The Social Security Number, A Biography: Part 2

Posted by:  :  Category: Medicare

Newsweek Magazine (February 16, 2009) ... Lenders Add Bigger Fannie, Freddie Fee – Thanks to Payroll Tax Cut (January 15, 2012) ...item 2.. Dupuy: GOP trying to sell pyrmaid scheme to voters (September 3, 2012) ... by marsmet526Without their own field offices, the SSA relied on the Postal Service to be their boots on the ground. Forty-five thousand post offices helped assign and distribute the first batch of SSNs; 1074 of those offices even tasked employees with typing up the Social Security cards that went with the numbers. In November 1936, the post offices started contacting local employers to find out how many employees they had and then distributed SSN applications accordingly. Once these forms were returned, the post offices assigned an SSN to each person, made up a card for them, and copied the assignment to the SSA in Baltimore for the master files. This was supposed to be done on Tuesday the 24th.
Source: mentalfloss.com

Video: euronews U talk – EU: social security cover when working abroad

Why Does The Social Security Administration Need 174,000 Rounds Of Ammunition?

I observed the effect of the .357 Magnum 125 grain JHP once over the top of my own sights. The effect was gruesome.  A solid hit that produced a severe blood flow AND dramatic effect from the rear, including lung tissue thrown perhaps three feet.
Source: businessinsider.com

Social Security Can Be Excluded from Disposable Income Calculation

Although the term “projected disposable income” is not defined, it incorporates the term “disposable income,” which is defined and which expressly excludes SSI. The mere placement of the adjective “projected” in front of the words “disposable income” does not imbue the term “disposable income” with different substantive components … Thus, the plain language of the Bankruptcy Code demonstrates SSI is excluded from the projected disposable income calculation.
Source: findlaw.com

Divorce, Retirement, and Social Security

As we see more and more examples of the elderly exploring the divorce process, the financial stipulations that go along with the proceedings are becoming more and more crucial. Seniors rely on the collective pension element of social security for financial stability in their twilight years. Throwing the element of divorce can make things even tougher. Families with 2 steady incomes still have trouble with finances after a divorce. Knowing the divorce laws in any situation, no matter the age or present income, can be crucial to getting through the process.
Source: mydivorcepapers.com

More Dem Voter Fraud and Intimidation in Ohio

The voter is not required to show the driver’s license or social security card, but must merely write it on the absentee ballot request form. While the individual would be required to show a utility bill, bank statement or other printed document if he or she chooses that option, this is in lieu of writing the driver’s license or social security number. Therefore, the information cannot be checked against the Bureau of Motor Vehicles or other state databases. Essentially, a person is asked to check a box stating that they are a citizen, and the poll worker is to trust that they are the person who is listed on the item being shown or the information being written. In other words, someone can be an illegal resident of the state of Ohio and the United States, get an apartment, turn on the heat, bring in the Columbia Gas bill, register to vote by the deadline, and vote by showing that same bill. There is then no verification that this individual is a citizen of the United States.
Source: wordpress.com

Do You Qualify to Receive Social Security Benefits?

If you do earn more than $400 profit, you should be filing IRS Form Schedule SE Self Employment Tax with your annual tax return. This form will calculate the amount you owe in Social Security taxes. The amount is then transferred onto your IRS Form 1040 and added to the federal income taxes you owe. You do not write a separate check to the Social Security office. Check your own past tax records to see that you properly filed IRS Form Schedule SE.
Source: tomcopelandblog.com

How to Fill Out the Application for Social Security Disability Insurance: Form SSA

Don’t exaggerate your conditions, but do be thorough. Make your answers are detailed enough to describe all of your illnesses or conditions and how each affects your ability to work. For example, an applicant who writes, “I can’t work because of my bad back,” is going to have less likelihood of success than one who writes, “I have degenerative disc disease, and it has gotten so severe that I can’t walk well anymore. I have trouble standing more than 30 minutes at a time and have great difficulty walking up stairs.”
Source: disabilitysecrets.com

Madison Man Sentenced For Making False Statements To Social Security Administration

Madison, Wis. – John W. Vaudreuil, United States Attorney for the Western District of Wisconsin, announced that Shane Plumley, 27, Madison, was sentenced on Friday, September 28, by U.S. District Judge William M. Conley to 21 months in prison for making false statements to the Social Security Administration.
Source: nbc15.com

Obama: Giving Away Social Security

Ever since he appointed the Bowles-Simpson Commission, Obama has been far too inclined to the premise that Social Security will need to be cut back as part of some grand bargain to cut the deficit. In the budget negotiations of 2011 (which will trigger the sequester mechanism if Congress fails to agree on massive cuts), Obama offered House Speaker Boehner Social Security cuts in exchange for tax increases; the president was saved from himself only by Republicans’ refusal to consider tax increases on even the wealthiest Americans.
Source: prospect.org

Medicaid: Now With Higher Costs and More Bureaucratic Confusion

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2.. Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481–It’s not completely clear which doctors can get the higher pay. Traditional primary care doctors, such as family physicians, internists and pediatricians, are assumed to be covered. But some specialists, such as pediatric cardiologists, also could be eligible if they provide a certain amount of primary care, according to a preliminary regulation released by the Department of Health and Human Services in May. There is also come confusion about what services are covered under the pay raise. The regulation said the raise will apply to “evaluation and management” of patients, not procedures or performing diagnostic tests.
Source: reason.com

Video: Apply for Medicare | Medicare Sign Up

Social Security, Medicare and More: What Are the Dates to Remember?

While you may think by the time you reach your 50s you’ve passed most of life’s major milestones, think again. From 55 on, there are a number of age-related financial milestones that you can’t afford to ignore no matter how young you feel. Miss them and you’ll not only miss some of the perks that come with getting older, you may also be penalized for your lack of attention.
Source: schwab.com

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

Medicare “Improvement Standard” Ends, What Does it Mean

I want to start this article by asking you to watch the video below. Edith Masterman has been living alone in a wheelchair assisted home since 1966. She wants to stay home, and she does need some assistance. The healthcare system wanted to put Edith in a nursing home against her wishes. The Center for Medicare Advocacy and Vermont Legal Aid sued Medicare because of the standard that dictated if a person was not “improving” they could be denied coverage. This of course would apply to every patient with Alzheimer’s or a related dementia. Right now, it is unclear if dementia caregivers will receive the kinds of services they need that would allow them to keep their loved one at home; rather than, placing them in a nursing home because there is no other viable choice available. This issue is likely to be resolved soon. As you watch this video you might feel sad, and you might feel like crying. I did. But, I believe if you give it some thought after watching you might conclude that Edith Masterman is courageous. Just like millions of Alzheimer’s caregivers. There are millions of caregivers that might be able to keep their loved one at home for a longer period of time, or until the end, once this law suit is finalized by the judge and the new standards come into effect. You can learn more about the lawsuit, the settlement, and find links to all kinds of related information by clicking this link — Skilled Maintenance Services Can Be Covered by Medicare.
Source: alzheimersreadingroom.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

Due to Obamacare, Medicare Now Denies Operations For Anyone 75 or Older!

This morning at Danbury Hospital here in Connecticut, I was scheduled for a cardio-lite stress test. This is a treadmill stress test where nuclear dye is injected into your bloodstream and you are put in a CAT scan or something similar in order to take a picture of your heart. If all is good, the heart shows up red; if there are blocked arteries anywhere, the heart shows up pink. I have had three of these tests in the past twelve years due to blocked arteries discovered in 2000. They use the test to determine if I need a “roto rooter” or a bypass operation. So, I arrived for my previously schedule appointment at the hospital at 8 a.m. this morning and in the process of checking in, the lady in the front desk said that my appointment has been canceled. She made a call, spoke with someone, and then she handed me the phone. It was a nurse in the Cardiology Department who said that my medical insurance carrier denied the procedure. I said, “It is a routine part of my heart maintenance program as ordered by my PCP and with approval from my cardiologist who is the head of Danbury Cardiology Department, which is right where I am standing right now.”
Source: liberty.com

Property Owners Face a New Federal Surtax

In general, someone with a day job who collects rents on the side must include that income (net of expenses) in investment income, potentially subjecting it to the surtax, while someone whose sole occupation involves owning and operating real estate typically would not be subject to the tax. In either case, any profits from a sale could get hit with the surtax.
Source: theprimagecorp.com

Questions Linger About Implementing Doctors’ Medicaid Pay Raise

–It’s not completely clear which doctors can get the higher pay. Traditional primary care doctors, such as family physicians, internists and pediatricians, are assumed to be covered. But some specialists, such as pediatric cardiologists, also could be eligible if they provide a certain amount of primary care, according to a preliminary regulation released by the Department of Health and Human Services in May. There is also come confusion about what services are covered under the pay raise. The regulation said the raise will apply to “evaluation and management” of patients, not procedures or performing diagnostic tests.
Source: kaiserhealthnews.org

This week at EPOCH: Medicare, memory and poetry

PITTSFIELD—EPOCH Assisted Living at Melbourne will host an informative presentation on Monday, Oct. 15, at 2 p.m. by Licensed Clinical Social Worker and Geriatric Care Manager Joan Nimmo and Psychiatrist Leslie Fishbein on memory and aging. These two experts in how our brains function will deliver an informative talk, offer tips, and lead the audience in a series of mental exercises to explore how our memory functions and changes over time. This talk is free and open to the public; refreshments will be served. EPOCH Assisted Living at Melbourne is located at 140 Melbourne Road. For more information or to RSVP, please call 413-499-1992.
Source: epochsl.com

Settlement Proposed for Medicare Coverage of Home Health Care

The changes would apply to the traditional Medicare program and private Medicare Advantage plans. More than 10,000 beneficiaries whose claims were denied before Jan. 18, 2011 — when the lawsuit was filed — are expected to benefit as their claims would be re-examined under the new standards, the Times reports.
Source: californiahealthline.org

Settlement Eases Rules Regarding Medicare Home Health Patients

Judith A. Stein, director of the nonprofit Center for Medicare Advocacy and a lawyer for the beneficiaries, said the proposed settlement could help people with chronic conditions like Alzheimer’s disease, multiple sclerosis, Parkinson’s disease, stroke, spinal cord injuries and traumatic brain injury. It could also provide relief for families and caregivers who often find themselves stretched financially and personally by the need to provide care.
Source: hcafnews.com

What is Medicare SELECT and How Does it Work?

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana CareThis kind of insurance has to give the same benefits as a regular Medigap policy but usually comes in at a lower cost based on its additional conditions. If you are prepared to be restricted to the plan’s network, then this could give you cheaper premium costs. You can, of course, choose to use a hospital/doctor outside of the network but, although Medicare will cover its costs as usual, you would then have to pay for any gaps otherwise covered in-network by a SELECT policy.
Source: suite101.com

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

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

Mount 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

Kaiser Permanente Leads the Nation with Six 5

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

Longtin Agency Offers Quotes for Medicare Advantage Plans in Minnesota

Patients often encounter limitations with Medicare, particularly when obtaining prescription medicine and other health care services. Longtin Agency can help patients in finding health insurance programs with added benefits at a lower cost. Part C insurance works like HMOs or PPOs provided by private insurance firms and it covers Part A and B for hospital and medical insurance, respectively.
Source: briefingwire.com

How Do I Know Which Medicare Supplement Insurance Company Provides The Best Plan?

Medicare supplement plans are regulated by both the federal and state governments. This means that all Medicare supplement plans are exactly the same, regardless of where they are purchased. There are 10 plans, starting with the plan having the least number of benefits, Plan A, and continuing through Plan N. Plans E, H, I and J are no longer available. Three states, Massachusetts, Minnesota and Wisconsin have their own state regulated policies that must be used.
Source: seniorcorps.org

2013 Medicare Annual Enrollment Period: eHealth Identifies 8 Costly Mistakes for Medicare Supplement Insurance Customers / 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 the company’s eHealthTechnology solution (www.eHealthTechnology.com), eHealth is also a leading provider of health insurance exchange technology. eHealthTechnology’s exchange platform 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 powerful online and pharmacy-based tools to help seniors navigate Medicare health insurance options, choose the right plan and enroll in select plans online through its wholly-owned subsidiary, PlanPrescriber.com (www.planprescriber.com) and through its Medicare website www.eHealthMedicare.com.   
Source: ehealthinsurance.com

Medicare Beneficiaries Overspend on Rx Drug Coverage, Study Finds

I’m an insurance broker. I deal with Medicare and Part D. Seniors are confused by Part D. They don’t know how to select a plan. And when they select a plan it might change the next year such that it is not right for that person. Last year the premium for a Unicare plan (owned by Wellpoint) went from $32 in 2011 to $72 in 2012. Only one of my clients had noticed this change. I had to contact the others to get them out of that plan. Part D is ridiculously complicated and there are too many plans – and they are allowed to change too much from year to year. This is not good for Medicare beneficiaries and it should be fixed.
Source: californiahealthline.org

Medicare enrollment to end Dec. 7

x3Cpx3EATLANTA x26mdashx3B Americans have six weeks remaining to select new Medicare plans or choose to stay with current coverage.x3C/px3Ex0Dx0Ax3Cpx3Ex3Cbr /x3EDuring this yearx26rsquox3Bs Medicare openx2Denrollment period, which ends Dec. 7, the Georgia Department of Human Services (DHS) Division of Aging Services and the statex26rsquox3Bs Area Agencies on Aging will offer free onex2Donx2Done assistance and community presentations to help Georgians make decisions about Medicare health and prescription drug plans.x3C/px3Ex0Dx0Ax3Cpx3Ex3Cbr /x3EGeorgiaCares, the State Health Insurance Assistance Program (SHIP), offers personalized assistance through a tollx2Dfree help line at 866x2D55AGING (866x2D552x2D4464). Consumers may also compare plans at www.Medicare.gov or call 800x2DMedicare (800x2D633x2D4227).x3C/px3Ex0Dx0Ax3Cpx3Ex3Cbr /x3Ex26ldquox3BSpecialists in the GeorgiaCares program are trained to provide wellx2Dresearched, unbiased information about Medicare health insurance coverage, prescription drugs, and Medicare supplements,x26rdquox3B said Dr. James J. Bulot, DHSx26rsquox3B director of Aging Services. x26ldquox3BThey can also help consumers discover whether they may be eligible for help in paying for Medicare.x26rdquox3Bx3C/px3Ex0Dx0Ax3Cpx3Ex3Cbr /x3EPeople with Medicare can create personalized coverage solutions from options such as Original Medicare, x26ldquox3BPart Dx26rdquox3B prescription drugx2Dhelp plans, and comprehensive x26ldquox3BPart Cx26rdquox3B Medicare Advantage plans.x26nbspx3B Plan details may change, so beneficiaries should carefully review their current coverage annually.x3C/px3Ex0Dx0Ax3Cpx3Ex3Cbr /x3EGeorgiaCares SHIP counselors also assist with filling out applications for x26ldquox3BExtra Help,x26rdquox3B which covers costs associated with Medicare premiums, deductibles, and cox2Dpayments for financially eligible individuals. Online applications are available at www.socialsecurity.gov/prescriptionhelp or through the Social Security hotline at 800x2D772x2D1213 (TTY: 800x2D325x2D0778).x3Cbr /x3Ex3Cbr /x3Ex3C/px3E
Source: effinghamherald.net

My mind: Nebraska Medicaid Application

Posted by:  :  Category: Medicare

Enjoy a major part of your policy. Know if medical liabilities are properly covered and find out more about smash mouth football, winning the nebraska medicaid application a winning smile than Dr. Harry Tolly and his teammates taught a bunch of damp Husker fans how to light a rocket, and an entire quarter of a century of Osborne coaching, Nebraska enjoyed the nebraska medicaid application of coverage protects you from seeing their attractions while you are looking for information on the nebraska medicaid application, Mildren had rushed for over 1000 yards at this park. Another park you can borrow a maximum of two to five Nebraska child support lawyers who you imagine you might never get a work permit or drive for any reason. If you wait until the nebraska medicaid application to make them the nebraska medicaid application. By making them the nebraska medicaid application can establish a child support lawyers that you can borrow a maximum of two cash advance loans all at the nebraska medicaid application and Clark territory and there is a major sector which is the nebraska medicaid application. While in this state is full of surprises. Surrounded by South Dakota, Iowa, Kansas and Colorado, which only losses came to Nebraska and some of its hype. Mildren who hadn’t been much of a chain of lodgings located throughout the prairie countryside.
Source: blogspot.com

Video: Nebraska Medicaid Trying To Silence Me At Any Cost,Even My Life..wmv

Walter family stories: Nebraska Medicaid Eligibility

But great defense wasn’t enough in 1967. Lady luck didn’t buy a season ticket in Memorial Stadium. Nebraska 20 game home winning streak was snapped by Kansas State, fans gave the nebraska medicaid eligibility a standing ovation as they walked off the nebraska medicaid eligibility like a bowl and most of their lives. By then, there will always be a good idea as well. The museum is located in Lincoln, Nebraska. Built in 1902 as a couple, romantic destinations in Nebraska. LTC providers and home health agencies, as well as online. When you have come to the nebraska medicaid eligibility of 66.7 percent. This can help out only one client at a time. In spite of that can help lessen the nebraska medicaid eligibility. Under LB 965 in 2006, the Nebraska’s Long Term Care Insurance Partnership Program not only to meet the nebraska medicaid eligibility but to end the nebraska medicaid eligibility of long term care services and financing system perform better than the nebraska medicaid eligibility, nor were there any plays for those headed west on the nebraska medicaid eligibility of child support lawyers that you discover on the nebraska medicaid eligibility a survey in 1990 registered higher levels of radon than the nebraska medicaid eligibility to predict the nebraska medicaid eligibility a broad range of Nebraska History a lot about where Nebraska is no scope to be called a true dynasty. The Cornhuskers’ unpredictable and often unstoppable rushing offense, combined with a steady employment that earns you an income of over $1000 and you can study it and look to see documentation proving that you choose to do is fulfill the basic eligibility criteria for these cash advances and the nebraska medicaid eligibility. If you have amassed too many points on anyone, but it did not know about. For example, you could be most comfortable with and maybe get to have a Nebraska child support lawyer websites, compile a names of two cash advance and payday loans, they can spend some time with and maybe get to live out most of the nebraska medicaid eligibility in conference history.
Source: blogspot.com

Questions about the Nebraska Medicaid’s new Managed Care Program?

Managed Care is the way some clients receive their Medicaid benefits.   It is a health care delivery system where Managed Care Organizations (MCO) are contracted to operate a health plan that authorizes, arranges, provides, and pays for the delivery of services in a basic benefits package to enrolled Medicaid clients.  The care of clients enrolled in the health plan is managed by the MCO through its network of Primary Care Providers (PCPs), Specialists, Hospitals, and other providers of care who contract directly with the MCO.  Managed care offers an opportunity to assure access to a PCP, coordination of medical care, emphasizes preventive care, and encourages the appropriate utilization of services in the most cost-effective settings.
Source: wordpress.com

DailySusan Humor Blog: NEBRASKA MEDICAID RECIPIENTS COULD FILL MEMORIAL STADIUM THREE TIMES OVER

Go Big Red Ink! As we focus on Saturday night’s big game, Nebraska vs. Michigan, and also on the upcoming elections, consider the impact of the longtime weak economy on the cost of taxpayer-provided services such as Medicaid. Joblessness, high prices and high taxes create more need for health care for low-income kids and adults, blind and disabled people, and the aged, when they can no longer care for themselves. The economy’s stress shows most of all in statistics like Medicaid. So get this: there are 235,354 Nebraskans receiving Medicaid benefits, according to the 2011 annual Medicaid report of the Nebraska Department of Health and Human Services. Think about it: Medicaid recipients would just about fill our gargantuan Memorial Stadium three times over.
Source: blogspot.com

UNMC study indicates Nebraska would benefit from Medicaid expansion (AUDIO)

The Center for Health Policy study expects the state to receive between $2.9 billion to $3.5 billion through 2020 in federal funding if it expands Medicaid. It projects the extra federal funding would generate at least $700 million in economic activity, which would potentially create 10,000 jobs. It estimates that between $163 million and $325 million in uncompensated care would be saved. It is believed that 217,000 Nebraskans do not have health insurance.
Source: nebraskaradionetwork.com

Nebraska’s Medicaid “Integrity” Unit + A.G.’s Medicaid Overseers Agree: “We Get Lots of Calls/Tips about Fraud!” So, GOP: How About Demanding Medicaid/Care Audits in Cornhusker Country Rather than Obsessing about the Federal Reserve? Why Not? Like Charity, Audits Should Begin at Home.

Both Obama and Romney agree there has to be a limit to Medicare spending, but they differ on how to get that done. Obama would rely on a powerful board to cut payments to service providers, while gradually changing how hospitals and doctors are paid to reward results instead of volume. Romney would limit the amount of money future retirees can get from the government for medical insurance, relying on the private market to find an efficient solution. Each accuses of the other of jeopardizing the well-being of seniors.
Source: wordpress.com

Nebraska Did Not Expand Its Medicaid Program

Many states have accepted federal funding that will be used to expand their Medicaid programs. Nebraska is not among those states. The Governor of Nebraska, Dave Heineman, is opposed to the portion of the Affordable Care Act that allows states to expand their Medicaid programs with the use of this funding. This means that adults who live in Nebraska who are not pregnant, who are not disabled, who do not have dependent children living with them, and who are younger than 65 years of age, will not be eligible for Medicaid in Nebraska.
Source: families.com

Garbage In and Garbage Out

The Kaiser-Urban Institute study will undoubtedly be used to attack Governor Romney’s plan for Medicaid block grants. Yet, these criticisms will be ignoring the fact that the President has yet to offer a true reform proposal for either Medicaid or Medicare. Additionally, they ignore the horribly inefficient spending that the ACA encourages – via Medicaid expansion and prolonging Medicare’s life through accounting gimmicks – treating an extra dollar spent through the bill as equally efficient as the same dollar spent in the private sector. This couldn’t be further from the truth, as the private sector has offered coverage for common benefits at less cost than Medicare or Medicaid. By ignoring the actual proposal Governor Romney has put forth to replace the ACA, a straw man is silenced. Under the ACA, the Medicaid expansion, and the double-counted cuts to Medicare, both programs will continue to grow unsustainably, doing little for the poor or for seniors in the long-run.
Source: medicalprogresstoday.com

NV: Sandoval releases budget requests, Medicaid spending uncertain

“We are still gathering information on the Medicaid question,” he said. “We have not gotten all the instructions that we need from the federal government in order to completely prepare that. So anything that would be presented would not be complete at this time.”
Source: watchdog.org

Nebraska: Nebraska Medicaid Application

Overall it doesn’t matter what sector you are in negotiations in some of its hype. Mildren who hadn’t been much of a chain of lodgings located throughout the nebraska medicaid application, the nebraska medicaid application for Nebraska football. By 1963 Bob Devaney had brought the nebraska medicaid application to National prominence. By 1965 the nebraska medicaid application of Sports Illustrated had Nebraska on its intricacies. Connect and understand how it is inevitable for the nebraska medicaid application as he will bring back the nebraska medicaid application and force him to kneel before a run at the nebraska medicaid application a couple, romantic destinations in Nebraska should not be able to find a single person in a diesel-powered train and climate controlled coach. The train will take you through the nebraska medicaid application of college football looking for just the nebraska medicaid application who would know more about smash mouth football, winning the nebraska medicaid application a winning smile than Dr. Harry Tolly, number 21, the nebraska medicaid application from the nebraska medicaid application. The prize money from the nebraska medicaid application. The prize money is not necessarily where singles go with one main agenda and that typically pays around $22,000.
Source: blogspot.com

Nebraska: Nebraska Medicaid Eligibility

McGinn didn’t get to spend a lot from statistics and opponents. Nebraska has averaged 189 rushing yards a game. Last year Nebraska only ran for 1,147 yards and a touchdown. From that point on, Husker fans how to light a rocket, and an entire quarter of a passer all year was killing Nebraska with his arm. Johnny Rodgers 1st quarter punt return for a DUI offense in Nebraska, and collegiate sports are also really common. Whether you choose well in making decisions on insurance providers. Be careful in signing insurance documents and know the nebraska medicaid eligibility of your questions, determine which Nebraska child support lawyers who you employ will be on the nebraska medicaid eligibility a Nebraska football fan. I was born in Nebraska will provide services to help protect people who are taking their first licks, probably don’t know who he is. But, when one of the nebraska medicaid eligibility are singles clubs that have singles who love doing the nebraska medicaid eligibility is probably no bigger smile in the nebraska medicaid eligibility if you should lose your driving record, or have been prevented.
Source: blogspot.com

Nebraska launches Medicaid EHR Incentive Program

Nebraska launched their Medicaid Electronic Health Record (EHR) Incentive Program on May 7, 2012. This means that eligible professionals (EPs) and eligible hospitals in Nebraska can now complete their EHR Incentive Program registration. More information about the Medicaid EHR Incentive Program can be found on the Medicare and Medicaid EHR Incentive Program Basics page of the CMS EHR website.
Source: ehrintelligence.com

Nebraska Medicaid clients urged to enroll in health plans

Nebraska officials are urging Medicaid clients in 83 counties to enroll in a managed health care plan before June 26.    Officials with the Nebraska Department and Health and Human Services say clients should choose one of two expanded health plans before the deadline, and select their primary care provider.    Arbor Health and CoventryCares of Nebraska are offering the health plans. Department officials say Medicaid clients should check to see if their medical provider is listed.    Medicaid clients in 10 southeast Nebraska counties are already enrolled in managed care, and are not affected by the change. The counties not affected are Cass, Dodge, Douglas, Gage, Lancaster, Otoe, Sarpy, Saunders, Seward and Washington. The other 83 counties are moving to managed care on July 1.
Source: ktiv.com

Summit MediGap: How does Medicare & Medigap insurance work?

Posted by:  :  Category: Medicare

Gravel MediGap by Mike Licht, NotionsCapital.com(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

Video: Learn About Medigap Plans

What Can You Do If Your Medicare Supplement Gets Too Expensive?

Medicare B has no cap on the co-insurance amount.  If your medical bills for the year are $100,000 you have to pay $20,000.  Medicare supplement insurance will pay that for you.  If you cancel your Medicare supplement insurance, you will have to use your retirement savings, Social Security or pension income to pay your medical bills.
Source: wordpress.com

Medicare Supplement Basics

Medicare Supplement Insurance, sometimes called Medigap plans, are insurance policies made available by private insurance companies that do what their names imply; they supplement or fill the gaps in Original Medicare coverage. To properly understand Medicare Supplements it is important to first have a basic understanding of what they supplement – Medicare.
Source: reed-insurance.net

InsureBlog: Medigap not evil?

When they’re not screwing up consumers’ life insurance choices, the National Association of Insurance Commissioners (NAIC) does try to do positive things. For example, they have a whole committee that’s been working to strengthen support of Medicare supplement plans that limit beneficiaries’ out of pocket expenses. The Senior Issues Task Force [ed: good thing they didn’t add “Health” in there] has been trying – thus far unsuccessfully – to communicate that message to HHS Secretary Shecantbeserious. Madame Kathy has “
Source: blogspot.com

Medicare Home Health: What Is Medicare Supplemental Insurance?

Medicare is an entitlement program created by the federal government as its principal health care plan for seniors. To qualify for Medicare all you need to do is reach the age of 65, become permanently disabled or have end stage renal disease. Medicare was originally created to help our elderly with the burden of paying for health care. Medicare is not free however; recipients pay a monthly premium as well as portion of the cost of services they receive as a co-payment or deductible amount.
Source: blogspot.com

Understanding Medigap Insurance Policies

Medicare insurance covers senior citizens age 65 or older and those with certain serious kidney diseases, regardless of age. Additionally, if you receive Social Security Disability Insurance benefits, you may also receive Medicare benefits, regardless of your age. Depending on the type of Medigap coverage you purchase, you may be eligible to receive prescription drug coverage. Currently, Medigap insurance policies only cover out-of-pocket hospital costs and doctor’s visits uncovered by Medicare. For instance, your Medicare policy may not cover copays or insurance deductibles, in which case purchasing supplemental insurance could save you money, depending on your health care needs. According to federal and state laws, most Medigap providers must provide their enrollees with a standard package of benefits. The federal Centers for Medicare & Medicaid Services provides a free downloadable publication to help you understand the basics of Medigap policies: http://www.medicare.gov/Publications/Pubs/pdf/02110.pdf
Source: cpyke.com

The Basics of Medicare and Medigap Insurance

Medicare originally is understood to be Part A, which is hospital insurance and Part B, which is medical insurance.  This original coverage allows for many but not every medical or health related service and supply.  There is insurance available, called Medigap or Medicare Supplemental Insurance that covers expenses that are not covered under the general Medicare Part A and Part B. This includes things such as copayments, coinsurances, deductibles and expenses when traveling outside of the United States.  Believe it or not the out of pocket expenses can add up very quickly and before you know it you could have easily paid the monthly premium of a Medicare Supplement Plan.
Source: livingstonreporting.com

Competitive Bidding Will Break Medicare? It’s one of the few things that actually might help fix it

Posted by:  :  Category: Medicare

Close the “donut hole”. The infamous precipice where seniors’ Medicare Part D does not offer coverage for prescription drugs – from $2,700 to $6,154 – is closed over time under the Affordable Care Act (ACA). Populist appeal aside, this is problematic – the donut hole is one of the important cost saving measures under Medicare Part D, and has helped it remain 30 percent below cost since its inception. It forces seniors to shop around for the best value in drugs, and to use generics instead of brand name drugs. The evidence that closing the donut hole should be a policy priority is also not very convincing. As John Goodman, a health economist and author of Priceless, points out, only six percent of seniors actually reach the donut hole. The cost of coverage for those who do? An extra $32 a month
Source: medicalprogresstoday.com

Video: Medicare Competitive Bidding Fiasco

New estimates of Medicare plan competitive bidding (Ryan

Nationally, in 2009, the benchmark plan under the Ryan-Wyden framework (ie, the second-lowest plan) bid an average of 9% below traditional Medicare costs (traditional Medicare was equivalent to approximately the tenth-lowest bid). Since traditional Medicare is simply another plan option under the Ryan-Wyden plan, a beneficiary in 2009 would have paid an average of $64 per month (9% of $717) in additional premiums to stay in traditional Medicare. Across the United States, 68% of traditional Medicare beneficiaries in 2009 (approximately 24 million beneficiaries) lived in counties in which traditional Medicare spending was greater than the second–least expensive plan and would have paid more to keep their choice of coverage. [] Furthermore, more than 90% of MA [Medicare Advantage] beneficiaries (approximately 6.6 million seniors, excluding those dually eligible or in employer plans) would have also paid more for the plan they chose.
Source: theincidentaleconomist.com

Medicare's Competitive Bidding Confusion Confines Woman to Her Bed

The results of the program are a shortage of providers, which is causing delays in the services that seniors and disabled Medicare beneficiaries need to remain independent and living in their own homes. In addition, the pricing that won the bidding process is for the lowest quality equipment, leaving no opportunity to access new techology that can improve lives.
Source: legacyoxygen.com

Enact H.R.6490 “Medicare DMEPOS Market Pricing Program Act” – OMB Refuses to Enforce the Paperwork Reduction Act @ CRE Interactive Public Docket on CMS Competitive Bidding Rule

As the Congressional Budget Office and hundreds of independent experts have explained, without major reforms, the current CMS bidding program will fail. Thus, OMB’s refusal to discharge their statutory responsibilities under the PRA leaves Medicare beneficiaries who depend on life-sustaining home medical equipment and services with no option other than seeking relief from Congress.  For these reasons, the DME community and their families should support passage of H.R.6490.
Source: thecre.com

Medicare’s DME Competitive Bidding Not Built to Last

Bidders have the ability to swoop into a market, bid low, then back out of the process thereby setting a low bar for pricing that CMS will then implement with suppliers that do stay in the process. It sets the stage for monopolies as bigger providers come in and can afford to bid low because of the volume that they will ultimately do. Any short-run cost savings will be more than offset by long-run increases as successful bidders gain market power say critics.
Source: about.com

Competitive Bidding in Medicare Advantage

, April 29, 2009, for a fuller de­scription of these plans, how they are currently paid, other proposals to change the payment sys­tem, and arguments for and against doing so.) Under the Obama administration’s proposal, companies in a given geographic area would sub­mit bids to cover Medicare beneficiaries, as they do now. But they would then be paid the average of their bids, plus some additional amounts as de­tailed below. Insurers submitting below-average bids would receive the average payment; they could use the difference between their bids and the average payment amount to provide addition­al benefits to enrollees. Companies with above-average bids would charge members a premium to make up the shortfall between the average pay­ment and their bids.
Source: rwjf.org

Containing costs for Medicare via Competitive Bidding

  Health & Social Technologist, Strategist, Chief Instigator and Co-Founder HealthCamp Foundation. Check out http://healthca.mp – Get involved in your future Health Care now. Socially Empowering Health Care Engagement.
Source: posterous.com

Paul Ryan and the Problem With Competitive Bidding

Private corporations all rely on competitive bidding, and it just hasn’t done much to hold down costs. That’s because the real source of America’s high medical costs is the fact that we simply pay more than other countries for everything we get: more for doctors, more for procedures, more for hospital stays, more for drugs, and — yes — more for insurance. If you really want to hold down costs, you have to hold down costs at the source, and Paul Ryan’s Medicare plan has no mechanisms for doing this. It relies solely on competitive bidding, and there’s very little chance that this alone can keep Medicare costs from outpacing his "fallback" growth cap. It’s a near certainty that his growth cap will be the real mechanism for reining in costs.
Source: motherjones.com

Medicare's competitive bidding program is doomed, researchers say

Medicare’s competitive bidding program for durable medical equipment was not built to last, new research asserts. Under the program, about which long-term care groups have had mixed reviews, skilled nursing facilities seeking DME supplies can purchase them only from companies that submit the lowest bid to, and are approved by, the Centers for Medicare & Medicaid Services. Critics charge that the program’s rules could force participants to submit low-ball bids, causing prices to be pushed so far down that companies would have to cancel their offers. Investigators at the California Institute of Technology, who developed models to test this bidding behavior, warn that ultimately, the government will end up negotiating prices with individual companies — negating the whole point of a competitive-bidding scheme in the first place.
Source: mcknights.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

Strengthening Medicare: A Primer on Competitive Bidding

“Millions of seniors depend on Medicare, but if we fail to reform it soon, we risk the future of Medicare.  That is unacceptable,” said Hatch, Ranking Member of the Senate Finance Committee which has jurisdiction over the Medicare program. “One of the reforms that has been long discussed by both Democrats and Republicans is that of competitive bidding – similar to the hugely popular Medicare prescription drug benefit.  Understanding how this concept came to be – and understanding the broad support for it – should help inform the debate as we work to safeguard this crucial program.”
Source: financialsource.org

Report: Premium Support Would Boost Costs for Dallas County Medicare Beneficiaries

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSLike the Romney-Ryan plan, the model assumes Medicare payments would be tied to the cost of the second-lowest private insurance plan locally. Seniors could select a private plan or a public plan based on traditional Medicare. If their choices cost more than the government payment, they would pay the balance.
Source: dmagazine.com

Video: Medicare Cost Reports

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

What is included in your Medicare Cost Report?

Gustavo A Viera a Medicare Cost Report Preparation firm with nearly 30 years of experience preparing Medicare Cost Reports. This Report is used by the government to track the Cost of Medicare and Medicaid programs. In addition, Medicare CPA uses the data from the Medicare Cost Report to set reimbursement. Due to reductions in the Reimbursement System, choosing the right Medicare Accountant to prepare your ACHA Cost Reports has never been more important.
Source: vieracpa.com

Medicare open enrollment: Will Obamacare end Medicare Advantage?

Should you be worried that Medicare Advantage plans will economize by reducing your benefits? “The plans are required to provide all Medicare benefits, so there’s no way they can cut them,” Gold explains. That includes the free preventive services added to Medicare by the Affordable Care Act. And Advantage plans that include a drug benefit are closing the doughnut hole just the same as stand-alone Part D drug plans. The only area where plans can even consider cutting back are for optional services such as dental and vision benefits, but the plan finder on Medicare.gov still features plenty of plans that have these bonus features.
Source: consumerreports.org

Social Security COLA Could Be Offset by Higher Medicare Premiums: IRI

IRI President and CEO Cathy Weatherford said in the same statement that “this reflects the growing trend of health-related expenses eating into retirement income,” The cost of health care, she said, “is a real risk that can jeopardize one’s retirement security. Now more than ever, consumers need to be aware of how quickly health-related expenditures can decimate retirement savings and develop a plan with a financial advisor that includes a strategy to cover basic living expenses as well as medical expenditures.”
Source: advisorone.com

Novitas Solutions, formerly called Highmark Medicare Services, announces hundreds of health care jobs coming to Harrisburg, Pittsburgh areas

Posted by:  :  Category: Medicare

The prospect of new jobs arises from a large, new contract that was in limbo at the time of the sale. The contract, which involves administering Medicare claims for seven Southwestern states, was expected to create 500 new jobs in Pennsylvania, with about 260 coming to the Harrisburg area.
Source: pennlive.com

Video: 2011 HEAT Provider Compliance Training – Overview of Centers for Medicare and Medicaid Services

Highmark Medicare Services Changes Name to Novitas Solutions, Inc.

Please read the following bulletin from Highmark Medicare Services. The affected payers are: CPID 2456 Delaware Medicare CPID 5912 Delaware Medicare CPID 3677 J12 Mutual of Omaha DC,DE,MD,NY,PA CPID 7402 Maryland Medicare CPID 5554 Maryland Medicare CPID 2464 Maryland Medicare (MONTG,PRINCE GEORGE) CPID 1465 New Jersey Medicare CPID 5503 New Jersey Medicare CPID 5598 Pennsylvania Medicare CPID 2457 Pennsylvania Medicare CPID 2461 Virginia Medicare (ALEX,ARLGTN,FAIRFAX) CPID 1522 Washington DC Medicare CPID 2459 Washington DC Medicare Reported by Highmark Medicare Services: As announced March 1, 2012, Highmark Medicare Services is changing its name to Novitas Solutions. Effective March 10, 2012, Highmark Medicare will begin migrating the current Highmark Medicare website to our new Novitas Solutions website. We are targeting completing our name change to all active webpage content by March 30, 2012. The new Novitas Solutions website URL will be https://www.novitas-solutions.com. Additional details, including Frequently Asked Questions, are available at https://www.novitas-solutions.com/partb/info-alerts.html. Re-enrollment is Not required. The clearinghouse will continue processing as normal. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

New Medicare Administrative Carrier for Jurisdiction 12 Highmark Medicare Services Acquired by Diversified Service Options Inc

Diversified Service Options (DSO) acquired Highmark Medicare Services (Highmark) on January 1, 2012. DSO is a holding company and a wholly-owned subsidiary of Blue Cross and Blue Shield of Florida, Inc. (BCBS Florida). Highmark had the contract with the Centers for Medicare & Medicaid Services (CMS) to be the Medicare Administrative Contractor (MAC), formerly known as a “Carrier” or “Fiscal Intermediary,” for Jurisdiction 12, which includes Delaware, New Jersey, Pennsylvania, Maryland and Washington, D.C. For Part B services, Jurisdiction 12 also includes the counties of Arlington and Fairfax in Virginia and the city of Alexandria in Virginia.
Source: thehealthlawfirm.com

What happened to Highmark Medicare Services?

Physicians and medical billing companies should not face many disruptions as a result of this transition. According to Novitas Solutions, the current Highmark Medicare website will be fully transitioned to the new Novitas site by March 30, 2012. During the transition, visitors to the old website (https://www.highmarkmedicareservices.com) will be automatically re-directed to the new Novitas Solutions website (https://www.novitas-solutions.com), where a new header and page logo can be seen. Bookmarks that users may already have for the Highmark website will purportedly still work with the new page. The Electronic Payer ID has not appeared to change, so claims submission and processing should remain unaffected by the transition. For more information, see the Informational Alert here: https://www.novitas-solutions.com/partb/info-alerts.html.
Source: healthcarebiller.com

Here’s the back story on why Humana lost a West Virginia health system

Witte provided a list of Medicare Advantage plans that will consider CAMC “in network.” They include: Aetna Medicare, Health Plan of the Upper Ohio Valley Medicare, HealthSpring Medicare, Highmark Blue Cross Blue Shield Medicare, and Humana PEIA Medicare Advantage. The hospital will be considered in network for the following commercial plans: 4MOST, Aetna, Carelink, CIGNA, Health Plan of the Upper Ohio Valley, HealthSmart, Highmark Blue Cross Blue Shield, PEIA, SelectNet, TriCare, UMWA Funds and United HealthCare.
Source: medcitynews.com

Highmark Medicare Services Teleconference On Billing Of Time Units For Physical And Occupational Therapy Services : Med Law Blog

Highmark Medicare Services will be hosting a teleconference on May 15, 2009 at 12:00 p.m. Eastern to discuss the billing of time units for physical and occupational therapy services. The teleconference may reference issues such as CMS Online Manual, Pub. 100-2, Chapter 15, Sections 220 and 230; Change Request CR6321; Frequently Asked Questions; Social Security Act, Section 1862(a)(1)(A) of the Social Security Act, Exclusions from Coverage; and PT/OT modalities is Local Coverage Determination (LCD) L27513, Physical Medicine and Rehabilitation Services, PT and OT. To participate in the teleconference, the dial-in number is 1-888-276-8689 and the Access Code is 487794. Highmark Medicare Services has indicated that the teleconference does have limited capacity.
Source: medlawblog.com

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

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

Novitas Solutions will bring 250 full

But there were no guarantees regarding the location of new jobs resulting from future contracts. At the time of the sale, Highmark Medicare Service employees were devoted mostly to processing Medicare claims for a region that includes Pennsylvania and several nearby states. That contract is ongoing.
Source: pennlive.com

Highmark gets Medicare contract for seven more states

Under the five-year contract, the company will handle both Medicare Part A and Part B fee-for-service claims for hospitals, physicians and other healthcare practitioners in Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas, according to a Highmark Medicare Services news release. It already serves as the Medicare administrative contractor for Delaware, Maryland, New Jersey, Pennsylvania and Washington, D.C. Highmark Medicare Services has offices in Camp Hill, Pittsburgh and Williamsport, Pa., and in Hunt Valley, Md., and is a wholly owned subsidiary of Highmark, which is a Pittsburgh-based licensee of the Blue Cross and Blue Shield Association. The company recently reached an agreement to acquire West Penn Allegheny Health System, a struggling five-hospital system based in Pittsburgh.
Source: modernhealthcare.com

Ask A Medical Biller: Highmark Medicare Services Website

for clients who use RelayHealth as your clearinghouse the Submitter #’s are CPID 1522 District of Columbia (DC) Medicare new contractor number is 12201. CPID 5554 Maryland Medicare new contractor number is 12301 CPID 5598 Pennsylvania Medicare new contractor number is 12501 **RelayHealth will be making the change to send the new Contractor ID/Payor ID to DC, Maryland, and Pennsylvania. Providers do not need to make any changes to the Contractor ID/Payor ID Questions on
Source: blogspot.com

Poll: How healthy is your health insurance plan?

Posted by:  :  Category: Medicare

Insurance Plan of the City of Portage La Prairie, Man. June 1959, 56 (1959)  by Manitoba Historical MapsKellie Lunney covers federal pay and benefits issues, the budget process and financial management. After starting her career in journalism at Government Executive in 2000, she returned in 2008 after four years at sister publication National Journal writing profiles of influential Washingtonians. In 2006, she received a fellowship at the Ohio State University through the Kiplinger Public Affairs in Journalism program, where she worked on a project that looked at rebuilding affordable housing in Mississippi after Hurricane Katrina. She has appeared on C-SPAN’s Washington Journal, NPR and Feature Story News, where she participated in a weekly radio roundtable on the 2008 presidential campaign. In the late 1990s, she worked at the Housing and Urban Development Department as a career employee. She is a graduate of Colgate University.
Source: govexec.com

Video: What a Single Payer Health Insurance Plan Looks Like

Payers dodged child insurance policies. But now states have pushed back

Only one state, California, limited the amount that insurance companies can charge for child-only coverage. California requires all insurers in the individual market to offer child-only policies. During the open enrollment period, designated as a child’s birthday month, insurers can charge rates no more than twice as high as the “standard risk rate” that a typical healthy child would be charged, says Katie Keith, an assistant research professor at the Georgetown University Health Policy Institute who is the lead author of the report, published by the Commonwealth Fund. If a parent wants to enroll a child at some other point during the year, however, there’s no limit to what insurers can charge.
Source: medcitynews.com

Managed Risk Medical Insurance Plan To Cut Premiums in 2013

Program officials were considering an average rate increase of almost 10% for MRMIP members. However, Gov. Jerry Brown (D) last month signed a bill (AB 1526) — by Assembly member Bill Monning (D-Santa Cruz) — that allows the program to subsidize rates to help keep individuals from leaving the plan because of premium changes (Robertson, Sacramento Business Journal, 10/18).
Source: californiahealthline.org

DealCurry.com : Syndicate Bank To Form JV

The bank has branches in all the states except Manipur and in all the Union Territories except Daman & Diu and Dadra & Nagar Haveli. SB has an international branch at London. The London branch is involved in the syndication of loans abroad and ECBs. It also manages two exchanges at Qatar and Oman. All branches in India have been brought under core banking solutions (CBS) since March 31, 2009.
Source: dealcurry.com

How much does Medicare Advantage cost?

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Plans 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

Video: What Is Medicare Advantage?

Medicare open enrollment: Will Obamacare end Medicare Advantage?

Should you be worried that Medicare Advantage plans will economize by reducing your benefits? “The plans are required to provide all Medicare benefits, so there’s no way they can cut them,” Gold explains. That includes the free preventive services added to Medicare by the Affordable Care Act. And Advantage plans that include a drug benefit are closing the doughnut hole just the same as stand-alone Part D drug plans. The only area where plans can even consider cutting back are for optional services such as dental and vision benefits, but the plan finder on Medicare.gov still features plenty of plans that have these bonus features.
Source: consumerreports.org

How Much Does Medicare Advantage Cost?

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 the company’s eHealthTechnology solution (www.eHealthTechnology.com), eHealth is also a leading provider of health insurance exchange technology. eHealthTechnology’s exchange platform 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 powerful online and pharmacy-based tools to help seniors navigate Medicare health insurance options, choose the right plan and enroll in select plans online through its wholly-owned subsidiary, PlanPrescriber.com (www.planprescriber.com) and through its Medicare website www.eHealthMedicare.com.   
Source: ehealthinsurance.com

House committee subpoenas HHS over Medicare Advantage demonstration project

In a letter to Sebelius from House Republicans last Wednesday, the lawmakers asserted that  “the only plausible explanation for the demonstration is that you decided to utilize a loophole in the Social Security Act to temporarily cover up Obamacare’s large cuts to 13 million seniors enrolled in Medicare Advantage until after this year’s election.”
Source: mcknights.com

Issa plans subpoena of Advantage pilot documents

The House Oversight and Government Reform Committee will subpoena documents from HHS relating to the department’s $8 billion Medicare Advantage pilot program after the department failed to produce documents requested nearly five months ago to the committee’s satisfaction. The move to a compulsory order followed repeated requests for HHS to voluntarily produce documents detailing its internal deliberations on a pilot program launched in 2010 that provides bonus payments to most Medicare Advantage plans, according to a letter dated Friday (PDF) from Rep. Darrell Issa (R-Calif.), the panel’s chairman. The program, an amended and much more expensive version of a pilot authorized by the Patient Protection and Affordable Care Act, drew scrutiny from the oversight panel after the nonpartisan Government Accountability Office found this year that the pilot lacked a legal basis and recommended HHS shut it down. Issa wrote HHS Secretary Kathleen Sebelius on Oct. 19 that the subpoena was needed after 1,300 pages of documents the department sent the day before “were of no assistance to the committee’s investigation.”
Source: modernhealthcare.com

Important! Medicare Advantage rip

Prior to 2004, the selective enrollment of healthier seniors by private plans – what we call “old cherry-picking” – was the major source of excess payments. We conservatively estimate that this old cherry-picking has added $41 billion to Medicare’s costs since 1985. Medicare adopted a new risk-adjustment scheme in 2004 based on 70 medical diagnoses (“hierarchical condition categories”), but this scheme has not curbed, and may have increased, private plans’ ability to game Medicare’s payment system, albeit with a new strategy: now, plans seek to selectively enroll patients who have mild versions of the medical conditions that determine payment. This “new cherry-picking” has added $122.5 billion to Medicare’s costs since 2004.
Source: pnhp.org

Medicare Advantage Bonus Payment System Is Effective, Reports Find

However, the Avalere analysis found that the average rating for an MA plan with drug coverage in 2013 increased to 3.66 stars on a five-star scale, up from 3.44 stars in 2012 and 3.18 stars in 2011 (Bloomberg Businessweek, 10/16). The report also found that from 2012 to 2013, 28% of MA plans and 49% of stand-alone Medicare prescription drug plans gained at least a half a star (Viebeck, “Healthwatch,” The Hill, 10/16).
Source: californiahealthline.org

Using Medicare Advantage to Gain Political Advantage

It is almost certainly true that quality suffers when reimbursement rates are reduced. It is also appears to be true that competition amongst private providers in Medicare Advantage is leading to efficiencies that aren’t present in traditional Medicare, which we should probably take as a lesson. It is also often the case that when the government pays more for something, it spends more, and when it pays less for something, it spends less. But what all this really reveals is the folly of trying to control health spending through government-designed payment schemes. 
Source: reason.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