts of health care fraud, eight counts of making false statements on patient health care records, and a single count of filing a false tax return. According to court documents and evidence presented at trial and sentencing, Cunningham owned and operated Community Neurological Services (CNS), a Richmond business that administered Intravenous Immune Globulin (IVIG) to patients suffering from immune deficiency disorders. Cunningham regularly and systematically billed insurance companies and the Medicare and Medicaid programs for IVIG not actually administered and made other false entries in patient records, resulting in a total loss of approximately $6.6 million. She also falsely under reported the gross income of CNS by over $1 million in her 2005 tax return, resulting in approximately $473,000.00 of unpaid taxes for that year.
Source: blogspot.com

Avoid the Medicare Surtax by Giving Incoming

Starting in 2013, the unearned income Medicare contribution tax applies an additional tax of 3.8% to investment income such as dividends and interest if adjusted gross income exceeds $200,000 for unmarried persons or exceeds $250,000 for married persons. Giving investment assets to their minor children, parents can shift the investment income to the children’s tax returns. Although the child’s investment income can still be taxed at the parent’s tax rate under the “kiddie tax” rules, the income can avoid the new 3.8% Medicare tax since the child’s adjusted gross income is likely to be under the thresholds that trigger the additional Medicare tax.
Source: about.com

Ryan Would Shrink Medicare's Doctor Pool

Posted by:  :  Category: Medicare

ROBERT L. HUFFSTUTTER'S HEALTHCARE PLAN FOR AMERICA by roberthuffstutterDoctors see Medicare patients, despite the relatively low payments they receive for doing so, partly because Medicare represents such a large share of the health-care market. If a substantial number of beneficiaries moved out of Medicare and into private plans, as Ryan proposes, doctors would have much less incentive to see Medicare patients. And the elderly who want to remain in traditional Medicare would risk being stranded.
Source: realclearpolitics.com

Video: Doctors Are Charging More for Medicare Patients

Paul Ryan’s Plan for Medicare: A Disaster for Seniors (Why Doctors Might Stop Taking Medicare)

How important is Medicare’s market share in influencing physician participation? The evidence is limited, but the best study to date suggests it is significant. In the 1990s, Peter Damiano, Elizabeth Momany, Jean Willard and Gerald Jogerst, all associated with the University of Iowa  surveyed  Iowa  physicians and examined variation among counties. They found  that for each percentage-point increase in the share of Medicare beneficiaries in a county’s population, doctors were 16 percent more likely to accept patients on Medicare. The only other study I know of on this topic, an unpublished analysis by Matthew Eisenberg of Carnegie Mellon University  also found an effect from Medicare’s market share, albeit one that was substantially smaller than the one Damiano and his colleagues found.
Source: healthbeatblog.com

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

The numbers came in a report that details how federal agencies would implement roughly $110 billion in mandatory, across-the-board budget cuts agreed to by Congress and President Barack Obama last August as a way to end a bitterly partisan dispute over raising the debt ceiling.  Lawmakers in both chambers, as well as Obama, want to avoid the automatic cuts that would trim federal spending by $2.1 trillion over the next 10 years, called sequestration.
Source: kaiserhealthnews.org

The Ryan Plan Will Make It Hard for Seniors to Find Doctors? So Will Medicare.

Specifically, the annual price updates for most categories of non-physician health services will be adjusted downward each year by the growth in economy-wide productivity. The best available evidence indicates that most health care providers cannot improve their productivity to this degree—or even approach such a level—as a result of the labor-intensive nature of these services.Without unprecedented changes in health care delivery systems and payment mechanisms, the prices paid by Medicare for health services are very likely to fall increasingly short of the costs of providing these services. By the end of the long-range projection period, Medicare prices for hospital, skilled nursing facility, home health, hospice, ambulatory surgical center, diagnostic laboratory, and many other services would be less than half of their level under the prior law. Medicare prices would be considerably below the current relative level of Medicaid prices, which have already led to access problems for Medicaid enrollees, and far below the levels paid by private health insurance. Well before that point, Congress would have to intervene to prevent the withdrawal of providers from the Medicare market and the severe problems with beneficiary access to care that would result.
Source: reason.com

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

Rural Retirees on Medicare Won’t Find Doctors

Dr. Bruce Stowell examines patient Robert Busch at his office in Grants Pass, Ore. Stowell is among many doctors in rural areas who have capped the numbers of Medicare patients they take due to low reimbursement levels. A nationwide shortage of primary care physicians in rural areas is making the problem worse. (AP Photo/Jeff Barnard)
Source: equalvoiceforfamilies.org

Report Finds That Doctors Are Charging Medicare Patients at Higher Rates

The study found that 7,500 doctors charged the two most expensive paying codes for three out of four visits in 2008, up sharply from the number who did so at the beginning of the decade. The report says that medical groups argue that new technology and longer lifespans have made treating seniors more complex and time-consuming. According to the report there is little evidence that Medicare patients as a whole are older or sicker than in the past, or that the amount of time doctors spend treating them on average has risen.
Source: wordpress.com

How Could A Shortage of Doctors Affect Your Health Care?

Many experts blame the rapidly increasing doctor shortage on the Affordable Care Act (ACA), which gives health insurance to more than 30 million new people  starting in 2014. About 15 million of that 30 million will be eligible for Medicaid. This massive increase in demand for health care from the currently uninsured will not be met with a comparable increase in the supply of doctors. And, when that is combined with the shortage we already have, some people argue that the ACA is only making the problem worse.
Source: ehealthinsurance.com

Analysis Finds Double Payments For Medicare, VA Plans

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSMedpage Today: Taxpayers Paying Twice For VA, Medicare Plans The federal government, and by extension the taxpayer, pays “substantial and increasing” duplicate costs for healthcare among adults enrolled in both Medicare Advantage (MA) plans and the Veterans Administration (VA) health care program, a retrospective analysis determined. The estimated costs of federally funded care provided by the VA between 2004 and 2009 for individuals also covered by MA plans was $13 billion, according to Amal N. Trivedi, MD, of Providence VA Medical Center in Providence, R.I., and colleagues. And these annual costs having been increasing, rising from $1.3 billion in 2004 to a total of $3.2 billion 6 years later, the researchers reported online in the Journal of the American Medical Association (Walsh, 6/26).
Source: kaiserhealthnews.org

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

Custom HealthCare Digs Into Recent Medicare Health Reform Controversy

Market Press Release

Medicare Advantage enrollment projected to grow 11 percent in 2013

Posted by:  :  Category: Medicare

Health and Human Services Secretary Kathleen Sebelius said the latest data shows that the reform law’s curbs on premium rate increases and other regulations on private insurers has made Medicare Advantage more accessible to the nearly 50 million senior citizens and disabled Americans who are Medicare beneficiaries.
Source: medcitynews.com

Video: Continued Medicare Eligibility and Work Incentives

Social Security Disability & Medicare Eligibility

If you have health insurance coverage already, you need to figure out how Medicare works with your health insurance. Many health insurance policies state that Medicare is to provide the primary coverage. Thus, your present health insurance may pay only for what Medicare does not cover. You need to check with your health insurance company when you get your Medicare card.
Source: disabilitydenials.com

Empty Kettle: On being “Disabled”

On a simple level this is just an exercise in semantics.  But words are important when it comes to determining how one views oneself.  This is the first step in answering Maya’s question. Part of Maya’s question is easy for me to answer. I have a government agency which has defined me. The Social Security Administration has judged that I am “Disabled.” Therefore, I am eligible to collect money that I paid into my Soc. Sec. account; I’m also eligible for Medicare. So, as far as the government (IRS, HHS, etc.) are concerned, I am Disabled. When health care folks ask about my status, I have an easy answer. In that sense, I really don’t care what the answer to Maya’s question is; just keep the checks comin’! But, more importantly, how do I see myself?  For me, this is the crux of Maya’s question. The word disabled brings to mind an image of a car on the side of the road with its hazard lights on.  What to do? Call a tow truck to take it to get repaired. I’ve done a lot in my life. I’ve managed retail stores, sold things, worked in law offices, trained horses and riders, taught school, more recently I’ve worked as a chaplain.  I was born with Marfan’s. Yet I’ve still done all these things and more.  Yes, like Maya, I have limitations (which are so great I can’t work full time) and need a lot of help.  But I am far from being broken down.  I am not Disabled.  I have a disability.  You can even say I have a handicap. (I actually am fine with being called handicapped. For me, it is more accurate and less bothersome than being called disabled.) Words and labels are important.  But the context in which they are used matter too.  I don’t care what a government bureaucrat or health care provider calls me.  But I am not disabled.  I am a stay at home Dad to an unbelievably energetic 2 year old. I am a Sunday School teacher. I am a husband. I am a friend and confidant. I have a disability.
Source: blogspot.com

Medicare Dental Plans: Medicare Disability Benefits Are More Comprehensive When You Enroll in a Medicare Advantage Plan

By David Forbes Medicare benefits are available for people under 65 due to a disability or ESRD (end stage renal disease). If you or someone you know is eligible for Medicare benefits due to a disability, you will have the same benefits as a Medicare beneficiary who is over 65. That is the good news. The bad news is, you may not have as many options for supplemental coverage as the person over 65. Generally, when you turn 65 and enroll in Medicare, you have three options.     Enroll in Medicare and pay out-of-pocket for the portion of charges that Medicare does not cover.     Purchase a Medicare supplement (Medigap policy) during your open enrollment period.     Enroll in a Medicare Advantage plan that may even include the Part D Medicare drug coverage. If you are receiving Medicare disability benefits, you can choose the first option and pay the out-of-pocket charges that Medicare does not cover. This will include a hospital deductible, hospital co-pays for extended stays and 20% of the charges for outpatient services. This can be a slippery slope. You are more than likely on a fixed income of SSI and the gaps in Medicare can be unpredictable and potentially financially devastating. Due to the nature of your Medicare eligibility, a qualifying disability, your health care costs may be higher than someone becoming eligible due to turning 65. The second option, purchasing a Medicare supplement, may not even be available to you. Federal law does not currently require insurance companies to sell you a Medicare supplement if you are younger than 65. Although, some States require companies to do so, it generally means that you will pay a much higher premium than someone who is 65. A Medicare Advantage plan is available to all beneficiaries, including those receiving Medicare disability benefits. If you have both parts A and B of Medicare, live in the plans service area and do not have ESRD, you are allowed to enroll in a Medicare Advantage plan. These are the benefits of an Advantage plan for those receiving Medicare disability benefits.     An Advantage plan offers the certainty of fixed costs, including; co-pays, co-insurance and deductibles. The uncertainty of outpatient costs (20%) are eliminated with co-pays and co-insurance.     The premium (if required) is usually a fraction of the premium for a Medicare supplement.    
Source: blogspot.com

AHIP Statement on Medicare Advantage

Protections Against Unpredictable Out-of-Pocket Costs:  Medicare Advantage plans also protect beneficiaries from catastrophic health care costs.  In 2012, all Medicare Advantage plans offer an out-of-pocket maximum limit for beneficiary costs, and about 78 percent of Medicare Advantage enrollees are in plans that have annual out-of-pocket maximums of $5,000 or less.  These out-of-pocket maximums – which are not offered by the Medicare FFS program – help protect Medicare beneficiaries from catastrophic health care expenses that otherwise might pose a serious threat to their financial security.  Medicare Advantage plans also help reduce out-of-pocket costs for enrollees by reducing premiums for Part B and Part D, and by limiting cost-sharing for Medicare-covered services, including primary care physician visits and inpatient hospital stays.
Source: ahipcoverage.com

Do You Have Questions About Medicare Eligibility?

If a person receives Social Security benefits, they are automatically signed up for Medicare. However, if you are 65 and delay receiving Social Security, you may still sign up for Medicare, but this will not be done automatically. You will need to personally contact the Social Security Administration to receive this benefit. You are also not automatically signed up when your spouse is eligible or signed up for benefits. You must sign up for Medicare coverage individually and this may be done online, or by making an appointment and visiting your nearest Social Security office.
Source: todaysseniors.com

CMS Eyes Improper Medicare Payments For Power Wheelchairs

The Associated Press: Wheelchair Suppliers Say Crack Down On Medicare Fraud Goes Too Far; Insurer Applauds Effort Wheelchair suppliers raised concerns Wednesday about a new government program that requires Medicare contractors to sign off before power wheelchairs can be delivered to elderly and disabled consumers. … The new program began on Sept. 1 and requires providers in seven states to get confirmation from a government contractor that Medicare will pay for the device before they deliver it. Michael Clark, general counsel for the SCOOTER Store, says the pilot project goes too far and every claim his business has submitted under the new program has been denied (Freking, 9/19).
Source: kaiserhealthnews.org

Social Security and Medicare : Indiana Personal Injury Lawyers

So, if you are not eligible for Medicare, what are your options?  Most people who are eligible to receive funds from the SSI program are eligible for Medicaid.  So what is the difference.  The two programs, Medicare and Medicaid are two distinct medical insurance programs.  They are operated by distinct government offices.  Medicare is a strictly federal program and is based on your contributions during your working life.  Medicaid is a State run program.  It consists mainly of federal dollars, with some contribution by the State. It is a need based program.  This means that if you fall below a predetermined income level, and asset level, you are likely eligible for Medicaid.  There are several restrictions on Medicaid, as there are in cases involving SSI.  One such restriction is the amount of assets you are allowed to have.  This is a very low number, and if your assets are above this number, you will have to spend these assets down prior to your eligibility for Medicaid.
Source: youngandyoungin.com

Social Security and You: Medicare Part D

Posted by:  :  Category: Medicare

While all Medicare beneficiaries can participate in the prescription drug program, some people with limited income and resources also are eligible for “Extra Help” to pay for monthly premiums, annual deductibles and prescription co-payments. Extra Help is worth about $4,000 a year. To figure out whether you are eligible for Extra Help, Social Security needs to know your income and the value of any savings, investments and real estate (other than the home you live in). To qualify, you must be receiving Medicare and your annual income must be limited to $16,755 for an individual or $22,695 for a married couple living together.
Source: mysanantonio.com

Video: How To Find A Medicare Part D Drug Plan

Protect Your Seniors (and Yourself): 2013 Medicare Part D Prices Announced

During the Annual Election Period (AEP), you can change your Part D plan without restriction.  To remind you: the AEP is between October 15 and December 7.  With the prices going higher, it will be important to figure out which plan will result in the lowest overall costs for the year.  You can use the www.medicare.gov website in order to input your prescriptions and find your best plan.
Source: protectyourseniors.com

Spreading the Word on Medicare Part D

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

Compliance Alert: Medicare Part

As part of the Patient Protection and Affordable Care Act of 2010 (ACA), Plan Sponsors with group health plans which include prescription drug benefits now must provide the annual Part-D Creditable Coverage Notice by October 15, 2012. Before 2011, Plan Sponsors were to provide the notice no later than November 15, the first day of the Medicare Part-D open enrollment period. ACA changed the Part-D open enrollment to be the period between October 15 and December 7.
Source: andreini.com

'''Medicare Part D

If 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

HHS Says Medicare Part D Premiums Steady for 2013

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

A Search for Help When Drug Costs are Too High

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. Hide
Source: webmd.com

Concerned about Medicare Part D Coverage? Join the Upcoming Teleconference

As you may know, Medicare Part D is a vital Federal program to the more than 3 million New Yorkers who participate. Part D provides disabled Americans and seniors access to affordable, life-saving medicines. The most recent Medicare Today survey found that 88% of seniors are satisfied with their coverage.
Source: newyorkhealthworks.com

Medicare Advantage enrollment projected to grow 11 percent in 2013

Health and Human Services Secretary Kathleen Sebelius said the latest data shows that the reform law’s curbs on premium rate increases and other regulations on private insurers has made Medicare Advantage more accessible to the nearly 50 million senior citizens and disabled Americans who are Medicare beneficiaries.
Source: medcitynews.com

Social Security and You: Medicare Part D

Posted by:  :  Category: Medicare

While all Medicare beneficiaries can participate in the prescription drug program, some people with limited income and resources also are eligible for “Extra Help” to pay for monthly premiums, annual deductibles and prescription co-payments. Extra Help is worth about $4,000 a year. To figure out whether you are eligible for Extra Help, Social Security needs to know your income and the value of any savings, investments and real estate (other than the home you live in). To qualify, you must be receiving Medicare and your annual income must be limited to $16,755 for an individual or $22,695 for a married couple living together.
Source: mysanantonio.com

Video: Part D Part 1

Protect Your Seniors (and Yourself): 2013 Medicare Part D Prices Announced

During the Annual Election Period (AEP), you can change your Part D plan without restriction.  To remind you: the AEP is between October 15 and December 7.  With the prices going higher, it will be important to figure out which plan will result in the lowest overall costs for the year.  You can use the www.medicare.gov website in order to input your prescriptions and find your best plan.
Source: protectyourseniors.com

Spreading the Word on Medicare Part D

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

Compliance Alert: Medicare Part

As part of the Patient Protection and Affordable Care Act of 2010 (ACA), Plan Sponsors with group health plans which include prescription drug benefits now must provide the annual Part-D Creditable Coverage Notice by October 15, 2012. Before 2011, Plan Sponsors were to provide the notice no later than November 15, the first day of the Medicare Part-D open enrollment period. ACA changed the Part-D open enrollment to be the period between October 15 and December 7.
Source: andreini.com

'''Medicare Part D

If 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

HHS Says Medicare Part D Premiums Steady for 2013

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

A Search for Help When Drug Costs are Too High

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Source: webmd.com

Concerned about Medicare Part D Coverage? Join the Upcoming Teleconference

As you may know, Medicare Part D is a vital Federal program to the more than 3 million New Yorkers who participate. Part D provides disabled Americans and seniors access to affordable, life-saving medicines. The most recent Medicare Today survey found that 88% of seniors are satisfied with their coverage.
Source: newyorkhealthworks.com

Medicare Advantage enrollment projected to grow 11 percent in 2013

Health and Human Services Secretary Kathleen Sebelius said the latest data shows that the reform law’s curbs on premium rate increases and other regulations on private insurers has made Medicare Advantage more accessible to the nearly 50 million senior citizens and disabled Americans who are Medicare beneficiaries.
Source: medcitynews.com

Collins, Snowe must protect program that helps defray costs of prescription drugs — Opinion — Bangor Daily News — BDN Maine

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Source: bangordailynews.com

Medicare Part B Premium 2011 and 2012: Are Costs On The Rise?

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSYour Medicare Part B Premium is taken out of your social security check, usually on a monthly basis. If you can not afford to carry Medicare Part B agencies are available to assist you. They are: Medicaid, Supplemental Security Income, Qualified Medicare Beneficiary (QMB) Program, Specified Low-Income Medicare Beneficiary (SLMB) Program or theQualifying Individual (QI) Program. You can still be accepted even if your income is above the qualifying income limits.
Source: seniorcorps.org

Video: Medicare Open Enrollment 2011 … Compare Medigap Insurance Rates

Older Women and the Medicare Program

In the US, older women rely on the Medicare program disproportionality and significantly more than men. Not only do women make up more than half of the Medicare beneficiaries, we comprise about 70 percent of the oldest (over 85 years old) beneficiaries and are more likely to have multiple chronic conditions. Because women have a greater likelihood of living longer than men, more health care conditions will accumulate and more health care costs accrue. This means that as women age increased cost sharing and out-of-pocket expenses directly impact them more. Therefore, given the importance of Medicare’s cost sharing with seniors, and it’s quickly dwindling resources, it is important to revisit how vital the program is to older women and some of the options for securing it. Facts about older women on Medicare:
Source: woodrufflab.org

Medicare Premiums, Deductibles & Coinsurance: Rates for 2011

Because of the zero COLA increase in 2011, some Medicare beneficiaries will not pay more for coverage. If your premium is deducted from your Social Security check and your income is $85,000 or less ($170,000 if you file a joint tax return), then you won’t have to pay more. Your monthly premium will stay at either $96.40 or $110.50.
Source: suite101.com

Grappling With Details of Medicare Proposals

Still, it’s clear the proposed changes would shift costs from the federal government to retirees. An early version of a Republican plan would have more than doubled out-of-pocket health expenses for older adults, to $12,500 in 2022, the Congressional Budget Office estimated. “All scenarios will require seniors to pay more,” said Robert Moffit, senior fellow at the Heritage Foundation, a conservative research organization in Washington. To think otherwise, he said, “is a fantasy.”
Source: nytimes.com

Income, Poverty and Health Insurance Coverage in the United States: 2011

Next week, the Census Bureau will release single-year estimates for 2011 of median household income, poverty and health insurance coverage for all states and counties, places and other geographic units with populations of 65,000 or more from the American Community Survey (ACS), along with estimates for numerous social, economic and housing characteristics including language, education, the commute to work, employment, mortgage status and rent. Businesses use the ACS to create jobs, plan for the future, establish new business and grow our economy. Because the ACS provides a wide range of important statistics on housing, social and economic characteristics for all communities in the country, governments at all levels use the ACS for policy making and to determine where to provide services.
Source: census.gov

Medicare officials say program should curb fraud

Medicare will only pay after a physician meets with patients face-to-face and prescribes the wheelchair. A supplier recommends the type of wheelchair needed and also submits a claim to Medicare. Under the demonstration project, a doctor or supplier will submit a prior authorization request along with all relevant documents supporting Medicare coverage. The contractor then decides whether a request has met the requirements for coverage.
Source: wafb.com

Hospitals’ Readmissions Rates Not Budging

Medicare calculates readmission rates over three years. The most recent rates are based on readmissions spanning July 2008 through the end of June 2011. The Medicare data published Thursday on its Hospital Compare website showed that 19.7 percent of heart attack patients were readmitted within 30 days of discharge, a drop of only 0.1 percentage point from the previous year’s figures, which were based on the years 2007 through 2010. The data show that 24.7 percent of heart failure patients were readmitted, also a 0.1 point decrease. Pneumonia readmissions actually increased by 0.1 percentage points, to 18.5 percent of all Medicare pneumonia patients.
Source: kaiserhealthnews.org

Steady Hospital Readmission Rates Prove Costly for Medicare

Not everyone agrees with these findings. Nancy Foster, a vice president at the American Hospital Association, has stated that these findings downplay improvements made in the last year given the prior two years of readmission data. She suspects that more patients are being better managed in the ambulatory setting and that sicker patients, who end up being admitted, are more likely to return and be readmitted into the hospital. Additionally, industry and health policy experts believe that patients intentionally returning or being readmitted to the hospital for new, unrelated ailments, are not properly counted in Medicare’s calculations.
Source: ehealthinsurance.com

Protect Your Seniors (and Yourself): 2013 Medicare Part D Prices Announced

During the Annual Election Period (AEP), you can change your Part D plan without restriction.  To remind you: the AEP is between October 15 and December 7.  With the prices going higher, it will be important to figure out which plan will result in the lowest overall costs for the year.  You can use the www.medicare.gov website in order to input your prescriptions and find your best plan.
Source: protectyourseniors.com

Affordable Health Care Act may impact Medicaid and Medicare patients

Author Sandra Decker, PhD, an economist at the National Center for Health Statistics of the US Centers for Disease Control and Prevention (CDC) noted that the findings serve as a useful baseline from which to measure the anticipated impact of Affordable Care Act provisions that could increase Medicaid payment rates to primary care physicians in some states while boosting up the number of individuals with healthcare coverage. She reported a low acceptance rate of new Medicaid patients of 40.4% in New Jersey and a high of 99.3% in Wyoming. In general, acceptance rates generally were higher in states with higher Medicaid fee-for-services rates, expressed as a percentage of Medicare’s rates in 2008. For example, Medicaid rates in Wyoming in 2008 were close to 150% of the reimbursement for a Medicare patient; this marked the nation’s highest rate. In contrast, New Jersey’s Medicaid rates were the nation’s lowest: 37% of Medicare. Nationwide, the average Medicaid-to-Medicare fee ratio is 74.2.
Source: emaxhealth.com

Excess Readmissions Mean Lower Medicare Reimbursement Rates for More than 2,000 Hospitals, Including 131 in Florida

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Source: wordpress.com

VPR News: Vt. Hospital Addresses Readmission Rate

"Everything from having strong case management, trying to coordinate the care with the patient at the discharge to coordinating with the physicians offices in the community so the patient can get seen soon after discharge," said Dobson. "Rather than having to wait a month before they can see their doctor. Starting in 2011 our numbers go down lower than the national average and well within Vermont’s average."
Source: vpr.net