Medicare This Week: June 8th, 2012, 4010 Ends July 1st, ePrescribing Hardship Exemptions, Improvements to PECOS

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Effective July 1, 2012 only ASC X12 Version 5010 (Version 5010) or NCPDP Telecom D.0 (NCPDP D.0) formats will be accepted by Medicare Fee-For-Service (FFS). Providers that are still conducting one or more of the Version 4010 transactions electronically, such as submitting a claim or checking claim status, or rely on a software vendor, billing service or clearinghouse to do this on their behalf, are affected by this change. Now is the time to contact your software vendor, billing service or clearinghouse, when applicable, if you have not done so already to ensure you are ready. Transactions conducted by Medicare Administrative Contractor (MAC), fiscal intermediary (FI) or carrier telephone interactive voice response (IVR) systems, Direct Data Entry (DDE) and Internet Portals, for those contractors with Internet Portals, are not impacted.
Source: managemypractice.com

Video: CMS MEDICARE AND PECOS PROVIDER ENROLLMENT .wmv

Important “PECOS” Update…

In 2010, Congress required the use of national provider identifiers for ordering and referring physicians on claims for medical equipment or services from laboratories, imaging providers and suppliers. CMS later issued an interim regulation requiring all physicians who order supplies or refer services, including those from specialists, to be enrolled in PECOS by July 2010, but CMS delayed enforcement of that rule as the agency worked to validate and update enrollment records. Enforcement would have meant that claims for items or services would be rejected unless the ordering or referring physician also was in the enrollment system, not just the physician who provided the care.
Source: vgm.com

CMS Releases Updated Information about PECOS

2012 Election Accreditation ACO Affordable Care Act Billing Careers in Home Care care transitions CMS dual eligibles Education Emergency Prep EOEA Face-to-Face Falls Prevention Family Caregiving federal budget Federal Regulations Home Care & Hospice Alliance of Maine Home Care Association of New Hampshire Home Care Careers Home Health Care Home Health Compare hospice House of Representatives innovation Managed Care Massachusetts MassHealth Mass Regulations Medicaid Medicare New England Careers New England Home Care Conference & Trade Show nurse delegation nursing patient choice Patient Satisfaction PECOS PPS Redistricting Rhode Island Partnership for Home Care State Budget telehealth U.S. Congress VNA
Source: wordpress.com

Optical News from OpticalCEUs: CMS Updates PECOS

The U.S. Centers for Medicare & Medicaid Services (CMS) said new technical upgrades will make the Internet-based Medicare Provider Enrollment, Chain, and Ownership System (PECOS) easier for health care practitioners to use, reports the American Optometric Association. Read more.
Source: blogspot.com

Improvements to the Medicare Internet

Users will soon be able to see if their revalidation application has been received and processed by the Medicare Administrative Contractor (MAC).  In addition to a “Revalidation Notice Sent” date, a “Revalidation Received” date and a “Revalidation Complete” date will be displayed on the My Enrollments page. The “Revalidation Notice Sent” date and the “Revalidation Received” date will display on the My Enrollment page for 120 days. The “Revalidation Complete” date will display on the My Enrollments page indefinitely. There are some problems with this system as it has been reported that some physicians are appearing on the page as having been sent a revalidation notice but there is no record of the notice being sent by the Contractor. CMS is aware of this problem and they are investigating it we will notify you when they have discovered the cause of the problem and possible solutions.
Source: 4dmed.com

CMS Responds to Inquiry on HHA PECOS Status

In its final question, NAHC asked whether, once initiated, the edits would be applied to the date an episode starts (i.e. any episodes that start on or after the activation date) or be applied to all RAP and claims submitted to Medicare on or after the edit activation date. In its response, CMS stated that: “We will not be retroactively denying claims. We will deny from the dates of service on or after the implementation of the denial edits.” This response suggests a lack of understanding of home health episode billing which could include visit span dates prior to and after the edits are initiated. NAHC will work with CMS to resolve this concern and share any new information with members.
Source: hcafnews.com

Coding Ahead: BASICS OF MEDICARE PROVIDER

This fact sheet is designed to provide education on how physicians and non-physician practitioners should enroll in the Medicare Program and maintain their enrollment information using Internet-based PECOS. It includes information on how to complete an enrollment application using Internet-based PECOS and a list of frequently asked questions and resources.
Source: codingahead.com

CMS Posts Medicare Learning Network Enrollment Fact Sheet to Help Educate Ordering Physicians

The Centers for Medicare & Medicaid Services has issued new educational materials for physicians and other ordering and referring practitioners. This fact sheet provides education on the enrollment requirements for eligible ordering/referring providers. In the fact sheet CMS spells out who the requirements apply to as follows:
Source: hcafnews.com

New PECOS Improvements Prior to Phase 2 of Ordering/Referring

Diamond Level Platinum Level Gold Level rmsource, Inc. Wells Fargo Insurance Services Silver Level Ford & Harrison Medical Protective SunTrust United HealthCare Group Bronze Level Allscripts Apex Technology Bactes Imaging Solution Biz Technology Solutions, Inc. Call-A-Nurse ChoiceHealth, Inc. CNP Technologies Computer Service Partners Coverys DataMax Eastman Kodak Company Fifth Third Bank Healthcare First Citizens Bank Gateway EDI GMK Associates, Inc. Gordon Asset Management, LLC Greenway Medical Technologies, Inc. Henry Schein Medical Humana, Inc. JBA Benefits (Allergy Services, LLC) LabCorp Management Services On-Call Marketing Works McNeary, Inc. Medicus Insurance Company MedLinks Transcription, Inc. MedWaste Solutions NCHA Strategic Partners One Source Document Solutions ONLINE Information Services Physician Discoveries Physicians’ Alliance of America Prince Parker & Associates Professional Recovery Consultants Solstas Lab Partners Stanley Benefits Stern & Associates The Doctors Company TriMed Technologies Corp Virtual OfficeWare, Inc./GE Healthcare
Source: wordpress.com

Texas laboratory named in Medicare kickback case

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i don't need your rockin' chair... by jmtimagesAmeritox ASTRO Bernie Ness CAP Client Billing College of American Pathologists David Neal Shepard Florida forensic pathologist Forensic pathology Fraud health care fraud IMRT In-Office Pathology Inc. in office lab Jean Mitchell Joe Plandowski Joseph Sonnier kickback LabCorp laboratory lawsuit legislation Mayo Clinic Medicaid Medical malpractice Medicare Medicare Fraud MedTox Millennium Laboratories Myriad Genetics pathologist Pathology Pathology Malpractice Physician self-referral press release prostate biopsies prostate cancer Quest Diagnostics Self Referral stock Supreme Court Urology Whistleblower
Source: pathologyblawg.com

Video: Medicare Supplements in Texas: What to Look For When Choosing a Plan

Roundup: Texas Probes Xerox In Medicaid Overbilling; Miss. Abortion Clinic Fights To Stay Open

Kaiser Health News: California Pilot Offers Caveats For Moving ‘Dual Eligibles’ To Managed Care As federal officials evaluate state proposals to move millions of the nation’s poorest and sickest individuals into managed care plans, they might consider a recent report from the California HealthCare Foundation. The report analyzed California’s year-long transition of 240,000 low-income seniors and people with disabilities from fee-for-service plans into managed care as part of a federally approved demonstration project. Beneficiaries had to pick a managed care plan, or the state assigned one to them (Carey, 9/4). Politico Pro: Miss Abortion Clinic Fights To Survive Mississippi’s lone abortion clinic won a six-month reprieve from a new state law threatening its existence this spring. But now, it’s buried in paperwork as it fights to stay open. The law, which went into effect in July, requires all physicians on the clinic’s staff to be certified OB-GYNs with hospital admitting privileges. The Jackson Women’s Health Organization went to court and a federal judge granted a partial preliminary injunction, giving the clinic six months to try to comply without a penalty from the state (Smith, 8/31).
Source: kaiserhealthnews.org

Is Texas Medicare Insurance Different From Other States?

The controversy surrounding the proposed bill stems from the request that Washington provide Texas a predetermined amount of currency for healthcare. It would then be up to the state to cover any additional fees incurred. In a state where the track record of Medicare dealing have at best been described as shoddy, the passage of this bill could have a very negative ripple effect on those dependant on Texas Medicare insurance. With the entire nation keeping a close eye on these preceedings, patients everywhere are holding their collective breath.
Source: seniorcorps.org

Texas Annual Enrollment Period for Medicare

 During this time, everyone currently enrolled in Medicare may join or make changes to their health care plan. However, any changes you intend to make involving a Medicare Advantage plan or prescription drug coverage must take place during this time. There are exceptions to these dates. If you have existing coverage, but move out of your current plan’s service area or if your plan is terminated, you may add new coverage when you need it. In addition, if the Medicare Advantage plan you wish to join is rated five star, you may do so at any time during the year. And don’t forget, if you have a Medicare supplement plan, you may switch between plans at any time during the year, not just during Annual Enrollment.
Source: texasmedicarehealth.com

Medicare Supplement Insurance Texas Agencies Offer Is Helpful To Certain Clients

The federal government allows private agencies to sell supplemental policies to customers. These policies help individuals to pay for the things that their original insurance does not cover. Companies that sell such policies must comply with very strict federal and state laws and regulations. They are standardized according to guidelines created by the United States government and all such policies must provide the same coverage, regardless of the agency from which the coverage is obtained. However, each agency is allowed to charge different rates for the coverage.
Source: myglobalseattle.org

MedPAC Staffers Recommend Allowing Geographically Based Medicare Physician Payments To Proceed

Posted by:  :  Category: Medicare

Yarmuth Meeting 3 by Greater Louisville Medical SocietyModern Healthcare: Let Geographic Doc-Pay Cuts Proceed, Say MedPAC Staffers The staff of Congress’ primary Medicare advisory body recommended allowing long-frozen geographically based payment cuts for physicians to go into effect. The draft recommendations, on which the Medicare Payment Advisory Commission has yet to vote, applied to the program’s system for supplementing or cutting physician payments based on a comparison of costs in the area in which they practice to a national average. A legislative freeze on the cuts side of that equation is scheduled to expire Dec. 31 (Daly, 10/7).
Source: kaiserhealthnews.org

Video: August 7, 2012 CMS National Provider Call on CY2013 Medicare Physician Fee Schedule

Two Dallas Physicians and Four Nurses Indicted For Defrauding Medicare

Dr. Joseph Megwa, owner of Arlington’s Raphem Medical Practice, allegedly signed 33,000 prescription pads, sometimes without review, for more than 2,000 Medicare users. Ferguson Ikhile, a registered nurse and owner of PTM Healthcare Services Inc. in Irving, and Ebolose Echobor, director of nursing at PTM, were also charged in the case.
Source: dmagazine.com

Chicago area doctors charged with Medicare fraud

The Medicare Fraud Strike Force operations, which expanded to Chicago in February 2011, are part of the Health Care Fraud Prevention and Enforcement Action Team (HEAT), a joint initiative announced in May 2009 between the Department of Justice and HHS to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country. Since their inception in March 2007, Strike Force operations in nine locations have charged more than 1,480 defendants who collectively have falsely billed the Medicare program for more than $4.8 billion. In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.
Source: typepad.com

The Use of Electronic Health Records Is Increasing Medicare Billing: Is It Also Increasing the Amount of Care Physicians Provide?

Yet by focusing doctors on a particular checklist of items, EHR systems could also prevent physicians from considering problems that aren’t on the list. Standardization in medical practice is not always a good thing; today’s fringe treatment may be tomorrow’s gold standard. This type of standardization may be particularly unwise if it is done in the context of EHR systems, which may be focused on recording data that is important for billing or care coordination purposes rather than on reminding doctors about best practices. If this is the case, EHR systems may be nudging doctors to provide unnecessary care, which is the last thing our overburdened health care system needs. If EHR systems are actually changing the way doctors practice by providing standardized checklists and reminders, EHRs should be created with quality of care in mind.
Source: harvard.edu

Spending Differences Associated With the Medicare Physician Group Practice Demonstration

In the Medicare Physician Group Practice Demonstration (PGPD), 10 accountable care organization (ACO) physician groups were eligible to receive a portion of savings generated if they also showed improvement on 32 quality measures. The Centers for Medicare & Medicaid Services found that the program reduced spending by $137 million over five years (2005–2009). Nothing is known, however, about the effects of the PGPD program on a costly subset of patients—those dually eligible for Medicare and Medicaid, who often have multiple, severe health conditions.
Source: rwjf.org

How doctors and hospitals have collected billions in questionable Medicare fees

Medicare has emerged as a potent campaign issue, with both Barack Obama and Mitt Romney vowing to tame its spending growth while protecting seniors. But there’s been little talk about some of the arcane factors that drive up costs, such as billing and coding practices, and what to do about them.  Our 21-month investigation documents for the first time how some medical professionals have billed at sharply higher rates than their peers and collected billions of dollars of questionable fees as a result. 
Source: publicintegrity.org

Westlaw Insider | Blog | New Medicare Shared Savings program likely to create conflict for physicians: Impact on malpractice?

Ferd H. Mitchell’s university faculty career includes teaching, researching and publishing in technical, management and health care disciplines. He has served as an academic administrator for a medical school, where he was director of a master’s degree program, and as vice-president of a company operating a contracted-out Medicaid program. He has performed numerous health care studies for federal and state governments. Ferd received a fellowship from the Japan Foundation to present a series of lectures in Japan on the U.S. health care system. He also participated, as the only U.S. representative, in a European study group developing new approaches to meeting the health care needs of the elderly.
Source: westlawinsider.com

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

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

Doctors Testify on Medicare’s Physician Payment System

Author & journalist Max Holland discusses his book, “Leak: Why Mark Felt Became Deep Throat.” Mark Felt was the FBI assistant director who in 1972 leaked Watergate investigation information to several reporters, including Bob Woodward and Carl Bernstein. Holland argues that contrary to popular notions, Felt selfishly used journalists to discredit FBI director L. Patrick Gray in the hope that he would be appointed to the top spot; and that Nixon’s resignation was an unintended consequence. The Kansas City Public Library hosted this event.
Source: c-span.org

Michigan doctor charged with $40M Medicare fraud

If you enjoy the content on the Crain’s Detroit Business Web site and want to see more, try 8 issues of our print edition risk-free. If you wish to continue, you will receive 44 more issues (for a total of 52 in all), including the annual Book of Lists for just $59. That’s over 55% off the cover price. If you decide Crain’s is not for you, just write “Cancel” on the invoice, return it and owe nothing. The 8 issues are yours to keep with no further obligation to us. Sign up below.
Source: crainsdetroit.com

Medicare AWV: Added Services from Patients' Health Risk Assessments

If a patient displays risk conditions for obesity, cardiovascular disease (CVD), cognitive impairment, allergies, fall risk, medical nutrition deficiency, or abdominal aortic aneurysm, the physician can implement treatment that is reimbursed in addition to the AWV at a later date.
Source: physicianspractice.com

Obama Advisors: Mixed Message on Medicare

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OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SSHe says that policymakers must figure out how to keep insurance companies from insuring the healthy and sending the sick to the traditional government program. Actually that is only one behavior that private insurers engage in to enhance their success as private businesses. They are always going to do everything that they can to maximize revenues and minimize spending, as any reasonable business would do. The drive for profits for passive investors is not in itself inherently evil, except when it is applied to our health care system. Manipulating sick patients for the prime purpose of generating profits is immoral. Investor-owned insurance companies need to be removed from our health care system.
Source: utahhealthcareinitiative.com

Video: Utah Medicare Advantage Plans for Seniors in 2012

New Medicare, Health Law Ads Emerge In Congressional Races Across The U.S.

National Journal: Chamber Expands Ads Into New York, Utah And Georgia The U.S. Chamber of Commerce will launch a new round of advertisements in nine House districts beginning tomorrow, including on behalf of six New York Republicans and two conservative Democrats seeking re-election this year. The Chamber’s new advertising will focus on President Obama’s health care law. Advertisements are running against Reps. Tim Bishop, Bill Owens and Louise Slaughter and ex-Rep. Dan Maffei, four New York Democrats who voted for the law; Rep. Kathy Hochul, who entered Congress after the law passed; and Democratic candidate Sean Patrick Maloney, who is running against Republican Rep. Nan Hayworth. But lest someone accuse the Chamber of only backing Republicans, the group is launching its first advertising on behalf of a few conservative Democrats. Both Reps. Jim Matheson (D-Utah) andJohn Barrow (D-Ga.) — both of whom voted against the health care law — will get advertising on their side… Now, a Democratic source sends along the totals of the buys so far, which add up to about $1.9 million. (Wilson, 10/4).
Source: kaiserhealthnews.org

Utah Office of Health Disparities: Webinar :Open Enrollment Information for Medicare Beneficiaries with a Disability or Chronic Illness

This call is designed to provide you with an overview of the differences between types of Medicare plans and what it means to you, how to compare plans and important issues to consider in choosing a plan, and where you can get more information and assistance.
Source: blogspot.com

Utah Medicare Plans….changes on the horizon?

Are there really changes on the horizon, did the recent legislation upheld by the Supreme  Court affect you. These are questions that I am afraid there are no current answers to at the moment, but I feel any and all changes to Utah Medicare rules and procedures will occur after the elections. As always we recommend you have a competent agent who specializes in Utah Medicare coverage to help answer your questions as they arise. Of course we are biased, but a good agent is always better than no agent.
Source: utahseniorservices.com

Utah Medicare Part D Plans

Whereas you can compare stand-alone plans to each other, you must compare the entire Advantage plan package to other Advantage plans. This complicates things a little. For instance, a plan with great drug benefits may be less than desirable for its medical benefits or provider network.
Source: partdplanfinder.com

Comprehending Utah Medical Health Plans

When it comes to know about the plans of Medicare in Utah, things are not so easy. This is because there are a plethora of such plans each having their own benefits and standpoints. Hence, it is a very smart and practical idea to ensure that you get to know everything in advance. And who can be a better help to you other than Utah Medicare Plans? This is a company, which has been into this genre of providing health care facility plans of Medicare in Utah for quite many years. The staff is highly professional in the fact that they are well aware of the plethora of sophisticated plans of Medicare and therefore can suggest the best one, which is suitable to you. If you are aware of the Medicare and want the same Medicare advantage Utah to be available to your loved ones then this is the right time to contact Utah Medicare Plans and discuss at our centre to know more. It is imperative that you are able to understand the benefit of choosing the best plan of Medicare. This will save you from unwarranted trouble in the future. It is not possible to keep 24-hour surveillance on the health of our loved ones. Anything can happen any time. If you have them covered under the Medicare plans then you can avail Medicare advantage Utah for them and can have them treated in hospitals and reputed medical facility providers.
Source: utahmedicareplans.com

Report Generation Delay for CPID 2458 Utah Medicare

The payer listed below is experiencing issues affecting Professional 5010 999, 277CA, and 835 reports generation for claims submitted from 08/07/2012 to present. The clearinghouse is working diligently with the payer to resolve the issue and ensure reports are received. CPID 2458 Utah Medicare Please be aware of delays in the report for claims submitted during the timeframe above. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Don’t Let Them Destroy Medicare, Vote Them Out!

We must replace each and everyone of them with Progressives, Liberals or  Independents.  We have to help our country move forward and our President by providing him with a Congress that will work with him and not against him.  A Congress that will care for all Americans, regardless of Party instead of the Congress we have now that cares not for the American people or the country but for Corporate America.  We have complained, we have been outraged, well now is our opportunity to do something about it.  These elections are extremely important,  vote and vote for America.  Vote Democratic all the way down the ballot.
Source: 90degrees2theleft.com

House Republicans Attack Obama Administration On Medicare Advantage

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524EMILY ETHRIDGE: This is another chance for the Republicans on this committee to attack the 2010 health care law again. This is the thing they’ve been doing all year, consistently attacking it. Holding hearings to look into it, finding different parts of it to criticize. This is just one more chance for them to go after it before they go home, right before the election season. They think the health care law is something they can campaign on. Even though it’s maybe not the top priority of a lot of voters, it’s definitely getting traction. Both sides think they can get traction on health care as we head up to the elections in November.
Source: kaiserhealthnews.org

Video: Issa: HHS May be Using Bonuses to Hide Cuts to Medicare Advantage

Sebelius Misleads the Public on Medicare Advantage

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Source: heritage.org

HHS Touts Growth In Medicare Advantage Plans, Drop In Premiums

More than 13 million Medicare beneficiaries – just over a quarter of all Medicare enrollees – are in Medicare Advantage plans, an alternative to traditional Medicare offered by insurance companies. The health law will reduce payments to Medicare Advantage plans by $156 billion from 2013 through 2022, according to the Congressional Budget Office. President Barack Obama and many Democrats have backed payment cuts to the plans, citing data that the government has in the past paid about 14 percent more per beneficiary in Medicare Advantage than per beneficiary enrolled in the traditional program. Proponents of the private plans point to their better coordination of care and extra benefits and services they provide, including vision, hearing and dental benefits.
Source: kaiserhealthnews.org

Medicare Advantage enrollment projected to grow 11 percent in 2013

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

HHS: Medicare Advantage enrollment is up, premiums down

Medicare Advantage plans cover skilled nursing facility stays following acute episodes and other post-acute care. MA also includes special needs plans for chronically ill and disabled individuals such as dual eligibles. Republicans raised concerns over an MA demonstration project in June that gave quality bonuses to plans with more stars.
Source: mcknights.com

Medicare Advantage in the Spotlight

Given recent legislation that has substantially cut MA expenditures including cuts in the ACA and the expected two percent cut beginning next year as a result of sequestration, it is amazing that MA plans on average are only increasing premiums by $1.47 next year. At a Ways and Means Subcommittee on Health hearing on September 21, 2012 GAO described how the $8 billion CMS quality bonus demonstration has backfilled 70 percent of the ACA cuts to date. At the AHIP Medicare conference, Bob Berenson seemed to have an explanation for how MA plans are able to maintain their low premiums noting that MA plans do not experience the same level of fraud and abuse as the FFS program, are able to selectively contract and manage utilization, and peg payment rates to Medicare FFS levels. Berenson questioned why MA costs are not lower than FFS given these advantages. CMS indicated that since the ACA was enacted MA costs have declined from 114 percent of FFS to 107 percent of FFS. MA plans note that their expenses are higher since they provide extra benefits, reduced cost sharing and care coordination programs and have higher administrative costs including marketing costs.
Source: gormanhealthgroup.com

Owassoisms.com: Lovelace Medicare Advantage Plan Expands in Oklahoma

TULSA, OK – Lovelace Health Plan is pleased to offer a Medicare Advantage product in Tulsa, Oklahoma, Payne and Mayes counties. Lovelace Medicare Plan is expanding to Rogers, Creek, Muskogee and Okmulgee counties in 2013. Open enrollment is October 15 through December 7 with coverage beginning January 1, 2013.
Source: owasso411.com

Rep. Issa: HHS May be Using Bonuses to Hide Cuts to Medicare Advantage

Just more dirty play coming out of the most corrupt administration in US history. How much more bull crap do people need to see to get through their thick skulls to vote the Emperor out and rid Congress of all his enablers?
Source: savingtherepublic.com

AHIP Statement on Medicare Advantage

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

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

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Deal 3, Table 7: Initiation enter Trick A~ contract taker leads King of Risks by KevinHutchins314elevator, 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: Tea Party (R) Plays Victim Card – No Apology To DNC Chair Schultz

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

employment application pdf: replacing lost medicare card From esk Bud jovice to T ebo , Tel , and T eb : An express bus goes from esk Bud jovice to the Morav

Over the centuries, people have transformed what was a flooding marshland into a clever and delightful combination of lakes, oak-lined dikes, wild meadows, Baroque villages, peat bogs, and pine woods. Rather than unprofitable wet fields, the nobles wanted ponds thatswarmed with fish and today T ebo remains the fish-raising capital replacing lost medicare card of the Czech Republic. Landscape architects in From esk Bud jovice to T ebo , Tel , and T eb : An express bus goes from esk Bud jovice to the Moravian city ofBrno (5/day Mon Fri, 2/day Sat Sun, 4.5 hrs). Along the way, itstops at T ebo (30 min from esk Bud jovice), Tel (2 hrs from esk Bud jovice), and T eb (3.25 hrs from esk Bud jovice).
Source: blogspot.com

1099 requirements: lost my medicare card Another option is the St. James Club Casino in Momora Bay. It s open 8 pm

The frigate bird is easy to spot, especially the male. During mating season, which ranges from September to February, the male inflates a crimson pouch on his throat to attract the female. lost my medicare card Chicks hatch from December to March and remain in the nest for up to eight months. Another option is the St. James Club Casino in Momora Bay. It s open 8 pm-late (depending on the crowd). 268-460-5000. Table games and slot machines are available to visitors at this newly renovated casino. ECO-RAMBLE & HISTORICAL NOTE Enjoy an eco-ramble with Montpelier’s resident industrial archaeologist to learn more about the history of Nevis. Also of interest to history buffs, Montpelier was the site of the marriage of Admiral Lord Nelson and Fanny Nisbet in 1787. Marigot The best shopping is in the capital lost my medicare card city of Marigot. lost my medicare card A crafts market near the cruise terminal offers jewelry, T-shirts, souvenir items, carvings and paintings (we were especially taken with the Haitian lost my medicare card artwork available here). lost my medicare card Marigot also is home to boutiques open 9 am to 12:30 pm and 3 to 7 pm, which offer liqueurs, cognacs, cigars, crystal, china, jewelry and perfumes, many from France.
Source: blogspot.com

CMS Revamps Medicare Website To Boost Usability, Usefulness

Acting CMS Administrator Marilyn Tavenner said, “We’ve simplified the language and the homepage layout to make it easier and faster for visitors to get answers and a better understanding of Medicare necessary to get more control over their health care” (Healthcare IT News, 8/22).
Source: ihealthbeat.org

Medicare Aims to Improve User Experience

This entry was posted on Friday, September 7th, 2012 at 11:56 am and is filed under Consumer-Driven Healthcare, Customer Service, Healthcare Reform, Medication Management, Prescription Drugs. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
Source: hin.com

Do you want to Live Free? Vote for Gary Johnson!

As I explained in my 3rd Party Project entry, I’m sharing a summary of what I think the key policies are for each third party candidate. This summary probably leaves a lot to be desired, so if you are interested in what you see here, I encourage you to visit the candidate’s site at garyjohnson2012.com.
Source: wordpress.com

How to Prevent Medicare Card Identity Theft

Note: You’ll notice that your Medicare ID has one or two additional letters or numbers following the digits of the SSN. These identify what kind of beneficiary you are, according to the Social Security Administration. For example, the letter T mainly indicates that you are entitled to Medicare, but are not yet filed for Social Security retirement benefits; whereas W1 indicates that you are a widower who is eligible for Medicare through disability. For the purposes of your photocopy, it doesn’t matter whether you delete these final letters (or letter-number combinations) or leave them in. Also of interest: You can help fight health care fraud. 
Source: aarp.org

How to Replace a Lost Medicare Card

Medicare is a program funded by US government which provides affordable health care to citizens above the age of 65. A red, white and blue Medicare card wiil be given to citizens as a proof . Whenever you are seeking healthcare under medicare program, production of medicare card is a must.If your card has been destroyed, lost or stolen, you need to get a replacement card as early as possible. Here I will describe the process of getting a replacement medicare card.
Source: infobarrel.com

New Look for Medicare.gov

Now you can get to the Medicare Part D Plan Finder by clicking on the yellow box labeled “Find Health and Drug Plans” to the left of the picture on the homepage.  This will take you to the familiar Plan Finder.  Once there, if you click on the video to help guide you through the Plan Finder, the first page will look like the older version of the website where you clicked on the blue words “Compare Drug and Health Plans” to get to the Plan Finder. 
Source: retirementeducationplus.com

Daily Kos: Feds charge 91 people in $430 million Medicare fraud scheme

GainesT1958, kate mckinnon, yerioy, ChicDemago, kpardue, eeff, exNYinTX, scribe, Zinman, CanisMaximus, vmckimmey, antirove, hangingchad, TexDem, Steveningen, defluxion10, betson08, dkmich, Emmy, Sybil Liberty, sebastianguy99, marina, UFOH1, v2aggie2, lilypew, kitchen sink think tank, kefauver, basquebob, jeff in nyc, Paddy999, Land of Enchantment, flying shams, 417els, ferallike, Russgirl, TalkieToaster, gpoutney, unclebucky, tommyfocus2003, BentLiberal, ladypockt, bear83, BeninSC, jnhobbs, millwood, M Sullivan, Neon Mama, Cordwainer, NewDealer, pamelabrown, Gemina13, divineorder, Railfan, Sotally Tober, estreya, alguien, renzo capetti, Monkey Man Hermit, manyamile, Loose Fur, soaglow, jardin32, PorridgeGun, sethtriggs, vjcalaska, BarackStarObama, Yogurt721, createpeace, VTCC73, stlsophos, DRo, Madrig, Sister Inspired Revolver of Freedom, OldDragon, Heart n Mind, Inkberries, nellgwen, a2nite, AreDeutz, Farkletoo, 2thanks, This old man, hotheadCA, pittie70, etherealfire, hungeski, mumtaznepal, ShoshannaD, Candide08, remembrance, EliWery, dbeerthuis, Icicle68, sparkysgal
Source: dailykos.com

Debate Coverage, Cont.: Questions Emerge About Health Care Facts

Posted by:  :  Category: Medicare

365.118 - family recognition by nettsuThe New York Times: Entering Stage Right, Romney Moved To Center [H]e praised the Massachusetts health care bill, calling it a “model for the nation.” … This week, he pivoted to the center, as many political analysts had long expected him to do, seeking to appeal to more centrist general election voters. In doing so, Mr. Romney used striking new language to describe his policy proposals on taxes, education and health care in ways that may assuage independent voters — but which may be sowing confusion about how Mr. Romney would govern. … his [health care] plan could exclude millions of people (Cooper, Kocieniewski and Calmes, 10/4).
Source: kaiserhealthnews.org

Video: A Permanent Fix for Medicare – Know the Facts

Short hits: Medicare facts, the Republican convention, and voting access

Where population greatly abounds vice and virtue have their greatest extremes. A simple rural population needs no night police, and no lock-up. Rogues and strumpets do not nightly traverse the deserted highways of the farmer. Low inns, restaurants, sailors’ boarding-houses, and houses of ill fame do not abound in rural precincts, ready to pour out on election day their pestilent hordes of imported bullies and vagabonds, and to cast them multiplied upon the polls as voters. In large cities such things exist, and its proper population therefore needs greater protection, and local legislation must come to their relief.
Source: bangordailynews.com

Facts about Medicare, Social Security and Obamacare

Virginia Organizing and Fredericksburg NOW are presenting an information forum. Dr Chris Lillis will be discussing Obamacare and its benefits. Laura Feldman, from the National Committee to Preserve Social Security and Medicare, will be discussing the Romney plan, the Ryan plan, Simpson-Bowles committee findings on Medicare and Social Security, and the NCPSSM recommendations to preserve and strengthen these programs.
Source: patch.com

VIDEO: Team Obama presents Medicare FACTS. “Not one of the claims on Romney’s whiteboard is actually true.”

Photographs from other sources sometimes appear on TPC for humorous or illustrative purposes. As it is not our intention to use these images in any inappropriate manner or to infringe upon any rights held by others, anyone holding legal rights in the use of these images who wishes to have them taken down please contact us immediately requesting such removal, with which we will comply promptly.
Source: thepoliticalcarnival.net

Hospital tackles patient returns

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Ashleigh Dye Caroline County Celebrate Virginia Live City Council cooling shelter courthouse crime Culpeper County Daniel Harmon–Wright derecho earthquake Eddie Chewning fatal Fredericksburg Fredericksburg Va. Getting There Health Care Interstate 95 july 4 King George King George County Louisa Michelle Obama Natatia Bledsoe Orange County outage Patricia Cook police shooting power outage Rappahannock River robbery Spotsylvania Spotsylvania County Spotsylvania schools Stafford Stafford County storm UMW University of Mary Washington VDOT Virginia State Police VRE weather Westmoreland Westmoreland County
Source: fredericksburg.com

Video: Medicare Tax ~ HiltonHeadReal EstateNews.com

Daily Kos: The Obama Administration uncovered $430 million in Medicare fraud in a single bust yesterday

Grassroots Mom, Ed in Montana, Sylv, Alma, Terri, Chi, filkertom, grollen, teacherken, Geenius at Wrok, dfarrah, artr2, TrueBlueMajority, NYmom, BigOkie, RunawayRose, bosdcla14, Emerson, dengre, billlaurelMD, cotterperson, hyperstation, OLinda, LynnS, jdld, eeff, TX Unmuzzled, LeftHandedMan, frisco, Matilda, bethcf4p, exNYinTX, Creosote, davelf2, Bugsby, eyeswideopen, tyler93023, concernedamerican, missLotus, litho, cyberKosFan, wonkydonkey, Loquatrix, CoolOnion, barath, khloemi, samddobermann, Voter123, itskevin, jalbert, Terre, Cedwyn, CocoaLove, aitchdee, revsue, Serendipity, Texknight, SneakySnu, ammaloy, psnyder, Nag, NYC Sophia, Lawrence, Noodles, yet another liberal, katchen, defluxion10, lcrp, Liberaljentaps, kismet, walkshills, zerelda, KayCeSF, tomjones, xyz, Emmy, Nova Land, Josiah Bartlett, Sybil Liberty, Sassy, Gowrie Gal, rapala, maybeeso in michigan, bloomer 101, Tinfoil Hat, Jeffersonian Democrat, Ckntfld, v2aggie2, subtropolis, democracy inaction, OpherGopher, kitchen sink think tank, Bcre8ve, basquebob, Brooke In Seattle, Gary Norton, fixxit, eru, owlbear1, Beetwasher, LNK, majcmb1, SaraBeth, Frank Palmer, Sun Tzu, uato carabau, kaliope, SBandini, Savvy813, sodalis, DFJtoo, peacestpete, WayBeyondSoccerMom, kathny, xaxnar, Jim R, begone, reddbierd, Tranny, martini, third Party please, Shirl In Idaho, Patriot Daily News Clearinghouse, myboo, hungrycoyote, Naranjadia, Russgirl, cookseytalbott, seefleur, Dvalkure, sleipner, KenBee, deha, VictorLaszlo, blueoasis, 4Freedom, real world chick, CTLiberal, middleagedhousewife, hlsmlane, Pilgrim X, blue in NC, democracy is coming, CA Nana, geekydee, Stripe, blueoregon, kurt, bstotts, Temmoku, markthshark, Nulwee, AntKat, DBunn, ladypockt, Sapere aude, john07801, Cronesense, byDesign, drmah, FWIW, bfbenn, Wino, jeanette0605, Matt Z, terabytes, mdcalifornia, SeaTurtle, Librarianmom, Wreck Smurfy, uciguy30, GeorgeXVIII, Timmethy, BasharH, TomP, Empower Ink, jwinIL14, mconvente, TX Freethinker, JaxDem, angry hopeful liberal, ScottyUrb, Cordwainer, OleHippieChick, Sixty Something, Youffraita, elwior, Akonitum, jamess, mikeconwell, beltane, monkeybrainpolitics, Lujane, TomFromNJ, tofumagoo, royce, Ocelopotamus, Haplogroup V, smartdemmg, bluesheep, catly, WoodlandsPerson, mofembot, petulans, luckylizard, JamieG from Md, sagansong, ekyprogressive, Ellinorianne, DavidW, Diogenes2008, prettygirlxoxoxo, Bule Betawi, DontTaseMeBro, litoralis, greengemini, divineorder, banjolele, CanyonWren, Nebraskablue, maryabein, Gorilla in the room, susanWAstate, WakeUpNeo, socal altvibe, DefendOurConstitution, MKSinSA, papahaha, igwealth5tm, hyper, Denise Oliver Velez, Keith Pickering, Dark UltraValia, sfarkash, 57andFemale, DaNang65, haremoor, jfromga, nancat357, MizKit, astral66, TM, jpmassar, LookingUp, Words In Action, Contra, Lefty Ladig, BlueOak, Railfan, Amber6541, Just Bob, CalGal47, coppercelt, mamamorgaine, henlesloop, awcomeon, marabout40, Laurilei, flitedocnm, NJpeach, estreya, breathe67, gramofsam1, cindiloohoo, secret38b, Orlaine, VickiL, womankind, Eddie L, ipaman, cordgrass, gulfgal98, loveistheanswer, ItsSimpleSimon, Puddytat, dlemex, naka, Kristina40, orlbucfan, Rainefenix, ericlewis0, Floande, eclecta, wwjjd, Quantumlogic, Onomastic, Jane Lew, Mike08, Barbara Marquardt, kerflooey, Hill Jill, mama jo, ozsea1, spooks51, Bob Duck, nervousnellie, afisher, jardin32, vahana, Amayi, Susipsych, BlackQueen40, itzik shpitzik, lexalou, mikejay611, near mrs, BirdMom, CoExistNow, molunkusmol, boomerchick, marleycat, PorridgeGun, zukesgirl64, sethtriggs, Cinnamon Rollover, Icarus Diving, thomask, rk2, floridablue, Grandma Susie, IB JOHN, createpeace, worldlotus, Fire bad tree pretty, RMForbes, enhydra lutris, MuskokaGord, antooo, bluedust, poliwrangler, Wood Dragon, VTCC73, Caddis Fly, old mark, Marihilda, Vatexia, hobie1616, SteelerGrrl, Catlady62, googie, Auriandra, ParkRanger, allergywoman, AnnetteK, Only Needs a Beat, stormicats, KiB, Barbie02360, Catskill Julie, Invictus88, Siri, Citizenpower, lurkyloo, IndieGuy, ahumbleopinion, Hopefruit2, S F Hippie, a2nite, AreDeutz, 2thanks, congenitalefty, shanesnana, peachcreek, belinda ridgewood, radical simplicity, doroma, Buckeye54, james321, Spirit of Life, dotdash2u, George3, fauve, Bisbonian, Adam AZ, Ron Ebest, ShoshannaD, BobTheHappyDinosaur, nuclear winter solstice, nomandates, DamselleFly, Sam Sara, Late Again, remembrance, Neapolitan, poopdogcomedy, LiberalSage, gotmooned, Dewstino, Homer177, Constantly Amazed, northerntier, helpImdrowning, Smoh, starfu, tampaedski, chicklet, Jim Domenico, workingclasszero, OregonWetDog, grubber
Source: dailykos.com

Daily Kos: Feds charge 91 people in $430 million Medicare fraud scheme

GainesT1958, kate mckinnon, yerioy, ChicDemago, kpardue, eeff, exNYinTX, scribe, Zinman, CanisMaximus, vmckimmey, antirove, hangingchad, TexDem, Steveningen, defluxion10, betson08, dkmich, Emmy, Sybil Liberty, sebastianguy99, marina, UFOH1, v2aggie2, lilypew, kitchen sink think tank, kefauver, basquebob, jeff in nyc, Paddy999, Land of Enchantment, flying shams, 417els, ferallike, Russgirl, TalkieToaster, gpoutney, unclebucky, tommyfocus2003, BentLiberal, ladypockt, bear83, BeninSC, jnhobbs, millwood, M Sullivan, Neon Mama, Cordwainer, NewDealer, pamelabrown, Gemina13, divineorder, Railfan, Sotally Tober, estreya, alguien, renzo capetti, Monkey Man Hermit, manyamile, Loose Fur, soaglow, jardin32, PorridgeGun, sethtriggs, vjcalaska, BarackStarObama, Yogurt721, createpeace, VTCC73, stlsophos, DRo, Madrig, Sister Inspired Revolver of Freedom, OldDragon, Heart n Mind, Inkberries, nellgwen, a2nite, AreDeutz, Farkletoo, 2thanks, This old man, hotheadCA, pittie70, etherealfire, hungeski, mumtaznepal, ShoshannaD, Candide08, remembrance, EliWery, dbeerthuis, Icicle68, sparkysgal
Source: dailykos.com

Post election deficit deal threatens Medicare and Social Security | MyFDL

Raising the Medicare age to 67 would be disastrous.  There will be no affordable health insurance for those in their 60’s.  The Affordable Care Act allows private insurance companies to charge premiums three times higher based on age.  Under popular pressure, there were regulations placed into the health care reform bill to stop insurance companies from charging higher premiums based on pre-existing conditions.  But the companies were allowed to charge three times the premium based on age.  
Source: firedoglake.com

Major tax provisions of the health care law

Medicare tax increases for high income earners—Starting in 2013, there will be an additional 0.9 percent Medicare tax on wages above $200,000 for individuals ($250,000 married filing jointly). Also starting in 2013, there is a new Medicare tax of 3.8 percent on investment (unearned) income for single taxpayers with modified adjusted gross income (MAGI) over $200,000 ($250,000 joint filers). Investment income includes dividends, interest, rents, royalties, gains from the disposition of property, and certain passive activity income. Estates, trusts and self-employed individuals are all liable for the new tax. Exemptions are available for business owners and income from certain retirement accounts is exempt.
Source: newsfromaoa.org

Romney victory boosts poll numbers

cut $716 billion from the program by decreasing the amount paid to providers across the board, causing some 17 percent of hospitals and nursing homes and 50 percent of doctors to stop accepting Medicare patients. Obama claimed Romney’s plan, which would allow future retirees to have the option of choosing the current Medicare plan or a plan through a private insurance company, would eventually lead to the erosion of the current plan, leaving many seniors, who could not afford a private plan, stranded. Romney fired back, claiming that if the federal government really could provide a better plan at a lower cost than the private insurance plans could, then people would choose it. It was times like these when the president failed to give a compelling response. These are just two examples. Through the muck of political ads and commentary that pollutes the airways, it is very difficult to get any real information about candidates in an election. “Experts” have already torn apart the numbers and arguments used by both sides, but thanks in large part to the line of questioning from the moderator, this debate was very useful for voters because it gave a clearer picture of the philosophies driving the candidates’ policy formation. While both agree that a large amount of government regulation is essential for free markets to work, the degree to which the government should be involved differs. Obama believes in a larger government role, where raising taxes and regulations leads to a fairer, more secure economy. Romney also believes that government has a lot to say about the welfare of its citizens, but that this should be done more at the state level than the federal level. Romney said lessening the tax burden for the middle class and cutting back the red tape tied around small businesses leads to economic growth, leaving all Americans better off and the government better able to care for those who are worst off. Romney has finally succeeded in energizing his base, something he has had a hard time with and desperately needed to do. But one month is an eternity in the political world, and this victory will be essentially meaningless if Romney cannot maintain his momentum, especially in the next two debates. Romney and Obama face off again on Oct. 16, and the president is expected to come out swinging. After the first debate, he’ll need to if he plans on remaining in the White House.
Source: centralfloridafuture.com

Democrats say Biden must make case for Medicare in vice presidential debate

Many Republicans hoped Ryan’s addition to the ticket would usher in a blunt, honest debate about the future of Medicare, which just about everyone agrees is unsustainable. They thought Ryan would be able to explain his Medicare plan to the public, overcoming Democratic attacks that paint it as a “voucher” program seniors should fear. And Ryan often says on the stump that Republicans are eager for a debate on Medicare.
Source: thehill.com

Medicare Supplement or Medicare Advantage

Posted by:  :  Category: Medicare

That is correct, Jeff!!  If your group prescription drug plan is not as good as Medicare’s standard prescription drug plan, which means has a $321deductible or more for 2012.  Or if your company and/or your insurance company states that the plan is not creditable, then you should enroll in a Part D plan to keep from having a 1% per month penalty which goes back to the month your Part A started, when you do enroll in a prescription drug plan. Read page 90 of the
Source: tonisays.com

Video: Medicare Suppliments

Medicare Supplement Plans

There is no need to emphasize the need for Medicare coverage. Everybody knows that medical coverage can be very helpful especially in times of medical necessity. Medicare supplement plans have been basically the same since the early 90’s. Now, or more specifically just last June 1, 2010, two new plans are being incorporated into these plans known as plans M and N. Why the need for Medicare supplement plans? This is to serve as a safety net for those who wish to be covered by a reliable medical insurance program. Accidents do happen every once in a while and being covered by a supplement medical insurance is a good step to make sure that you are financially covered. Medicare supplement plans or Medigap aims to fill in the insufficiencies of major medical insurance plans. Plans M and N are two of the newest plans that are being offered by various private insurers. These give you the option to pay lower premiums as compared to other Medicare plans. This comes in handy in light of the changes that will be introduced to the Medicare Advantage program. Plan M: How does this work? This medical supplement plan uses the cost-sharing method (also known as the deductible-sharing method) in able to keep your monthly premium payments to a minimum. What does this mean? Those who are covered by this medical plan would divide Plan A with a private insurance company at 50%. In simple terms, you pay the half the cost while the insurance company pays the other half. What are not covered under this medical insurance plan are the items on Medicare plan B which are basically medical services. Plan N Medicare Supplement Plan Plan N is basically the same with Plan M in using the cost-sharing method. Unlike Plan M, Plan N uses co-pays to help lessen monthly premium payments. The cost of co-pays is fixed as follows: * $20 for doctor’s visits * $50 for emergency room visits. Compared to plan F, plan M is projected to be 15% lower while plan N is 30% lower. In able to take advantage of the benefits of Medicare plan N, the co-pay system will only take effect after the deductible requirement in Medicare Plan B is met. These plans are also a good alternative for those who wish to come off the Medicare Advantage Program. According to experts, premiums and charges are expected to increase so for those who are under this program may cancel their plan either by choice or necessity. But it is also noteworthy to compare both options and see which one will benefit you and your family the most. For those who wish to learn more about Medicare Supplement plans, you may browse the internet to get details about medical insurance plans. You can see the pros and cons of these plans online, and may even provide you with the insurance quotes that you need. If you are serious to provide medical insurance, then this is one way to compensate for the financial needs when it comes to medical emergencies. If you are looking for the best medicare supplement plans and medicare requirements, visit our site for more tips and information. Contact us for free medicare advice. If you are looking for the best http://www.medicarerep.com/ medicare supplement plans and http://www.medicarerep.com/ medicare requirements, visit our site for more tips and information. Contact us for free medicare advice.
Source: abcarticledirectory.com

Today’s Influence Ads: AARP Medicare Supplement, Shale Gas Production

A slew of new ads are out today as Congress embarks upon its last week before the elections. AARP and UnitedHealthCare have a new ad today promoting AARP Medicare Supplement Insurance Plans as the only standardized Medicare supplement plan that AARP  endorses. American Clean Skies Foundation has a new ad pushing for the production of shale gas in the United States. The government of Panama’s new ad promotes the country as a good place for American businesses to invest. And Across the Aisle Foundation has a new ad inviting senior House and Senate staffers from both parties to an October event to discuss how the new Congress should tackle its first 100 days. Others with new ads, per Kantar Media’s Washington Eye, include: American Petroleum Institute, American Sugar Alliance, American Veterinary Medical Association, Consumer Electronics Association, Employee Freedom Act Committee, Fair Search, Lockheed Martin, McDonald’s, Neustar and Radiation Therapy Alliance. Those with continuing ad include: Altria, American Cancer Society, American Council of Life Insurers, American Hospital Association, AT&T, Beirut Families, Boeing Company, BP, Chevron, CIT Group, CME Group, Hologic, Honda, Huntington Ingalls Industries, Lockheed Martin, Mars Chocolate, Northern Dynasty Minerals, Nuclear Energy Institute, Pfizer, Pharmaceutical Research Manufacturers of America, Southern Company, United Soybean Board, Univision, WellPoint, WTOP and Zurich.
Source: nationaljournal.com

What is a Medicare Supplement?

Original Medicare does an adequate job of covering eligible medical expenses for Medicare enrollees. It provides primary coverage for hospitalizations and doctor services. While Medicare is subsidized, it is not completely free and so you share in the cost of the medical expenses you incur. In most years, Original Medicare will provide adequate coverage if your medical expenditures aren’t over a certain amount, say $10,000 per year (hypothetically, depending on your financial situation). However, say one year you need to go through a surgical procedure, along with an extended outpatient rehab state. And say that the overall bill of for the combined treatments comes to over $100,000. While Medicare will cover most of the bill, your share could still end up being $20,000. A Medicare Supplement plan is a true form of insurance that lessens the risk and financial burden against such situations.
Source: 1stallianceinsurance.com

Greenbelt Explorations Unlimited Explores Medicare Supplements

On Friday, Sept. 21, Explorations Unlimited welcomes Mr. Greg Markomanolakis, who will be talking about the differences in Medicare plans and pricing, Medicare Extra Help and the Maryland Senior Prescription Drug Assistance Program that a lot of seniors aren’t aware of. He will also touch briefly on the importance of having burial plans established through an irrevocable funeral trust that is Medicaid waived.
Source: patch.com

American Financial (AFG) Closes Sale Of Medicare Supplement And Critical Illness Businesses

AFG’s balance supplemental insurance operations consist solely of its run-off long-term care business, which has a book value of approximately $170 million, and which will continue to be based in Austin, Texas. AFG’s Austin-based life and annuity operations will transition to its home office in Cincinnati, Ohio before the end of the year.
Source: istockanalyst.com

Georgia Medicare Supplement Plans made easy by GAMedicarePlans.com

GAMedicarePlans.com makes shopping for Medicare plans easy and simple by giving you all of the information you need. Their skilled agents will stay with you through the entire process. Your confidence level will go up after requesting a quote from them. Georgia Medicare Supplement Plans were designed to fill in the gaps left by traditional Medicare coverage, and GAMedicarePlans.com has made finding your ideal plan that much more simple for you.
Source: release-news.com

Running a California Medicare Supplement Quote

Like many Californians, you find yourself turning 65 or coming off of group coverage at a later age which seems to be a trend now after the economic tumult of recent. Either way, there’s a silver lining if you’ve been paying for your own health insurance since you’re now ready for Medicare and a California Medicare supplement plan. Where to start? If you’re like everyone else, the first question is how much does all of this cost and we’re happy to help on that front. There are a few pieces to look at but primary in that calculation is the cost that a California Medicare supplement insurance plan will run. Let’s take a look at running your California Medigap quote. We’ve been dealing with California Medicare for decades now and we can still think back to bad ol days of having boxes of brochures dropped off in the mail from every major California Medigap carrier on the market. Literally boxes and each time there was a change in rates or benefits, we would have to order a whole new box. The old stuff went into recycling but it was still depressing to throw out reams of shiny, glossy California Medicare supplement brochures in all their glory. That was then. Things have changed quite a bit since the advent of the internet and many trees have been spared but that’s the only benefit. The world of quoting California Medicare supplements has gone electronic! This change is a huge benefit to you, the shopper when running a California Medigap quote. Let’s see why. You can now price check California Medicare supplement plans (and Advantage plans) with just a few key strokes online across multiple carriers. Better yet, you can have us as licensed California Medigap agents search the market for you and track down who has the best quote for your particular situation. There’s no cost to doing this at all which makes it a no-brainer. We can deal with all the major carrier and weed out those which are not strong or stable going forward. California Medigap plans are priced by age bands and roughly by area. Although the Medicare program itself is Federal, each State’s insurance market including California’s Medicare supplement market is still regulated at the State level. This means that your quote will vary based on your age and where you live. The actual quote should be fairly similar from carrier although they all have slightly different ways of scaling the rates across age bands which is where we come in handy. We can not only look at your current rate but what it will be (assuming some level of inflation going forward and rate changes as a result of legislative changes) in later years based on today’s rate. If you’re in a guaranteed issue window such as just coming off group coverage or turning 65 (there are others you can check out at californiamedigap.com, the rates cannot change due to your current health and California Medicare supplements are guaranteed issue. Keep in mind that if health changes, it can be difficult if not impossible to change plans later on so it’s important to quote a strong carrier and plan now. California Medicare supplements are very competitive in terms of pricing as we have so many large carriers in the market. This is a good thing for you the shopper but definitely requires the aid of an experienced, impartial licensed agent to help navigate all the various options. Running a California Medicare supplement quote no longer requires boxes of brochures and rate guides but the multitude of options on the California Medigap market necessitate some guidance from a licensed professional. How can we be of service? Dennis Jarvis is a licensed insurance agent concentrating on California Medicare supplement insurance.

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

Posted by:  :  Category: Medicare

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

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

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

Obamacare Means a Mandate For More Inflation and a Higher Gold Price :

According to the US Senate Budget Committee, the Affordable Care Act (“Obamacare”) will cost the US federal government an additional $17 trillion dollars (+$17,000,000,000,000.00) in health care spending over the next seventy-five (75) years. This $17 trillion will be added to all the other health care spending—i.e., $38 trillion for Medicare; $20 trillion for Medicaid; and $7 trillion for Social Security—to make a grand total of $82 trillion dollars (82,000,000,000,000.00). Very concerning, indeed.
Source: theintelhub.com

Looking for Trouble: Medical Insurance: Ahhhhh!

We have instituted the most ridiculous health care system in the world (not hyperbole), all because we insist that health care is a private business (capitalism gone amok) and not a public responsibility, as it is viewed in most civilized countries (we are fast falling off the civilized list if we have not already).  This is my private tale but I’m sure it can be applied to so many others out there.  My provider is Oxford Medicare Advantage (one of the advantage plans established during the George Bush administration and currently being dismantled by the Obama administration).  I like the advantage plan (or at least I did) as it gave me excellent Medicare coverage with some very nice extras (including gym membership) for my willingness to use only Oxford doctors. Since January, when United Health purchased Oxford, I have had a myriad of problems with medical bills, getting treated at physicians’ offices, etc.  In January, I had to cancel three colonoscopy appointments until we got the issue straightened out when United Health issued new cards with new numbers.  Then I received a rejection of a bill from my dermatologist (for $1,200) for freezing with  liquid nitrogen a few pre-cancerous spots on my face.  (As an aside I thought the bill for $1,200 ridiculously high.)  The insurance company said the doctor had to get pre-approval for the procedure, which is also ridiculous.  It’s the standard treatment for this problem and has been for about 40 years. After making an appointment with a ophthalmologist and being assured on three different occasions by telephone that he was covered by my insurance, I was told that he did not participate when I arrived for my appointment. Today I received a dunning bill for a trip to the ER at NYU last year, although I had already paid the bill a while ago, and another bill for $205 for a visit to my primary doctor, stating that my doctor was not covered by my insurance. She’s listed on my card as my primary. Finally someone at NYU told me the problem. Apparently, United Health wants its name plastered on everything and issued the new cards under its name although I’m still with Oxford, which is why all these denials. But it’s taken me from late December of last year for someone to explain the problem, despite my many complaints. It appears when I show my card I have to tell the provider to ignore the United Health logo and to send the bill to Oxford.  If we had a single payer system like all those infamous European socialist countries the Republicans accuse Obama of wanting to establish, none of this would be happening. Why are Americans so resistant to doing the right thing?
Source: blogspot.com

United Healthcare Oxford Medicare Advantage Denies Coverage

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Source: louisianahealthcareplans.com

[WATCH]: United Healthcare Oxford Medicare Advantage Denies Coverage

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Source: comparehealthinsurance-tips-plus.com

Weekly Dose of Health News

The AARP Public Policy Institute and the United Hospital Fund released a report this week based on the results of an online survey of family caregivers to determine what medical and or nursing tasks they perform. Nearly half of caregivers said they performed medical or nursing tasks, including giving injections or intravenous therapy, or performing wound care or incontinence care. The report recommends actions including: encouraging health care professionals and providers to reassess the way they interact with caregivers, ensuring that they are well trained and prepared to perform difficult tasks, revising how care giving tasks are labeled and identified, and including family caregivers’ needs in the development of new models of care.
Source: newyorkhealthworks.com

Complaints about Medicare Advantage Mount…While Congress Contemplates Slashing Fees Traditional Medicare Pays Docs

Some private insurers are suffering, the Times pointed out, because “corporate customers are cutting back on the medical coverage they give employees.”  So insurers need taxpayer dollars to keep their bottom line strong.  “Humana is transforming itself into a big-time government contractor.  It will get almost three-fourths of its projected $1.28 billion in pretax profit this year from Medicare, mainly from the Advantage program,” the Times reported, “while UnitedHealth, the industry giant, draws about 15 percent of this year’s projected pretax profit of $7.48 billion from Medicare.”  One in five of the nation’s 43 million Medicare enrollees is now in the Medicare Advantage program and by 2009 “government spending on Medicare Advantage is projected to exceed $100 billion annually.”
Source: healthbeatblog.com

Aetna Announces Lifetime Renewals on Medicare Advantage and PDP Policies

Actually, I have had many stay on for over 7 years. But, I also think that there are variables involved like 1) the stability of your market – my markets Los Angeles Cty and San Antonio, Tex have both been high capitation markets, making them stable with their benefits and not leaving the service area high and dry. 2) the stability of the companies that you place your business with- I put a lot of my SoCal ppl with Caremore (which has always given away the store with benefits) and SCAN, which had held unique status for many years as a "social HMO". The Secure Horizons mbs from the 2004-2005 enrollment period have long since scattered. I’m down to about 4 of those. In my current market (San Antonio), there are ONLY 4 players. Secure Horizons is very dominant because it gets a ton of support from its powerful medical groups. They have excellent retention because the medical groups help so much. Most of my SH business would still be on SH if I hadn’t switched them years ago. Humana is constantly cutting down the docs’ capitations and making the referral process tougher. As a result, it’s getting harder to retain those members as doctors drop Humana left and right. Aetna is really investing $$ and effort in the Texas markets. I like them a lot at this point. They recently added Hermann Memorial in Houston- a big coup. 3) the importance of serving your customer base (goes without saying) If a company only pays for 6 years, it would be much harder to ask a client to switch simply because they will have been on a plan for too long and will not change because they don’t like to switch plans. It’s a trait that all ppl have, but espec the elderly. Then again, anything could happen with Medicare Advantage. But I’d rather sell for one that offers lifetime renewals than 6 years "just in case".
Source: insurance-forums.net