Medicare starts fining hospitals for readmitted patients

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /About two-thirds of the hospitals serving Medicare patients, or some 2,200 facilities, will be penalized this year, with an average fine of about $125,000, according to government estimates. Hospitals in Arkansas, the District of Columbia, Illinois, Kentucky, Massachusetts, Mississippi, New Jersey, and New York will be among the hardest hit, according to reports. For now, hospitals are only being measured on three medical conditions: heart attacks, heart failure and pneumonia.
Source: consumerreports.org

Video: Mississippi Conservative: Medicare Debate Ryan Plan Vs Obama Plan Facts not Fiction

Mississippi Medicare Part D Plans

Annual open enrollment for Part D begins on October 15th and continues through December 7th. If you submit an application during the enrollment period and feel that you have found a better plan, you can submit another application as long as you are still with that enrollment period.
Source: partdplanfinder.com

Don’t mess with Medicare (Mississippi Sound Off)

I see in this morning’s paper where Gautier has just found out they have a $1 million shortfall. That is easy to explain. The city government is throwing money right and left. We have sidewalks to nowhere; streetlights that don’t meet regulations and need to be removed; landscaping the medians that they can’t mow or keep weeded now; clock towers; sculptures for a non-existent downtown. Citizens, let’s clean house and get rid of all of them. We need practical thinking, level-headed leaders — not pie-in-the-sky dreamers.
Source: gulflive.com

Senior Benefit Services, Inc.

Effective October 1, 2012 on in force business only for United World 2010 Modernized Medicare Supplement plans (Policies effective on or after June 1, 2010) in Alabama and South Dakota and November 1, 2012 in Montana, the rate adjustments will affect plans  A, B, F, G, and M.
Source: srbenefit.com

Mississippi Medicaid Changes from the 2012 Legislative Session

For inpatient hospitals, the new APR-DRG methodology will be similar to DRG-based payment methods currently used by Medicare. All inpatient stays will be classified in one of 1,256 APR-DRGs based on the difficulty of the case. The payment amount for each stay will be derived by multiplying the APR-DRG relative weight by a budget-neutral base rate established by the Mississippi Division of Medicaid (DOM). Hospitals will be paid more for complex cases and less for more routine procedures. Policy adjustments will be made for pediatric mental health, adult mental health and obstetrics and newborns, to enhance payments made for the most at-risk Medicaid beneficiaries. Expected benefits of the change are as follows:
Source: healthcarereforminsights.com

Adrienne’s Corner: Why isn’t this getting more attention?…

Just exactly who is being served by the government fining hospitals as much as 125K, or more, for doing their job?  Do they really think that the reason people are sometimes readmitted to hospitals within 30 days of discharge is because of the ineptitude of doctors or, good heavens, to make more money?  Check out the rate of Medicare reimbursements to instantly disabuse yourself of that notion. Here are the
Source: blogspot.com

Jackson doctor gets 14 years for health care fraud

The evidence at trial showed that none of the services that were billed to Medicare and Medicaid were provided or supervised by a doctor, or by a licensed physical therapist. Instead, the therapy services were provided by employees of Central Mississippi Physical Medicine Group, none of which were trained or licensed physical therapists.
Source: themississippilink.com

Ask The Experts: Retirement

Posted by:  :  Category: Medicare

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

Video: New Port Richey’s Advanced Medicare

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

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

How the ACA Changes Pathways to Insurance Coverage for People with HIV

There are multiple sources of insurance coverage and care for people with HIV in the United States.  These include public programs, such as Medicaid and Medicare, and the Ryan White HIV/AIDS program, as well as private coverage through an employer or in the individual market. Medicaid, the nation’s principal safety-net health insurance program for low-income Americans, is estimated to cover the largest share of people with HIV. Fewer are covered by Medicare, the federal health insurance program for people age 65 and older and younger adults with permanent disabilities, or have private insurance, and a significant share is uninsured, relying primarily on Ryan White, the nation’s single largest federal grant program designed specifically for people with HIV who are uninsured or underinsured, and operating as the “payer of last resort.” Eligibility for these different coverage sources depends on numerous factors, including state of residence, income, employment and health status, age, and citizenship. As a result, the current system of coverage for people with HIV is a complex patchwork that leaves some outside the system and presents others with barriers to needed access. The Affordable Care Act (ACA), passed in 2010, will expand insurance coverage, and therefore access to care, for millions of people in the U.S., including people with HIV. Some of the ACA’s provisions went into effect soon after the law was passed; most that affect coverage will go into effect in 2014. Access to care, particularly antiretroviral treatment (ART), is not only critical for the health of people with HIV, it also carries important public health benefits with recent research demonstrating that ART significantly reduces the risk of HIV transmission from an HIV positive to negative individual. A new series of infographics developed by Kaiser depicts the pathways to insurance coverage for people with HIV, prior to the ACA, after the ACA was enacted but before 2014, and as of 2014 and beyond. As they indicate, coverage options have already expanded for people with HIV and are expected to expand further in 2014, although coverage will continue to vary across the country. Prior to the ACA (before 2010) Employer-sponsored coverage (ESI) is the primary way in which most people in the U.S. obtain health insurance coverage, although studies indicate that this is less so for people with HIV. Those without access to ESI could attempt to purchase coverage in the individual, non-group market. However, prior to the passage of the ACA, many people with HIV were effectively shut out of the individual market either because HIV was considered an uninsurable, pre-existing, condition by insurers or, if available, was often unaffordable. Medicaid, Medicare, and other public programs, therefore, were important pathways for people with HIV. To be eligible for Medicaid, an individual has to meet the income criteria in their state and belong to a group that was “categorically eligible” (children, parents with dependent children, pregnant women, and individuals with disabilities), and most people with HIV qualify on the basis of being both low-income and disabled. Prior to the ACA, federal law categorically excluded non-disabled adults without dependent children from Medicaid, unless a state obtained a waiver or used state-only dollars to cover them. This presented a barrier, and a “Catch-22,” to many low-income people with HIV who could not qualify for the program until they were disabled, despite the fact that Medicaid covers medications that stave off HIV-related disability and reduce mortality. To be eligible for Medicare, an individual has to be age 65 or older or, if under 65, permanently disabled. If not eligible for Medicare or Medicaid, a person with HIV might have access to state-funded coverage, such as a high risk pool, available in some states, but ultimately, would likely need to rely on the Ryan White program. In addition, Ryan White often “wrapped around” other forms of coverage, including Medicaid and Medicare, providing supplemental services where needed. >>View full-size version (.pdf) ACA Transition Period (2010-2014) The ACA provided additional coverage options in 2010. In the private insurance market, the ACA established a temporary program in every state to allow people with pre-existing medical conditions, such as HIV, who had been uninsured for six months or more and denied insurance coverage to purchase coverage through a Pre-Existing Condition Insurance Plan (PCIP). It also prohibited individual and group health plans from placing lifetime limits on coverage, thereby preventing people with very expensive illnesses from running out of coverage, and extended dependent coverage for adult children up to age 26 in all individual and group plans. In addition, the ACA created a new state Medicaid option for states to cover childless adults with incomes up to 138% of the federal poverty level (FPL) in their Medicaid programs, which several states have already used. Still, even with these expanded options, people with HIV who remain ineligible for coverage, or face limits in their coverage (e.g., benefit limitations), continue to rely on Ryan White. >>View full-size version (.pdf) Full Implementation of the ACA (2014 & Beyond) Most of the ACA’s coverage expansions go into effect in 2014. As of 2014, the ACA requires U.S. citizens and legal residents to have qualifying health coverage, and provides additional insurance market protections, cost-sharing, and coverage options to facilitate coverage. Health insurers will no longer be able to deny coverage to people with pre-existing health conditions (and the temporary PCIPs will no longer be needed). They will also be prohibited from placing annual limits on coverage and be required to guarantee issue and renew health insurance regardless of health status. Individuals will be able to purchase coverage through state-based “Health Insurance Exchanges” and depending on income, people without access to affordable ESI will be eligible for premium and cost-sharing subsidies to purchase coverage in the exchange. Finally, as of 2014, the ACA establishes a new Medicaid eligibility category for citizens and legal residents with incomes up to 138% FPL (thereby removing the categorical eligibility requirement and basing Medicaid eligibility solely on income) and provides states with an enhanced federal matching rate for this population. While a new mandatory eligibility category was established under the law, the Supreme Court of the United States ruled in June 2012 that states could not be penalized if they did not expand coverage to this new group, and it is therefore uncertain if all states will comply with this requirement. >>View full-size version (.pdf) The ACA has already led to improvements in access to and quality of care for people living with HIV and, when fully implemented in 2014, is expected to significantly expand access even further. Still, there are several outstanding questions, including: Will states go forward with the Medicaid expansion and provide coverage to a significant number of people who are HIV positive? Will the benefits package available through Medicaid and the Exchange be sufficient for people with HIV? And, how might the Ryan White program be changed or restructured when it comes up for reauthorization next year, filling in gaps for those who are ineligible for other coverage or still face high cost-sharing for drugs and other health care services? — Jen Kates
Source: kff.org

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

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

What Determines Eligibility for Medicare?

Part A and Part B are a component of Medicare, where individuals who are eligible, receive Part A without any costs, and Part B eligibility for Medicare, is based on premium payments, during an open enrollment period. Part A covers Medicare insurance for hospitalization and Part B is a premium paid medical insurance. Additional eligibility for Medicare plans, include Part C, which allows individuals to be Medicare approved, to sign up with private insurance companies for additional medical benefits. These Medicare Advantage Plans include coverage in medical plans like an HMO and a PPO, while remaining a Medicare enrollee.
Source: seniorcorps.org

My Alzheimer’s Archive of Articles and Memoranda: Eligibility for Medicaid

Spousal income allowance: In general, the income rules are inapplicable to the noninstitutionalized (at-home) spouse; this spouse is entitled to keep all of his or her periodic income and is under no obligation to contribute to the institutionalized partner’s care. Therefore, if the terms of a trust direct the trustee to pay income to Alice only, then the income belongs to Alice only. If a dividend check names Alice as the sole payee, then the income is hers alone. With respect to joint income such as a joint bank account, most states allow the at-home spouse to keep one-half. A problem arises, however, when most of the income is in the name of the institutionalized spouse. For this reason, federal law requires that the states set a minimum monthly maintenance needs allowance for the at-home spouse within prescribed federal limits. For 2007, the federal minimum monthly needs allowance is $1,711 (effective July 1, 2007 through June 30, 2008). However, states could set higher limits, up to a maximum of $2,541 (federal maximum for 2007). The spousal income allowance is granted from the income of the institutionalized spouse before consideration of any nursing home bills. Naturally, if the at-home spouse’s monthly income exceeds the minimum monthly maintenance needs allowance, he or she will not be entitled to a spousal allowance.
Source: blogspot.com

GAO: Medicaid eligibility screening for long

All 50 states have conducted data matches with the Social Security Administration when verifying a Medicaid applicant’s assets, according to a Government Accountability Office report released Monday. But as of 2011, no state had enacted a 2009 law requiring states to implement an electronic verification system, according to the GAO. The degree to which states used other asset verification processes — such as reviewing earned income, unearned income, financial and investment resources — was not consistent across states.
Source: mcknights.com

Should The Eligibility Age For Medicare Be Raised?

Maya MacGuineas, president of the Committee for a Responsible Federal Budget, makes the case for raising the eligibility age. Arguing to leave it unchanged is Aaron E. Carroll, the associate director of Children’s Health Services Research at Indiana …
Source: newamerica.net

Daily Kos: The Village Fix is In on Cutting Medicare

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Source: dailykos.com

Budget Sequestration (“Fiscal Cliff”) to Cost Medicare Providers $11 Billion in FY 2013, White House Reports : Health Industry Washington Watch

Posted by:  :  Category: Medicare

The Budget Control Act imposes a number of special rules regarding the application of sequestration to the Medicare program. Most notably, Medicare cuts are limited to provider payments, and reductions are capped at 2% of individual provider payments under Medicare Parts A and B, and monthly payments under Part C (Medicare Advantage) and Part D prescription drug plan contracts. Medicare payment reductions must be made at a uniform rate across all programs and activities subject to sequestration. Sequestration reductions will be disregarded for purposes of computing adjustments to Medicare payment rates, including the Part C growth percentage, the Part D annual growth rate, and application of risk corridors to Part D payment rates. Also specifically exempt from sequestration are Part D low-income subsidies, Part D catastrophic subsidies, and payments to states for Qualified Individual premiums.
Source: healthindustrywashingtonwatch.com

Video: Medicare Shared Savings Program and Advance Payment Model Application Process

What Is Medicare D Insurance?

There are several ways in which a person can sign up for Medicare D insurance coverage once they have been approved to receive Medicare insurance coverage. The first option for enrollment is to complete a paper enrollment form. Paper enrollment forms can be obtained through your local Social Security office, online, or by contacting the Medicare administration that has processed your basic Medicare application. The second option for signing up for Medicare Part D coverage is to call the number listed on your Medicare approval letter. The customer care professionals that answer your call will be able to provide the assistance necessary to get your application processed. The third option for applying for Medicare Part D insurance is to call 1-800-MEDICARE (1-800-633-4227). The representatives will either be able to begin the process of filling out your application for you over the phone or send you a form if you choose to do so in this manner.
Source: seniorcorps.org

Hospitals, Providers to Lose $11.1B From Medicare Sequestration Cuts

Hospitals and other providers will see Medicare payment reductions totaling $11.1 billion this upcoming year, due to the Budget Control Act of 2011, unless Congress passes new measures to prevent the cuts, according to a report from the White House’s Office of Management and Budget (pdf). Last summer, the bipartisan Joint Select Committee on Deficit Reduction, more commonly known as the “supercommittee,” was unable to reach an agreement on ways to reduce the national deficit. As such, the Budget Control Act of 2011’s sequestration process became the default plan to reduce the deficit by $1.2 trillion over the next 10 years via across-the-board budget cuts to all government agencies. In the sequestration plan, roughly $109 billion of cuts would be implemented every year from fiscal year 2013 to FY 2021. Defense spending would take the biggest hits with cuts of 9.4 percent. Nondefense spending would be reduced by 8.2 percent, most entitlement programs by 7.6 percent and Medicare by 2 percent. Two percent of Medicare’s budget ($554.3 billion) is roughly $11.08 billion. Medicare providers — ranging from hospitals and physician practices to home health agencies and hospices — would see reductions in their payments, but Medicare beneficiaries would not lose any of their benefits. Over the next 10 years, Medicare providers stand to lose upwards of $120 billion. In addition to the Medicare cuts, the National Institutes of Health would also have to “halt or curtail scientific research, including needed research into cancer and childhood diseases,” according to the OMB’s report. President Barack Obama and the OMB said the sequestration process is a “blunt and indiscriminate instrument,” and the reductions could be “destructive” to the country’s social programs, national security and other governmental functions. President Obama has called on Congress to “act responsibly” and put forward a new proposal. “[Sequestration] is not the responsible way for our nation to achieve deficit reduction,” according to the OMB’s report. “The President has already presented two proposals for balanced and comprehensive deficit reduction. It is time for Congress to act. Members of Congress should work together to produce a balanced plan that achieves at least the level of deficit reduction agreed to in the BCA that the President can sign to avoid sequestration. The administration stands ready to work with Congress to get the job done.”
Source: beckershospitalreview.com

Medicare changes will focus on care

The value-based purchasing program, as the new system is described, will affect 43 inpatient prospective payment system (IPPS) hospitals in Kansas, which includes community hospitals and some surgical hospitals. It does not affect 83 critical access hospitals in Kansas that are located in rural areas and are reimbursed differently. Five Kansas IPPS hospitals were excluded in the program for this year because they did not have enough data or patients, according to Cindy Samuelson, vice president of member services and public relations at the Kansas Hospital Association.
Source: kansas.com

The Washington Post Company To Acquire Majority Interest in Celtic Healthcare, Inc.

Celtic Healthcare is a multi-state provider of Medicare-certified home healthcare and hospice services. Founded in Mars, PA, by Arnie Burchianti, a practicing physical therapist, Celtic’s service area now spans throughout western, central and northeastern Pennsylvania, and Montgomery and Baltimore counties in Maryland. Celtic Healthcare has earned national recognition for its proprietary technology and specialized chronic disease management programs utilizing virtual and telehealth technologies. Celtic also has received numerous awards including Best Places to Work, Fastest Growing Company, Homecare Marketing and Homecare Elite Status.
Source: wphospitalnews.com

lost social security card nyc: lost medicare card replacement Rick Steves Best of Europe Rick Steves Croatia & Slovenia Rick Steves Eastern Europe Rick Steves Eng

Posted by:  :  Category: Medicare

GIMME SOME OF THAT GOOD 'OLE OBAMA DOUBLESPEAK by SS&SSelevator, and chapel), and Route III (300 K , includes private top- floor rooms of Franz Ferdinand and his family). All tickets are 30 percent cheaper if you join a Czech-speaking tour. While Route II gives you the most comprehensive lost medicare card replacement look into the castle, its history, and celebrated collections, Route III recently reopened after the rooms were meticulously restored to match 1907 photographs launches you right into a turn-of-the-20th-century time capsule. Rick Steves Best of Europe Rick Steves lost medicare card replacement Croatia & Slovenia Rick Steves Eastern Europe Rick Steves England Rick Steves France Rick Steves Germany Rick Steves Great Britain Rick Steves Ireland Rick Steves Italy Rick Steves Portugal Rick Steves Scandinavia Rick Steves Spain Rick Steves lost medicare card replacement Switzerland Schwarzenbersk Pivnice lost medicare card replacement is a large and colorful brewery/pub serving every variety of local Regent beer, including the fresh yeast kind you won t find in regular pubs. The only snacks available are Czech munchies, such as pickled sausage (utopenec) and pickled brie (nakl dan hermel n) this place is for drinking (Mon Fri 11:00 22:00, Sat Sun 12:00 23:00, in Regent Brewery). itufySights qMain Square wMuseum of the Ghe o eMagdeburg Barracks rDry Moat tSmall lost medicare card replacement Fortress Entry Gate yModel Cells, Washroom & Gavrilo Princip’s Cell uArt Museum iExecution Ground & Mass Grave oHidden Synagogue aRailway lost medicare card replacement Tracks & Columbarium sCrematorium, Jewish Cemetery & Soviet Memorial Other dBus To/From Prague fCafeteria gParkhotel Restaurant terez n Walk around the corner to the w Museum of the Ghetto, where you buy the Terez n combo-ticket (note show times formovies). You ll find two floors of exhibits about the development of the Nazi s Final Solution and a theater lost medicare card replacement showing four excellent films. One film documents the history of the ghetto, and two focus on children s art in the camp. The fourth is made up of clips from Der F hrer schenkt den Juden eine Stadt (The F hrer Gives a City tothe Jews) by Kurt Gerron. Gerron, a Berlin Jew, was a 1920s movie star who appeared with Marlene Dietrich in Blue Angel. Deported to Terez n, Gerron in 1944 was asked by the Nazis to produce apropaganda film. Although in the resulting film, healthy (i.e., recently arrived) Jewish settlers are seen in Terez n happily viewing concerts, playing soccer, and sewing in their rooms, an unmistakable, lost medicare card replacement deadly desperation radiates from their pallid faces. The
Source: blogspot.com

Video: Social Security Surplus Myth Part I

dd 1056 fillable: lost medicare card replacement Hotel Mayura Valley View HOTEL $$ (%228387; near Raja s Seat; d incl breakfast from 1200; a) Despite

Sapna International HOTEL $ (%220991; Udgir Rd; d from 400; a) This place is let down by slightly stiff service, but the rooms are just about fine for the price. In its favour are the two restaurants: the pure-veg Kamat and the nonveg Atithi, which offers meat dishes and booze (mains 80 to 100). Hotel Mayura Valley View HOTEL $$ (%228387; near Raja s Seat; d incl breakfast from 1200; a) Despite being located lost medicare card replacement out of town on a secluded hilltop past Raja s Seat, this is clearly Madikeri s best sleeping option. lost medicare card replacement It has large bright rooms with fantastic views of the valley outside its floor-to-ceiling windows. Service though patchy could be bettered for a small tip. The all-new Hotel Madhuvan International HOTEL $ (%255571; Station Rd; d 600-1000; a) Hidden down a lane off Station Rd, this pleasant hotel boasts lime-green lost medicare card replacement walls, tinted windows and an amiable management. It s generally quiet and peaceful, but watch out for those boisterous wedding receptions often thrown at the garden restaurant. Coorg Trails (%9886665459; www.coorg trails.com; Main Rd; h9am-8.30pm) is another recommended outfit that can arrange day treks around Madikeri lost medicare card replacement for 500 per person, and a 22km trek to Kotebetta, including an overnight stay in a village, for 1500 per person.
Source: blogspot.com

prairie walk on cherry creek: lost medicare card replacement Backtrack and enter the courtyard in the huge monastery just acrossthe street. Benedictine Monastery

1899 Viennese psychiatrist Sigmund Freud publishes The Interpretation of Dreams, launching psychoanalysis and the 20th-century obsession with repressed sexual desires, the unconscious mind, and couches. lost medicare card replacement Backtrack and enter the courtyard in the huge monastery just acrossthe lost medicare card replacement street. Benedictine Monastery (Kloster St. Mang): From 1717 until secularization in 1802, this was the powerful center of town. Today the courtyard is popular for concerts, and the building houses the City Hall and City Museum (and a public WC). The memorial wooden stairs in front of the museum are a copy of those found in Hallstatt s prehistoric mine the original stairsare lost medicare card replacement more than 2,500 years old. For thousands lost medicare card replacement of years, people have been leaching salt out of this mountain. A brine spring sprunghere, attracting Bronze Age people in about 1600 b.c. Later, lost medicare card replacement they dug tunnels to mine the rock (which was 70 percent salt), dissolved lost medicare card replacement it into a brine, and distilled out the salt precious for preservingmeat. For a look at early salt-mining implements and the town s story, visit the museum (described under Sights and Activities ). c. a.d. 1 The Romans occupy and defend the crossroads of Europe, where the west east Danube River crosses the north south Brenner Pass through the Alps. c. 800 Charlemagne designates Austria as one boundary of his European empire the Eastern Empire, or sterreich.
Source: blogspot.com

Why Medicare Cards Still Show Social Security Numbers

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

Drug Coupons: A Good Deal For The Patient, But Not The Insurer

The rising cost of brand-name drugs is one of the many factors driving up the cost of health care. President Barack Obama addressed the issue at a White House news conference in 2009 during the debate over his health-care bill. When asked if Americans would have to make sacrifices to make the overhaul work, he said, “They’re going to have to give up paying for things that don’t make them healthier. . . . If there’s a blue pill and a red pill, and the blue pill is half the price of the red pill and works just as well, why not pay half price for the thing that’s going to make you well?”
Source: kaiserhealthnews.org

Daily Kos: Mom gets her photo ID

I took my 93 year old mother to the DMV today to get a photo ID. She gave up driving a couple of years ago and her DL expired last year, but she continued to skate based on her rebellious notion that while the driving privileges had expired, the rest of the stuff hadn’t. It took me a year to get her to give up scheme. Basically, all it would take is one by-the-book petit functionary with no common sense to disapprove her ID and it would almost certainly be at a time she could least afford it, such as changing planes on a multi stop flight at a distant airport where I couldn’t help.
Source: dailykos.com

Medicare card replacement, Verify U.S. Federal Government Social Media Accounts

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Source: medicarecard.com

Howell discusses Medicare in visit to Riverdale Senior Center

“We are witnessing today an attempt by Congress to end Medicare,” Howell said. “I oppose any plan that forces seniors into the private health insurance market — some call it a voucher system. Really, it’s ‘coupon care.’ ”
Source: standard.net

“Medicare & You” goes paperless

and access all the same information found in your printed handbook. You can learn what’s new for the year, how Medicare works with your other insurance, get Medicare costs, and find out what Medicare covers. Even better, the handbook information on the web is updated regularly, so you can instantly find the most up-to-date Medicare information.
Source: medicare.gov

100 point ID, what is needed for this?

I was told by a few real estate agents that they are not so particular with new migrants. But in any case it is pretty easy to collate 100 points with a few different forms of ID like passport, medicare card, driving licence etc.
Source: pomsinoz.com

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

During former President Bill Clinton’s speech, an audience member who was receiving oxygen through a nose tube showed her Medicare card on camera while Clinton was railing about Republicans wanting to “end Medicare as we know it.”
Source: cbslocal.com

U.S. needs to remove Social Security numbers from Medicare cards

“Don’t carry your Social Security card in your wallet or write your Social Security number on a check. Give your Social Security number only when necessary, and ask to use other types of identifiers. If your state uses your Social Security number as your driver’s license number, ask to substitute another number. Do the same if your health insurance company uses your Social Security number as your policy number.”
Source: triblive.com

Medicare card scam scaring information from recipients

Tips from a study at USC (http://n.pr/UKyFOT). • Compare reviews not only within a site, but across different websites. • Reviews by people who are verified by the site are more trustworthy than reviews by anonymous reviewers — especially when it comes to negative reviews. • Read reviews less for whether they give a hotel or a restaurant one star or five stars, but more for the specific information they give about the experience. • Reviews are very useful for information that experts or merchants might not think to provide — how late a swimming pool stays open could be useful if you are traveling with a family. • Focus on aggregates, not outliers. You can’t trust a handful of bad reviews or glowing reviews, but trends are much harder to fake.
Source: wordpress.com

Free hearing aids given out in the Bronx :: Pavement Pieces

Posted by:  :  Category: Medicare

OBAMACARE WATCH: MORE DARKNESS THAN LIGHT AND OF COURSE TAXES AND PENALTYS by SS&SS9/11 2011 ING New York City Marathon Arizona arrest Border Brooklyn business Crime Detroit East Village economy Education food Ground Zero Harlem homeless Illegal Immigration Immigrants Immigration Manhattan Marathon Memorial Mexico Music New York New York City NYPD obama occupy wall street OWS Philadelphia Police Protest protestors Queens Rally religion runners Sept. 11 September 11 spring super bowl xlvi Wall Street World Trade Center zuccotti park
Source: pavementpieces.com

Video: CYPRUS HEARING CENTER CHRIS OTO MEDICARE

Savvy Senior: How to find help paying for your hearing aid

Lions Affordable Hearing Aid Project: Offered through some Lions clubs throughout the United States, this program provides the opportunity to purchase new, digital hearing aids manufactured by Rexton for $200 per aid, plus shipping. To be eligible, most clubs will require your income to be somewhere below 200 percent of the federal poverty level which is $22,340 for singles, or $30,260 for couples. Contact your local Lions club (see lionsclubs.org for contact information) to see if they participate in this project.
Source: pomeradonews.com

Life Sounds Great: Why are some hearing tests free and others are not?

Typically and audiologist will charge for the assessment.  An audiologic assessment is more than just a hearing test.  Audiologic assessment gives in depth information about your ears and hearing.  It is the most important part of your evaluation.  It is the cornerstone form which all of the decisions and recommendations are made.  The assessment needs to be accurate and thorough.  It is performed in a sound booth using calibrated equipment.  The assessment is the first step to good hearing care and properly adjusting hearing aids.  It is so important that Medicare and other insurances pay for the assessment even when they do not pay for hearing aids. 
Source: blogspot.com

Hearing Aid Batteries Utah

Enabling You Hear Now – Medicare Hearing Aids Information Auditory aid devices are quite costly equipments. You would be quite aware of this fact if you have ever visited some hearing devices selling shops. But you have not to pay just the cost of auditory aiding devices to purchase them rather you have also to spend enough money and resources on testing to have correct diagnosis regarding what is the level of your hearing ability & what types of the sounds you can hear and what you cannot hear. Hearing Aid Batteries Utah This test and correct recommendation is highly essential for the selection of the right equipment for you. This whole process of medical examinations and purchasing the hearing aids may cost enormous amount of money. For a normal wage earner it can be extremely challenging to bear all the expenditures incurred on this process. However the appropriate knowledge of Medicare hearing aids information can be of great help for you if you have to buy hearing aids. By knowing Medicare hearing aids information you can understand that which expenses incurred on this process are covered by your health insurance. New Medicare Hearing Aids Information A Hope For the future Recently there has been done a lot of legislation for providing the necessary assistance to the hearing loss patients by covering the expenditures incurred on medical examination for diagnosis of the hearing problem. Similarly some bills are already in pipeline which are oriented to cover the cost of hearing aids. The latest Medicare hearing aids information explains that there a law is going to be promulgated the year instant that would make mandatory upon Medicare to offer enough assistance for hearing aids costs. According to Medicare hearing aids information this proposal was launched by a senior member of the Congress Gus M. Bilirakis from Florida, and has been termed as HR 1912; the Medicare Hearing Enhancement and Auditor Rehabilitation (HEAR) Act. If passed, this bill would allow the senior citizens to better afford hearing instruments, as well as the necessary medical examinations and diagnosis. Medicare hearing aids information rightly puts that since Mr. Bilirakis has himself been a patient of hearing loss he can better understand the disappointment of the affected people. That is why he submitted this bill in the congress so that hearing aid equipment and examination may be made bearable to the patients of hearing loss. Good News by Medicare Hearing Aids Information: According to Medicare hearing aids information the proposal is also is backed by the American Speech-Language-Hearing Association (ASHA) as they think that the it would open the opportunity for more patients of hearing loss to easily bear the expenses spent on the hearing aids instruments. Medicare hearing aids information states that at the moment there is very small portion of the population which can afford hearing aid equipments due to their extremely high prices. As put by Medicare hearing aids information, particularly veterans who have very limited financial resources cannot afford them at all. So if any legislation is successfully processed on this issue it would help not only the elderly but also many other young patients who cannot afford to spend on these highly costly equipments.
Source: pdfcast.org

What If Medicare Part A Doesn’t Cover My Costs?

Medicare Select is an affordable supplement that works similar to an HMO. The coverage is identical to regular supplemental insurance except policy holders must use a network of doctors, hospitals and specialist for their services to be covered. If customers visit a non-network doctor they will pay a higher cost, but, they can receive emergency care from any hospital. Also, to receive additional covered care within the network patients need a referral from their primary care physician.
Source: seniorcorps.org

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

Older Women and the Medicare Program

Affordable care Act AIDS Alzheimer’s Disease Autoimmunity birth control bone health breast cancer cardiovascular disease contraception dementia depression Diabetes diet estrogen exercise fertility preservation food safety Gender Role Healthcare Reform heart disease heart health HIV hormone replacement therapy Hot flashes HPV immune system infertility men’s health menopause mental health obesity osteoporosis pregnancy reproductive health research sex differences Skin Cancer sleep smoking Type 2 Diabetes weight loss weight management Women women’s health Women in Science
Source: northwestern.edu

Doctors/Clinicians Should Discuss Treatment Options with Hearing Impaired Adults

The study, “The Prevalence of Hearing Impairment and Its Burden on the Quality of Life Among Adults with Medicare Supplement Insurance,” was conducted by AARP Services, Inc., a wholly owned, taxable subsidiary of AARP, and UnitedHealthcare, a UnitedHealth Group company, and appears in the September issue of Quality of Life Research, the official journal of the International Society of Quality of Life Research. The study surveyed more than 5,500 enrollees in AARP Medicare Supplement plans insured by UnitedHealthcare Insurance Company (for New York residents, UnitedHealthcare Insurance Company of New York) in 10 states.
Source: marketingforecast.com

Affordable Hearing Aids Now Available to Millions of UnitedHealthcare Health Plan Customers

About UnitedHealthcare UnitedHealthcare is dedicated to helping people nationwide live healthier lives by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. The company offers the full spectrum of health benefit programs for individuals, employers and Medicare and Medicaid beneficiaries, and contracts directly with more than 650,000 physicians and care professionals and 5,000 hospitals nationwide. UnitedHealthcare serves more than 38 million people and is one of the businesses of UnitedHealth Group (NYSE: UNH), a diversified Fortune 50 health and well-being company.
Source: audioinforum.com

Word Salads or the Demyelination of Me: I’m getting ClearVoice!

Read all about ClearVoice here. But first, a double whammy. My implant sounds like a garbled motorcycle which means I needed re-programming. I googled and found out ClearVoice was now out!  My audie was giddy when she told me it was available now. I cannot wait!  Read the description to find out why. I hate background noise. I don’t want to hear it. Now I won’t! I have two ears though. My other ear uses a hearing aid. And old one too. And it is failing… I cannot afford to buy one right now. They’re around $2400 or so because I’m really deaf. None of those tiny invisible “hide in the ear” thingies will do!  I think I bought mine in 2000.  I am hoping I can get it reconditioned hahaha. HAHA. Ha. The funny thing about Medicare/Medicaid is they will pay for a cochlear implant $75K (or more?) but they won’t buy you a hearing aid.
Source: blogspot.com

Satisfying Retirement: Someone Explain Medicare to Me

Part D covers some of your presecition drug costs. If you don’t need a lot of drugs now, it still may be wise to take this coverage because of late enrollment penalties. Part D is provided by private insurance companies and varies widely in costs and coverage. There are usually copays and deductibles involved. The “Donut hole” limits coverage on what these plans will pay for your drugs. UNder the new health care plan, that donut hole is shrinking and has a new feature that gives you a 50% discount on covered brand name drugs. 
Source: blogspot.com

Better Ways And Means Medicare Medicade: Who Cares?

The Republican GOP Medicaid Cuts Just Politics or Just Bad Math. Medicaid “It’s Cheaper To Keep Her” The recent budget proposal in the U.S. House of Representatives would seriously undermine the Medicaid program. Medicaid provides critical health coverage to 8 million Americans with disabilities who rely upon Medicaid for long term services and support. Remember the “Doughnut Hole” and The Big Oil “Black Hole.” Pray We Never Forget The Alamo!
Source: blogspot.com

Beacon CEO on Paul Ryan’s Medicare proposal

Posted by:  :  Category: Medicare

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

Video: Tennessee Medicare Supplement

TENNESSEE MEDICARE SUPPLEMENT

It’s about how you can get rid of a migraine without using the popular drug Fioricet. Migraine disease is quite extended ones in our time, to put it more precisely what has become a widely as migraine syndrome. What not to use a variety of drugs to treat migraines such as Fioricet, and others, there are several alternative procedures that do not give side effects and not devastate your wallet. These procedures are – treatment for folk remedies. 1.Saline compress for headaches: For the preparation of a compress to take a piece of woolen cloth, moisten it with a saline solution (0.5 liters of water 1 tablespoon of salt) and bind to the waist, wrapped with something warm. This pack should be done within 8 days, even if the head has stopped hurting. If the headaches are caused by high blood pressure, you should take a cucumber. Cut into rings and place on the eye. 2.Hot tea with a spoon: If the headache begins, prepare a cup of hot tea, heat a teaspoon of it and attach it to the wing of the nose on the side of the head that hurts. Cool down the spoon again Warm and attach. The hot teaspoon attach to the earlobe on the same side. Heat the tips of the fingers on a hot cup of tea. The pain should go, and now you can drink tea. At a headache to put his left hand on his head, and the right – to the solar plexus. Close your eyes and lie down for 10-15 minutes, thinking about something pleasant, not associated with pain. You can read the prayer. Headache helps tap on the nose (nose), a large phalanx of thumb 5-20 minutes. Relax and repeat. Do at least 2 times per hour. 3.Self-massage head: rub the back of his left hand, and then do the same right hand, then rub the cavity at the back right and left hand up to the sensation of heat. The ears and the area around the ears warm up to the sensation of heat with your fingers. After these treatments, many diseases. 4.Compresses with cold and warm water: A piece of fabric approximately 20×20 cm folded 4 times, wet with cold water, gently squeeze and put it on his neck. Every 3-4 minutes cloth dampened with water again. Pressing and put in its place. The next day instead of cold water use warm. 5.Yellow Amber: Those who suffer from headaches of any nature should be worn around the neck, not removing, the thread of natural Amber yellow. If you suffer from chronic migraine who have sent you inherited, and treat the people’s means you do not help then you probably need to contact your doctor and take an analgesic Fioricet.
Source: tennesseemedicaresupplement.com

Medicare Part D Exclusion of Benzodiazepines and Fracture Risk in Nursing Homes

Following the enactment of Medicare Part D, Tennessee was the only state to forgo supplemental coverage for benzodiazepines; when benzodiazepine prescriptions declined, nursing home residents in Tennessee experienced more falls and hip fractures.Benzodiazepines are controversial sedatives. Enacted in 2006, Medicare Part D excluded reimbursements for benzodiazepines. However, most state Medicaid programs continued to provide supplemental coverage for benzodiazepines.
Source: rwjf.org

Tennessee Medicare Part D Plans

The formulary also gives you some other important data that will allow you to calculate what your potential annual cost will be. Annual cost equals; monthly premium plus deductible and you share of copayment or coinsuance required when you fill a prescription.
Source: partdplanfinder.com

Tennessee Guerilla Women: Ronney’s VP Pick: Enemy of Medicare

Let the campaign begin. Romney is announcing Paul Ryan as his VP choice, as I write. In other words, the all male, all white Romney team hopes to slash Medicare and all social safety net programs that are not designed for Romney’s fat-rat buddies. Are you paying attention Florida?
Source: blogspot.com

Medicare Supplements for Tennessee

Learn about Medicare, Tennessee Medicare supplemental insurance and Tennessee Medigap. Receive Tennessee insurance quotes from an independent agency to see who has the lowest prices where you live. Veteran owned business
Source: web2logs.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

My Left Nutmeg:: Steve Obsitnik refuses to address whether he supports Medicare voucher proposal

Powered By – SoapBlox Connecticut Blogs – Capitol Watch – Colin McEnroe – Connecticut2.com – Connecticut Bob – ConnecticutBlog – CT Blue Blog – CT Energy Blog – CT Local Politics – CT News Junkie – CT Smart Growth – CT Voices for Civil Justice – CT Voters Count – CT Weblogs – CT Working Families Party – CT Young Dems – Cool Justice Report – Democracy for CT – Drinking Liberally (New Milford) – East Haven Politics – Emboldened – Hat City Blog (Danbury) – The Laurel – Jon Kantrowitz – LieberWatch – NB Politicus (New Britain) – New Haven Independent – Nutmeg Grater – Only In Bridgeport – Political Capitol (Brian Lockhart) – A Public Defender – Rep. David McCluskey – Rep. Tim O’Brien – State Sen. Gary Lebeau – Saramerica – Stamford Talk – Spazeboy – The 40 Year Plan – The Trough (Ted Mann: New London Day) – Undercurrents (Hartford IMC) – Wesleying – Yale Democrats CT Sites – Clean Up CT – CT Citizen Action Group – CT Democratic Party – CT For Lieberman Party – CT General Assembly – CT Secretary of State – CT-N (Connecticut Network) – Healthcare4every1.org – Judith Blei Government Relations – Love Makes A Family CT CT Candidates – Chris Murphy for Senate – John Larson for Congress – Joe Courtney for Congress – Rosa DeLauro for Congress – Jim Himes for Congress – Elizabeth Esty for Congress
Source: myleftnutmeg.com

Medicare Training provided by Tennessee State Health Insurance Program — July 16 and July 19

Are you providing services for clients who are receiving Medicare and would like to learn more about Medicare?  The Tennessee State Health Insurance Program (SHIP) is providing free certified Level III Medicare training on Monday July 16 and Thursday July 19  8:30-3:30.  The training is scheduled at the Aging Commission Office located at 2670 Union Ave ext. 10
Source: wordpress.com

LONG BEACH, Calif.: Molina Healthcare Names New President for California

Posted by:  :  Category: Medicare

Molina Healthcare, Inc. (NYSE: MOH), a FORTUNE 500 company, provides quality and cost-effective Medicaid-related solutions to meet the health care needs of low-income families and individuals and to assist state agencies in their administration of the Medicaid program. Our licensed health plans in California, Florida, Michigan, New Mexico, Ohio, Texas, Utah, Washington, and Wisconsin currently serve approximately 1.8 million members, and our subsidiary, Molina Medicaid Solutions, provides business processing and information technology administrative services to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West Virginia, and drug rebate administration services in Florida. More information about Molina Healthcare is available at www.molinahealthcare.com.
Source: heraldonline.com

Video: Newly Accepted Insurances & Current Services at American Indian Health & Family Services

Molina Healthcare to participate in Ohio’s integrated care system for dual eligibles

Molina Healthcare (NYSE: MOH) today announced that its health plan subsidiary, Molina Healthcare of Ohio, Inc., has been chosen to participate in the Southwest (Cincinnati), West Central (Dayton), and Central (Columbus) markets under the Ohio Integrated Care Delivery System (ICDS). The Ohio ICDS is intended to improve care coordination for individuals enrolled in both Medicaid and Medicare. The selection of Molina Healthcare of Ohio was made by the Ohio Department of Jobs and Family Services (ODJFS) pursuant to the request for applications for qualified health plans to serve in the ICDS issued in April 2012. The commencement of the ICDS is subject to the readiness review of the selected health plans, and the execution of three-way provider agreements between the health plans, ODJFS, and the Centers for Medicare and Medicaid Services (CMS). Enrollment of dual eligible members in the ICDS is expected to begin on April 1, 2013.
Source: medcitynews.com

Molina Healthcare appoints Richard Chambers as new President of its arm

Lisa Rubino, Senior Vice President of the Western Region for Molina Healthcare said, “Richard’s extensive knowledge and experience in managed care combined with his unwavering commitment to Medicaid and Medicare programs and to assisting vulnerable populations prepare him well for the opportunities ahead.” “We are excited to have him on our team and look forward to his contributions in growing our California health plan,” she said.
Source: healthcareglobal.com

Molina Healthcare Management Discusses Q2 2012 Results

I think that’s a great question, Josh. And here, I think, is one of the differences. In California, we are operating in the existing markets. We do have data on the Medicare side. So we do have better, I think, utilization data. When we look at Texas, specifically in Hidalgo, the state gave us no utilization data despite our asking for it. They simply gave us a PMPM. So we made our estimates based on what was happening in the rest of the state in the markets that we had already been serving. And what we saw was the utilization, the number of beneficiaries utilizing long-term care service is — in our other markets, range from 11% on the low end to 20% on the high end. So when we look into the rates adequate, we thought they would be assuming that the same percentage of people in Hidalgo were using it in other areas, which led us to believe that it was really a overutilization of services. What we found once we got in there, was that 60% of the people in Hidalgo are utilizing long-term care services. It’s a much different issue that we have to tackle because we have to go out now on every one of those people and do a home visit. So you are absolutely right that data — our ability to see data, our ability to analyze the data will be critical, and in each of our discussions with the states, that’s what we’ve been talking to them about. We have experiencing in California. Ohio, we’re fortunate that they have probably the best rate setting experience of any state we’re in there, totally transparent. And then in Michigan, which is another duals state that we’re looking at, we currently have experienced because the state enrolled the Duals into Medicaid Health Plans for their Medicaid non-long-term care benefits. So again, it’s we’re getting actual experience which I think will help us.
Source: seekingalpha.com

Molina Healthcare names new president for California

September 26, 2012, Long Beach, Ca., USA – Molina Healthcare, Inc., a managed care company, announced that Richard Chambers has been named president of its subsidiary, Molina Healthcare of California. With more than 35 years of experience in the health care industry, Mr. Chambers spent more than 27 of these years working with the federal Centers for Medicare & Medicaid Services. Prior to joining Molina, he was the chief executive officer for CalOptima, a county organized health system providing publicly-funded health coverage programs for low-income families, children, seniors and persons with disabilities in Orange County, CA. Mr. Chambers currently serves as a commissioner on the Medicaid and Children’s Health Insurance Program Payment and Access Commission (MACPAC), and a member of the Congressional Budget Office Panel of Health Advisers—two high-level groups that advise Congress on health care policy matters. Mr. Chambers also serves on the California Olmstead Advisory Committee, the California Department of Health Care Services Stakeholder Advisory Committee for the Section 1115 Medicaid Waiver Project, and is the immediate past chair of the Health Funders Partnership of Orange County. Mr. Chambers received his Bachelor of Arts degree from the University of Virginia. Former president of Molina Healthcare of California, Lisa Rubino, was recently promoted to senior vice president of the Western Region for Molina Healthcare.
Source: poandpo.com

Molina Healthcare Rating Increased to Positive at Susquehanna (MOH)

A number of other firms have also recently commented on MOH. Analysts at Jefferies Group downgraded shares of Molina Healthcare from a hold rating to an underperform rating in a research note to investors on Tuesday. They now have a $19.00 price target on the stock, down previously from $20.00. Separately, analysts at Credit Suisse initiated coverage on shares of Molina Healthcare in a research note to investors on Thursday, August 30th. They set a neutral rating and a $25.00 price target on the stock. Finally, analysts at Zacks reiterated a neutral rating on shares of Molina Healthcare in a research note to investors on Friday, July 27th. They now have a $27.00 price target on the stock.
Source: jagsreport.com

Healthcare: Dual Eligibles

On March 23, 2010, the Patient Protection and Affordable Care Act was signed into law bringing with it changes designed to help make Medicare and Medicaid more efficient, incentivize insurers and providers to provide high quality care, and provide affordable healthcare insurance for all. As part of the Act, the Innovation Center was established at the Centers for Medicare & Medicaid Services (CMS). The Innovation Center “fosters health care transformation by finding new ways to pay for and deliver care that improve care and health while lowering costs.” One of these innovative projects has focused on the coordination of care for those people who receive both Medicare and Medicaid benefits known as dual eligibles.
Source: meals-on-wheels.org

Find Out The Details Of Molina Medicare Advantage Plans 2012

Molina Healthcare is growing into one of the leaders in giving quality healthcare for economically vulnerable individuals and families. At present, Molina Healthcare sets up for the delivery of healthcare services or provides health information management alternatives for almost 4.3 million individuals and families who receive their care through Medicaid, Medicare and other government financed programs in 16 states. The Molina Medicare Advantage prescription plan is designed to assist with prescription medications. As you may know, prescription drugs can be extremely costly out of pocket. You can pay hundreds of dollars only to pay for monthly medications. The Molina Medicare Advantage prescription plan is made to aid in that. This plan offer a low premium and low co-pays for prescriptions. In fact, many generic prescriptions will not cost anything at all. The prescription plan is added on to other Medicare plans and it will cover the fee for prescriptions even during the Medicare donut hole.
Source: insurancequotes24-7.com

Medicare changes will focus on care

Posted by:  :  Category: Medicare

Bush Crimes: IMPEACH BUSH before Bush pardons himself: 73 Days left. by eyewashdesign: A. GoldenThe value-based purchasing program, as the new system is described, will affect 43 inpatient prospective payment system (IPPS) hospitals in Kansas, which includes community hospitals and some surgical hospitals. It does not affect 83 critical access hospitals in Kansas that are located in rural areas and are reimbursed differently. Five Kansas IPPS hospitals were excluded in the program for this year because they did not have enough data or patients, according to Cindy Samuelson, vice president of member services and public relations at the Kansas Hospital Association.
Source: kansas.com

Video: Kansas Medicare Supplements

KS: Rising obesity weighs on public health

The recent obesity study released by the Robert Wood Johnson Foundation, “F as in Fat,” ranked Kansas 13th overall with an obesity rate of 29.6 percent, tied with Ohio, and just behind Missouri. The ranking is three slots higher than last year when Kansas came in at 16th, with a 29 percent obesity rate. Kansas was only 18th for obesity in 2009.
Source: watchdog.org

Kansas firm to pay $6.1 million Medicare settlement

WICHITA, Kan. (AP) The U.S. Justice Department says a Kansas hospice care provider and its Texas-based parent company have agreed to pay $6.1 million to settle allegations they submitted false claims to the Medicare program.
Source: 1350kman.com

Shepherd Elder Law Group, LLC: Medicare CLAIM Training in Kansas City

Helpful information for seniors, individuals with disabilities and their families. Guidance for paying for long term care, avoiding probate, estate planning, establishing and administering special needs trusts, powers of attorney, medicaid applications, MoHealthnet eligibility, guardianship.
Source: blogspot.com

In praise of Medicare staff

About an hour after I left the training on Friday, my respect for the CMS staff increased immensely. After I arrived home I learned that there was a “situation” that had been going on for a few hours involving a possible bomb threat at the Richard Bolling Federal Building in downtown Kansas City: the building where CMS’s Region VII offices are housed. A large area of downtown—surrounding the federal building—had been cordoned off and a robot had been brought in to tear apart a car that bomb-sniffing dogs had “hit” on.
Source: wordpress.com

Community Forum: What’s Happening with Medicare and Medicaid

Following the election of Obama in 2008 and the yearlong effort to reform health care in our country, the Manhattan Alliance for Peace and Justice held the first community forum about the new law in 2010. The forum featured Judith Baker, Regional Director, Region 7 Office, U.S. Department of Health and Human Services; Suzanne Cleveland, Senior Policy Analyst of the Kansas Health Institute; and Dr. Tom Kluzak, pathologist from Wichita. Then in 2011 the forum took up the topic of access to health and dental care at the local level which panelists from Konza Prairie Dental, Flint Hills Community Clinic, Pawnee Mental Health and Mercy Regional Health Center.
Source: kansasfreepress.com

the Kansas Citian: 3 in 4 Doctors Will Quit Medicare if Obamacare Upheld

These numbers should scare even the most ardent supporter of the President’s healthcare reform law.  Not only will wait times increase significantly and the industry fail to attract new doctors, but the poor and elderly will find it even more difficult to get the healthcare they need.
Source: blogspot.com

You Can Apply For Medicare Online

Posted by:  :  Category: Medicare

DAMN!! -- I THINK WE'RE F*%KED by SS&SSThe nice thing about applying online is that you do not need to wait for an appointment.  You can fill out your application when you are ready from your own home.  As you are filling out your application, you may save it at any time during the application process and finish it when you are ready, so you do not have to worry about possible interruptions.  The web site is very secure, so your information is protected.  Once you complete the application, you will receive a receipt and an application number so that you can log in anytime to check your application status.
Source: mexicoonmymind.com

Video: How To Apply For Medicaid

What Is Medicare D Insurance?

There are several ways in which a person can sign up for Medicare D insurance coverage once they have been approved to receive Medicare insurance coverage. The first option for enrollment is to complete a paper enrollment form. Paper enrollment forms can be obtained through your local Social Security office, online, or by contacting the Medicare administration that has processed your basic Medicare application. The second option for signing up for Medicare Part D coverage is to call the number listed on your Medicare approval letter. The customer care professionals that answer your call will be able to provide the assistance necessary to get your application processed. The third option for applying for Medicare Part D insurance is to call 1-800-MEDICARE (1-800-633-4227). The representatives will either be able to begin the process of filling out your application for you over the phone or send you a form if you choose to do so in this manner.
Source: seniorcorps.org

There are Several Ways to Apply for Medicaid in Louisiana

It is very easy to find the eligibility requirements for Medicaid in Louisiana. They are right on the main website! To qualify, you must already be receiving Supplemental Security Income (SSI) from the Social Security Administration (SSA). You can also qualify if you currently are getting financial help from the Office of Family Support (OFS) or through the Family Independence Temporary Assistance Program (FITAP).
Source: families.com

Medicare Shared Savings Program & Advance Payment Model Application Process

With the March 2010 passage of the ‘Patient Protection and Affordable Care Act (PPACA), the ‘follow the money’ floodgates are once again opening for hospitals, physicians, integrated delivery systems, health plans, and consultants. This time, instead of migrating ‘HMO lite’ (neither staff nor group model) platforms into mainstream medicine via IPAs, or MeSH model JV’s, we’re now talking about their ‘new and improved’ successors broadly cast as ‘Accountable Care Organizations aka ‘ACOs’.
Source: wordpress.com

Medicare Part D Drug Plan Application Process

Klout is often a resource (in fact company) that’s been approximately since 2008 that steps your social websites impact determined by your exercise and engagement on the main social websites web-sites for example Facebook, Twitter, Google +, LinkedIn and four Square through an algorithm. You will be granted a score from 0-100 based upon how lively and just how substantially reaction you can get from your buddies on these social websites sites. Naturally the higher your score, the better, or maybe the extra influential you will be during the social websites world. The truth is the normal individual who uses his or her social networking internet sites only to speak with friends and family a number of times weekly should have a Klout score during the 20’s or 30’s.
Source: scoop.it

Access To Care Leading To Dissatisfaction With Medicare Advantage Plans

Escalating healthcare costs have been a constant cause of worry for most U.S. policy administrators. Despite several measures introduced by the U.S. policy makers to curb these costs including the Affordable Care Act, Defined Contribution pension plan models etc., the battle seems to be unending, at least for now. A Health Insurance Survey conducted in 2010 by the Commonwealth Fund attempts to gauge the satisfaction level of Medicare beneficiaries vis–vis individuals enrolled in employer-sponsored plans and private plans. It was noticed that only 8% of the Medicare beneficiaries aged 65 or above were moderately to highly dissatisfied with their plans, compared with those enrolled in employer-sponsored programs (20%) and individual plans (33%). It was also identified that seniors enrolled in Medicare Advantage plans (15%) were unhappy with their health coverage plans compared to just 6% of those with traditional Medicare plans. One point for discontentment may be the dissatisfaction with access to care. 23% of seniors with traditional Medicare plans reported difficulties in accessing care as compared to 32% of Medicare Advantage plan enrollees. However, those enrolled in traditional Medicare were more likely that Medicare Advantage beneficiaries to have their premiums and out of pocket costs exceed 10% of their net income. Payers operating in Medicare Advantage exchanges and providing managed care to seniors may need to introduce necessary measures for improving the accessibility to care for these senior citizens. With Medicare Advantage plans offering extra benefits as compared to traditional Medicare, enrollments have been continuously rising in these plans. If insurers develop a business strategy to simplify the way these seniors access their health care and other wellness services, then the insurers are likely to notice a marked improvement in their Medicare Advantage sales figures. A well-developed strategy can help insurers reap higher bottom line figures and increased profits. A number of healthcare software vendors have introduced Medicare software packages that allow insurers to quickly develop an online portal for selling insurance to senior citizens. Some of these healthcare IT vendors also provide end-to-end business solutions to insurers and take care of the entire product implementation cycle from consulting with insurers on the best IT solutions, deploying the appropriate healthcare IT product & providing post-deployment application maintenance & support. Medicare software usually comprises of automated applications for performing most of the insurance related complex tasks such as enrollment applications processing & management, automated letter triggering to consumers, online benefit & rate management etc. Insurers that provide managed Medicare plan services to States stand to benefit from deploying the Medicare software on their local IT networks as the software considerably simplifies the Medicare plan administration process and increases accessibility to Medicare plans for senior citizens.
Source: articlesnatch.com

Online Medicare Forms: Appeal, Payment, Disclosure, Application

Medicare insurance forms for parts A, B, C and D are accessible online for electronic filings and mail in. Online forms include an application for Medicare, claim forms for patients requesting payments and Medicare appeal forms. Older Americans can apply for Medicare even if not planning to retire, as long as the person is close to 65 years old. Even when a person has been denied Medicare, appeal forms can be submitted online requesting a hearing or case review.
Source: suite101.com

Medicare reassignment of benefits application

Cms855rMEDICARE ENROLLMENTSEE PAGE 2 FOR INFORMATION ON WHERE TO MAIL THIS APPLICATIONDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES GENERAL INFORMATION Physicians and nonphysician practitioners can reassigning Medicare payments or terminate a reassignment of Medicare benefits after enrollment in the Medicare program or make a change in their reassignment of Medicare benefit information using either The Internetbased Provider Enrollment Chain and Ownership Source: Medicare reassignment of benefits application
Source: wordpress.com

DAR File No. 36566 (Section R414

(d) Except for PCN and UPP that are subject to open enrollment periods, the eligibility agency denies an application when the applicant fails to provide all requested verification, but provides all requested verification within 30 calendar days of the denial notice date. The new application date is the date that the eligibility agency receives all requested verification and the retroactive period is based on that date. The eligibility agency does not act if it receives verification more than 30 calendar days after it denies the application. The recipient must complete a new application to reapply for medical assistance;
Source: utah.gov

UK wife medicare problems on 461 visa re

Hi guys, My wife is currently re-applying for her 461 visa (i am a kiwi living in Australia on a subclass 444 visa) and she has been told by Medicare she will no longer be eligible for a medicare card, due to recent changes. She is also apparently not eligible for reciprocal UK health care because she is applying for a NZ visa, and cannot got AU Medicare because she will not have permanent residency status. Has anyone else come across this recently? It is a real pain as we are expecting our second child and will obviously be racking up some medical bills. We have NIB healthcare, but to not be offered Australian health cover, but yet still be classed as an Australian resident for tax purposes, seems baffling!! She is currently on a bridging visa while the application is processed. Thanks in advance for any advice/solutions etc.
Source: pomsinoz.com

Booman Tribune ~ A Progressive Community

Posted by:  :  Category: Medicare

"Every citizen should be a soldier. This was the case with the Greeks and Romans, and must be that of every free state." ` Thomas Jefferson. by eyewashdesign: A. GoldenYou don’t wait until you have been in a car accident to purchase car insurance; you don’t wait until your house has been flooded to buy flood insurance, and you don’t wait until your home is ablaze to buy fire insurance. That is not how insurance works. And it most certainly is not how health insurance should work. That’s why we have Medicare. Medicare is a program designed primarily for people who are 65 years old or older, most of whom are either retired or working part-time. Their income has gone down at the precise time that their health risks are beginning to skyrocket. These people often don’t have the extra money lying around that they need to pay for either insurance or for prescription drugs and other care. The insurance companies are not interested in insuring the health of the elderly, and if they do offer a plan, it’s going to be astronomically expensive. It’s easy to see why. Someone who needs dialysis at 70 may have paid their insurance company for fifty years by the time they need to make a claim. But someone who has only been a customer since they turned 65 will use up all the money they paid in after only a few treatments. It isn’t profitable to insure old people at any reasonably affordable rate.
Source: boomantribune.com

Video: Medicare Part F

Daily Kos: I Hate Explaining the Medicare “Donut Hole” (Updated with explanation of donut hole)

I had a chance to talk to Tom Scully, the head of HMS at the time and the creator of Plan D and the donut hole about why he did it. There were two reasons. First, he had a budget of $400 billion over ten years for the program so he had to design something that hit his budget target and he did a great job on that. Medicare Part D is the only government health program where the ten year cost was actually under the budget estimate. I think it came in at $380 billion. The second reason was to make seniors really think about generics and switching from higher priced brand name drugs to lower cost generic substitutes. And that part worked as well. You need to remember that before Part D all prescriptions were out of pocket expenses for seniors on Medicare, so even with the donut hole Part D was a big benefit.
Source: dailykos.com

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: Obama’s Plan Vs. Romney

“Traditional” fee-for-service Medicare will be offered by the government as an insurance plan, meaning that seniors can purchase that form of coverage if they prefer it; however, if it costs the government more to provide that service than it costs private plans to offer their versions, then the premiums charged by the government will have to be higher and seniors will have to pay the difference to enroll in the traditional Medicare option
Source: businessinsider.com

Dave Fluker’s California Health Insurance Blog: Blue Shield CA Medicare Plan Changes Coming

Blue Shield CA will be adding two new Medicare Supplements to their portfolio. Additions will include High Deductible Plan F and Plan N. The current $20 per month “new to Medicare” discount will be reduced to $15 per month for those enrolling in Medicare Part B for the first time. As always, Blue Shield of California Medicare Supplement Plans include the Silver Sneakers health club membership at no additional cost. For more information about Blue Shield Medicare products, visit my web site. 
Source: blogspot.com

The B Medicare Supplement Insurance Plan

You can’t make a good Medicare supplement insurance choice if you do not know the plans the first place to start before even looking at the rates and carriers is to have a good foundational understanding of how the plans differ and in that light, let’s take apart the B Medicare supplement plan. Although it’s incredibly popular as an option, it’s important to understand why not. First of all, do not confuse the B Medicare supplement plan with Part B. This is always confusing (understandably so) for many people when researching options for Medicare. When we are on the phone helping people go through the options, it quickly devolves into a “Who’s on 1st” routine until we delineate that Part B is the part of traditional Medicare that deals with physicians costs while Plan B, is one of the standardized Medicare supplement plans available to complement traditional Medicare. Once we have correctly separated, we can get into the benefits so on to Plan B. Plan B is the second plan (A being the first) up in terms of benefits meaning that only the A plan is less rich in benefits if we’re not considering the high deductible F plan or Advantage plans. Not too many carriers will offer the B plan but just in case, letss go through the benefits. First, there’s are the benefits relating to Part A. Part A is the hospital side of traditional medicare. By hospital, we generally mean facility based care. The B Medicare supplement plan address both “holes” in Part A coverage. The B plan will cover both the Part A deductible and the Part A co-insurance (covered by all Medicare supplement plans). The Part A deductible is the only difference between the B plan and A plan (A plan does not cover this deductible). The deductible is sizable (over $1000 per calendar year and growing) so the reason to get the B plan is this one time and if it’s priced fairly closely to the A plan, we advise the B plan between those two options if cost is your primary concern. The next section to look at would be Part B benefits under traditional Medicare. These are the charges associated with physician charges and labs. The B plan will not cover either the Part B deductible or the Part B co-insurance. This means that you will pay the Part B deductible (over $100 and growing) and afterwards, the 20% that Medicare does not pick up. This is less of a concern than the Part A deductible/co-insurance since we’re dealing with much smaller amounts but you’re also more likely to hit the Part B deductible since more common-place benefits such as office visits fall under this category. You’re pretty likely to hit (and meet) this deductible and the co-insurance of 20% so figure what the deductible amount is over a 12 month period to compare apples and apples against other plans. The rest of the Plan B Medicare supplement benefits are identical to the A plan for the remaining categories. Let’s look through them according to importance (in our humble opinion). The first is Excess charges which is not covered by the B (or A or C) plan. Excess is the amount that Medicare providers can charge over what Medicare allows. We feel this is an important consideration and potential risk since the Excess charge is not capped and can run as high as 15% of the total eligible charges. Hospice care is covered by the F plan but Skilled Nursing Facility is not. The latter is also a potential concern since this type of care is extremely expensive and only getting more expensive as can be seen by the current Long Term Care funding issue. As competition for skilled nursing become ever more in demand as a result of the Baby Boomers, the cost can be expected to increase as far as the eye can see. The first 3 pints of blood are covered but the Foreign travel emergency benefit is not covered. We’re not terribly concerned about his latter benefit since travel medical insurance can generally be purchased as needed and the cost to cover Foreign travel generally offsets any potential benefit. Preventative benefits are covered under the B Medicare supplement plan which is good news. Those are the core B plan benefits along the major categories outlined in Traditional Medicare coverage. The B plan is rarely offered so this is probably not going to figure into your decision but just in case it is, we want to make sure you have all the relevant information to make a good decision. Dennis Jarvis is a licensed insurance agent concentrating on medicare supplement insurance.