KAISER PERMANENTE NORTHERN CALIFORNIA AMONG THE TOP 10 COMMERCIAL AND MEDICARE HEALTH PLANS IN THE COUNTRY

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2011 Health Innovation Summit 2579 by tedeytanbusiness event Business Information business news Business news and information Charity City of Roseville community events Community Information Community news Education fundraiser grand opening Granite Bay Ignite local business local business community local business community event local business community news Local Business Event Local business information local business news local community event Local community information Local Community News local community service information Local networking event Networking New Member New Members Placer County Renewing Member Renewing Members ribbon cutting Roseville Roseville Business Community News Roseville Chamber member Roseville Chamber members Roseville Chamber of Commerce roseville chamber of commerce member Roseville Chamber of Commerce ribbon cutting Roseville Chamber Ribbon Cuttting Roseville Community Event Upcoming Events Westfield Galleria at Roseville William Jessup University
Source: rosevillechambernow.com

Video: Jed Weissberg, MD, Talks About Medicare Advantage Health Plans and the Special Enrollment Period

BREAKING: Kaiser Permanente CEO Announces Upcoming Retirement

The Massachusetts eHealth Collaborative (MAeHC), a non-profit organization aimed at producing EHR deployment, health information exchange (HIE), and quality measure reporting, announced recently that is has been selected by the New England Healthcare Exchange Network (NEHEN), a collaborative, payer, and provider-directed solution, to serve as the management services organization for NEHEN operations, which will aim to bring forth a regional HIE. MAeHC will take charge of the organization’s executive management, business development, and operations management as NEHEN continues to align its services with state HIE efforts and evolving customer needs.
Source: healthcare-informatics.com

Kaiser Permanente Northern California Among the Top 10 Commercial and Medicare Health Plans in the Country

“Kaiser Permanente is the model for the future of American medicine, and the NCQA rankings provide further confirmation of the superiority of Kaiser Permanente’s approach to health care and the excellence of its physicians and staff,” said Robert Pearl MD, executive director and CEO of  The Permanente Medical Group. “Through the personalized, coordinated and technologically advanced care, we have lowered the chances of our members dying from heart disease to 30 percent below the community around us, reduced mortality for patients admitted with sepsis by 50 percent since 2006, and dramatically reduced the risk of cancer. If all of America could match this performance, each year we could save more than 100,000 lives, make health care more convenient and reduce medical costs dramatically.”
Source: patch.com

Kaiser ranked Hawaii’s top health plan

“Being recognized by the most widely used performance measurement tool in health care provides purchasers and consumers with an unprecedented ability to evaluate the quality of different health plans along a variety of important dimensions, and to make their health plan decisions based on demonstrated value rather than simply on cost,” said Kaiser Permanente Hawaii’s Vice President of Quality, Safety and Service, Susan Murray. “Our high standing in this year’s report demonstrates our commitment to providing our members with the highest quality care.”
Source: hawaii247.com

Kaiser Permanente's Medicare Website Recognized as Benchmark for Excellence

“The MedicareWebWatch certification validates Kaiser Permanente’s commitment to informing seniors about their Medicare plan options, particularly as more seniors turn to our Medicare website for information,” said Herman Weil, senior vice president, Kaiser Permanente Medicare program. “Our website is especially important right now as beneficiaries learn about Medicare’s new Special Enrollment Period for plans rated 5 stars for excellence by the Centers for Medicare & Medicaid Services.”
Source: virtual-strategy.com

Second Guessing Medicare’s Star Rating System

But insurance executives made them a priority after the 2010 healthcare law attached large financial rewards to them. The first round of ratings last fall showed that most have a long way to go. Only 12 earned a perfect score of five, on a scale of one to five, and about 9 percent were below average. The majority received scores of three, or three and a half stars– enough to get them bonus money this year. After 2014, plans will need four or five stars to get bonuses. And if they have fewer than three stars, they won’t be allowed to enroll beneficiaries through Medicare’s website, and risk being booted from Medicare altogether, according to HHS spokesman Tony Salters. 
Source: kaiserhealthnews.org

Noridian J3 and Northwest Region Medicare Part A ERA Delayed

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Medicare Part A for J3 states (Arizona, Montana and Utah) and NW region (Alaska, Idaho, Oregon and Washington), 5010A1 Electronic Remittance Advice for May 30, 2012, are delayed. EDI Support Services (EDISS) apologizes for any inconvenience this may cause. A follow-up email will be sent. Payers affected are: CPID 5546 Arizona Medicare CPID 5584 Montana Medicare CPID 1527 Utah Medicare CPID 5521 WA/AK Medicare CPID 5581 Idaho Medicare CPID 5515 Oregon Medicare Please be aware of this payer processing issue. Further notification will be sent as it is received. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Video: Humana Made Medicare Easy

www.noridianmedicare.com Check your Website Worth, Outlookwebsite.com

We estimate that noridianmedicare.com makes $21 per day and is worth about $18,446. We know the site is hosted in Fargo, United States, has a Google Pagerank of 5, is active on the IP 199.253.134.191 and receive about 15,722 Page(s) View per day. The current Alexa ranking is #524,081.
Source: outlookwebsite.com

Noridian Medicare Now Covers Renessa(R) Treatment for Incontinenc… ( NEWARK Calif. Feb. 24 /

Related biology technology : 1. QMed, Inc. Reports July Medicare SNP Enrollments 2. Change in Medicare and Medicaid Legislation Creates Market for Antimicrobial Coatings In the U.S. 3. House and Senate Pass Medicare Legislation to Freeze 2008 Reimbursement for Therapeutic Radiopharmaceuticals at 2007 Levels 4. Medicare Coverage Recommended for In-Home Sleep Testing 5. MedicareCRM(TM) to Speak at IIR Medicare Advantage Congress 6. STAAR Surgicals Collamer(R) IOL Designated as a New Technology Intraocular Lens by the Centers for Medicare and Medicaid Services 7. Medicare Approves in Home Sleep Apnea Testing 8. Medtronic Unit to Pay $75 Million to Settle Whistleblower Medicare Fraud Case 9. Medicare Exemplary Provider Accreditation Awarded to Regenesis Biomedical 10. Arcadian Health Plan Addresses Medicare Doctor Payment Cuts 11. Netsmart Technologies Web Seminar Helps Behavioral Health Organizations Understand Electronic Prescribing and the Importance of New Medicare-Related E-Prescribing Legislation
Source: bio-medicine.org

TUMT: Transurethral Microwave Thermotherapy (TUMT)

Noridianmedicare.com: “TUMT, an appropriate therapy for symptomatic benign prostatic hypertrophy (BPH), is a method of delivering microwave heating sufficient to destroy prostatic adenoma tissue without significant damage to surrounding tissue. The FDA has, on May 3, 1996, approved a device for delivering this microwave therapy. TUMT is another nonsurgical therapy for BPH, and is appropriate when the following indications are met. Indications: All of the following characteristics must be present. A. Bladder Outlet Obstruction (BOO) and Lower Urinary Tract Symptoms (LUTS) of significant degree to cause an American Urological Association Symptom Score above seven. A score from 0-7 reflects mild symptoms, from 8-19 moderate, and from 20-35 severe. A patient with mild symptoms may be treated with medicine or, appropriately, receive no treatment at all. A patient with moderate symptoms may be treated with medical or surgical procedures. Noridian leaves this decision to the physician and the patient. B. A peak urine flow rate of 15 milliliters per second or less on a voided volume of 125 milliliters or greater. Relative contraindications: A. Prostate cancer B. Neurogenic bladder C. Active urinary tract infection D. Active cystolithiasis E. Gross hematuria F. Urethral stricture G. Bladder neck contracture H. Acute prostatitis I. Cardiac pacemaker When present, active cystolithiasis or active infection should be treated prior to treatment with TUMT. When prostate cancer and urinary obstruction are both present, TUMT may be appropriate therapy for relief of the urinary obstruction. Absolute contraindication: The presence of a metallic hip replacement.”
Source: blogspot.com

Preventive & screening services

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Source: medicare.gov

Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Noridian Administrative Services, LLC, in Jurisdiction 3 for the Period January 1, 2006, Through June 30, 2009

Our audit found that 1,619 of the 1,913 selected line items for which Noridian Administrative Services, LLC (Noridian), made Medicare payments to providers for outpatient services for the period January 1, 2006, through June 30, 2009, were incorrect. The line items included overpayments totaling approximately $5.8 million, which the providers had not refunded by the beginning of our audit. Providers refunded overpayments on 108 line items totaling approximately $2.2 million before our fieldwork. The remaining 186 line items were correct.
Source: wordpress.com

ASMBS Frequently Asked Questions (FAQs) Regarding CMS Coverage for Laparoscopic Sleeve Gastrectomy 

What is the CMS Decision? On June 27, 2012, The Centers for Medicare and Medicaid Services (CMS) released their decision on coverage for the laparoscopic sleeve gastrectomy (LSG). The final decision will allow laparoscopic sleeve gastrectomy to be covered by intermediary Medicare administrators as a stand-alone procedure at their discretion. Final text below. CMS Conclusions & Rationale for Decision: The available evidence does not clearly and broadly distinguish the patients who will experience an improved outcome from those who will derive harm such as postoperative complications or adverse effects from LSG .However, taking into consideration the seriousness of obesity, and the possibility of benefit in highly selected patients in qualified centers, we believe that local Medicare contractor determination on a case-by-case basis balances these considerations in the interests of our beneficiaries. Our local contractors are in a better position to consider characteristics of individual beneficiaries and the performance of eligible bariatric centers within their jurisdictions. Therefore, Medicare Administrative Contractors acting within their respective jurisdictions will make an initial determination of coverage under section 1862(a)(1)(A) and we are not making a national coverage determination under section 1869(F). How Did the CMS Decision Happen? Sept 2011 CMS opens this national coverage determination reconsideration request to review the new evidence for laparoscopic sleeve gastrectomy. CMS is requesting public comment on whether there is adequate evidence, including clinical trials, for evaluating health outcomes of laparoscopic sleeve gastrectomy for the indications listed in the current Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination. After considering the public comments and reviewing relevant evidence, we will release a proposed decision memorandum. Instructions for submitting public comments can be found at http://www.cms.hhs.gov/InfoExchange/02_publiccomments.asp#TopOfPage March 2012 Posted proposed decision memo. http://asmbs.org/2012/04/cms-and-sleeve-gastrectomy-call-to-action-for-all-members/
Source: asmbs.org

CMS Allows Medicare Providers to Submit Documents Electronically to CMS Contractors

If providers do want to participate in the esMD program, they must first find out if their review contractor accepst esMD transactions. Additionally, providers will have to obtain access to an esMD gateway. To obtain access to a gateway, providers can either build their own or hire a Health Information Handler (HIH) to construct the gateway system. To find out which HIHs offer esMD gateway services to providers, click here. To learn more about requirements for participating in the esMD program, click here.
Source: thehealthlawfirm.com

Medical Management Strategies

(1) Noridian Medicare: (DME Billing) Noridian Medicare has been experiencing major issues with processing 5010 claims since January 1st. Their 5010 system is experiencing intermittence outage. Noridan is working to fix the problem. You may experience delay in payment compensations. (2) Medicare Update on 2012Payments: a) Medicare has begun to release EOBs (Explanation of Benefits) for the beginning of January dates of service and releasing the 10 day hold. b) Medicare is still delaying their 5010 implementation until April 1, 2012. During this 90 day non enforcement period (1-1-3-31-12), Medicare will have the systematic capability to perform up or down version conversions of incoming claim formats (either converting these to the 5010 format when necessary for cross over claims (billing secondaries) and/or leaving them in the 4010 EDI format. What has been occurring is these transitions are not always perfect and has created its own set of issues as well. (3) Medicare and Blue Cross Medical Management Strategies has also noticed that with all the changes going on in the industry for Electronic Data Information going to the new version 5010, there have been a number of significant issues that have occurred for Medicare and Blue Cross payers particularly. Medicare has had a number of issues to deal with this January which included revamping fee schedules, processing claims from clearinghouses in the older version since they put a hold on converting to the 5010 until April 1st, applying deductibles, etc. as well as crossover issues. Although they’ve been trying to notice everyone of how these transitions have been dealt with, there are still a number of issues particularly with clearinghouses to Medicare as well as crossover claims. Clearinghouses are reporting acknowledgements of claims going to Medicare and Medicare then stating they never received the batches.
Source: mmsofslo.com

Medicare Issues Chiropractic Software and Documentation Alert

Get a Preventative Audit. Many don’t like that term, so I prefer to call them a Documentation Review.  For those who like in far corners of the earth, can’t bear to leave the office, or get a sudden onset of ADD when they sit in a seminar, this may be a good option for you.  Essentially, you submit your notes (along with your billing and coding) and I will scrutinize them with a fine-toothed comb making sure that your services are properly documented and that you used the appropriate CPT code and bill the services performed.  Following my review of your notes, you will review a painstakingly (and perhaps, painfully) detailed written review of your shortcomings and areas needing improvement according to published guidelines and my experience as a former Insurance Claims Analyst and my training as a Certified Professional coder and Certified Professional Medical Auditor.  For more specifics on the Documentation Review process and fees, send an email to info@strategicdc.com.
Source: strategicdc.com

Medicare Premiums Now Deductible by Self

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /The Tax Law Tips blog is written by Jeffrey A. Quinn of Ashley Quinn, CPAs and Consultants, Ltd. (with contributions from Nolo editors). Jeff is a Certified Public Accountant in both Nevada and California, with more than 40 years of experience in providing professional accounting and tax services. Jeff is also a contributor to Nolo’s Tax Savvy for Small Business. A member of both the California Society of Certified Public Accountants and the American Institute of Certified Public Accountants, Jeff holds a M.S. in Taxation from Golden Gate University, and a B.S. in Accounting from the University of San Francisco.
Source: nolo.com

Video: Medicare Supplement plan F High Deductible Explanation

Fixing Medicare Requires Seniors to Pay Quite a Bit More

This argument does not apply, however, to small or predictable expenditures. It makes no sense to buy insurance against the "risk" of routine medical care, such as annual checkups, or against the risk of moderate expenses, such as many medication regimes, minor surgeries or treatments. Homeowners insurance does not cover broken toilets or snow removal, only major events such as a fire. These expenditures may well be worthwhile. For example, annual checkups might help avoid larger medical expenses in future. But most consumers can afford these without insurance.
Source: downsizinggovernment.org

Comprehensive Guide to Medicare Supplemental Insurance

CMMS or Centers for Medicare and Medicaid Services have provided Medicare Supplemental Insurance in 10 different plans. Private insurance companies offer these plans and will help you to determine which plan would be best for you. The plans are labeled with letters from the alphabet and start with the letter A and end with the letter N. One thing to keep in mind is that there are a few of the plans that were discontinued and those were E, H and J. During the month of March in 2010 is when this plan ended, and now you can find A-F, which would equal 11 of the plans that are still available. Each plan is different and unique. Below is a list of what some of these plans are:
Source: ccardzone.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.

First Presidential Debate Marked By Disagreements Over Taxes, Medicare And Health Issues

Posted by:  :  Category: Medicare

HELP ME HELP MYSELF! by eyewashdesign: A. GoldenLos Angeles Times: In First Debate, Obama And Romney Politely Disagree Sharply President Obama and challenger Mitt Romney differed sharply Wednesday night over taxes, Medicare and, especially, the record of the last four years in a pointed but largely polite debate. … Romney repeatedly attacked “Obamacare” — a label Obama happily embraced with a smile — saying it would rob $716 billion from Medicare and make it more difficult for seniors to find doctors and hospitals willing to treat them. He said his overhaul proposal would protect current beneficiaries as well as those approaching retirement age. Obama shot back that Romney’s promise was contradicted by the facts. Romney’s plan to give future retirees a voucher to help subsidize their coverage would end up driving up their out-of-pocket costs and undermining Medicare for future generations, he said. He added that his Medicare cuts are aimed at providers and insurance companies and would not scale back care for seniors (Barabak, 10/3).
Source: kaiserhealthnews.org

Video: Martin Sheen: Stand Up for Medicare

Medicare Open Enrollment Help Available

Medicare part D and Medicare advantage plans will have changes announced and policyholders will have to decide to re-enroll, change their plan, or drop enrollment completely. Crossroads of Pella can provide some help with understanding the changes and re-enrolling. Contact Crossroads of Pella to get in touch with a Senior Health Insurance Information Program volunteer at 641-628-1212. Medicare enrollment begins on October 15th.
Source: kniakrls.com

Need Help Selecting a Medicare Prescription Drug Plan?

Does just thinking about selecting the right Medicare prescription drug plan send you into a panic? You’re probably not alone as over 100,000 Granite Staters wander through this process every year during Open Enrollment. See Also: 8 Things You Can Do During Medicare Open Enrollment   Medicare Open Enrollment – October 15 through December 7 – is the one time each year when ALL people with Medicare can see what new benefits Medicare has to offer and make changes to their coverage for Part C (Medicare Advantage health plans) and Part D (Medicare prescription drug coverage.) “Open enrollment is a good time for people to review their current plans,” said AARP New Hampshire State Director Kelly Clark. “Insurance plans can change their prescription coverage and out-of-pocket costs. We want to make sure AARP members and others get the best coverage at the best price.” For those wanting assistance in finding the right choice for their particular health needs and preferences, help is just a phone call away. New Hampshire ServiceLink’s Medicare specialists are available to offer free, confidential and unbiased assistance. Make an appointment online for the ServiceLink office nearest you, call toll-free at 1-866-634-9412. ServiceLink Resource Centers and Medicare Specialists can be found in several locations:
Source: aarp.org

A Season For Medicare Choices

• Get help if you need it. The Medicare.gov website lists all the plans in your area. You can call 1-800-MEDICARE for general information and to enroll in a plan. You can also get a referral for your local State Health Insurance Assistance Program (SHIP). Every state has one, and they provide free counseling and advice to everyone with Medicare.
Source: smmirror.com

5 Services Medicare Won’t Pay For

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.
Source: webmd.com

What to Do About New Medicare Taxes: Kitces at FPA Conference

The new Medicare taxes will apply to earned income, including wages and self-employment, as well as unearned income, which mean dividends and capital gains. The increases will apply to individuals making more than $200,000 a year, or $250,000 for married couples. According to estimates from the Tax Policy Center, about 4 million households will initially be affected by the increase and in 10 years that number will more than double.
Source: advisorone.com

Is my federal employee health plan a better deal than Medicare?

That said, Naumann does suggest signing up for Medicare Part A as soon as you are eligible because it covers some hospital-related costs not covered by FEHB. What’s more, Medicare Part A doesn’t require a premium if you or your spouse have paid into Medicare for at least 10 years. For Medicare parts B, C and D, however, just remember that premiums are risk-adjusted, so the longer you wait to enroll, the higher the premiums you will have to pay.
Source: cnn.com

Romney slams Obama over Medicare, pledges more help for ‘poor’ and ‘sick’

(Solution)(of great Historical significance) 6). How President FDR’s Universal Health Care was done (regardless of the opposition of the US Politicians bought (later convicted) by the owners, “Italian Organized Crime”, of the Insurance Corporations: a). President FDR made the Office of the US Surgeon General (a US Military Officer, already has a Sworn Oath of Office to the Citizens of the US) Responsibile and Accountable for Implementation, Management., b). The US Surgeon General then created programs to create programs for the training of more Doctors, Nurses, Medical Professionals and Standardization of those Training Programs., c ). These Doctors, Nurses, Medical Professionals trained under these Programs as US Military Reserve Officers., d). The start of Medical Facilities first funded by the Federal Government until self sustaining within Communities as “Co Ops”, US Citizens no longer had to decide between Food, Rent, or Medical Treatments., e). A surplus of Doctors, Nurses, Medical Professionals released after Training to Private Practice, more competition within the Medical Profession, with the resulting better Medical Care and “House Calls” (better Service)., f). This later surplus of Doctors, Nurses, Medical Professionals as Reserve US Military Officers was crucial for WWII and the later Korean Conflict (Korean War, as depicted by the Movie, M*A*S*H*, US Military Reserve Doctors called to Active Duty)., g). The Full Implementation of the US Military Medical Service(s) Corps that managed the US Medical Training Standards, US Military Medical Facilities, US Military Reserve Doctors, Nurses, Medical Professionals, etc.. Later ties to the CDC, and rapid advances in Medical Research (Fully Funded instead of begging for grants, civilian (corporations) sponsors (with ulterior motives)), etc..
Source: nbcnews.com

In Florida, Biden Attacks Romney on Social Security and Medicare

Posted by:  :  Category: Medicare

Record shop Ithaca, NY by exaktaMr. Romney has said that he will pay for his across-the-board cuts in income taxes and other taxes by eliminating deductions, but he has never specified which ones. The analysis, by the Tax Policy Center, concluded that making up all the revenue lost by Mr. Romney’s tax cuts would require eliminating tax breaks, as Mr. Romney has said he would do, but not just for high earners. Households earning below $200,000 would lose 58 percent of their tax deductions – like the one for mortgage interest – the Tax Policy Center said. That would lead to higher total taxes for such households.
Source: nytimes.com

Video: Chris Gibson: Party First

Medicare Fraud Strike Group is expanding its operations in Brooklyn, NY, Tampa, Fla., and Baton Rouge, La.

According to charging documents, the defendants participated in programs to submit requests for insurance products and services that were medically unnecessary and in fact often present ever. In the case of Detroit, the defendants are accused of having participated in a project for which they paid rebates to patients who have received instructions from the owners clinical and patient recruiters to feign symptoms to justify expensive testing, including nerve conduction studies. In Brooklyn, the two defendants are accused of Medicare for durable medical equipment sales, including expensive shoe inserts reserved for patients, when in fact, shoe inserts much less expensive and more-the-counter were provided to beneficiaries who often do not they need. In Miami, 15 people, including doctors and nurses, are charged in connection with fraudulent claims to Medicare for home health services. In another case in Miami, people pay for their role in managing a medical clinic that claimed to offer a treatment injection and infusion for HIV / AIDS and fraudulent claims to Medicare for reimbursement of these services, often clinically necessary and / or never provided.
Source: ohratid.org

Medicaid Changes Loom for the Elderly

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

The Official Medicare Set Aside Blog And Information Resource: New York Medicare Advantage Update

You may recall that in August 2011, the Supreme Court of NY in Kings County ruled in Ferlazzo v. 18th Avenue Hardware that because Medicare Advantage plans’ reimbursement rights were not statutory, its recovery efforts violated GOL § 5-335 prohibiting liens against personal injury settlements. Due to the 3rd Circuit’s recent opinion in Avandia, it appears that the state may be changing direction as well. Potts, et al. v. Rawlings Co., et al. is a putative class action by enrollees in Medicare Advantage plans seeking a declaratory judgment that MAOs basically do not have a right to seek reimbursement from settlements of lawsuits, consistent with rulings in 2011 cases like Ferlazzo. As with all great MSP cases, the court relied upon plaintiffs’ failure to exhaust administrative remedies under the Medicare Act and dismissed for lack of subject matter jurisdiction. The U.S. Supreme Court clearly explained in Heckler v. Ringer [466 U.S. 602, 614-15 (1984)] that “the sole avenue for judicial review for all claims arising under the Medicare Act” is through the exhaustion of administrative remedies before the Secretary. At the end of the day, a challenge to an MAO’s reimbursement rights is really just benefits determination. Using state law as a defense does not change the fact that the claim for reimbursement arises under the Medicare Act. And furthermore, this court was not swayed by the fact that administrative exhaustion could be by-passed simply because a private entity served the public function of providing the Medicare benefits. But that left arguments about federal preemption. Plaintiffs argued that their claims arise under state contract law and the NY anti-subrogation statute, not under the Medicare Act. The Supremacy Clause of the U.S. Constitution clearly states that where a state statute conflicts with, or frustrates, federal law, the former must give way. Furthermore, the Medicare Act contains a very broad, express preemption clause. Lastly, the Medicare Advantage secondary payer statute itself states that MA organizations may charge primary payers “[n]otwithstanding any other provision of law.” 42 U.S.C. § 1395w-22(a)(4). Whether the 3rd Circuit is correct and the MAO has a private cause of action under the MSP or not is immaterial to the question of whether the NY state statute is preempted. Plaintiffs must first exhaust all administrative remedies available under the Medicare Act before seeking redress in court. So where does that leave us with regard to MAO recoveries in New York? With or without the Avandia decision, the NY statute contravenes the purpose of the Medicare Act provisions specifically put into place to prevent Medicare (or its private contractors) from making payments where someone else should have or has. More specifically contravening its rights to recover from individuals who actually recovered money for medical damages that Medicare did in fact pay for but who would prefer to keep it. It is not fair to the likes of Blue Cross or United Health that Medicare can recover from personal injury claims and they cannot, but private entities have the ability to adjust rates to compensate for such, whereas Medicare plans are governed by federal law. Cases like Ferlazzo were decided on the basis that MAOs had to subrogate under state law due to the lack of a private cause of action under the MSP, but now that the 3rd Circuit has introduced a new point of view on that issue, it appears that MAO recoveries are governed primarily by federal law even if actual policy reimbursement issues may still remain within the parameters of state law. SYLVIA POTTS, ROLAND LYONS, AND LORETHA SMITH, individually and on behalf of all others similarly situated, Plaintiffs, -against- THE RAWLINGS COMPANY, LLC, INGENIX INC., EMBLEM HEALTH COMPANY LLC, HIP OF NEW YORK, INC., OVATIONS INC., OXFORD HEALTH PLANS (NY), INC., and UNITEDHEALTH GROUP, INCORPORATED, Defendants. 11 Civ. 9071 (JPO) UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OFNEW YORK 2012 U.S. Dist. LEXIS 137802 September 25, 2012, Decided
Source: medicaresetasideblog.com

Julian Schreibman's "Real Seniors" To Chris Gibson On Medicare: "Why Would You Hurt Us?"

“Congressman Gibson has forgotten the needs of the middle class here in upstate New York, and has instead focused on the Tea Party agenda in Washington. His vote for the Ryan budget is a perfect example of his priorities being out of step with the values of the Hudson Valley and Catskills region,” said Schreibman Campaign Press Secretary CJ Macklin. “Congressman Gibson voted to end the guarantee of Medicare and to raise health costs for seniors by $6,400 per year, all so he could give bigger tax breaks to millionaires and line the pockets of his insurance industry campaign contributors."
Source: nydailynews.com

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

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

Making the Election About Race

The result is a campaign run at two levels. On the trail, Paul Ryan argues that “we’re going to make this about ideas. We’re going to make this about a positive vision for the future.” On television and the Internet, however, the Romney campaign is clearly determined “to make this about” race, in the tradition of the notorious 1988 Republican Willie Horton ad, which described the rape of a white woman by a convicted African-American murderer released on furlough from a Massachusetts prison during the gubernatorial administration of Michael Dukakis and Jesse Helms’s equally infamous “White Hands” commercial, which depicted a white job applicant who “needed that job” but was rejected because “they had to give it to a minority.”
Source: nytimes.com

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

Challenged on Medicare, GOP Loses Ground

At the heart of the conflict is the proposal backed by Mr. Romney and Mr. Ryan to change the way Medicare works in an effort to drive down health care costs and keep the program solvent as the population ages. Under their plan, retirees would get a fixed annual payment from the government that they could use to buy traditional Medicare coverage or a private health insurance policy. Supporters say the change would hold expenses down by introducing more competition into the system.
Source: realclearpolitics.com

Feds charge 91 people in $429M Medicare fraud

How much waste is there in America’s health care system? Try $765 billion. That’s the estimate from the Institute of Medicine, covering everything from unneeded tests to excessive admini-strative costs. The estimate is for 2009, when health spending totaled $2.5 trillion. “Waste” was 31 percent, or almost one dollar in three.
Source: theolympian.com

NY Times: Don’t Believe Republicans on Medicare

When I went to the hospital that morning with severe chest pain they immediately ruled out a stroke or heart attack but kept me for three days of stress tests that finally cost $33K.  They saw I had Medicare with supplemental and they had the machines and doctors ready to go.  After passing several tests I called my Gastroenterologist who performed an esophagus scan which revealed I had an infection in my esophagus period. Just take these antibiotics.   The hospital kept me for another day so they could use every machine they had.  After threatening to escape out the window they finally released me.  While I’m thankful I passed the tests it pisses me off they were able to spend that much Medicare money  with no regulation.  They had to know I didn’t need all those expensive tests.
Source: talkleft.com

NY Times: Challenged on Medicare, G.O.P. Loses Ground

Democrats fretted that Mr. Romney would win the retiree-heavy Florida and increase his support nationwide among older voters, who lean Republican anyway. David Winston, a Republican pollster, wrote a month ago of “a structural shift in the issue” that left the parties in “a dead heat” and Mr. Obama unable to mount an effective response.
Source: winstongroup.net

How Romney and Ryan Stand on Medicare

In Miami on Monday, Mr. Romney did say “there are places that my budget is different than [Mr. Ryan’s]” but insisted “we’re on the same page.” Asked to name a specific difference, he couldn’t. “Well the items that we agree on I think outweigh any differences there may be. We haven’t gone through piece by piece and said, ‘Oh, here’s a place where there’s a difference.’” He didn’t take the opportunity to assure the Florida press that a Romney administration would keep Medicare intact. Quite the opposite. He said: “My plan for Medicare is very similar to his plan for Medicare.”
Source: nytimes.com

PR: “Grimm” Reaper March Dramatizes Attack On Medicare, Tax Breaks for Millionaires

Led by costumed “Grimm Reapers of Medicare,” the protestors marched to Congressman Grimm’s Brooklyn Office. Along the way protestors passed out “checks” from Representative Grimm made out to the wealthiest Americans for $160,000 a year.  The checks, including a banner-sized one held by marchers, symbolized the vote Grimm cast before leaving on August vacation that gives $160,000 a year in tax cuts to the wealthiest Americans who make over $1 million a year while raising taxes on 25 million working families.
Source: vocal-ny.org

Survey Finds Seniors Satisfied With Medicare Part D

Posted by:  :  Category: Medicare

Record shop Ithaca, NY by exaktaPolitico Pro: Survey: High Satisfaction With Medicare Part D The debate may be raging over Medicare in the race for the White House — but a new survey points out that one part of it, Medicare Part D, has both positive results and bipartisan support. And health experts from Third Way, the Galen Institute and the Healthcare Leadership Council say the program’s success means that during sequester negotiations lawmakers should keep their hands off the Medicare prescription drug benefit. David Kendall, senior fellow for health and fiscal policy at Third Way, said on a call with reporters that the Medicare prescription drug benefit was a key example of successful bipartisanship because it was “enacted by Republicans and perfected by Democrats” (Smith, 10/3).
Source: kaiserhealthnews.org

Video: 2012 Presidential DEBATE Obama – Romney Part 3- Medicare – Role of Gov.

Nine of 10 Seniors Satisfied with Medicare Drug Coverage (Part D)

The survey shows that overall satisfaction with Part D has increased from 78 percent to 90 percent since the program began. Ninety-six percent say that their coverage works well, while three out of four seniors say it works “very well.”
Source: dmagazine.com

Medicare (Part D) Maze, Focus of Casper College Offering

Vicki Pollock, OLLI specialist, says by offering the class they hope to alleviate some of the stress seniors feel as they try to figure out their options. The class covers navigating drug plan options, identifying costs and benefit differences, and maximizing benefits.
Source: k2radio.com

Open Enrollment for Medicare Part D : Hoke County, North Carolina

The Hoke County Health Department Board of Health will hold an open meeting on Monday, October 8, 2012 at 7:00 PM in the Conference Room at the Hoke County Health Department, 683 East Palmer Road, Raeford, NC. Please follow the signs to the meeting room. The public is invited to attend. For further information, please contact the Hoke County Health Department at 910-875-3717.
Source: hokecounty.net

Medicare Part D Premiums Holding Steady

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Medicare Part D 2012 Data Spotlights

The Kaiser Family Foundation has issued this collection of analyses related to the Medicare  Part D stand-alone drug plan options available to seniors in 2012. These spotlights focuses on key aspects of the drug plan choices available and relevant trends since the Medicare drug benefit took effect in 2006. They were prepared by a team of researchers at Georgetown University, NORC at the University of Chicago and the Kaiser Family Foundation. Analysis Of Medicare Prescription Drug Plans In 2012 And Key Trends Since 2006
Source: kff.org

Medicare Part A Deductibles & Benefit Periods

There is some cost sharing with Medicare Part A, which includes deductibles. Medicare Part A deductibles are different from a typical deductible in health insurance for people under 65.  You pay a deductible for each “benefit period,” rather than for the calendar year. A benefit period starts the day you go into a hospital or skilled nursing facility. It ends when you have been out of the facility for 60 consecutive days.
Source: medicareecompare.com

2013 Medicare Advantage and Medicare Part D Data now Available on MedicareQuoteEngine.com

At Ritter Insurance Marketing, we realize that agents need access to the most up to date information as soon as possible to begin studying available plans for their Medicare beneficiary clients.  MedicareQuoteEngine.com is a tool designed exclusively by Ritter Insurance Marketing to assist agents in finding suitable Medicare Supplement, Medicare Advantage and Medicare Part D plans for their clients.
Source: ritterim.com

Social Security and You: Medicare Part D

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

Most Medicare Part D beneficiaries not in low

An analysis of more than 100,000 user sessions on PlanPrescriber.com found only 5 percent of customers were in the Medicare prescription drug plan (PDP) with the lowest total out-of-pocket costs available to them. Only 24 percent of customers were in the Medicare Advantage prescription drug (MAPD) plan with the lowest total out-of pocket costs.
Source: lifehealthpro.com

Romney the Liar: ROMNEY THE LIAR’S ***PATHETIC*** DEBATE LIES, PART FOUR

Obama’s Affordable Care Act also offers new benefits to the elderly, such as prescription drug rebates and discounts, and preventive tests including mammograms and cancer screenings without copays or deductibles under Medicare Part B, which covers visits to doctors’ offices and outpatient clinics.
Source: blogspot.com

Medicaid in Illinois is exactly what Obamacare will be like!

Posted by:  :  Category: Medicare

Love it! Improve it! Medicare for All! by TheeErinThere are some nations in Europe whose inhabitants think of themselves in a sense as colonists, indifferent to the fate of the place they live in. The greatest changes occur in their country without their cooperation. They are not even aware of precisely what has taken place. They suspect it; they have heard of the event by chance. More than that, they are unconcerned with the fortunes of their village, the safety of their streets, the fate of their church and its vestry. They think that such things have nothing to do with them, that they belong to a powerful stranger called “the government.” They enjoy these goods as tenants, without a sense of ownership, and never give a thought to how they might be improved. They are so divorced from their own interests that even when their own security and that of their children is finally compromised, they do not seek to avert the danger themselves but cross their arms and wait for the nation as a whole to come to their aid. Yet as utterly as they sacrifice their own free will, they are no fonder of obedience than anyone else. They submit, it is true, to the whims of a clerk, but no sooner is force removed than they are glad to defy the law as a defeated enemy. Thus one finds them ever wavering between servitude and license.
Source: e-rockford.com

Video: Illinois SMP: Volunteers Protecting Medicare and Fighting Fraud

Annual Enrollment Period for Illinois Medicare

Illinois Annual enrollment period for Medicare is right around the corner, making it the right time to start considering your health care choices. If you are currently enrolled in a Medicare plan, now is the time to begin comparing your coverage with other available options to see if there is a better choice for you. Annual enrollment is the one time of year when you can add to or make changes to your Medicare health or prescription drug coverage for 2013. It’s extremely important you are familiar with these dates to ensure if you make changes, your new coverage begins by January 1
Source: ssiinsure.com

Senate District 9 Candidates on the the Economy, Medicaid

There is a business idea that has a market begging for a service-A Bureau to help Illinois residents pick a new state to live in. I know so many people who want to leave all the Illinois debt they did not create, behind them. This mounting debt assessed unjustly upon the struggling taxpayers to fund public employee’ benefits,pensions, welfare, medicaid recipients, will be paid by those remaining here to pay. (now, how exactly will that work?) The people I know have been born and raised here. Their families and friends are all here. They do not want to move, but their financial survival leaves them no choice other than an escape from Illinois. A service organization, an organized movement with the mission: to help people determine new places to live, would be a great help to me and I know it would be to others. We feel like even a move to Indiana, Iowa, Wisconsin is akin to a move to Mars. Our decisions are going to begin forming on November 7, 2012.
Source: patch.com

News briefs: Illinois ranks high in excessive Medicare billing

Illinois ranks seventh in the number of doctors who may be excessively billing Medicare for intensive evaluation and management of patients, services that are vulnerable to fraud and abuse, according to a report by the inspector general of the U.S. Department of Health and Human Services. The inspector general identified 1,669 physicians nationwide in 2010 that consistently billed more to assess patients’ health, claiming that the services were more complex than usual. Illinois accounted for 3.5 percent of the doctors charging higher fees, but that’s lower than the 4.3 percent of Illinois physicians that bill for such services, the report said. The problem may be more severe in other states. For example, California had the most high-billing doctors, at 17 percent, but just 8 percent of the doctors who provided such services, according to the report, released in May, which did not try to determine the propriety of the bills.
Source: chicagobusiness.com

Seniors: Who do you want rationing your Medicare?

Without some sacrifice, Medicare — our lifeline to health care — may expire before some of us do and, on its present course, it surely will die before our progeny are around to enjoy the same benefits we have received. With the boomer generation joining our ranks, Medicare will have to support almost twice as many seniors in a couple of decades as it can now. No telling what the bill — which now accounts for more than 13 percent of the federal budget — will be.
Source: typepad.com

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

Posted by:  :  Category: Medicare

GIMME SOME OF THAT GOOD 'OLE OBAMA DOUBLESPEAK by SS&SSThe 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

Video: Detroit: Medicare Fraud Summit Consumer Panel

Comprehensive Guide to Medicare Supplemental Insurance

CMMS or Centers for Medicare and Medicaid Services have provided Medicare Supplemental Insurance in 10 different plans. Private insurance companies offer these plans and will help you to determine which plan would be best for you. The plans are labeled with letters from the alphabet and start with the letter A and end with the letter N. One thing to keep in mind is that there are a few of the plans that were discontinued and those were E, H and J. During the month of March in 2010 is when this plan ended, and now you can find A-F, which would equal 11 of the plans that are still available. Each plan is different and unique. Below is a list of what some of these plans are:
Source: ccardzone.com

Why Medicare Cards Still Show Social Security Numbers

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

Medicare Roundup: Setting the Record Straight

Comments are subject to approval and moderation. We remind everyone that The Heritage Foundation promotes a civil society where ideas and debate flourish. Please be respectful of each other and the subjects of any criticism. While we may not always agree on policy, we should all agree that being appropriately informed is everyone’s intention visiting this site. Profanity, lewdness, personal attacks, and other forms of incivility will not be tolerated. Please keep your thoughts brief and avoid ALL CAPS. While we respect your first amendment rights, we are obligated to our readers to maintain these standards. Thanks for joining the conversation.
Source: heritage.org

“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

5 Services Medicare Won’t Pay For

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.
Source: webmd.com

All Seniors: 2013 Medicare Review Session

Apprise is a free health insurance counseling program designed to help Pennsylvanians age 60 and over and those with disabilities with health insurance concerns. Apprise counselors are specially trained volunteers who can answer your questions about Medicare and provide you with objective, easy to understand information about health insurance. APPRISE services are free and all information is kept completely confidential.
Source: greatvalleydoes.com

The Best Priced Medicare Supplement Plan F

Posted by:  :  Category: Medicare

319 | Tragedies of Medicine by The DoctrI have recently had to help aclient file a claim with Medicare bescause he had moved from Florida to Illinois. What a nightmare. This poor gentleman had to undure many hours of calls and documentations to Medicare and his Medicare Plan Provider.
Source: wordpress.com

Video: What Does Medicare Cost?

How Much Does Medicare Part D Cost?

Drug plans vary in costs and the medications that are covered along with the individual pharmacies that they work with. Although these things are different, some things are the same for all individuals such as paying a monthly premium, which is required by all individuals. How much does Medicare part D cost varies from state to state, but on average the monthly premium is about $31.92. In order to keep coverage current, Medicare part B must also be paid each month.
Source: seniorcorps.org

Cool Medicare Part A B C D images

Scenario Three: A primary care doctor sees a Medicare patient for an office visit. She thinks her patient has heart failure, starts the initial management. She orders labs and a echocardiogram. The echocardiogram is read by the cardiologist who recommends the patient come and see him. The primary care doctor spent around 15 minutes with patient and gets paid around for the office visit. The patient’s pharmacist later calls and says the medication that was prescribed must be changed due to insurance formulary restrictions. The doctor spends a minute or two reviewing that patients chart before deciding on an alternative medication. The doctor does not receive any additional reimbursement for this service. She was still only paid total. Later, the patient drops off some paperwork for the physician to fill out for the medical insurance. The doctor spends around 10 minutes filling out that paperwork and having his nursing staff fax the complete forms to the insurance company. The doctor does not receive any additional reimbursement for this service. She was still only paid total.
Source: coloradomedicaremedigap.com

Medicare Health Insurance

Medicare Part C is the “private” portion of Medicare. In Part C, a private insurer has contracted with the government to take over the management of all of your Medicare benefits. You pay premiums directly to this private insurer. Your benefits are then all provided through this private insurer. That is the insurer and pays claims on your behalf. Part C is optional and you still have to pay the Part B premium. The difference is that your benefits are provided by a private insurer and not the government. Both Medicare Advantage and Medicare supplemental insurance covers the gaps left by the original coverage. You do not need both. The difference is that Medicare Advantage pays instead of Medicare, whereas supplements pay AFTER Medicare pays;
Source: infobarrel.com

Medicare Open Enrollment Ends Dec. 7!

BACKGROUND:  SHINE (Serving the Health Information Needs of Elders) provides free health insurance information, counseling and assistance to Massachusetts residents with Medicare and their caregivers. ABCD’s Events for Open Enrollment are continuing throughout Boston and are a chance for seniors and disabled adults on Medicare to learn about changes in Medicare Drug Plans for the 2012 year. After each presentation, FREE on-site Medicare counseling & assistance will be available!
Source: bostonabcd.org

What does Medicare REALLY cover?

Deductibles are tied to benefit periods: It’s also important to know that Parts A and B have different deductibles. Most health insurance policies only have one deductible. Your Part A deductible is not tied to a calendar year like it is with traditional health insurance. Instead, it’s tied to a benefit period that starts when you go in to a hospital or nursing facility, and ends when you haven’t received hospital care for 60 days in a row.
Source: ehealthinsurance.com

2012 Medicare Premiums, Deductibles and Co

Enrollees in Medicare Part D prescription drug plans pay premiums that vary from plan to plan.  Beginning in 2011, Part D enrollees whose incomes exceed the same thresholds that apply to higher income Part B enrollees must also pay a monthly adjustment amount. The regular plan premium will be paid to their Part D plan, and the income-related adjustment will be paid to Medicare.  The amounts by income level are below.
Source: medicareadvocacy.org

Parsing Health And Medicare Plans Amid Campaign Promises

Posted by:  :  Category: Medicare

Sign at Occupy St Pete: "Hands Off Social Security, Medicaid Medicare"  "www.SayNoCuts.org" by Fifth World ArtCNN Money: Election 2012: Tackling Medicare Costs Because of demographic changes and rising health care costs, the program’s spending is projected to balloon from 3.7% of the economy today to 6.7% in 25 years, according to the nonpartisan Congressional Budget Office, making it the biggest driver of America’s long-term budget gap. … As House budget chairman, Ryan made his name with sweeping proposals to change Medicare, and Romney says his approach will be similar. Obama’s health reform law lays out a very different blueprint for restraining costs. Analysts at the Urban Institute calculate that lifetime Medicare benefits will be worth over $500,000 for a mid-career couple today (Regnier, 10/2).
Source: kaiserhealthnews.org

Video: What’s at Stake in the Candidates’ Visions for Medicaid

WisPolitics Election Blog: Pro

After charging Thompson is going to give tax breaks to corporations at the expense of the middle class, the narrator adds: “So who said Thompson is going to get rid of Medicare? Thompson did. And who better than us to stop him.”
Source: wispolitics.com

Ad Blasts Thompson: ‘Who Better Than Me…To Do Away With Medicaid And Medicare’

A video published last week showed Thompson in June, while he was in a heated Republican primary, touting his support for the Republican plan to privatize Medicare into an insurance voucher system: “Who better than me, who’s already finished one of the entitlement programs [welfare], to come up with programs to do away with Medicaid and Medicare?”
Source: talkingpointsmemo.com

Tommy Thompson Promises To 'Do Away With Medicare and Medicaid'

I’m pretty sure the invention of the Tea party by the Koch brothers and friends is going to backfire on the Republicon party , what they have is a bunch of loose cannons , straight out of the loonie bin , they can’t be controlled and they ARE part of the Republicon party . If they lose big in November I think they’ll do what they can to run the nut jobs out ASAP , they’re hurting party .
Source: crooksandliars.com

Medicare and Medicaid Costs (Utility Post)

The go-to source on Medicare Advantage is the official Medpac report (pdf), which currently finds MA plans costing on average 7 percent more than conventional Medicare. This is less than the premium a few years ago; apparently (pdf) because several changes in Medicare policy more or less incidentally put the squeeze on MA plans. So far those plans are still expanding, but time will tell.
Source: nytimes.com

Tommy Thompson Says He Wants to “Do Away with Medicaid and Medicare”

That’s essentially what Romney said on 60 Minutes Sunday night: “I’d take the dollars for those programs, send them back to the states, and say, ‘You craft your programs at your state level and the way you think best.” The problem with that is that many states might erect ridiculously high hurdles for the poor and the disabled to clear before they can get these crucial benefits. And states, which are strapped for revenue, would have an almost irresistible temptation to divert some of this money to cover their budget deficits.
Source: progressive.org

SEIU Focuses on Medicare and Medicaid in New Battleground Campaign Ads

Washington – With recent polling showing voters trusting President Obama and congressional Democrats to protect and strengthen Medicare and Medicaid, the Service Employees International Union (SEIU) today launched a $600,000 ad campaign in critical battleground state races to support candidates who will stand with working people and oppose cuts to these critical programs. “We need leaders who will make investments in vital services like Medicare and Medicaid, not pushing plans that balance the budget on the backs of seniors and the middle class,” said SEIU Political Director Brandon Davis. “At a time when America’s workers are moving forward and trying to build their retirement savings lost during a recession caused by Wall Street’s excesses, Mitt Romney, Paul Ryan and Congressional Republicans support legislation that would leave Americans facing increased costs, decreased coverage, or loss of coverage altogether.” In a new radio ad in Florida, a senior citizen asks her adult son to help explain where Mitt Romney and Paul Ryan’s really stand on Medicare and what their plans mean for the future. The ad, which details some of the devastating impacts of the extreme Romney-Ryan plan, directs listeners to learn the truth for themselves at http://www.medicareromneyryan.com/ and is the second radio ad of an extended radio campaign targeting Florida seniors that began with the Republican National Convention in Tampa. Both ads can be heard at http://www.medicareromneyryan.com/. In Michigan’s First Congressional District, SEIU’s new TV ad in the Traverse City-Cadillac and Marquette media markets highlight Republican Congressman Dan Benishek’s vote to end Medicare as we know it by supporting the extremist budget proposed by Congressman Paul Ryan. The bill would have cost seniors $6,400 more per year while protecting tax breaks for millionaires. The ad can be viewed here: http://youtu.be/BPgqOzn1rbo. SEIU’s TV ad in the Norfolk-Portsmouth-Newport News media market discusses Second District Republican Congressman Scott Rigell’s votes for Congressman Paul Ryan’s extremist budget and vote to raise the retirement age for Social Security to 70. Rigell also opposes helping seniors close the “donut hole” in their prescription drug coverage under Medicare while cutting Medicaid funding in half, endangering long-term care coverage for seniors and those with disabilities. The ad can be viewed here: http://youtu.be/CTQoibncJTM. Scripts – Radio Spot (Florida) http://www.medicareromneyryan.com/ Man: Hello? Mom: Jeffrey, it’s your mother. Man: Hey mom, how are you? Mom: I’m good. Man: What ya doing? Mom: Well I’ve been watching TV all day but it’s been making my head spin. Man: What’ya mean? Mom: All these ads about Medicare, it’s very confusing. Man: I’ve read about it, what do you want to know? Mom: What’s the truth about Romney and Ryan? Man: Well the Romney Ryan plan does essentially end Medicare, that’s what the Wall Street Journal said. Mom: I don’t like the sound of that. Man: What I read said seniors would wind up paying over $6000 dollars more per year. Mom: That’s a fortune to me. Man: And Romney would make drastic cuts to Medicaid too, you know two-thirds of seniors rely on Medicaid for nursing home care?
Source: seiu.org

Obama v. Romney Election 2012 Fact Check: Medicare and Medicaid

President Obama does not propose fundamental change to Medicare. He’s been attacked for cutting $716 billion from the program, though none of those savings come from reduced benefits for seniors. Instead, that number reflects changes to Medicare Advantage, reduced payments to hospitals, and fees on drug companies. Medicare Advantage is the part of Medicare that lets seniors enroll in private health insurance, and President Obama has proposed limits on those insurance companies’ profits and administrative costs. Such changes could result in fewer private health insurance companies participating in Medicare Advantage.
Source: nationalpriorities.org

Tommy Thompson tells people he’ll end Medicare, Medicaid

Declaring that he wants to “change Medicare and Medicaid like I did welfare,” Thompson asked a May gathering of the Lake Country Area Defenders of Liberty in Oconomowoc: “Who better to and who better than me, who’s already finished one of the entitlement programs, to come up with programs to do away with Medicaid and Medicare?”
Source: freakoutnation.com