The Consequences of Missing Medicare Signup

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilPaying for the gaps in Medicare Part A and B coverage out-of-pocket can be financially devastating for a prolonged or serious illness or injury. Supplemental insurance is very important to control this risk. One choice is to enroll in both a Medigap policy plus a drug plan, known as Medicare Part D. Another choice is to sign up for a Medicare Advantage Plan, also known as Medicare Part C. Neither enrollment is automatic. You will have to choose these plans from private insurers. Again, the “Medicare and You” handbook is very good at outlining the types of coverage plan choices. Once you decide on the type of plan(s) you want, choosing your policies from the array of available private insurers can be overwhelming. A good insurance broker can be very helpful at this point.
Source: ga-cpa.com

Video: Pete Mitchell’s When To Sign Up For Medicare by Pete Mitchell

McMahon ad promotes Medicare inaccuracy

The Kaiser Family Foundation found that while Medicare Advantage was offered by President George W. Bush as a way to save money over the fee-for-service traditional Medicare, the plans actually cost some 14 percent more for each patient. The subsidies will be reduced over time starting this year to 2 percent, but quality plans will be rewarded with bonuses and by 2014, all of them will be required to spend at least 85 percent on direct care and not overhead.
Source: nhregister.com

Baby boomers worry about health

3) Work now on good health habits. One of the best places of saving money on health care is to stay healthy, said Boca Raton, Fla., financial planner Mari Adam. Some of her retired clients have not been to the hospital in decades because they exercise, eat well, watch their blood pressure and watch for former health scares they once encountered, such as skin cancer.
Source: goerie.com

Feds charge 91 people in $429M Medicare fraud case

‘killed 2012 about after Apple arrested attack back case China convention court dead death debate dies down First from gets Google+ here House into iPhone Isaac Libya more Obama over Pakistan pictures police Report Romney Ryan Samsung says show Star Syria This U.S. video Watch
Source: totallywp.com

WebHot: Seniors Don’t Agree With Right’s Medicare Vision

Who would want to fix something so obviously not broken? Enter Congress. As reported by the Los Angeles Times, “Republicans, including former Massachusetts Gov. Mitt Romney . . . want to convert Medicare into what they call a ‘premium support’ program that gives beneficiaries vouchers to buy a private insurance plan of their choosing.” Forget the ad speak about “premium support.” You could stop reading at “vouchers,” which is code for the privatization of government assets; throw in a little Bain juju, and you can see where the “party of ideas” would take Medicare – right off a cliff.
Source: fryingpannews.org

Medicare Open Enrollment Tips

Medicare open enrollment is just around the corner (Oct. 15-Dec. 7)! Whether you’re a person with Medicare, a caregiver, or professional helping clients to review their coverage options, we’ve got some helpful tips for you to keep in mind this season.
Source: accessiblesolutions.com

Evaluating Medicare plans

Posted by:  :  Category: Medicare

The Medicare.gov website also alerts you if a generic is available for a name brand drug you are taking, so that you can discuss it with your doctor, she said. Rush, a consultant for the Alliance on Aging in Miami, and a former volunteer for SHINE, Serving Health Insurance Needs of Elders, a federally-funded, volunteer-based program, is used to advising seniors to compare options. Now she’s taking her own advice.
Source: miamibrickellchamber.com

Video: The Black Professionals News Covers NMA’s Installation of Dr. Cedric Bright

6 Steps You Must Take During Medicare Annual Enrollment

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Source: webmd.com

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

Managed Markets Monday: CER 103

In 2010, WellPoint was the first health benefits company to publicly release CER guidelines for use in evaluating pharmaceuticals. These guidelines were then used to develop CER criteria that informed the value of clinically proven osteoporosis agents. The research focused on use and outcome results from pharmacy and medical payment claims data for 25,000 WellPoint members who were prescribed 1 of 3 leading osteoporosis medications (each with comparable high-quality clinical-trial data). The results of the study showed that for 1 of the medications, patients experienced lower levels of compliance, higher bone-fracture rates, and increased total costs of care. These real-world data helped WellPoint reassess their formulary decisions, and the medication that was shown to have lower compliance rates and increased costs of care was relegated to tier 3 formulary status. Every quarter, WellPoint completes 2 or 3 comparative effectiveness studies, examining how treatments in a particular disease category stack up on effectiveness and cost.
Source: palio.com

Demystifying Medicare Part D Prescription Drug Coverage

Companies that sponsor Medicare Part D prescription drug plans are required to offer a basic benefit, either the standard Part D benefit defined by law or an equivalent benefit design. In 2012, the standard benefit has a deductible of $320, and possibly a coinsurance of 25% up to an initial coverage limit of $2,970 in total drug spending, a coverage gap (also known as the “doughnut hole”), and catastrophic coverage after $4,750 in costs. Plan sponsors can also offer plans with enhanced drug benefits. Enhanced plans are required to have a greater actuarial value than basic plans, but plans vary in the ways in which they improve coverage. Enhanced plans may reduce or eliminate the deductible, charge less (on average) than the standard 25 percent coinsurance, and cover drugs in the coverage gap. The best way to find out what types of coverage are available in their area is to speak to a benefit Advisor and they can go over the pricing differences as the enhanced plan will be more costly on a monthly premium stand-point.
Source: extendconnections.com

Washington state updates drug list rules

Another change governs how formulary changes affect insurers’ financial performance. In the past, an insurer could not use a formulary change to increase its “underwriting gain.” The revised regulation states that an insurer can include underwriting gain in its product pricing, but that formulary changes “may not result in additional gain beyond the original pricing,” officials said in a description of the changes.
Source: lifehealthpro.com

Medicare, Medicaid, CHIP All Targets For Fraud

The GAO analyzed data from government sources, including the Department of Health and Human Services’ Office of the Inspector General, the Department of Justice (which included the FBI) and 10 state Medicaid Fraud Control Units. Forty percent of those state investigations for fraud in Medicaid and CHIP in 2010 were home health care providers and health care practitioners. Read more
Source: medicareindex.com

Fact Check on Medicare Advantage

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98  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

Video: Medicare Advantage Plan Comparison Tool – PlanPrescriber

Annual Enrollment for Medicare Advantage (Part C) & Part D: October 15 – December 7 

Even beneficiaries who were satisfied with their 2012 plans need to review their plan options for 2013.  Part D and MA plans may have made changes to their coverage, provider networks and other plan features.[3] Plan information for 2013 will be available on the Medicare Plan Finder at www.medicare.gov.[4]  For the computer-savvy, the Medicare Plan Finder is an excellent plan comparison tool, allowing users to enter all their drugs and drug dosages, compare up to three plans at a time, save their drug information for later use, and actually enroll in a plan on-line.  This is the best – if not only – way to truly compare the many plans available to choose from.  People who cannot use the Plan Finder themselves may contact 1-800-Medicare, or their State Health Insurance Assistance Program (SHIP), for assistance with evaluating, selecting, and enrolling in a Part D plan.
Source: medicareadvocacy.org

How much does Medicare Advantage cost?

Plans with $0 Monthly Premiums: Among the 43,306 plans available in 2013, 13,741 plans (32 percent) will be offered at a cost of $0 above what a Medicare beneficiary already pays for Medicare Part B. By comparison, 14,297 plans (33 percent) were available with a $0 monthly premium in 2012 and 13,821 plans (35%) were available in 2011.
Source: ehealthinsurance.com

6 Steps You Must Take During Medicare Annual Enrollment

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Source: webmd.com

MostMedicare.com Helps Seniors Save Money Through Medicare Advantage Plans

Medical expenses are on the rise in the United States, and that means securing the right insurance plan has never been more important. Today, Medicare helps millions of people across the country access the affordable health care coverage they need. However, most Medicare plans only cover a limited number of medical expenses. Many plans leave large gaps in coverage that patients are forced to cover out of their own pockets. One website, MostMedicare.com, wants to ensure patients understand where these gaps are and how they can cover gaps using Medicare Advantage plans. Supplementary Medicare plans are often known as ‘Medigap’ plans. However, the MostMedicare.com website does not sell Medigap insurance plans. Instead, the site sells Medicare Advantage plans. There is an important distinction between Medigap and Medicare Advantage. Although both types of plans are offered by third-party insurance agencies, Medicare Advantage subscribers are still considered to be part of the Medicare program. The insurance company that offers Medicare Advantage must continue to abide by the rules of Medicare coverage. In other words, Medicare Advantage is a premium form of Medicare that doesn’t force users to accept the risks of Medigap plans. Today, insurance companies offer several different Medicare advantage plans, each of which offers its own unique advantages. At the MostMedicare.com website, visitors can learn about each one of these plans, including the difference between Preferred Provider Organization (PPO) plans and Health Maintenance Organization (HMO) plans. The MostMedicare.com websites stresses the importance of shopping around for the perfect Medicare Advantage plan. In order to help current Medicare users make the right decision on their plan, MostMedicare.com offers detailed comparisons of a number of different Advantage plans. Some plans, for example, cover foreign travel emergencies, while others do not. Medicare subscribers who plan on traveling will want to find a plan that has a good foreign travel emergency policy. A spokesperson for MostMedicare.com explained how the website seeks to help seniors and those with disabilities save money on their Medicare coverage: “Our website is a wealth of information about Medicare and Medicare Advantage plans. Our goal is to make it as easy as possible to compare different Medicare plans. We also offer a blog that features the latest news in America’s medical insurance agency – including information about Romneycare and Obamacare – and how it will affect current Medicare subscribers.” Ultimately, current Medicare subscribers can use the MostMedicare.com website to learn everything they need to know about affordable premium medical insurance in the United States. Whether researching Medicare Advantage plans for a loved one or for personal coverage, the goal of MostMedicare.com is to educate visitors about the pros and cons of all major medical insurance plans. About MostMedicare.com MostMedicare.com offers information about Medicare and Medicare Advantage Plans. The site allows visitors to compare which plans will work best for their needs and budget. For more information, please visit: http://www.mostmedicare.com
Source: sbwire.com

Navigating Medicare's Open Enrollment Period

Medicare beneficiaries who are happy with their plans do not need to do anything, if they don’t want to change. But it is still a good idea to check options, Ms. Metcalf advises, to make sure a version of Medicare is the best one in terms of cost and coverage. If, for instance, you have the original version of Medicare and pay extra for prescription drug coverage (so-called Part D coverage), you may want to make sure important medications you need are still covered under your plan, to avoid having to pay more for them.
Source: nytimes.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

Will Medicare Advantage Survive?

The rating systems are a national comparison.  Advantage plans are different throughout the U.S.  It is likely that there are no 5 star or even 4 star plans operating in your area.  Rather than relying solely on a rating system designed to determine how much an insurance company will be paid, make your decision about an Advantage plan based on the benefits it offers in your community.
Source: wordpress.com

Comparing Medicare Advantage Plans: What Do I Do?

Look at your existing health situation. What are your major concerns? What about your family history? If there is a history of heart illness/disease in your family, you will probably want to highlight more complete coverage in that area. If Aunt Rose or Uncle Lou suffered asthma or lung related issues, you might want to consider fuller coverage for that condition, including peripherals, such as breathing treatments and oxygen condensers. This is your first consideration.
Source: seniorcorps.org

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

Medicare Prescription Drug Plan

The most important thing when you are researching Prescription Drug Coverage is to take into account your prescriptions.  There are so many formularies and plans, it is hard for any of us to find the best plan for ourselves without a little help.  Luckily, technology is able to help us.  www.MedicareEcompare.com has a tool that enables you to enter all of your prescriptions and instantly allows you to compare standalone PDP plans or MAPD plans with your estimated annual cost based on your needed prescriptions, age, demographics and more.
Source: medicareecompare.com

2013 Medicare Advantage Plans

The Annual Dis-enrollment Period begins January 1st and continues through February 14th. During this time you can cancel your current plan and return to original Medicare. You are not allowed to enroll in another Medicare Advantage plan until the following years enrollment period. You can enroll in a stand-alone Part D plan and submit an application for a Medicare supplement if you choose, where you may be subject to medical underwriting.
Source: partdplanfinder.com

Study Finds Premium Support Plan Could Raise Medicare Premiums In Many Parts of Country

Posted by:  :  Category: Medicare

CROPS----GUESS WHO WANTS TO CONTROL THEM? WELL OF COURSE THE SAME PEOPLE WHO WANT TO CONTROL US by SS&SSThe study modeled the impact of a generic version of premium support, under which beneficiaries would receive a defined subsidy, or voucher, to buy health insurance in a competitive market instead of getting a guaranteed set of benefits, as Medicare has traditionally provided. That payment would be tied to the second-lowest-cost plan offered in an area or traditional Medicare, whichever is lower. This kind of a change is a central part of the House Republican budget written by Rep. Paul Ryan of Wisconsin, now the GOP’s vice-presidential candidate, and it has also been embraced by GOP presidential nominee Mitt Romney. Even a few Democrats have flirted with such a plan as a way to leverage market efficiency to rein in the spiraling cost of Medicare.
Source: aarp.org

Video: SHIIP Medicare Premiums.flv

Study: Premium support plan could raise seniors’ costs in many cities

Modern Healthcare: Premium-Support Model Would Have Been Costlier For Most Medicare Beneficiaries: Study About 59% of Medicare beneficiaries would have paid higher Medicare premiums in 2010 under a premium-support system if they had remained in their same plan and if such a model had been implemented, a new Kaiser Family Foundation study (PDF) concludes. In their nearly 50-page analysis, authors Gretchen Jacobson, Tricia Neuman and Anthony Damico examined the premium-support approach that connects federal payments to the second-lowest cost plan offered in an area, or traditional Medicare—whichever is lower. The study acknowledged that while this model was included in House Budget Committee Chairman Paul Ryan’s (R-Wis.) fiscal 2013 budget and embraced by former Massachusetts Gov. Mitt Romney, it “should not be interpreted as an analysis of any particular proposal, including the Romney-Ryan proposal” because that analysis would require more policy details, and it would also require certain assumptions about future shifts in factors such as demographics, spending and enrollment (Zigmond, 10/15).
Source: medcitynews.com

Transforming Medicare into a Premium Support System: Implications for Beneficiary Premiums

The analysis does not attempt to model any specific proposal, but is generally based on an approach included in House Budget Chairman Paul Ryan’s fiscal year 2013 budget plan, the proposal Chairman Ryan co-sponsored with Senator Ron Wyden of Oregon, and; in the plan put forward by former Senator Pete Domenici and Dr. Alice Rivlin. In the first two proposals, people who are at least 55 years old, including current beneficiaries, would be exempt from the new system. Republican presidential nominee Gov. Mitt Romney has supported a premium-support system along these lines.
Source: kff.org

2010 Roth Conversion Might Spell Higher Medicare Premiums

This year, the IRS will generally provide tax returns from the year 2010 for the SSA to review the modified adjusted gross income. As you might recall, 2010 was the big year for converting traditional individual retirement accounts (IRAs) into Roth IRAs. If you participated in this conversion tactic, you might have seen an increase in your Medicare premium this year. If you spread your conversion income with the deal provided by the IRS over the tax years of 2011 and 2012, you might see an increase in your premium in 2013 and 2014. However, keep in mind these increases are only temporary. Once your income returns to its previous level, your Medicare premiums will be readjusted. For a closer look into what your Medicare premiums might be, click on the Medicare booklet.
Source: richmondbrothers.com

Medicare premiums for higher income people

What a lot of people might not understand about this until it affects them is that as you move from one MAGI income threshold to another, your premium can go up dramatically as the result of 1 dollar of income. It is not like the progressive income tax where you only pay the increased rate on those dollars that are above the next rate threshold. This is where tax planning can play an important role if you are near one of these thresholds. People who might be thinking of converting tax deferred savings into a Roth IRA or those who may have to take required minimum distributions may find themselves affected.
Source: quinnscommentary.com

Study: Privatized Medicare would raise premiums

Like the Romney-Ryan plan, government health insurance payments for individual seniors would be tied to the cost of the second-lowest private insurance plan in their geographical area, or traditional Medicare, whichever is less expensive. Seniors could pick a private plan or a new public program modeled on traditional Medicare. But if their pick costs more than the government payment, they would have to pay the difference themselves.
Source: newson6.com

Kaiser study: Romney’s Medicare plan raises costs

What’s more, as Sahil Kapur added, the study “does not project the longer-term implications for traditional Medicare. Many analysts warn that over time, sicker and older patients would choose traditional Medicare over private plans as private insurers tailored their plans to younger, healthier beneficiaries. Without strict rules and adequate risk adjustment, this would put traditional Medicare premiums on a ‘death spiral’ and the public plan would collapse.”
Source: msnbc.com

Want to Purchase Gentalline Online Without Pre******ion, Phoenix Medicare Part G

Posted by:  :  Category: Medicare

dr g by drivebybiscuits1[

Seniors Can Change Medicare Part D, Enrollment Runs Through Dec 7

Posted by:  :  Category: Medicare

waiting room N I M H by drivebybiscuits1Mount Kisco Public Library, 100 Main St., Mount Kisco (914) 269-7764, Wednesdays, 11 a.m. – 2 p.m. Warner Library, 121 N. Broadway, Tarrytown (914) 269-7765, Wednesdays, 10 a.m. – 1 p.m. Grinton I. Will Library, 1500 Central Park Ave., Yonkers (914) 269-7138, Tuesdays, 10 a.m. – 1 p.m.; Thursdays, 11 a.m. – 3 p.m. John C. Hart Memorial Library, 1130 Main St., Shrub Oak (914) 269-7137, Tuesdays, 10 a.m. – 1 p.m. The Field Library, 4 Nelson Ave., Peekskill, (914) 265-5286, Thursdays, 10 a.m. – 1 p.m. New Rochelle Public Library, 1 Library Plaza, New Rochelle, (914) 265-5287, Fridays, 10 a.m. – 1 p.m. Greenburgh Public Library, 300 Tarrytown Road, Elmsford, (914) 269-7129, Mondays, 10 a.m. – 1 p.m. Port Chester-Rye Brook Public Library, 1 Haseco Ave., Port Chester (914) 269-7131, Thursdays, 11 a.m. – 2 p.m. Seniors can also find help at the federal government’s Medicare site at www.medicare.gov or its helpline at (800) 633-4227.
Source: newrochelletalk.com

Video: Changes to Medicare Supplements – Plans M and N

Medicare Supplement Plans M And N Have Lower Premiums

Either Plan M or N are good options if you would like to purchase a supplement but are on a budget. If you have disposable income in reserve and you feel because of your good health that a inpatient stay is less likely, you may be able to save some money with Plan M.
Source: affordablemedicareplan.com

MEDICARE & MEDIGAP OPTIONS 2012

Designed by private insurance companies to fill the GAPS of Original Medicare: The A & B deductibles and the 20% gaps.  About 20 companies offer Medigap F and other GAP policies in Montana.  Premiums range from about $115 a month for one aged 65 to about $190 for one aged 90.  All benefits of GAP policies are set by Medicare (CMS) thus you select what set of benefits you desire.  You choose the Company offering the GAP policy, the Premium charged, and the Agent marketing the policies.  GAP policies do not include a drug plan.
Source: assistedcarefacilities.net

FREEDOM EDEN: Tammy Baldwin: Medicare and ObamaCare

Tammy Baldwin is an extremist. She supports the government takeover of health care. She cannot be trusted to protect Wisconsin’s seniors. Tommy Thompson won’t break his promises. “Congresswoman Tammy Baldwin is no protector of seniors,” said Thompson. “My opponent’s only plan for Medicare is to gut $716 billion from it, put a board of 15 unelected bureaucrats in charge of rationing care, and sit back and watch as it goes insolvent. As if that wasn’t enough, she has openly opposed Medicare Part D, a plan that 90 percent of seniors support. Wisconsin seniors know they can trust me to preserve their health care and keep costs low because I have a long record of fighting for them, both as Governor and as Health and Human Services Secretary. “Now, I have a plan to fight for them again. I will preserve Medicare for seniors today and ensure its lasting benefits for future seniors by reforming the broken system, making it more cost effective and giving them the power of choice in making their own health care decisions.”
Source: blogspot.com

Deforming Medicare into a Competitive Bidding System (part 2)

Competitive bidding is not new to Medicare. The Medicare Advantage(MA) program has used bidding to determine plan payments since 2006. In MA, plans submit a price (bid) they are willing to accept to insure a beneficiary. Payment is determined by comparing the bid with a benchmark payment rate set by Medicare (published annually online), based on the counties the plan serves. If the bid exceeds the benchmark, Medicare pays the plan the benchmark rate and the plan must collect the difference by charging a premium to enrollees. If the bid undercuts the benchmark, the plan is paid its bid plus 75% of the difference (a rebate), which it must return to enrollees via extra benefits or lower premiums. Currently, more than 90% of MA plans offer some kind of rebate to attract enrollees.
Source: correntewire.com

Choose your Medicare plan carefully: Annual open enrollment period runs through December 7

Although participating insurance companies must follow rules set by Medicare, each Medicare Advantage Plan can charge different out-of-pocket costs and have different rules for how you get services. For instance, you may need a referral to see a specialist or you may be required to go only to doctors or facilities that belong to the plan for non-emergency or non-urgent care.
Source: yourislandnews.com

WASHINGTON: Both parties see gains coming from Medicare debate

“You pay into Medicare for years. Every paycheck. Now when you need it, Obama has cut $716 billion from Medicare. Why? To pay for Obamacare,” one of Romney’s ads says. “The Romney/Ryan plan protects Medicare benefits for today’s seniors and strengthens the plan for the next generation,” it says, a pitch that party strategists say is helping Republicans up and down the ballot blunt a perennial Democratic campaign attack.
Source: heraldonline.com

Medicare Part D Plans to Take Active Role in Reducing Prescription Abuse

This drew concern from many physicians and physicians organizations. “Part D sponsors are not in a position to evaluate medication overutilization,” academic pathologist James Madara, CEO and executive vice president of the AMA wrote in a letter to CMS in response to the notice. “The only information they have is the various claims that are submitted for prescription coverage. Sponsors do not know diagnoses and they do not know about any other services the patient is receiving that do not involve Part D coverage.”
Source: physicianspractice.com

Summit MediGap: How does Medicare & Medigap insurance work?

(prescription drug coverage) is voluntary and the costs are paid for by the monthly premiums of enrollees and Medicare.  Unlike Part B in which you are automatically enrolled and must opt out if you do not want it, with Part D you have to opt in by filling out a form and enrolling in an approved plan.
Source: blogspot.com

Flu vaccinations available Wednesday from health department

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS“The single best way to protect yourself, the people you care about and those around you is to get the flu vaccine,” Nettie Gerstle, communicable disease program manager at the health department, said in a prepared statement. “It is easier and more convenient than ever to be vaccinated. There are many different places where flu vaccine is offered, and there are ample supplies.”
Source: nooga.com

Video: Medicare 101 – Top Things Regarding Medicare Advantage

Several Companies Ending Medicare Advantage Plans in Wyoming

Option 1: Participants can join another Medicare health plan, if one is available in their area. Most Medicare health plans include prescription drug coverage. If the plan does not have drug coverage, participants under these Medicare Advantage Plans will need to join a separate Medicare prescription drug plan to get prescription drug coverage. Option 2: Participants can change to standard Medicare. Standard Medicare is fee-for-service coverage managed by the federal government. If choosing standard Medicare, participants will need to join a separate Medicare prescription drug plan to get prescription drug coverage. Participants may also want to buy a Medicare Supplement Insurance (Medigap) policy to fill in the gaps in original Medicare coverage.
Source: kgab.com

Accountable Care Organization

Many physicians are  truly unaware of what is really going on with regards to the future of US healthcare, but what is clear to me is that accountable care organizations (ACOs)  are the new Medicare Health Maintenance Organization (HMO) and are likely here to stay.  ACOs are organizations that have been encouraged and almost mandated by the affordable care act.    Physicians or medical organizations with at least 5000 medicare lives will be given an option to be part of a coordinated care system.  These patients include individual that qualify for Medicare as they become 65, the disabled population, end stage renal disease patients on dialysis, and certain institutionalized patients.
Source: phyaura.com

Looking for Information on Florida

I am considering whether or not to get additional health care coverage for myself; I am already on medicare at this point in time, but I am not sure whether or not it is enough coverage for me. As such, I am currently looking into florida blue medicare advantage plans, and I am trying to figure out if it is something that I need. I would really be upset if I were ever to be in a medical emergency, and not have enough health insurance to cover the expenses, so I will need to figure out what is most prudent for me to do at this point in time, considering my risk of certain health problems in the future, and other factors as well.
Source: rogervelasquez.com

BCBS Massachusetts Reduces 2013 Premiums for more than 165,000* Medicare Members

Blue Cross Blue Shield of Massachusetts (www.bluecrossma.com) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. Celebrating our 75th anniversary in 2012, we are committed to working with others in a spirit of shared responsibility to make quality health care affordable. Consistent with our corporate promise to always put our 2.8 million members first, we are rated among the nation’s best health plans for member satisfaction and quality. Blue Cross Blue Shield of Massachusetts is a Medicare Advantage organization with a Medicare contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.
Source: lifehealth.com

Blue Cross Blue Shield of North Dakota sponsoring free Medicare workshops for seniors

The workshops will be held in Grand Forks on Oct. 15, Bismarck on Oct. 17, Fargo on Oct. 18 and Minot on Oct. 23. The workshops are free and open to all North Dakotans who are eligible or soon to be eligible for Medicare. Seniors are encouraged to register for one of the free workshops online at www.medicareworkshopsnd.com or by calling 1-888-235-3905. The first 25 to register for one of the workshops will receive a free pedometer.
Source: bcbsnd.com

Kaiser Permanente Leads the Nation with Six 5

Posted by:  :  Category: Medicare

YOU MIGHT WANT TO START PLANNING by SS&SSAbout 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

Video: Dr. Eric Larson on Medicare 5-Star Rating System

As Open Season Begins, More Medicare Advantage Plans Get Top Ratings

Detroit Free Press: Medicare Changes: What You Need To Know This Year Beginning this year, [Michigan] beneficiaries of chronically poor-performing plans will be notified by mail that there might be better options elsewhere and those beneficiaries may switch to the highest-performing plans throughout 2013. Medicare for the first time will cover screenings for depression, obesity, sexually transmitted diseases and alcohol misuse. It also will cover behavioral therapy for cardiovascular disease. Under health care reform, Medicare discounts continue to deepen on drugs in the donut hole (Erb, 10/14). The Columbus Dispatch: Medicare Will Prod Users To From Low-Rated Advantage Plans The federal government said yesterday that it will become more aggressive about moving people off poorly performing Medicare plans and onto higher-scoring ones. The Centers for Medicare and Medicaid Services said they will mail letters to people enrolled in 26 poorly rated plans nationwide — plans that have received 2.5 or fewer stars on a 5-star scale for the past three years. The letters will encourage those people to enroll in plans that score better on the government measures of patient health outcomes and satisfaction (Sutherly, 10/13). 
Source: kaiserhealthnews.org

Kaiser Permanente’s Medicare Plans In California Get Top Ratings In The Nation For The Second Straight Year

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 PERMANENTE’S MEDICARE PLANS GARNER 5 STAR RATING FOR 2ND STRAIGHT YEAR.

 “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

Medicare Part D and Medicare Advantage Changes for 2013

The Affordable Care Act includes provisions that, over time, are reducing the cost of prescription drugs for people who fall into the coverage gap, or “donut hole.” In 2011 and 2012, the discount for brand name drugs was 50%; in 2013 and 2014, it will increase to 52.5%, and will grow after that until it reaches 75% in 2020.
Source: wordpress.com

Medicare quality program grows teeth

In the column for measure C12, which deals with efforts to assess the ability of enrollees in Medicare Advantage “special needs plans” (SNPs) to function, the two plans with the lowest rating measures had no evidence that any of their SNP enrollees had received the recommended annual functional assessments in 2011. The highest-performing plans reported that 100 percent of their SNP enrollees had received functional status assessments.
Source: lifehealthpro.com

CMS: More Highly Rated MA, Prescription Drug Plans Available in 2013

Monthly premiums for MA plans in 2013 are expected increase by 4.7%, or $1.47, on average, to $32.59 if beneficiaries keep their current plans, a CMS official said. If they decide to switch lower-cost plans at the same rate as they did last year, the official said the premium increase would average 1.8%, or 57 cents (
Source: californiahealthline.org

New Star Ratings for Medicare Advantage and PDPs Go Live

Following enactment of the Affordable Care Act, CMS created a demonstration project that extended quality bonus payments to Medicare Advantage plans that receive at least 3 stars.  This demonstration has been the subject of Congressional hearings and has led the Government Accountability Office (GAO) to issue a Report entitled Quality Bonus Payment Demonstration Has Design Flaws and Raises Legal Concerns.  Among other things, the GAO Report states that the structure of the demonstration may not be effective to meet its stated purpose of testing whether a scaled bonus structure leads to faster quality improvement than the structure set forth in the Affordable Care Act.  Critics have also asserted that CMS created the demonstration project, at a cost of over $8 billion, as a means to temporarily offset the significant Medicare Advantage reimbursement reductions authorized by the Affordable Care Act.  Despite this criticism, the CMS demonstration project is set to continue through 2014.
Source: healthlawpolicymatters.com

Health First Health Plans’ “Choosing the Right Medicare Advantage Plan”

“We have complex case managers who help members with cancer or high-risk diseases navigate the health care system,” explains Dr. Brady, who’s an internal medicine physician who originally joined the Health First Physicians Group team in 2003 and has treated many Medicare beneficiaries. “In addition to our hospital transition program, we have a physician home visiting program that allows homebound members to receive care. We have a 24-hour-a-day nurse line that allows members to speak to a nurse any time of day, as well as many online wellness and disease management tools, including online and telephone-based health coaching. And, members with certain diseases qualify for state-of-the-art telemonitoring of their blood pressure, weight, and blood sugar levels to help their physician manage their condition.”
Source: spacecoastlivinghealth.com

McMahon ad promotes Medicare inaccuracy

The Kaiser Family Foundation found that while Medicare Advantage was offered by President George W. Bush as a way to save money over the fee-for-service traditional Medicare, the plans actually cost some 14 percent more for each patient. The subsidies will be reduced over time starting this year to 2 percent, but quality plans will be rewarded with bonuses and by 2014, all of them will be required to spend at least 85 percent on direct care and not overhead.
Source: nhregister.com

New 3.8% Medicare Tax Impacts Pass

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS2012 ABA ABA conference ABA Conferences Business Development CLE Events Complex Litigation conference Conferences Corporate Compliance Corporate Security Criminal Law Crisis Communications Employment Law Energy Law Environmental Law events Financial Services Law Health Law ICC Information Architecture Insurance Law International Law IP Law Labor Law Law Offce Management Law School Law Student Legal Events Legal Marketing Legal News Legal Technology Litigation NLRB Nov 7-9 2012 October 8-9 2012 Product Liability Real Estate Law Regulatory Retail Law Retail Law Conference Social Media Tax Website Design Website Management
Source: nationallawforum.com

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

Medicare 102: Understanding Medicare Enrollment Periods

The Key word here is “SPECIAL.” If you have a special circumstance, such as moving out of a plan’s service area, or an involuntary loss of employer coverage because you are retiring at the age of 65 or older, than you may qualify for an SEP. There are many other circumstances which may make you eligible for an SEP. The length of the SEP can vary based on the circumstance. If you have enrolled into an Advantage Plan for the first time in your life during ICEP, or have dropped a Medigap policy to go into an Advantage Plan for the first time in your life, you have an SEP which lasts for the first 12 months of your enrollment in the Advantage Plan. This allows you to revert back to Original Medicare, enroll into a Medigap policy without being underwritten (though you may be subject to a higher premium due to age), and purchase a prescription drug plan.
Source: amac.us

My Experience Applying for Medicare Online

Once submitted you are advised: “Thank you! Your data has been received and we are working to process your request. You will be able to check the status of your action online in 5 business days. To check the status, go to http://www.socialsecurity.gov. You will need to enter your Confirmation Number to get status information, so please put this number in a safe location. We hope you found our internet application convenient to use and easy to understand.” Well, we three found the online application process both convenient and easy. I applaud Social Security for an excellent implementation and the person-to-person customer service I received when I had a question.
Source: medicarebenefits.com

How the New “Medicare Tax” Will Affect Your Real Estate Investments

One of the ways to take advantage of the rebound is through the purchase of real estate itself. Right now, there’s a strong case for being a landlord. As I have mentioned in previous articles, homebuilders have seen a run-up in 2012, and according to some measures, home valuations are near a 14-year low. That still presents itself as an opportunity.
Source: investmentu.com

Christie Administration Warns NJ Seniors To Be Alert About Medicare Fraud

Must arrange with you in advance the type of products that will be discussed during a scheduled sales appointment. They may not attempt to sell you other types of insurance coverage other than the type agreed upon in advance; May not try to sell you non-health care related products (like a life insurance policy or an annuity) during a sales or marketing presentation of a Medicare plan; May not attempt to sell you a plan in a doctor’s office or in a pharmacy; May not attempt to sell you a plan at an educational event; May not offer you free meals at promotional or sales events; and May not offer you gifts or other promotional items with a value greater than $15.
Source: nj1015.com

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

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

You Can Apply For Medicare Online

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

Arkansas Medicaid Officials Apply For $60 Million Federal Grant

The grant application notes that the estimated cost to the state for this system transformation will be about $32.8M over a three and a half year period beginning in January 2013.  That’s a significant sum, but putting it into perspective, that would allow us to achieve lasting and fundamental quality and cost improvements for less than 1% of our current annual expenditures with the potential, if successful, to return over $1 billion in savings to the state Medicaid program through 2020.
Source: talkbusiness.net

North Carolina Makes it Easy to Learn About Medicaid

Typically, a person who fits into the following groups may be eligible for Medicaid: “Aged, Blind and Disabled”, “Infants, Children, and Families”, “Long-Term Care”, or “Medicare Recipients”. A person is automatically eligible for the Medicaid program if her or she is already receiving Supplemental Security Income (SSI), Work First Family Assistance, State/County Special Assistance for the Aged or Disabled, or Special Assistance to the Blind.
Source: families.com

Accountable Care Explained: An Experiment in State Health Policy

A standard definition for ACOs does not exist. Their parameters vary widely among the states that have developed ACO programs. But in general, accountable care organizations are partnerships of health care providers — including primary care doctors, specialists and sometimes hospitals — that agree to a set budget for serving all of the health and long term care needs of a defined group of patients. The organizations have incentives to keep patients healthy, efficiently treat those who are sick, and help patients who have chronic illnesses control the effects of their diseases. If costs fall below a set budget, ACOs share in the profits. If costs exceed the budget, some ACOs share in the losses. Budgets are set based on the overall health of the population to be served and payments are tied to quality measurements.
Source: kaiserhealthnews.org

Becoming a Medicare Provider

Medicare is a health program administered by the government of the United States of America that provides health benefits and health insurance to people who are 65 years old and above. They also provide health benefits and aids to those who are not 65 years old but are physically disable or have congenital disorder. These candidates for Medicare should have been a resident of the country for at least five years. Medicare program has approved physicians and medical facilities that the people can visit. These Medicare providers provide different services depending on what area the patient is in. There are different parts of Medicare these Medicare providers can serve in. First is Medicare Part A or known as Health Insurance. The providers of this area give inpatient care in nursing homes or hospitals. They take care of the semiprivate room, food and tests for the patients. Medicare Providers for Part B or Medical Insurance are usually composed of private doctors or those who have expertise on a certain field. Patients of Part B usually receive outpatient care and preventive services such as chemotherapy, dialysis, blood transfusion, mastectomy and other services that will help maintain the health of a person seriously sick. The patients also get medical and prosthetic equipment such wheelchairs, cranes, artificial breast, and artificial breasts. These Medicare providers help the people get extra wellness programs such as those for vision, hearing and dental. Lastly, they also direct the patients to cheap Medicare-approved prescription drugs that the patients need. Being Medicare providers requires an extensive application. There are many requirements needed for those who want to apply in this kind of job. If one wants to be a provider, first and foremost, he has to review the existing rules, requirements and qualifications of Medicare. Other than that, there are also federal rules and regulations that one has to follow, depending on what state a person is in. Second, it is important to be certain on what part of Medicare (Part A or B) that one wants to serve in. Be sure that the part suits one’s abilities. A person who has no expertise in kidney problem can surely not go to Part B. On the other hand, it is just a waste if an expert in cancer will just go to Part A. After choosing the right part, the person has to get an NPI (National Provider Indicator) number. Why the person finishes ensuring an NPI number, he should be ready to apply for a Medicare-provider application by contacting the Medicare carrier in his or her area. The Medicare carrier will help the applicant on questions she or he might have. The applicant will be given a Medicare application by the carrier. Complete the application form provided and never forget to give documents such as drug-enforcement administration (DEA) certificate, IRS form W-9, Medicare provider letter and a copy of your business license. Upon reviewing all the terms, mail the application to the carrier and wait until they finish processing one’s application of becoming a Medicare provider. If you are looking for the best medicare providers and supplemental medicare 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/ medicare providers and http://www.medicarerep.com/ supplemental medicare insurance, visit our site for more tips and information. Contact us for free medicare advice.
Source: abcarticledirectory.com

BOBHIC: More “Hidden” Taxes Courtesy Of Obamacare

Beginning January 1, 2013, ObamaCare imposes a 3.8% Medicare tax on unearned income of “high-income” taxpayers which could apply to proceeds from the sale of single family homes, townhouses, co-ops, condominiums, and even rental income, depending on your individual circumstances and any capital gains tax exclusions. Importantly, the “high income” thresholds are not indexed for inflation so will reach increasing numbers of middle-class taxpayers over time.
Source: therionorteline.com

Obama proposes Medicare changes that will limit drug development

But they also found that the proposal would kill 238,000 jobs in the pharmaceutical and related industries by 2020. To add insult to injury, the authors wrote that "the rebates would make at least some drugs money-losers; these drugs would be withdrawn from the market," because companies could no longer recoup the enormous costs of bringing those medicines to market. Seniors, in other words, would lose access to these medicines.
Source: typepad.com

Navigating Medicare's Open Enrollment Period

Medicare beneficiaries who are happy with their plans do not need to do anything, if they don’t want to change. But it is still a good idea to check options, Ms. Metcalf advises, to make sure a version of Medicare is the best one in terms of cost and coverage. If, for instance, you have the original version of Medicare and pay extra for prescription drug coverage (so-called Part D coverage), you may want to make sure important medications you need are still covered under your plan, to avoid having to pay more for them.
Source: nytimes.com

Government Clamps Down on False E&M Medicare Claims

Posted by:  :  Category: Medicare

In honor of Tax Day by swanksalotMedicare reimbursement includes payments for certain evaluation and management (E&M) services that are necessary prior to the performance of a procedure. CMS does not normally allow additional payments for separate E&M services performed by a provider on the same day as a procedure. However, if a provider performs an E&M service on the same day as a procedure that is significant, separately identifiable, and above and beyond the usual preoperative and postoperative care associated with the procedure, a so-called “modifier-25” may be attached to the claim to allow additional payment for the separate E&M service. For over a decade, HHS-OIG has been concerned that health care providers were regularly and falsely tagging a modifier-25 on millions of Medicare claims. In fact, after a thorough 2002 audit, HHS-OIG determined that over 35% of all modifier-25 claims were false. In response, HHS-OIG has increasingly scrutinized providers who reach for modifier-25. For example, noting an exceptionally high use of the modifier-25, the federal government recently investigated the Medicare billing practices of Georgia Cancer Specialists, one of the country’s largest private oncology practices. The end result was a $4.1 million False Claims Act settlement, in which the government alleged that the medical group applied modifier-25 to claims that did not qualify for its use, leading to overpayments by Medicare. More information for whistleblowers is located at the Nolan Auerbach website.
Source: medicare-fraud.net

Video: Obama Disputes Romney, Ryan Medicare Claims

Howard Dean compares Romney Medicare claim to Soviet ‘propaganda techniques’

Lately, Mitt Romney and Paul Ryan have been claiming that President Obama cut $716 billion from Medicare. As we and many others have noted, the claim is deeply misleading: Those cuts affect providers and insurance companies, and leave seniors’ care untouched. Meanwhile, Ryan’s own plan for Medicare would end the program as we know it, turning it into a system of vouchers, and leaving many seniors unable to foot the bill for coverage, studies have shown.
Source: msnbc.com

Lubbock woman sentenced to 46 months for Medicare fraud

According to the factual resume filed in the case, from January 2, 2004 through December 2009, Hollingsworth, an approved Medicaid provider, submitted a claim to Medicare for three hours of face-to-face counseling provided to a patient in Lubbock on Christmas Day 2009, when in fact, she was in Colorado at the time. According to the indictment, during this time period, the total amount Hollingsworth billed for services provided to Medicaid beneficiaries was between $1 million and $2.5 million. Of that amount, Hollingsworth was paid approximately $576,234.39. Of that, $556,704 was paid for fraudulent claims.
Source: kcbd.com

Federal Investigators Claim 12 Defendants Defrauded Medicare of $100 Million in Texas

Defendants include Lawrence Dale St. John, his son Jeffrey Dale St. John and Dr. Nicolas Alfonso Padron who are each charged with one count of conspiracy to commit health care fraud and 13 substantive counts of health care fraud. Dr. Padron has been held in federal custody since his arrest in June 2012 on charges related to his role in an alleged conspiracy to illegally distribute and dispense hydrocodone, according to the federal authorities.
Source: brodenmickelsen.com

the Capitalist Journal: Republicans Trying To Defuse “Cutting” Medicare Claims from Democrats

Although so many seniors are reliant on Medicare, many free-market advocates claim that Medicare has been one of the primary reasons why hospital costs are so expensive. The reasoning behind this claim stems from the belief that the government may have inflated the industry due to subsidizing payments, which in return affects the appropriate price. The solution, according to free-market advocates, is to cut government spending on healthcare for citizens and end the government-sponsored health insurance oligopoly so there is a free-market in healthcare, which will drive prices down according to what the consumer can appropriately pay; just like any other market. Many argue in defense of this claim stating that it will take time for prices to drive down, which could cause many problems for the elderly that have paid into the program.
Source: spreadlibertynews.com

Debate 2012: Obama’s Dubious Medicare “Voucher” Claim

It’s all scary nonsense. The Ryan proposal, among others, is a defined-contribution system that in, say, 2023 would provide direct payment from a government account to a health plan of a person’s choice, including traditional Medicare; health plans, including employer-based retiree plans, would have to meet government standards, including benefit standards of the traditional Medicare program, plus new and much-needed protections against the costs of catastrophic illness; all such plans would be offered through a Medicare exchange; all such plans would be governed by existing Medicare insurance rules, meaning persons could not be legally denied coverage or dropped merely because they are sick; low-income persons would be specially protected from unforeseen out-of-pocket cost hikes; and all enrollees would benefit from an improved risk adjustment among plans in the competitive market to guarantee continuity of patient care and health-plan stability.
Source: fixhealthcarepolicy.com

McMahon ad promotes Medicare inaccuracy

The Kaiser Family Foundation found that while Medicare Advantage was offered by President George W. Bush as a way to save money over the fee-for-service traditional Medicare, the plans actually cost some 14 percent more for each patient. The subsidies will be reduced over time starting this year to 2 percent, but quality plans will be rewarded with bonuses and by 2014, all of them will be required to spend at least 85 percent on direct care and not overhead.
Source: nhregister.com