Social Security, Medicare and public investments have one thing in common: They make us richer

Posted by:  :  Category: Medicare

What's In My Bag... by Amy DiannaYou’d have to look hard to find a bigger fan of public investments than me. But, the economic benefits of Social Security, Medicare, and Medicaid are absolutely enormous. They provide a service (insurance against risk, and people value insurance quite highly) much more efficiently than do private-sector providers. In the case of Social Security, this efficiency is mainly in low administrative costs and the government’s ability to provide actuarially fair insurance without needing the compensation that private-sector insurance providers would demand.
Source: ssworkswa.org

Video: emergency dentist | 509-774-3085 | Wenatchee Washington 98801 | medicare dentist

Washington submits Medicare/Medicaid integration proposal to Centers for Medicare and Medicaid Services

Medicare is a federal program designed for the elderly and people with disabilities. Medicaid serves low-income residents and is funded by the state and federal governments. In the past, there has been little coordination between the two programs in serving clients, saving money and improving care.
Source: wa.gov

Public Health CareerMart: Allied Health jobs, Tumwater jobs, Washington jobs, Health Services Consultant 2

Duties include: • Processes medical, laboratory and dental claims. • Trains and reviews work of Claims Processing Specialist and other staff processing claims • Maintains current version of Claims Processing Desk Manual. • Resolves conflicting eligibility and insurance information for EIP clients with multiple payers including private insurance companies, WSHIP, VA, Medicaid and Medicare through telephone or email contact with payers and review of relevant client or provider data. • Plans and processes payments to contracted providers for EIP clients and determines, including remittance advice documentation and A-19 invoices. • Resolves issues with complex provider billings so that providers are paid in a timely manner and clients continue to have access to care. • Develops and implements improvements in billing and claims processing procedures. • Develops training curriculum, training materials, evaluation tool and training schedule for provider specific trainings to be conducted via webinar and in person. • When possible, uses web based tools or teleconferencing to deliver training to providers. • Develops and conducts training needs assessment surveys of providers via mail, email or phone as appropriate and necessary. • Travels when needed and when funds are available to specific locations needing one-on-one technical assistance to meet EIP and DOH contractual requirements. • Maintains current versions of provider contact lists, covered services lists, and billing manual for both distribution and website publication. Updates to Covered Services may include bi-annual updates with adjusted rates based on Medicaid rates and adding or deleting services as instructed by program managers. • Participates as requested and necessary in case management training regarding provider services, billing and coordination of benefits. • Actively participate in Quality Management Activities for the section, program, office and department.
Source: apha.org

Sessions help patients sort out Medicare plans

It’s time to choose for the nearly 90,000 Medicare patients in Snohomish County. Anyone signing up for Medicare for the first time, or those who want to review or make changes to their current health or prescription drug plans, can make those choices starting on Monday. To help people make their decisions, the nonprofit Senior Services of Snohomish County has scheduled a series of 16 information sessions. The first three will be held next week in Arlington, Stanwood and Everett. “Our hope is that folks really get the education and resources to manage their own changes or to do a checkup on their plans,” said Nathalie Gauteron, outreach manager for Senior Services of Snohomish County. The choices can seem overwhelming, especially for adults signing up for Medicare plans for the first time, said Stephanie Marquis, a spokeswoman for the state Insurance Commissioner’s office. “I remember when my mother turned 65,” she said. “It was like, ‘Calm down, you’ll be alright.'” Part of the confusion is caused by what can appear to be an alphabet soup of letters associated with Medicare: Part A (hospital care) Part B (doctor and outpatient care), and Part D (the prescription drug plan). Then there’s Medigap and plans to help pay for costs not covered by Medicare and the Medicare Advantage plans, or health plans run by private insurance companies. After one Medicare Advantage health plan announced earlier this month it would drop its coverage next year, the insurance commissioner’s office received more than 400 phone calls, a one-day record, Marquis said. “They called us the minute they got the letter and wanted to know what plan they could pick,” she said. “They had to wait until open enrollment, which starts on Monday.” In Snohomish County, nearly 2,000 Medicare patients are being affected by various Medicare Advantage plans that will not be offered next year. Gauteron said that Senior Services of Snohomish County also has received numerous phone calls from Medicare patients worried about such changes. “We have a lot of folks calling with the anxiety of ‘My plan is leaving, now what do I do?'” she said. Their health care coverage will remain in place through Dec. 31, she said. “We have plenty of time to help you get a new plan.” Anyone who wishes to attend one of the free upcoming information sessions in Snohomish County must call in advance to register. Attendees must bring their insurance card, a list of the medications and know the names of their pharmacy and medical clinic to be helped, Gauteron said. Each person will get one-one-one counseling sessions to help them decide what changes, if any, they would like to make in their Medicare health care and prescription drug plans. “It’s free, unbiased counseling,” Gauteron said. “We really hope to help with the information issues and to remind people that they have through Dec. 7 to do research and to make an educated choice on a plan.” Sharon Salyer: 425-339-3486; salyer@heraldnet.com. When and where Here is the list of 16 day-long information sessions to help answer Medicare enrollment questions. The workshops are sponsored by the nonprofit Seniors Services of Snohomish County. A reservation is required to attend any of these events. Call Senior Information and Assistance at 425-513-1900 or 800-422-2024 to schedule an appointment time. Oct. 16: Stillaguamish Senior Center, 18308 Smokey Point. Blvd., Arlington. Oct. 17: Stanwood Senior Center, 7430 276th St. N.W., Stanwood Oct. 18: Carl Gipson Senior Center, 3025 Lombard, Everett Oct. 23: Ken Baxter Senior Center, 514 Delta Ave., Marysville Oct 24: Edmonds Senior Center, 220 Railroad Ave.. Edmonds Oct. 25: Lynnwood Senior Center, 19000 44th Ave W., Lynnwood Oct. 29: Warm Beach Senior Community, Address: 20800 Marine Dr., Stanwood Oct. 30: Mill Creek Senior Center, 15720 Main St., Suite 210, Mill Creek Oct. 31: Camano Community Center, Address: 606 Arrowhead Rd., Camano Island Nov. 1: Everett Holiday Inn, 3105 Pine St., Everett Nov. 7: Lynnwood Convention Center, 3711 196th St. S.W., Lynnwood Nov. 8: Carl Gipson Senior Center, 3025 Lombard, Everett Nov. 13: Snohomish Senior Center, 506 Fourth St., Snohomish Nov. 14: Camano Community Center, 606 Arrowhead Rd., Camano Island Nov. 16: East County Senior Center, 276 Sky River Parkway, Monroe. Nov. 28: Edmonds Senior Center, 220 Railroad Ave., Edmonds What to bring A list of your prescription drugs including dosages, your current Medicare plan card and any letters you may have received from your insurance plan.
Source: heraldnet.com

Daily Kos: BRUTAL NEW OBAMA AD on MEDICARE!!!!!

Angie in WA State, KeithH, coral, Bill in Portland Maine, Sean Robertson, Chi, hester, grollen, askew, importer, bosdcla14, tommurphy, Sherri in TX, Wintermute, kpardue, hyperstation, OLinda, eeff, TX Unmuzzled, jancw, Creosote, davelf2, Delilah, indybend, whenwego, jaysunb, roses, Voter123, itskevin, bwren, librarianman, Terre, aitchdee, Texknight, SneakySnu, menodoc, psnyder, sockpuppet, NYC Sophia, Miss Jones, yet another liberal, wdrath, The Zipper, Tillie630, Liberaljentaps, riverlover, Sembtex, KayCeSF, tomjones, Emmy, American in Kathmandu, Sybil Liberty, Gowrie Gal, bloomer 101, IamtheReason, UFOH1, OpherGopher, PBen, Flint, ChemBob, 1Nic Ven, Dobber, fixxit, Pam from Calif, Fury, markdd, Ozymandius, onanyes, kaliope, PinHole, martini, third Party please, MeMeMeMeMe, liberalconservative, Im with Rosey, VictorLaszlo, fou, raincrow, blueoasis, eglantine, philipmerrill, 4Freedom, Libby Shaw, FatPath, boatsie, mangusta, BlueMississippi, doingbusinessas, Clive all hat no horse Rodeo, nannyboz, daeros, DBunn, FlamingoGrrl, bear83, asilomar, Cronesense, camlbacker, SharonColeman, gloriana, puakev, LillithMc, david mizner, noofsh, deepeco, RudiB, pioneer111, uciguy30, leonard145b, BasharH, South Park Democrat, alba, JDWolverton, HappyinNM, Cordwainer, Involuntary Exile, filby, Greasy Grant, Lujane, tofumagoo, smartdemmg, catly, alnep, ashowboat, Gemina13, jalenth, petulans, dmhlt 66, oldliberal, maggiejean, Bule Betawi, rubyclaire, litoralis, CanyonWren, LeftOfYou, A Southerner in Yankeeland, rem123, susanWAstate, notrouble, jennylind, TheOpinionGuy, politicalceci, MySobriquet, stevenwag, Little Flower, haremoor, Tortmaster, astral66, Livvy5, CountyMayoDem, America Jones, Larsstephens, tash123, BlueOak, Railfan, brentbent, David PA, estreya, michelewln, on board 47, Progressive Pen, TimmyB, gulfgal98, pixxer, sharonsz, MsGrin, Vik in FL, Loose Fur, cocinero, DirkFunk, petesmom, wwjjd, soaglow, stevenaxelrod, cany, newusername, Quantumlogic, TheHalfrican, Mister Met, Onomastic, kerflooey, Hill Jill, Dretutz, ban nock, jd texas, slowbutsure, ardyess, BlackQueen40, lighttheway, FightingRegistrar, Haf2Read, marleycat, PorridgeGun, zukesgirl64, Cinnamon Rollover, IllanoyGal, RfrancisR, LSmith, Grandma Susie, createpeace, antooo, pensivelady, chira2, mali muso, jadt65, CoyoteMarti, ParkRanger, DataMonster, YaNevaNo, KiB, Heart n Mind, Catskill Julie, Invictus88, TheLizardKing, nellgwen, a2nite, rukidingme, deanarms, FiredUpInCA, BusyinCA, Olkate, Jimmy D 84, doroma, cassandracarolina, james321, Vote4Obamain2012, Glen The Plumber, George3, databob, nomandates, GOPGO2H3LL, DamselleFly, glorificus, Dewstino, D minor, howabout, GrannyRedBird, ET3117, marcr22, Retroactive Genius
Source: dailykos.com

Elder Care Blog Seattle Washington (WA)

July 9, 2012 – Family physicians are getting a pay increase of almost 7 percent from Medicare in January and other practitioners providing primary care services will get between 3 and 5 percent. More than a million physicians and non-physician practitioners are covered under the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2013.
Source: andelcare.com

Romney Criticisms of The Affordable Care Act Don’t Add Up

In 2010 the Congress passed and President Obama signed into law new health care legislation that enforces major changes to health care and the health insurance systems in the United States. There are two parts that make up the law. Part one is the Patient Protection and Affordable Care Act. The second part is the Health Care and Education Reconciliation Act of 2010. The law covers many changes; primarily it requires that every legal resident must have health insurance but does allow for exceptions.Refusal to have health insurance will result in a per-person tax that starts at $95.00 in 2014, $325 in 2015 and up to $695 when fully phased in.Families will be capped at triple the per-person rate no matter how large the family is. Exemptions exist for low-income persons and hardship cases.
Source: factcheckwa.org

Daily Kos: What the real Romney plan would do to Medicare

We counted the ways in which Mitt Romney lied about President Obama’s Medicare plan. Let’s take a look at his raft of lies about his own plans. What I support is no change for current retirees and near-retirees to Medicare and the president supports taking $716 billion out of that program. […] Yeah, that’s a lie. Probably the biggest. By repealing Obamacare, Romney would hurt current retirees in a number of ways: seniors would again have to co-pay for preventive health services that are now free; the prescription drug donut hole would open back up, exposing some seniors to much higher drug costs; “restoring” the $716 billion in provider cuts under Obamacare would make Medicare—which current retirees are relying on—insolvent in just four years. Number two is for people coming along that are young. What I’d do to make sure that we can keep Medicare in place for them is to allow them either to choose the current Medicare program or a private plan — their choice. They get to — and they’ll have at least two plans that will be entirely at no cost to them. So they don’t have to pay additional money, no additional $6,000. That’s not going to happen. […] Okay, maybe this one is the biggest. That’s his voucher program. If you take a Romneyesque approach to the truth, you could call that one partially true, because analysis of the Romney/Ryan plan—the current plan—says that people retiring in 2023 will only have to pay an additional $3,200. But from there on? Yikes.
Source: dailykos.com

Kaiser Permanente’s Medicare Plans Get Top Ratings in Nation for Second Straight Year

Posted by:  :  Category: Medicare

“Kaiser Permanente is a model for health care in this country and this Medicare 5-Star rating confirms the value we provide to patients,” said Robert Pearl, MD, executive director and CEO of The Permanente Medical Group. “The combination of superb physicians and the most advanced information technology systems leads to excellence in quality and service. By providing coordinated medical care and greater ease of access, we are able to achieve outstanding outcomes both in prevention of disease and management of the most complex medical conditions. I applaud the U.S. Centers for Medicare and Medicaid Services for helping shift the focus of our country from rewarding volume to recognizing superior outcomes. If the whole nation could match this 5-star performance, thousands of lives could be saved each year.”
Source: patch.com

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

Kaiser Permanente’s Medicare Plans Earn Top NCQA Health Insurance Rankings for 2012

About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

Kaiser ranks in top 15 commercial and Medicare plans

Kaiser has two more new multi-specialty facilities slotted to open next year in the Mid-Atlantic region, and plans to open a new multi-specialty medical center in Baltimore County, Md. Also next year, Kaiser plans to expand and renovate its Largo Medical Center in Prince George’s County, Md. This year, Kaiser opened new centers in Northwest D.C., Tysons Corner and Gaithersburg, Md.
Source: ifawebnews.com

Kaiser Permanente Northern California Among Top 10 Commercial and Medicare Health Plans In The Country

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to   improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery   and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/newscenter.
Source: patch.com

Kaiser rated tops again in commercial health plans

Consumer Reports, which is publishing the rankings in its November issue and on its website, noted this week that the data are coming out shortly before many consumers will make important health insurance decisions. Open enrollment for private health plans is in October and November, while Medicare open enrollment runs from October 15 to December 7.
Source: georgiahealthnews.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 Ohio only Medicare Health Plan in State to Receive 5

Each year, through the Medicare Star Quality Ratings system, CMS rates Medicare health plans (both parts C and D) on a scale of 1 to 5 stars, with 5 stars representing the highest quality. The overall scores are based on more than 50 care and service quality measures across five categories, including staying healthy, managing chronic conditions, member satisfaction, customer service and pharmacy services.
Source: serious-speculator.com

Poll Finds More Support for GOP Medicare Plan Among Younger Voters

The GOP proposal — which was developed by House Budget Committee Chair Paul Ryan (R-Wis.) and included in the House-approved fiscal year 2013 budget proposal — would transform Medicare into a premium support program, in which beneficiaries would receive a subsidy to help purchase either private coverage or traditional Medicare (California Healthline, 9/17).
Source: californiahealthline.org

Betting on Private Insurers

Just-released estimates of national health spending in 2010 by the Centers for Medicare and Medicaid Services (CMS) show that 45% of our health care spending is financed by the federal and state governments, primarily through the Medicare and Medicaid programs. This share has grown temporarily in recent years because of the economic downturn, as private insurance has declined and Medicaid has grown. It has also increased due to our demographic destiny: the growing cohort of baby boomers who are retiring and shifting from employer-sponsored health insurance to Medicare. As Kaiser Family Foundation President and CEO Drew Altman has written, this is hardly evidence of an “imminent danger of a government takeover” of the health system. In fact, if one slices the pie in a slightly different way – looking at how health benefits are managed, rather than how they are financed – it becomes clear that in some ways quite the opposite is true: we are increasingly relying on the private insurance industry to provide health coverage. And, even when coverage is publicly-managed, health care services are primarily purchased from private providers. Take the 255.3 million Americans who were insured in 2010: • 149.9 million were covered through employer-sponsored coverage, either through a privately-insured plan or a self-funded plan managed by a private third-party administrator (almost always an insurance company). • 14.9 million bought coverage on their own from an insurer. • 38.1 million were covered through Medicare, a government social insurance program. But, as of the end of 2010, 11.4 million of those beneficiaries were enrolled in private Medicare Advantage plans. (Many Medicare beneficiaries also receive their prescription drug coverage through private insurers in Medicare Part D, or get supplemental insurance through Medigap or employer retiree plans, but let’s leave those aside since part of their coverage is still arranged by a government program.) • 48.4 million were covered through Medicaid, but about 11.2 million received coverage through a private managed care organization. (An additional 15.5 million beneficiaries received coverage through Medicaid-only managed care plans, which are a mix of private insurers and publicly-sponsored plans. As a result we don’t categorize them as being managed by private insurers, but a meaningful number are private insurers, so our figures underestimate the influence of private plans.) So, out of the 255.3 million people with health coverage in 2010, at least 73% were in private insurance arrangements. This share is likely to grow starting in 2014, when major elements of the Affordable Care Act (ACA) kick in. Many of those currently uninsured will buy private insurance through new state-based exchanges, and others will be covered through expanded eligibility in Medicaid, likely more often than not in a managed care plan. (The Congressional Budget Office projects that Medicare Advantage enrollment will decline as a result of the ACA, but that effect is small relative to the newly-insured.) There’s no doubt that the expansion of private insurance for managed care in public programs in recent years has been important for the insurance industry. A recent Bloomberg Government study examined the financial performance of the nation’s private insurers, concluding that the “biggest contributor” to recent revenue and enrollment growth “has been a substantial expansion in the companies’ Medicare Advantage and Medicaid managed-care businesses.” Across the health system, we pay a price for this reliance on private insurance in terms of higher administrative costs. The McKinsey Global Institute estimates that the U.S. spends nearly five times as much as the average for all OECD countries on administrative costs on a per capita basis. The question is, will our bet on private insurance help to control costs over time? Recently, private insurance premiums – like the rest of the health care system – have been growing quite slowly. In 2010 premiums increased by 2.4%, according to the CMS estimates. This is largely the result of slow growth in the use of services, likely driven by the recession and increases in patient cost-sharing. Whether, and by how much, utilization will pick back up when the economy recovers is an open question. If premiums once again start to accelerate, insurers may come under growing pressure to demonstrate their value to the system. —Larry Levitt and Gary Claxton
Source: kff.org

Comparing Medicare prescription drug plans

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98Also, be aware that if you’re a low-income beneficiary and your annual income is under $16,755 or $22,695 for married couples living together, and your assets are below $13,070 or $26,120 for married couples, you may be eligible for the federal Low Income Subsidy known as “Extra Help” that pays Part D premiums, deductibles and copayments. For more information or to apply, call Social Security at 800-772-1213 or visit socialsecurity.gov/prescriptionhelp.
Source: pomeradonews.com

Video: Shop and Compare Medicare Insurance Plans

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

Question and Answer Regarding Part D Drug Plan Comparisons

:  When Part D was signed in to law by President Bush in 2005 many people were very confused about what drug plan would be best for them.  There are over 50 drug plans in each state and the prices vary in each state.  Each drug plan can decide from year to year what drugs they cover and if they cover them as brands or generics.  If you contacted your Insurance Agent or a Brokerage that was helping you with your Medicare Supplement, the Insurance Companies that carried the Part D plans would pay them a commission to help you.  This was an incentive for agents to assist you.
Source: mypartdusa.com

Comparing Medicare Plans Side

About eHealth  eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, the nation’s leading online source of health insurance for individuals, families and small businesses. Through the company’s website, www.eHealthInsurance.com, consumers can get quotes from leading health insurance carriers, compare plans side-by-side, and apply for and purchase health insurance. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 180 of the nation’s leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia, making it the ideal model of a successful, high-functioning health insurance exchange. Through eHealth’s technology solutions (www.eHealthTechnology.com), is also a leading provider of health insurance exchange technology. eHealth provides a suite of hosted e-commerce solutions that enable health plan providers, resellers and government entities to market and distribute products online. eHealth, Inc. also provides online tools to help seniors navigate Medicare health insurance options through PlanPrescriber.com (www.planprescriber.com) and eHealthMedicare (www.eHealthMedicare.com).
Source: ehealthinsurance.com

Medicare Enrollment Starts Oct. 15

More information and assistance SHIBA: To meet with a counselor, contact the toll-free SHIBA Helpline at 1-800-722-4134. You will be asked to enter your ZIP code to be connected to a program in your area. Visit www.oregonshiba.org to view a calendar of available one-on-one counseling appointments or information events available in your county or to find a copy of the 2013 Oregon Guide to Medigap, Medicare Advantage, and Prescription Drug Plans. The guide for 2013 will be available online in mid-October.
Source: therconline.com

Important: Before Open Enrollment Make Sure You Read Your Medicare Plan’s “Annual Notice of Changes”

Formulary.  If you are enrolled in prescription drug plan also known as PDP plan, or have prescription drug coverage included in your Medicare Advantage plan, you’ll receive a formulary. It’s an index of prescription drugs covered by your plan, and includes information on drug co-pays for the coming year.  Your plan may send out either a full or an abridged (shortened) formulary, which would include only the most commonly prescribed drugs.
Source: medicareecompare.com

A (Very Brief) Comparison of Romney and Obama on Medicare

So which do you like better? A plan that reduces reimbursement levels and relies on top-down control/encouragement to produce more cost-effective medical care? Or a plan that relies on competitive bidding to keep costs under control? The choice, for both liberals and conservatives, is not as simple as you might think. Conservatives need to acknowledge that, like it or not, cost controls have a proven track record and that Obamacare’s top-down programs really might help improve the efficiency of healthcare delivery. Liberals need to acknowledge that those top-down controls aren’t a sure thing and that competitive bidding might make a real difference.
Source: motherjones.com

David Brooks' assumptions on Romney

But there is a deeper philosophical problem in the Obamacare effort to reward outcomes and not costs, and that is that professionals can’t easily control outcomes by themselves. As a practicing psychologist, I am only too aware that I can make all kinds of suggestions to people, but if they don’t follow the suggestion, there is often little I can about it. Medical doctors can prescribe medication, but they can’t be present to make the patient take it. Doctors can encourage people to lose weight to avoid developing diabetes, but they can’t be there to chide the patient for eating a bowl of ice cream. The emphasis on rewarding outcomes makes the professional responsible for the patient’s behavior.
Source: kansascity.com

What Is The Best Method For Making A Medicare Supplement Plans Comparison?

A list of physicians and healthcare professionals, by geographical location, can be found on the official Medicare website: https://questions.medicare.gov/find-a-doctor . This is an easy and convenient method to find participants in local areas. Every year there is an open season when individuals have the opportunity to make a Medicare supplement plans comparison to ensure both providers and services will continue. As with the original Medicare Parts A and B, the monthly fees for Medicare supplement plans are reviewed and adjusted on an annual basis. The Medicare monthly costs for Parts A, B, and D can be found at www.medicare.gov/costs/ . Supplemental insurance carriers will notify participants of any changes in annual fees or altered services during the November to December timeframe. Anyone who wants to change or drop a current insurance carrier can do so during the annual open season, January through March. Comparing costs today will lower individual expenses tomorrow.
Source: seniorcorps.org

The California Medicare Supplement Plan Landscape

Maybe you’re tired of the A, B, C soup that seems to be swirling around you when you glance at the newly received California Medicare supplement plan offerings and with good reason. There are so many A’s, B’s, and F’s, that you would think you’ve come full circle back to kindergarten. We hope to shed some light on the subject of California Medigap plans to make clear how the various plans differ and reduce the chance of brochure induced headache, a very serious condition NOT covered by Medicare. So let’s dive into the California Medigap plans with a quick scan of what Traditional Medicare does, and more importantly, does not cover. California Medicare is best thought of as an 80/20 plan with deductibles, two of them to be exact. It generally breaks down the core benefit (which account for the majority of your health care cost outside of medication which we’ll save for another article on California Part D) into hospital (Part A) and physician (Part B) costs. That’s the first two letters you’ll see before even looking at California Medicare supplement plans. Remember the “Part” part of the name since that tells you we’re talking about traditional Medicare and not a California Medigap plan. Part. Part. Part. Medicare section. Part A is generally facility based (hospital, surgi-center, etc) while Part B is generally physician based. Now that we understand the bulk of what makes up your health care costs, let’s look at the California Medicare supplement plans. The California medicare plans are A, B, C, D, F, F high deductible, G, K, L, M, and N. In general, they increase in benefits (and cost) from A through F. The remaining generally add in cost sharing to the Medicare supplement subscriber but offer lower prices. For all the California Medigap plans, the main categories of traditional Medicare that they fill the gaps in are the following: Part A deductible, Part A co-insurance, Part B deductible, Part B co-insurance, Part B excess, Hospice Care, Skilled Nursing Facility, Foreign Emergency Travel, 1st 3 pints of blood, and Preventative co-insurance. The lettered California Medicare plans differ in these categories listed above. The F plan covers all these categories and remains the most popular California Medigap plan on the market. All the plans cover the Part A co-insurance completely. A through F cover the Part B co-insurance while G through N have varying degrees of coverage. It’s probably best to look at a California Medicare supplement plan comparison chart to make it clear but we’ll discuss the primary issues to concentrate on when deciding on your Medigap plan. We want to focus on the costs that can either be very large or uncapped. This would be the Part B Excess charge (doctors can charge up to 15% higher than standard Medicare rate), Skilled Nursing Facility, and Part A deductible. The other expenses are probably less exorbitant but still important. The key is this – we’re not talking 100’s of dollars of difference in monthly premium between each California medicare plan so why take on the risk when it’s probably $10-20 difference per month between given plans. That’s why the F plan is so popular. It covers all the main gaps in California Medicare at a relatively low price. Also keep in mind that you’re entering a period of time when medical care (very expensive medical care) becomes more common and frequent regardless of your health at the time of enrolling. It’s a bad bet to buy a less rich California Medigap plan and save a few bucks only to pay much more later on. Take a look at the comparison chart at californiamedigap.com to get a better understanding and we’re happy to walk through your plan options as licensed California Medicare agents but all roads lead to the F plan. We’re happy to be your road map. Dennis Jarvis is a licensed insurance agent concentrating on California Medicare supplement insurance.

Women Are The Key To The Presidential Debate And Election

Posted by:  :  Category: Medicare

"The single best augury is to fight for one's country." ~ Homer (800 BC - 700 BC), The Iliad. by eyewashdesign: A. GoldenIn this second debate, Joe Biden needed to attack Romney and Ryan’s lies by forcefully demonstrating, in his avuncular jovial manner, how Medicare vouchers, cuts in Medicaid, and privatizing Social Security would hurt America’s women and their children. He needed to hold up Paul Ryan’s infamous budget and look directly into the camera and speak to the women Obama lost last week. Point by point, he needed to remind American women that Obama– not Romney–created Obamacare, supported the right of women to make their own reproductive choices, promoted and signed legislation that provides equality between men and women at the work place, supported the children of immigrants, and sought fairer loans to college students. Biden did a terrific job of pointing out how Romney’s policies would harm people, but not women and children.
Source: alternet.org

Video: Medicine Dish: Children and Families in Medicaid and CHIP — Part 1

Avoid the Medicare Surtax by Giving Incoming

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

State Fact Sheets Highlight Importance of Medicaid Coverage for Children

Affordability affordable care act August 17 Directive block grant Center for Children and Families children Children’s Health Insurance Children’s Health Insurance Program children health Childrens health coverage CHIPRA CMS Congress Dawn Horner Enrollment Federal Health Policy Georgetown Center for Children and Families Georgetown University Center for Children and Families Georgetown University Health Policy Institute Georgetown University Health Policy Institute Center for Children and Families Health Care Costs health insurance Health Insurance Exchange health reform HHS insurance Joan Alker Jocelyn Guyer Joe Touschner Liz Arjun maintenance of effort Martha Heberlein medicaid National Health Reform Obama Obamacare pre-existing conditions SCHIP Senate Finance Committee state budget State Health Policy the Exchange Tricia Brooks Uninsured uninsured children
Source: georgetown.edu

Daily Kos: The health care discussion that should happen in the VP debate

The Romney Ryan Medicaid cuts hit close to home.  Without Medicaid, I honestly don’t know how my family could have taken care of my mom who had significant health issues from Parkinson’s Disease.  Her deteriorating condition was impossible to address even with home health care.  During the last 10 years of her life, we were so fortunate to find a wonderful private nursing home where she got excellent care.  She paid down her funds to the point that she qualified for Medicaid, and  luckily the home reserved several “beds” for Medicaid patients.  Had it not been for this, I don’t know how we could have taken care of her ever increasing medical/physical/living needs.    It was hard enough seeing my once vibrant, very intelligent, artist mom waste away from this horrible, debilitating disease–but it would have been even more heartbreaking had we been unable to provide her with the care she needed.  
Source: dailykos.com

Jennifer Livingston: Is Anyone Else Disturbed By Her “Support”?

TV anchor Jennifer Livingston made quite a stir when she attacked a viewer who dared email her requesting that she examine her health, lose weight, and use her built in pulpit to inspire her community to do the same.  According to Jennifer, and legions of supporters, this made the man a bully, a meanie, an uncaring cad, you name it.  While, arguably, he is the winner of poorest word choice in recent memory, many of us are not buying that he is the anti-Christ.  Perhaps he could have said something like, “Jennifer, you are so beautiful, talented and a terrific pillar of this community.  I think that you have the potential to really help people lose weight and get healthy.  I personally struggled with obesity as a child, and I know that watching you lose weight would have inspired me to do the same.  Losing weight is very hard, but you have what it takes to lose it and motivate the community that adores you so much.”
Source: eindividualhealth.com

Carroll County News: Blog: The future of Medicaid

We also have an opportunity to save state tax dollars through a federal expansion of Medicaid. While this expansion would add about 250,000 Arkansans to the program, most of whom are the working poor, the federal government would pay the entire cost until 2017. A small state share would then kick in, steadily rising but topping out at 10% in 2020. For this upcoming biennium, some programs paid for by the state or requiring the 70-30 split would instead be covered entirely by the federal government. This would save us an estimated $128 million in general revenue over two years. However, there must be political consensus on Medicaid expansion in the legislature, otherwise we could not appropriate and spend those federal funds.
Source: carrollconews.com

Romney Hints at Health Care Plan

Mr. Romney also failed to mention that his budget proposal to cap federal spending at 20 percent of G.D.P. and boost defense spending to 4 percent of G.D.P. would result in massive cuts to Medicaid. The Center for Budget and Policy Priorities estimates that Medicaid and the Children’s Health Insurance Program “would face cumulative cuts of $1.5 trillion through 2022 if Medicare is subject to cuts and $1.9 trillion if Medicare is exempt.” As a result “14 to 19 million more people” would join “the ranks of the uninsured.”
Source: nytimes.com

For Dems, “Best Practices” Means Cutting Medicare

Posted by:  :  Category: Medicare

BITCH .. beautiful individual that causes hardons ...item 1.. Allen West calls Wasserman Schultz ‘vile’ and ‘not a lady’  (7/20/2011) ... by marsmet522AMERICAN OSTEOPATHIC ASSOCIATION: CONCERNS THAT “QUALITY CARE FOR OUR PARENTS WILL BE JEOPARDIZED”: “We are concerned that, by removing Congressional authority over the Medicare payment system and placing such unprecedented authority in an unelected body, quality care for our patients will be jeopardized.  We are equally concerned with the potential that physicians may be subjected to a double jeopardy in  Medicare payments if IPAB cuts  are  coupled with those projected under the current sustainable growth rate (SGR). The current instability and inequities in Medicare physician payments is hindering access to care for millions of Medicare beneficiaries.  IPAB would only exacerbate this problem.” (Martin S. Levine, American Osteopathic Association, 
Source: nrcc.org

Video: Keeping His Word: Lowering the Cost of Medicare Prescriptions

Why Medicare Premium Support Would Not Cost Future Beneficiaries $6,400 More

It is inappropriate—indeed impossible—to use CBO’s original 2011 evaluation of the Ryan premium-support proposal to estimate the economic impact of his later plans. For example, the 2011 proposal did not include traditional fee-for-service (FFS) Medicare as a participant in the competitive premium-support system. Under CBO’s analytical limitations, the absence of traditional Medicare as a competing plan would result in higher costs for the Medicare program. This was one of the main reasons that CBO concluded that the 2011 Ryan plan would cost the private sector 11 percent more to cover beneficiaries than traditional Medicare.[2] But in a 2006 analysis, CBO found that, through a process of competitive bidding, private plans could deliver Medicare benefits that would be significantly less expensive than traditional Medicare in high-cost areas.[3] As with any analysis, the demographics are crucial. Over a quarter of all Medicare beneficiaries live in high-cost areas and could benefit from allowing competition between traditional FFS and private plans. Medicare data also show that private Medicare Advantage HMO plans are 5 percent less costly than traditional FFS.[4] Since CBO views FFS as less expensive in low-cost areas affecting 15 percent of all beneficiaries, it assumes that a plan without traditional FFS premiums will result in a more costly program. CBO’s static modeling also assumes that traditional Medicare will always be less expensive than private plans in these low-cost areas. Thus, CBO’s current modeling rules mean that eliminating traditional Medicare would increase costs for many Medicare beneficiaries. 2012 Changes In 2012, Ryan and the House Budget Committee made a major change in the House budget resolution that includes traditional FFS Medicare as a competing option in a future premium-support program. This change was also reflected in the Wyden–Ryan proposal, which shares many similarities with the 2012 proposal. Whereas the 2011 proposal increased some costs, the 2012 proposal would reduce costs to Medicare beneficiaries. With the retention of traditional Medicare, no Medicare beneficiary could be worse off with premium support. Another change in the 2012 House budget proposal (and also reflected in the Ryan–Wyden proposal) is a more detailed competitive bidding structure for Medicare to determine the amount of the government contribution to private plans on beneficiaries’ behalf. This structure is similar to the process today for plan payment in Medicare Part D. Under a competitive bidding model, the contribution amount would vary based on bids by the competing companies, reflecting the real costs of providing health care in a competitive environment. FFS would be a bidder, which would establish a minimum benefit for beneficiaries. If FFS is the lowest bidder, then seniors would do no worse than the benefits and premiums under traditional Medicare. Moreover, under the 2012 House budget and Ryan–Wyden, a senior would be guaranteed at least two health plans whose premiums meet 100 percent of the contribution amount. CBO Limitations As noted, Elmendorf conceded that CBO simply does not have the tools to measure gains from competition among plans, which is the essence of Medicare premium support. CBO can easily score centralized price controls, but this means that market-based reforms will always be seen as less effective than price controls in generating “savings,” even if the controls introduce or aggravate costly distortions of the market such as shortages or cost shifting. CBO ignores the cost of price controls in limiting access, and these price controls are often ignored because they are so damaging to beneficiaries. If centralized price schemes were superior to competition, then the economic history of the 20th century would have been quite different. Countries that centralized industries would have enjoyed more prosperity than they did in reality. In its recent scores, CBO does give much credit to savings from competition. Curiously, the current scoring process not only contradicts previous CBO analysis; it is also out of step with some of the most recent academic work. University of Minnesota economists have found that premium support with competitive bidding could save 9.5 percent annually.[5] A more recent study found that premium support could reduce Medicare spending by 9 percent annually.[6] These savings to Medicare would be even higher with potential gains from overall competition and innovation. It is likely that an entrepreneurial company could learn to compete successfully with FFS even in current low-cost areas. Instead of FFS being the baseline bid, an innovative company could deliver services at a lower price and thus save even more money without affecting beneficiary care. Flawed Analyses The House budget resolution authored by Ryan in 2012 contains a Medicare premium-support proposal that is significantly different from the 2011 budget proposal. With Medicare FFS forced to compete on a level playing field with private plans under premium support, the overall cost of the Medicare program would decrease in comparison to the 2011 Ryan plan and in comparison to current-law Medicare. As academic research shows, these savings can be quite significant. Indeed, they can improve the value of Medicare benefits to beneficiaries. Any claim, in the media or elsewhere, that uses the CBO evaluation of the 2011 Ryan plan is fundamentally flawed and erroneous. Furthermore, CBO’s estimates are fundamentally flawed because the agency is unable to model market competition, the driver of virtually every other sector of the American economy. Medicare premium support would save money, and competition would ensure even greater savings for beneficiaries. —Rea S. Hederman Jr. is Assistant Director of and Research Fellow in the Center for Data Analysis at The Heritage Foundation. Show references in this report
Source: theridgewoodblog.net

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

Your Medicare Part B Premium is taken out of your social security check, usually on a monthly basis. If you can not afford to carry Medicare Part B agencies are available to assist you. They are: Medicaid, Supplemental Security Income, Qualified Medicare Beneficiary (QMB) Program, Specified Low-Income Medicare Beneficiary (SLMB) Program or theQualifying Individual (QI) Program. You can still be accepted even if your income is above the qualifying income limits.
Source: seniorcorps.org

The Existing Value of 2011 Medicare

The yearly reports of the Board of Trustees for 2011 Medicare consider its projected effects of the Affordable Care Act in 2010. There is an apparent deficit in the government-funded medical coverage for the elderly and the disabled. The number of individuals in Medicare obtaining services continues to increase by approximately three percent. This rate of increase will keep increasing at the same time the age group of baby boomers becomes eligible for these services. Due to the global and state recession in recent years, the number of people who have been paying premiums for their private coverage is anticipated to lessen all through this year. This will only commence to increase progressively within the period between 2012 and 2013. The financial standing of the 2011 Medicare Hospital Insurance trust fund had experienced projected shortfall; however, it has gotten better. Apparently, lower costs and supplementary taxes administered through the Affordable Care Act had made it all possible. Unfortunately, the Hospital Insurance trust fund is anticipated to get used up in about thirteen to eighteen years. In addition, the subsidy is not sufficiently supported monetarily in the next decade. The expenses of 2011 Medicare constantly increases considerably mostly because of the increases in healthcare expenditures. It had grown with time slower in comparison to private insurances. Expenditures for Medicare increase progressively in absolute terms and in the same way as a percentage of the government budget. Total costs for Medicare with its existing growth rate, sustaining its budgetary needs in the long term may have need for considerable modifications and amendments. The Board of trustees for Social Security and Medicare had reported three years prior that the latter will have deficits from taxes of that year. It had been asserted that the Hospital Insurance trust fund will turn out to be bankrupt in six years. Nevertheless, such assertions had been delivered from the time the program had commenced. The reports from the Board of Trustees stated and delivered yearly have anticipated invalid bankruptcy dates a lot of times already. Immediately after the announcement of the reports, the officer of the organizational entity had indicated that the bankruptcy in the system may be delayed by a year and a half if it is possible that Medicare Advantage and the conventional Medicare were paid the same rate. It was also shown that Medicare and Social Security have demonstrated to be almost politically untouchable even if they pose the risk to increase so huge and become unsustainable. Expenditures under 2011 Medicare are anticipated to increase considerably in the coming years. At the same time that the same trends bearing influence on Social Security in the same way affect Medicare, the rapid increase of medical costs seem to be a more significant factor for anticipated rising in cost. It has been asserted that impending growth in costs per beneficiary of the federal major healthcare programs will be the most significant determinant of long-protracted trends in the spending of the government. Amending those healthcare programs through means that diminish the elevation of expenditures will ultimately become the country’s major long term predicament in laying out fiscal policy of the government. If you are looking for the best cost of medicare and medicare health insurance, 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/ cost of medicare and http://www.medicarerep.com/ medicare health insurance, visit our site for more tips and information. Contact us for free medicare advice.
Source: abcarticledirectory.com

Medicare Costs Expected to Double by 2040

Projected costs from the Trustees Report tend to underestimate the real costs of Medicare. When previous reports are compared, it is almost always the case that costs rise faster than projected. In 2009, the Trustee’s report projected per enrollee costs to be below $17,000, and now it is over $20,000. The 2012 Trustees Report estimates a per enrollee cost of $20,985 by 2040, which is $3,829 over what was projected in the 2011 report.
Source: mercatus.org

ACA Saved Medicare Beneficiaries $4.5B in Rx Drug Costs, HHS Says

This is good news for the seniors on Medicare. I am about to become one. However, we must ask oursleves where did the money come from to create this “savings”? How were the additional revenues created to cover the “donut hole”? Drug comapanies were required to essentially discount there charges to CMS to have their drugs covered by Medicare Part D. I have not seen there profits drop proportionately. The average wholesale costs for tehse drugs were raised 17% before the ACA chnages were enacted! They have continued to be increased this year. In essence, the non-Medicare patient has been paying for this….another example of a “transfer of wealth” in order to “be fair”. Dr. Apgar…former Chief Medical Officer Medicare Advantage Plan.
Source: californiahealthline.org

Another Deal for Healthways

Posted by:  :  Category: Medicare

Earlier, Healthways revealed agreements to provide its SilverSneakers Fitness Program to Florida Blue, UCare and Humana (HUM). The Healthways model encourages people to make favorable lifestyle changes that lead to enhanced well-being, reduced healthcare costs, improved performance and economic value. The company has invested in technology platforms that provide scalable support with large populations. It has tie-ups with a large proportion of U.S. health plans and counts many millions of lives in its customer base. Healthways currently retains a long-term “Outperform” recommendation, supported by a short-term Zacks #2 Rank (Buy). The company is the leader in a strategically critical and rapidly evolving part of the health care services market. Its fitness program (SilverSneakers) for seniors is available at over 15,000 centers across the U.S. and is available to over nine million eligible enrollees through Medicare Supplement, Medicare Advantage plans and group retiree plans. Healthways competes with Express Scripts (ESRX) among others. Due to its unique scalable business model, Healthways shares present a long-term investment opportunity, although it faces certain challenges in the short term.
Source: investopedia.com

Video: Regence Medicare Advantage insurance – Compare to 180+ Comp

Exercise & Fitness, Online Fitness Programm Subscription

Manchester based digital marketing agency Addpeople reveals key points of difference between the two search engine giants and asks why Bing has been unable to repeat their US market share performance in the UK to date.(PRWEB UK) 8 October 2012 Earlier this month, Bing put Google to the test with the “Bing It On” challenge, a sort of usability version of the Pepsi challenge, allowing users to …
Source: matrix-e.com

The Weight Loss And Diet Portal

The enduring success of the program is evidenced through the latest CDPHP SilverSneakers annual member survey. According to the 2011 results, 66% of CDPHP SilverSneakers enrollees report their health as excellent or very good; more than double the national average of 30% for older adults. Additionally, 87% of CDPHP SilverSneakers enrollees either maintained or increased their level of aerobic activity compared to a year ago, and more than half of SilverSneakers enrollees report improvement in arthritis pain and lower back pain since participating in the program.
Source: dgw.tv

Shin Splints No More, Health & Fitness

SOCIALDEALER, a leading social media management company that helps automotive dealers create, manage and monitor their social activities through one centralized web platform, today announced Phil Penton, President of SOCIALDEALER, has been invited to speak at the 13th Digital Dealer Conference and Exposition.Chicago, IL (PRWEB) October 12, 2012 Penton will guide attendees of his session, step-by …
Source: onyourweb.com

Medicare Updates for 2011

What article on Medicare Part D would be complete without mentioning Humana.  There I have just mentioned it. Just kidding, Humana has good news also.   The Humana Value plan which was priced at $18.60 in 2010 has been rebranded and repriced for 2011.  It is now the Humana Walmart Preferred Rx Plan with a reduced price of $14.80. I guess the little yellow price slasher at Walmart has been at work once again. The plan ID numbers are the same, so technically it is the same plan but the benefits are totally different from 2010. For example, it has a $310 deductible for all drug tiers, but then many generics are priced at only $2 for a 30 day supply at Walmart or $10 at any other local pharmacy. When I first saw that I thought “What, that is a huge advantage for Walmart.” Then I read the fine print. The $2 co-pay is only for the generics on the Walmart $4 drug list, and other stores either have their own $4 list like QFC, or will match prices. But I still applaud Humana and Walmart for innovative thinking.
Source: wordpress.com

The Red Electric: Regence returns my call

ecounted my experiences with Regence MedAdvantage customer support . Because I wasn’t satisfied, I decided to track down one of three Regence executives I happened to be seated with at a recent Community Health Partnership honors banquet. I phoned and left a message for one to call back. All three did, on a pre-arranged conference call. I was impressed. We talked for about a half hour about the surprising jump in the premium from $45/mo. to $75/mo. You may recall that the customer service representative told me that premiums for the non-profit are based on claims from the previous year. Last year was not a good year, insurance-wise. My executive trio told me that there’s some discretion in setting premiums, and they readily admitted that the hike for next year is hard to swallow, but necessary. I joined the program early this year when, at reaching 65, I became eligible for Medicare. If I had joined in 2005, the year the Medicare Advantage programs began, I would have a different perspective on next year’s increase. Amanda, my customer service rep, told me that premiums could drop, but, because she had only been on the job a year and a half, she didn’t have a clue whether they ever had. Fat chance, I thought. I was wrong. My conferees informed me that indeed the rates had dropped. My $45 premium was the low over four years. In 2005, the premium was $79, in 2006 it was $72. It turns out that 2006 was a very good year, as Frank Sinatra used to say, so management decided to pass the savings on in 2007, hence my $45 premium, which I took to be the norm. So my advice to this august group was to level out the peaks and valleys of the premiums to avoid the appearance of a bait and switch. In the highly competitive health insurance industry, low rates are a selling point. That $45 snared me. “We don’t like to whipsaw our members,” said Mike Becker, Regence vice president of public policy and community affairs. “Leveling out the premiums is exactly what we’ve been talking about,” chimed in Alison Nicholson, manager for individual sales. Good, I replied. I had a few other ideas, which I won’t bore you with and which you probably won’t be interested in, at least until you turn 65. Suffice to say, I feel better about Regence Blue Cross — for now.
Source: blogspot.com

Patti Laughren appointed as Vice President of Accountable Health Systems and Provider Innovation

About Regence affiliated companiesThe Regence affiliated companies serve more than two million members through Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (selected counties in Washington). Each health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. The Regence affiliated companies are committed to improving the health of its members and communities and to transforming the health care system. For more information, please visit www.regence.com or follow us on Twitter.
Source: euvolution.com

Kathie Bracy’s Blog: Is the STRS Medicare Advantage program really an ‘Advantage’? Susan doesn’t think so!

A key player in this CORE group, Dr. Dennis Leone, initiated the investigation (2002-2004) against STRS that led to the dismissal of the Executive Director and the conviction of six Board members for ethics violations. Eventually elected to the Board, Dr. Leone was the only member to vote against the forced ‘move’ discussed in my paper. On the CORE website, click on ‘history’ to see the results of this group‟s vigilance and perseverance. To protect your pension and quality health care, follow this group and help them create a direct line to educators.
Source: blogspot.com

Seniors confront a maze of Medicare changes

But next year, the extra government payments to insurers that run the private Medicare Advantage plans will freeze at 2010 levels, and roll back until they are essentially equal to regular Medicare. Insurers say the cuts will force them to raise premiums and reduce benefits and choices in Advantage plans, despite a recent stern warning against doing that by U.S. Department of Health and Human Services Secretary Kathleen Sebelius.
Source: posterous.com

Insiders: Blue Zones Project™

According to the 2010 Gallup-Healthways Well-Being Index®, Iowa currently ranks as the 19th healthiest state in the nation. Although that puts Iowa in the top half, there is room for improvement. Today, Iowa scores well on emotional health, physical health and access to basics such as safe surroundings, financial resources, strong community and health care services. Progress needs to be made on healthy behaviors such as exercise and eating habits, as well as improving overall work environments.
Source: healthways.com

Lovely County Citizen: Local News: The mysteries of Medicare decoded (10/11/12)

Posted by:  :  Category: Medicare

In many states and counties — including Carroll County — the Medicare advantage program has no or very low premiums. You may enroll in a Medicare advantage plan when you turn 65 or each year from Oct. 15 to Dec. 7. During this period, you must answer only one health question to enroll. Medicare advantage plans are also open to those of all ages who are on Medicare for disability.
Source: lovelycitizen.com

Video: Medicare Supplement AARP Plan F Select is A Good Option

Medicare Supplemental insurance can save you money

When you are buying a medicare supplement, make sure to get plenty of quotes from different insurance brokers. All medicare supplement plan F polices are the same. The only thing that varies from company to company is the pricing. So make sure you do your research and get the best price!
Source: treasurehikersusa.com

The California Medicare Supplement Plan Landscape

Maybe you’re tired of the A, B, C soup that seems to be swirling around you when you glance at the newly received California Medicare supplement plan offerings and with good reason. There are so many A’s, B’s, and F’s, that you would think you’ve come full circle back to kindergarten. We hope to shed some light on the subject of California Medigap plans to make clear how the various plans differ and reduce the chance of brochure induced headache, a very serious condition NOT covered by Medicare. So let’s dive into the California Medigap plans with a quick scan of what Traditional Medicare does, and more importantly, does not cover. California Medicare is best thought of as an 80/20 plan with deductibles, two of them to be exact. It generally breaks down the core benefit (which account for the majority of your health care cost outside of medication which we’ll save for another article on California Part D) into hospital (Part A) and physician (Part B) costs. That’s the first two letters you’ll see before even looking at California Medicare supplement plans. Remember the “Part” part of the name since that tells you we’re talking about traditional Medicare and not a California Medigap plan. Part. Part. Part. Medicare section. Part A is generally facility based (hospital, surgi-center, etc) while Part B is generally physician based. Now that we understand the bulk of what makes up your health care costs, let’s look at the California Medicare supplement plans. The California medicare plans are A, B, C, D, F, F high deductible, G, K, L, M, and N. In general, they increase in benefits (and cost) from A through F. The remaining generally add in cost sharing to the Medicare supplement subscriber but offer lower prices. For all the California Medigap plans, the main categories of traditional Medicare that they fill the gaps in are the following: Part A deductible, Part A co-insurance, Part B deductible, Part B co-insurance, Part B excess, Hospice Care, Skilled Nursing Facility, Foreign Emergency Travel, 1st 3 pints of blood, and Preventative co-insurance. The lettered California Medicare plans differ in these categories listed above. The F plan covers all these categories and remains the most popular California Medigap plan on the market. All the plans cover the Part A co-insurance completely. A through F cover the Part B co-insurance while G through N have varying degrees of coverage. It’s probably best to look at a California Medicare supplement plan comparison chart to make it clear but we’ll discuss the primary issues to concentrate on when deciding on your Medigap plan. We want to focus on the costs that can either be very large or uncapped. This would be the Part B Excess charge (doctors can charge up to 15% higher than standard Medicare rate), Skilled Nursing Facility, and Part A deductible. The other expenses are probably less exorbitant but still important. The key is this – we’re not talking 100’s of dollars of difference in monthly premium between each California medicare plan so why take on the risk when it’s probably $10-20 difference per month between given plans. That’s why the F plan is so popular. It covers all the main gaps in California Medicare at a relatively low price. Also keep in mind that you’re entering a period of time when medical care (very expensive medical care) becomes more common and frequent regardless of your health at the time of enrolling. It’s a bad bet to buy a less rich California Medigap plan and save a few bucks only to pay much more later on. Take a look at the comparison chart at californiamedigap.com to get a better understanding and we’re happy to walk through your plan options as licensed California Medicare agents but all roads lead to the F plan. We’re happy to be your road map. Dennis Jarvis is a licensed insurance agent concentrating on California Medicare supplement insurance.

Maine Hospitals Facing Medicare Penalties

Posted by:  :  Category: Medicare

KNOW WHO YOUR CZARS ARE --ENOUGH TO MAKE YOU SICK ---ONLY OBAMA COULD CREATE POSITIONS FOR THESE INCOMPENTENT COMMUNISTS AND SOCIALISTS by SS&SS          Morning Classical           Maine Things Considered           Maine Calling           Speaking in Maine           Down Memory Lane           Friday Night Jazz           In Tune by Ten           Prime Cuts           Something Else           Additional MPBN Programs        Morning Classical Music with Suzanne Nance        PLAYLISTS           Classical 24        Radio & TV Stations        Car Talk Vehicle Donation Program Television        TV Schedule        Sustainable Maine        Video On-Demand        Local Television Programs           Maine Watch           Basketball              Basketball Schedule              Tournament Scores                 2011 Tournament Scores                 2010 Tournament Scores              Basketball DVDs              Tournament Brackets                 Class A Boys Bracket                 Class A Girls Bracket                 Class B Boys Bracket                 Class B Girls Bracket                 Class C Boys Bracket                 Class C Girls Bracket                 Class D Boys Bracket                 Class D Girls Bracket              Basketball FAQ           Maine Arts!            Sustainable Maine              Archived Programs              Saving Our Lakes              Basket Trees              Pools, Policies and People           Making Our Way: Autism (Featuring Temple Grandin)              What is Autism?              Making Our Way:Autism Resources                 Occupational Therapy                 Autism Screening Tools                 Speech Therapy & Augmentative Communication                 Read Articles on Autism              Reach Out & Find Support              About “Making Our Way: Autism”           Conversations with Maine           Maine Experience               Maine Experience Full Programs           Making $ense New England           Broken Trust           Easing the Burden: Parkinson’s Disease           Caring for the Caregiver/Dementia and Alzheimer’s               Dementia & Alzheimer’s Disease Basics              Resources for Caregivers              If You Have Dementia              Quality Care              Safety Issues for Caregivers              Financial/Legal Topics                 Starting the Search for Long Term Care Insurance              Find a Support Group               Caring for the Cargiver: Contact Information              Share Your Story                 Losing my father a piece at a time.                 All Shared Stories                 Being a Caregiver for a Loved One with Alzheimer’s                 Our Journey with Early On-Set Alzheimer’s Disease              Watch Caring for the Caregiver Online           A Downeast Smile-In           Incredible Maine           Fresh to Flavorful        MPBN Community Films           The Films           Contact MPBN Community Films        “Natural Maine Minute”        TV Programs A-Z        Kids’ TV Schedule        TV & Radio Stations        PBS Digtal Studios Remixes
Source: mpbn.net

Video: Maine medigap insurance aka medicare supplement

Maine hospitals among 2,211 to be penalized by Medicare for readmissions — Health — Bangor Daily News — BDN Maine

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

Rand Paul Talks Medicare / Social Security on Fox News

subscrib/i)) $(“body”).addClass(“anon”) else $(“body”).addClass(“auth”) if(roles.match(/premium/i)) $(“body”).addClass(“prem”) if(roles.match(/subscrib/i)) $(“body”).addClass(“sub”) if(roles.match(/admin/i)) $(“body”).addClass(“admin”) if(roles.match(/mod/i)) $(“body”).addClass(“mod”) if(userNum==15029
Source: dailypaul.com

Maine Writer: Medicare Voucher

“If the Medicare Voucher program proposed is anything like the Medicare Plan D for drugs, it will be a disaster.” The reason Jacques says this is because the Plan D started at $6/month for every company and the plans were identical. Now, the plans cost from $30-60/month and have many options, like no deductible, no co-pays, no doughnut hole, … To get the cheapest plan, he needs to go to the Medicare website every November and see which is the cheapest for him and his wife, given their drug mix. Every year, a new company comes up with a plan cheaper that all the others, sometimes by a factor of two to three. Each year there’s another “lowest” plan; he never knows which will be the best plan from one year to the next. He changed plans three times in four years. And sometimes, the best one for Jacques is not the best one for his wife. The drug companies hope beneficiaries won’t do their homework and will stick with the same plan for another year, without realizing that the price changed. It’s a mess, but, he says, still manageable and he only needs to contact one pharmacy with his new plan information. “If I had to go through this exercise every year for my Medicare and supplemental plan, I would go crazy, picking the cheapest one every year, and come January, I have to contact all our doctors, clinics, hospitals, with our new plan information, not to mention the problems resulting with illnesses that overlap multiple plans. This would be a nightmare.” In fact, Jacques, who has a PhD in astrophysics, is absolutely correct.
Source: blogspot.com

Maine Seeks To Cut Medicaid Eligibility

LePage argues that that the Affordable Care Act’s so-called “maintenance of effort” requirement went out the window with June’s Supreme Court decision. The provision prevented states from changing Medicaid eligibility levels before the Medicaid expansion occurred in 2014. (The concern was that states would remove beneficiaries from the Medicaid rolls knowing that when expansion occurred, those people would be allowed back on but the federal government would pay a much larger share of their expenses under the new law.) Now that the court has made that Medicaid expansion optional, LePage argues, Maine is no longer locked into the state’s Medicaid eligibility levels that were in effect when the federal health law was passed in 2010.
Source: kaiserhealthnews.org

Integr8 Health, Medicare and Dispensaries

I just moved (back) to Maine and can’t even manage to find a GP who will take me in. Since I’ve been here, I’ve been to the ED twice (8/27 and 8/30) for an insane crazy migraine. I decided to call Integr8 Health to see if Dr Sulak would see me and possibly give me a recommendation. I got a call from them today wanting to schedule an appointment but saying they need the money up front ($200 because I make such a small amount with SSI/SSDI and getting Medicare taken out). So I’m waiting until I have a few reviews on the medical practise and what not. So, does anyone have any first-hand experiences with Integr8? Has anyone had success billing Medicare for the appointment? (The page says they don’t bill directly but that the patient can submit the bill to Medicare) Thanks for the help if you did, in fact, help. xx
Source: rollitup.org

Paul Krugman on Mitt Romney: An Unserious Man

The first sign of trouble has already surfaced over the issue of Medicare. Mr. Romney, in an attempt to repeat the G.O.P.’s successful “death panels” strategy of the 2010 midterms, has been busily attacking the president for the same Medicare savings that are part of the Ryan plan. And Mr. Ryan’s response when this was pointed out was incredibly lame: he only included those cuts, he says, because the president put them “in the baseline,” whatever that means. Of course, whatever Mr. Ryan’s excuse, the fact is that without those savings his budget becomes even more of a plan to increase, not reduce, the deficit.
Source: maineinsights.com

The Maine League of Young Voters

Workers pay into Medicare and Social Security during their working lives, and they count on the programs to help protect their financial and health security in their later years. These health and retirement benefits become even more important as employer-based retirement plans and retiree health benefits decline, home values fall, retirement savings shrink and health care costs rise.
Source: theleague.com

Family Planning Modifier; NPP Billing; Coding for Multiple Services

Posted by:  :  Category: Medicare

"Citizenship is a tough occupation which obliges the citizen to make his own informed opinion and stand by it." ~ Martha Gellhorn  by eyewashdesign: A. GoldenA: You could be getting denials on these because you are not using the family planning modifier, which is required by some payers. The provider manual for one payer states that “CPT procedure code 96372 (therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular) was a new code effective with date of service January 1, 2009. The FP (family planning) modifier is allowed with this code. However, some claims have been denied with a denial code that states ‘Claim includes family planning diagnosis and no family planning procedure.’ Please resubmit with family planning procedure/modifier or correct the diagnosis.” Watch those Level II HCPCS modifiers.
Source: physicianspractice.com

Video: Medicare Billing www.AcuServeCorp.com Medicare Billing Specialist- ACU Serve

What You Need To Know In A Medical Billing Training Course

George Kagan is the Marketing Copywriter for Allied Business Schools, Inc, a nationally accredited online vocational training school. Allied comprises the aforementioned ABS, which offers career training, Allied American University, which offers Associate and Bachelor’s degrees, and Allied National High School, which is an online high school program; all of which emphasize self-paced and uniquely personalized online education. One of our popular courses can be located here www.medicalbillingcourses.com He writes about medical billing courses, distance learning, real estate, green technologies, medical coding and much more.
Source: communitycollegetransferstudents.com

HHS DOJ Letter on Improper Medicare Billing

On September 24, 2012, the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) issued a letter concerning improper Medicare billing to the following hospital organizations; American Hospital Association, Federation of American Hospitals, Association of Academic Health Centers, Association of American Medical Colleges and the National Association of Public Hospitals and Health Systems.  Electronic health records have the potential to save both money and lives, but the HHS and the DOJ have discovered indications that providers are utilizing the new technology in order obtain payments for which they are not entitled.  The false documentation of care issues that they addressed are as follows:
Source: hchealthcareconsultingllc.com

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

Online Course: Medical Billing 101

Medical billing is one of the fastest growing healthcare jobs.  Hospitals, private practices and clinics could not survive without someone who efficiently handles their day-to-day Medical Billing procedures. A medical biller’s job responsibilities can include: expert management of healthcare billing–processing, adjusting and resubmitting of claims; adherence to current healthcare industry regulations and policies; and compliance with insurance procedures and allotted benefit coverage.  This self-paced course will quickly and easily train you in these procedures.
Source: universalclass.com

Is This Illegal to keep the Excess Reimbursements Medicare Pays??

In what scenarios do these excess payments occur you might ask?   Errors in medical billing and medical coding due to inadequate training in Medicare procedures has been found to be the most common reason for these over payments in the first place.   This could range from a medical coder documenting services in an outpatient setting as a non-facility service, to someone not fully understanding the intricacies of same-day read missions.  Or the source could be much before the medical billing and coding processes start, like in situations when the front-office fails to properly verify the eligibility of a patient to receive certain treatments like end-stage renal disease care etc.  It could also be someone from the medical equipment team, who instead of taking a faulty device to its OEM or original equipment manufacturer, advises his medical billing team to bill Medicare.
Source: billingparadise.com

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

Posted by:  :  Category: Medicare

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

Video: YouTube Videos matching query: connecticare medicare advantage

Farmington Valley VNA Flu Clinic

As the only non-profit home care and Hospice agency in the Farmington Valley, our registered nurses, medical services coordinators, and licensed therapists are committed to providing in-home assistance, Hospice care, health supervision services, and rehabilitative care at our clients’ place of residence. Our Community Programs division sponsors blood pressure clinics, walking groups, health and wellness information programs, and is home to the Granby Food Bank.
Source: patch.com

CT Medicare Advantage, Medicare Supplement, Prescription Drug Plans

Our agency is expanding! Shortly we will be Medicare Advantage and Medicare Supplement brokers. (We will continue to help Connecticut residents buy medical insurance.) We will be offering Zero Premium Policies (that right, some of the policies require none of your money be sent to the insurance company!) as well as other policies with premiums and enhanced benefits.
Source: 1800insurancect.com

Connecticare Sets The Stage For Fun In 2010

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

Flu shots available Tuesday in Fairfield

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

Insurer Teams With Medical Group To Improve Patient Care

The second part of the program involves end-of-life care, a term that invokes stigmas after debate about federal health care reform. In this instance, the term means that patients will meet with their doctors and health insurer to talk about treatment options before it’s a last-minute decision in an intensive-care unit, said Dr. Paul Bluestein, ConnectiCare’s chief medical officer.
Source: courant.com

ConnectiCare Enters Medicare Advantage Market

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

Medicare Advantage, Medicare « Insurance News from Crowe & Associates

Medicare Advantage plan designs are set for 2010.  The general trend was that everyone lowered benefits and raised premiums.  Some of the change can be attributed to the cut in funding for Advantage programs (approximate 4% decrease in funding vs. the traditional 4%-6% increase in funding) but some of it most surely be due to utilization and frequency.
Source: croweandassociates.com

Medicare Advantage Plans Connecticut 2012 « Insurance News from Crowe & Associates

There are a limited number of Medicare Advantage plans available in Connecticut for 2012.  The list includes plans from Connecticare, AARP/United, Aetna, Anthem BlueCross BlueShield and Wellcare.   Our agency has clients with all companies and plan types in Connecticut and we are happy to share the good and bad of them with you.
Source: croweandassociates.com

Danbury CT Airport and Limousine Company: Kent CT Limo Service 800

“We will undertake an ambitious campaign to raise the funds to accomplish this purchase, appealing to all possible sources, including government and foundation grants, as well as matching private contributions,” said Bill Arnold, Kent Land Trust president.
Source: blogspot.com

Aetna Ends Two Medicare Advantage Programs In Connecticut

The plan terminations in Connecticut, Cherniak said, aren’t related to the debate over reducing Medicare reimbursements to fund health care reform. Medicare Advantage plans have higher reimbursements than so-called “plain-vanilla” Medicare and have come under particular scrutiny from Congress.
Source: courant.com

Emdeon Current: New Payer Transactions

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