Elisabete Jacinto finishes the Moroccan Rally on the podium

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 marsmet524On reaching Zagora, the Portuguese race driver made a general survey of the competition: “Fortunately everything went on well, and we are very happy. Of course this good classification is due to my team’s excellent work. With expertise and imagination, the assistance solved all the problems which we had to face, and José Marques, though having suffered some moments of anxiety, did an excellent navigation. A word also about Marco Cochinho, who has been doing a brilliant maintenance work, which has enabled us to finish all the races. Now we are heading home with an enormous list of tasks to complete before Africa Eco Race. This is also a rally which is supposed to have a high competitive level, and we want to be well prepared”, she concluded.
Source: rallyraid.net

Video: Health Insurance Policies for senior citizens in India.wmv

Key Group Rejects Calls To Limit Seniors’ Medigap Policies

Medigap policies are popular with seniors because Medicare does not cap out-of-pocket expenses. The policies are not cheap — the average premium nationwide was $178 a month in 2010 — but they protect subscribers from unexpected high medical bills, which is important to people on fixed incomes. The C and F Medigap plans cover nearly all of the out-of-pocket costs that beneficiaries would usually pay.  Two thirds of people who buy Medigap plans have incomes below $40,000 a year — about the same income levels for all Medicare beneficiaries.
Source: kaiserhealthnews.org

Senior Health Insurance & Medicare Luncheon

In addition to providing pertinent information, Elizabeth will answer questions and assist with making choices.  The community is invited, so feel free to bring a friend or two.  Lunch will be provided at the conclusion of the program for a donation.  Questions?  Contact PFC’s Wellness Coordinator, Nancy Elliott-Carter, (484-433-1290).
Source: parkerfordchurch.com

State insurance commissioners: No way should we charge seniors more for Medigap policies

“None of the studies provided a basis for the design of nominal cost sharing that would encourage the use of appropriate physicians’ services,” the letter says. “Many of the studies caution that added cost sharing would result in delayed treatments that could increase Medicare program costs later (e.g., increased expenditures for emergency room visits and hospitalizations) and result in adverse health outcomes for vulnerable populations (i.e., elderly, chronically ill and low-income).”
Source: medcitynews.com

Money Magazine honors senior health care watchdog Bonnie Burns of Scotts Valley

Other Money heroes included Holly Petraeus, assistant director, Consumer Financial Protection Bureau and wife of former CIA director David Petraeus; and Robert Shireman, of California Competes, who as a U.S. Senate staffer pitched the idea of federal direct loans to college students to eliminate middlemen and lower interest rates.
Source: santacruzsentinel.com

Forum on “Senior Health

Dr. Tanja Srebotnjack of Ecologic Institute, a non-profit international think tank for applied environmental research, will present findings from their new report, “Health in San Mateo County: An Assessment of Current Status and an Outlook into Future Needs.” Dr. Srebotnjak has studied the development and testing of indicators for assessing environmental performance, policy, and sustainability objectives. In this forum, she will explain the how the changing demographics of the senior population in San Mateo County affect the population’s health status, access to quality health care, insurance coverage, and other factors, such as location of affordable housing, transportation, food, and parks.
Source: sustainablesanmateo.org

Supplemental Medical Insurance: How to Get Affordable Senior Medicare Supplemental Health Insurance

Senior citizens these days are presented with a wide variety of options when it comes to supplemental insurance. Most seniors, even if they have Medicare, are going to need additional supplemental insurance to take care of costs that Medicare does not cover. There are so many choices out there that it can be hard to know what to pick. For starters, one could consider Medicare Part B as a supplement to regular Medicare. Some people may not know the difference between Medicare Part A and Medicare Part B. Medicare Part A is designed to pay for inpatient hospital visits, home health care and hospice care. Medicare Part B, on the other hand, takes care of expenses like outpatient hospital care and doctor appointments. Some medical equipment is also covered under Medicare Part B. Medicare Part D is another supplemental form of insurance that covers prescription medications. Another option for seniors is a managed care plan. This means that a group of doctors and hospitals have agreed to provide medical care to senior citizens in exchange for payment from Medicare. These plans require you to only use certain hospitals and doctors who are participants in the managed care plan. This is often a good choice if your preferred hospital and doctor are participants. If they are not, you may want to go with a different form of supplemental insurance. There are even more options available for seniors these days, such as private plans and religious fraternal benefit plans. If you are confused about what is best for you, speak to a representative at your local department of Social Services. They can tell you more about the different Medicare supplementals and help guide you towards the right choice for your needs. The Internet can also be an ideal place to learn more about supplemental insurance for senior citizens. The Medicare web site is one resource where you can learn more details about not only Medicare Part A but the available supplement programs. You can also try performing a search engine query to find information about non-Medicare supplemental insurance plans that might be perfect for your individual needs.
Source: blogspot.com

Los Angles Senior Health Insurance Options

We believe its important to understand exactly what medical plan you are considering to purchase. We get some initial information from you so we can advise. We look to present you with information so you have the information at your disposal. Our job is to advise and we can recommend but we prefer to lay out your options and then you can decide on the right course of action for you and your family.
Source: wordpress.com

AHIP Senior Vice President on the Affordability Challenges of the Health Reform Law

3rd Party Studies ACOs Admin Costs affordability Age Rating Cadillac Tax cbo Cost-Shift Delivery System Reform Employers Essential Benefits Exchanges GRP Health Insurance Tax Health Plan Innovations Health Plan Satisfaction House hearings House legislation KI MA McCarran-Ferguson Medical Prices Medical Tests medicare medigap MedMal MLR Morning Headlines MT Patient Safety premiums Profits Provider Consolidation PWC Quality Rate Review Readmissions Reform RZ Senate hearings Senate legislation Small Business The Link Vilification Waste Fraud and Abuse
Source: ahipcoverage.com

Show Me the Leads! Your Guide to Online Annuity and Health Insurance Lead Generation Services

Pricing: ARN has several packages to choose from. For a flat $350, you receive up to 3,500 records. You can also buy records by the thousand, but depending on the package, you must promise to buy so many thousands. The Bronze package, for instance, costs $80 per thousand, but you’re locked in to buy between 3,501 and 10,000 records. The premiere package is the Diamond. You get a thousand records for as low as $55—but you’re obligated to buy over 50,001 of them.
Source: mysumrall.com

Why Private Medicare Plans Don't Cost Less

Posted by:  :  Category: Medicare

RS3J7689 by Miller_CenterMany contend that the government “overpays” for people enrolled in private plans, since traditional Medicare could have covered these patients for less money. But the reason it would have cost less is partly that the government has done a woeful job in figuring out how much to pay the private plans. The government compensates insurers based on the health of their enrollees at the start of the year. Plans with healthier patients receive less money than those with sicker ones to reflect the likelihood that healthier people will use less care. Healthier patients enroll in Medicare Advantage plans, so in, principle, plans should be reimbursed less by the government for enrolling these patients (the technical term for this process is “risk adjustment”). But for decades, the government has failed to determine who is healthy and who is sick with any precision, with the result that private plans receive larger payments to cover their patients’ costs than necessary. This botched payment system gives insurers an incentive to spend more time selecting the healthiest patients, and less time treating them more efficiently.
Source: nytimes.com

Video: Rob Cornilles: The Original Tea Party Candidate

The Impact of the Election On Medicare Private Plans

The ACA payment formula already reduced MA rates by $132 billion over 10 years, but these reductions have been offset by the higher quality bonuses in the CMS demonstration that according to GAO have “masked” the intended ACA cuts. Next comes the possibility of sequestration which is current law that will cut 2 percent off MA rates in 2013 unless it is repealed. While both parties support repeal, the path to get there by January 1 with a lame duck Congress is not clear and it is possible that the 2 percent cut could take place. More likely is a legislative agreement that will replace sequestration with more targeted budget cuts to avoid the “fiscal cliff”. Various budget proposals discussed last year including the Simpson Bowles proposal and previous Obama budgets (which included an additional $248 billion cuts to Medicare and $72 billion to Medicaid) will form a starting point for the new discussions. These additional Medicare and Medicaid cuts included provider cuts and increased beneficiary cost sharing. While additional MA cuts were not on any lists that we saw last year, it is certainly possible that they will be included. For example a CBO report that came out two days after the election included an option to reduce Medicare payment rates across the board in high payment areas.
Source: gormanhealthgroup.com

Health Care Spending Trends: Medicare and Private Health Insurance

Slowing the growth of health care spending continues to be a major domestic policy challenge. In 2010, total U.S. health expenditures reached $2.6 trillion – 18 percent of gross domestic product (GDP). Although health care spending has slowed in recent years, it is projected to grow faster than GDP over the next decade.Medicare, the nation’s largest health insurance program, accounts for one in five health care dollars, and in 2010 accounted for 15.1 percent of the federal budget – a figure that is expected to reach 17.4 percent by 2020.
Source: nasi.org

Private insurers have cost Medicare $282.6 billion in excess payments since 1985

American Bar Association Charlie Crist Chris White conviction corruption corporate predation Crosley Green Davontae Sanford DOJ false conviction FBI FBI Director Mueller Florida Today FTC Gary Bennett Gerald Stano Imbler v Pachtman Innocence Project IRS IRS Oversight Board Jeff Ashton John Dean Moxley John Preston Juan Ramos Keith Pikett LabCorp Lawson Lamar Linroy Bottoson malicious prosecution Mitch Needelman Monte Adams Norm Wolfinger Orchid Cellmark Orlando Sentinel prosecutorial misconduct public corruption Rick Scott scent evidence Sen. Mike Haridopolos taxation without representation Trayvon Martin Van de Kamp v Goldstein William “Tommy” Zeigler William Dillon Wilton Dedge wrongful execution
Source: wordpress.com

Will Growing Familiarity With Medicare’s Private Choices Make Seniors More Open To Premium Support?

CQ HealthBeat: Could Seniors’ Familiarity With Private Medicare Choices Lead Them To Accept Premium Support? A Kaiser Family Foundation survey released Wednesday said that 73 percent of seniors are aware there’s an open enrollment period during which they can choose among private plan alternatives to the traditional fee-for-service Medicare. That could be a sign that many seniors would be comfortable with a Medicare approach that relies more heavily on private plan choices, a Kaiser brief speculated. Whether seniors could accept such an idea is one of the hottest issues in the presidential race between Republican Mitt Romney and Democratic President Obama (Norman, 10/11). (Kaiser Health News is an editorially independent program of the Kaiser Family Foundation)
Source: kaiserhealthnews.org

Group Proposes Medicare Changes, While Providers Have Their Own Suggestions for Congress

In the wake of the 2012 election, which has left the balance of power in Washington, D.C. unchanged, certain realities are becoming clearer. For one, implementation of the health reform law enacted over two years ago will continue, with few legislative options open for those who oppose the law. Perhaps more significantly, if Congress does not act before January 1, 2013, automatic 2 percent reductions in Medicare payments to most providers, and an additional 27 percent cut in Medicare payments to physicians will go into effect.
Source: wolterskluwerlb.com

Republicans Won’t Name Medicare Cuts They Want and They Don’t Need To

Posted by:  :  Category: Medicare

Dr Fixit is on the Job / Alternate title The Proctologist by bitzceltA top Democratic official said talks have stalled on this question since Obama and congressional leaders had their friendly-looking post-election session at the White House. “Republicans want the president to own the whole offer upfront, on both the entitlement and the revenue side, and that’s not going to happen because the president is not going to negotiate with himself,” the official said. “There’s a standoff, and the staff hasn’t gotten anywhere. Rob Nabors [the White House negotiator], has been saying: ‘This is what we want on revenues on the down payment. What’s you guys’ ask on the entitlement side?’ And they keep looking back at us and saying: ‘We want you to come up with that and pitch us.’ That’s not going to happen.”
Source: firedoglake.com

Video: Stephanie Cutter: Medicare Whiteboard

Report: Budget cuts could cost thousands of Arizona healthcare jobs

1. California 50,785 2. Florida 35,827 3. Texas 32,172 4. New York 31,801 5. Pennsylvania 24,201 6. Ohio 20,175 7. Illinois 19,593 8. Michigan 17,639 9. North Carolina 15,912 10. New Jersey 14,126 11. Georgia 13,271 12. Virginia 12,208 13. Massachusetts 11,284 14. Tennessee 11,279 15. Indiana 10,718 16. Missouri 10,667 17. Washington 10,388 18. Arizona 9,863 19. Wisconsin 9,703 20. Alabama 9,010
Source: cronkitenewsonline.com

Scheduled Medicare cuts will wipe out jobs

The Tripp Umbach model estimates that, during the first year of the sequester, more than 496,000 jobs will be lost. The report found that the job losses will affect many economic sectors beyond healthcare, and will be spread across every state with more than 78,000 jobs lost in California alone by 2021. The report notes that for decades, the healthcare sector has long been an economic mainstay, providing stability and growth even during times of recession. The Bureau of Labor Statistics’ data shows that healthcare created 169,800 jobs in the first half of 2012 and accounted for one out of every five new jobs created this year. Tripp Umbach notes that it designed a customized model based on the national economic impact models developed by MIG IMPLAN, as well as previous impact studies. The Tripp Umbach report and other resources are available at this link.
Source: emaxhealth.com

Reduced Medicare spending could cost more than 750,000 jobs 

Cuts to Medicare payments can lead to a loss of up to 766,000 health care and related jobs by 2021, according to a new report released Sept. 12 by the American Nurses Association (ANA), the American Hospital Association (AHA) and the American Medical Association (AMA). This job loss is the result of the 2 percent sequester of Medicare spending mandated by the Budget Control Act of 2011. The sequester, established under the Budget Control Act in August 2011 and set to take effect January 2013, would cut both the defense and non-defense discretionary budgets equally, estimated to be about 8 percent across the board, to reach $1.2 trillion in savings. Cuts to defense and non-defense spending would impact jobs, public health, national infrastructure and educational programs.
Source: theamericannurse.org

President Obama Outlines His Plans for Medicare, Social Security and Jobs

On Medicare, Obama sees some of the sharpest distinctions between his approach and that of Republican nominee Mitt Romney. Romney’s vice presidential choice, Wisconsin Rep. Paul Ryan, is a leading proponent of giving older people subsidies to buy private health insurance. Obama said that this Republican plan undermines Medicare’s traditional guarantee of coverage for sick older people and said he wants to continue reforms begun under the sweeping Affordable Care Act. That law added new preventive care coverage, discounts on prescription drugs and help for those whose prescription costs landed them in the so-called doughnut hole.
Source: aarp.org

Medical Specialist Doctor Jobs in Cygnus Medicare Nov 2012

Cygnus Medicare is a healthcare group has invited application for filling up the Medical Specialist Doctor for various Super Specialty Centres of Haryana.Interested candidates may apply for recruitment to these Doctor Jobs as follows -
Source: dialmedicaljobs.com

Career & Job Opportunities at WellPoint Health Networks

Discover your perfect place with us now. Search for an open position using the basic search options below. If you are applying for a specific requisition, please enter the requisition number in the Keyword/Job Number Search.
Source: careersatwellpoint.com

McMahon and Murphy Tangle Over Medicare, Jobs 

Ann-Marie Adams Bank of America car accident Census 2010 Census 2010 and Hartford Commentary Congressional Black Caucus Dan Malloy Education FOODSHARE foreclosure gas prices Gov. Dannel P. Malloy Gov. Jodi Rell Hartford Hartford Board of Education Hartford City Council Hartford Mayor Pedro Segarra Hartford Police Hartford Public Library Hartford Public Schools Hartford Shooting Health homicide Housing Jamaica jr. latinos Mayor Eddie Perez Mayor Eddie Perez on Trial Mayor Pedro Segarra Michelle Obama police Police Arrests President Barack Obama Race and Culture recession Snow Storm in CT Tea Party The Hartford Guardian Uconn Huskies unemployment WeekEnd Movie Review Wells Fargo Youth
Source: thehartfordguardian.com

Do Republicans Want to Cut Medicare?

The Republican positioning on Medicare has set the tone for the current budget impasse. Obama is asking for $1.6 trillion in higher tax revenue. Republicans are demanding more spending cuts, but they won’t say how much they want, let alone what specifically they will cut. The current party thinking on Medicare, sanctified by Romney and Ryan, has defined itself as matching or even outspending Obama on Medicare for anybody aged 55 and up. That would lock out any budget savings at all for the next decade, and make any savings roll in extremely slowly afterward.
Source: nymag.com

No Leadership: POTUS Has No Plan to Create Jobs, Save Medicare, Protect Defense

…Creating New Jobs: The unemployment rate has been higher than eight percent for 42 months, and yet the centerpiece of the president’s campaign is a small business tax hike that would make things worse. Republicans have passed more than 30 jobs bills that remove barriers to job growth, cut red tape, and help keep jobs in America (and bring home some of the jobs that have gone overseas). These bills remain blocked by Senate Democrats.
Source: speaker.gov

Medicare Spending Cuts To Lead to Loss of 766K Health Jobs, Report Says

The report — by the American Medical Association, the American Hospital Association and the American Nurses Association — predicts that the automatic cuts, known as sequestration, would cost 496,000 jobs in the first year. Job losses in physician, dentist and other practitioner offices alone would exceed 40,000 in 2012, growing to nearly 62,000 by 2021, according to the report. Sequestration also would negatively affect other industries whose clients are in the health care sector, the report stated (Pittman,
Source: californiahealthline.org

Florida Medicare 2013 Open Enrollment

Posted by:  :  Category: Medicare

For example, suppose after running a search-providing zip code of your county in a southwestern state and you find that your current plan does not cover any vision or dental coverage, and then plans can be changed. There are other two available plans, which cover both the aspects plus limited hearing coverage. This sort of Medicare plans are of high quality ratings such as 4.5 out 5stars. This also means that Medicare is giving them an extra quality bonus which are use to augment benefits like vision-dental coverage or results in overall cost reduction of the plan, to the members.
Source: medicare-supplement-advisor.org

Video: Labor: strengthen Medicare, make dental care affordable

How Can Medicare Benficiaries Pay For Dental Care?

There are a few ways to get some help with these costs. Of course, seniors can buy dental insurance plans. You will pay a premium, and in return, you should get some of your costs covered. You can compare plans and prices at most sites that allow you to compare and quote health insurance. You might also consider a dental discount plan. This will not give you insurance, but may give you steep discounts if you agree to use the plan network of service providers.
Source: jeddahstudios.com

8 Mistakes to Avoid During Medicare’s 2013 Annual Enrollment Period

5) Ignoring long-term care needs: According to an Opinion Research survey sponsored by PlanPrescriber.com, paying for long-term care is a top concern for baby boomers. Original Medicare will only pay for care in a skilled nursing facility for up to 100 days, and beneficiaries typically have to pay for a portion of those costs out of pocket. And, in most cases, Medigap plans will only cover out-of-pocket costs for services that are also covered by Medicare. So, once Medicare stops paying, your Medigap plan will stop filling in the gaps. But, long-term care insurance is available to help fill in the gaps.
Source: seniorlivingcare.com

Medicare dental closure leaves town without dentist » Bite magazine dental news

There was a last-ditch attempt to save the Medicare scheme, primarily because of the gap between the closure of that scheme and the start of the next. The next problem, Dr Fryer of the ADA explained, is the 2012/13 Federal Budget will provide about $225 million for dental health over the latter half of the 2012/13 year and the following year, but even if waiting lists are reduced by 30 per cent, the National Advisory Council on Dental Health estimates it will cost $343 million per annum to address the public sector waiting lists.
Source: com.au

State of Dental Care Among Medicaid

RESULTS: The prevalence of having DCV ranged from 12% depending on age, to 49% with a median value of 33% but did not exceed 50% in any state. The median percent change between 2002 and 2007 was 16%. DCV among toddlers and infants were low in all but 3 states and in most states peaked at age of school entry to >60% in some states. In most states, there were few racial differences in the prevalence of DCV. Children enrolled in Primary Care Case Management tended to have the highest DCV, the effect of Children’s Health Insurance Program enrollment on the number of DCV was generally positive.
Source: aappublications.org

Oral cancer patient fights Medicare for coverage 

alcohol cancer CDC Cervarix cervical cancer cetuximab chemotherapy chewing tobacco cigarettes cisplatin DNA early detection erbitux FDA Food and Drug Administration Gardasil head and neck cancer HPV HPV-16 human papilloma virus human papillomavirus lung cancer mouth cancer National Cancer Institute nicotine oral cancer oral cancer foundation oral sex oropharyngeal cancer radiation radiation therapy radiotherapy smokeless tobacco smokers smoking snus squamous cell carcinoma surgery survival The Oral Cancer Foundation throat cancer tobacco vaccination vaccine xerostomia
Source: oralcancernews.org

Is Medicaid’s Access Problem Fictitious? Not really

The reality is that the GAO report merely reinforces what should be common sense about Medicaid – if you pay providers less than private insurance, you will encounter access problems. But it also indicates that there is something systemic about younger (under 18) and older (over 65) patients that causes them to have fewer access problems than working-age adults, even with Medicaid. The aggregate numbers presented earlier in this post include children covered under Medicaid and Medicare/Medicaid dual-eligibles (seniors who qualify for Medicaid and Medicare). Children are likely will be healthier and will likely be seeing a care provider for more routine causes like a checkup or a flu shot. Because these are more routine, less expensive procedures, it will be easier to find a provider. For dual-eligibles, Medicare would cover many routine procedures; because of its higher reimbursement rate compared to Medicaid, access problems would be mitigated. As a report from MedPAC in 2004 confirms, dual-eligibles generally have good access to care, and those with supplemental insurance, even better.
Source: medicalprogresstoday.com

Dental Patients Experience Total Convenience Through Medicare Dental Surgery

People would get the best dental surgery deal through medicare dental surgery. The said kind of surgery is actually just like any other surgeries people with dental problems go through only that, patients are freed from financial stress for the medicare dental insurance would take care of the bill. With this, the patient could relax and concentrate on the surgery itself, totally not minding how the surgery would be paid up. The plan is simply created to assist people during times of need and giving them the convenience they deserve. These medicare dental plans are being offered to all kinds of people, regardless of age.
Source: lydc.org

What’s not covered in Medicare?

Survey results, put out by Nationwide Financial, show that 38% of respondents nearing retirement have not discussed it (retirement) at all with a financial advisor and only one in five of those who did discuss with a financial advisor included health care costs in the discussion. Yet more than 50% of soon to be retired, high net worth Americans are afraid of what health care costs could do to any retirement plans they’ve made. John Carter, president of Nationwide Financial Distributors, deduced from his personal experience and the results of the survey that “too many [people] assume their employers will continue to pay their premiums during retirement or Medicare will cover all health care expenses.” The same survey responses also indicate that only one in five are confident in their understanding of Medicare coverage but more than half believe it to be important to educate themselves on it.
Source: flavma.com

Brane Space: Why I am Thankful……for MEDICARE

The pre-Medicare era was nasty, brutish and saw most elderly either dying in an impecunious state, or simply alone…..of some disease or infection. By 1960, the then Democratic contender for the presidency – John Fitzgerald Kennedy – had seen enough and as documented in a period issue of LIFE magazine (December 19, 1960, page 31) proposed for the first time a program of elderly medical care and insurance operating under the Social Security System. Now, as I glance at the recently tabulated bill (from UCSF Hellen Diller Cancer Center)  for my treatment of prostate cancer, I thank JFK and my lucky stars (my ‘lucky stars’ in the sense of detecting the cancer this year and not when I was scrounging for a private plan prior to Medicare) that Medicare was available and still essentially intact. That bill tabulation, for those who might be interested, came to $42, 776 and this encompassed a breakdown of different contributors, from anesthesia ($4,124) to radiology services ($16,768) to recovery room ($2, 090) to operating room services ($14,994).   The bill, after Medicare Part B kicked in, came down to $1,299 of which most will be paid by my Medicare Supplement Plan (F). Now, flash back to when I was 62 and the best insurance on offer to me was an AARP plan with $15,000 deductible and only  limited coverage. Had I been detected with prostate cancer back then, I’d have had to come up with virtually all of the $42,000.  At most, the private AARP plan might have covered $11,000 or so. (And this is assuming the cancer was detected after enrollment and not before – else I’d have been denied based on having a “pre-existing condition”.) In that case, having been given the diagnosis, I’d have had little choice but to skip any immediate treatments and hence, the cancer would plausibly have metastasized until – by the time I finally did qualify for Medicare (last year) – the costs of treating advanced prostate cancer would’ve been drastically more expensive. (In that case I’d have likely required multiple treatments, including external beam radiotherapy, androgen suppression in addition to high dose brachytherapy) I point this out because one of the alleged “solutions” to the “fiscal cliff” – grabbing so many hysterical headlines right now – is to extend the age to 67, to qualify for Medicare. To say this is monumentally STUPID, is putting it mildly! In fact, rather than limiting Medicare costs it will explode them – which doesn’t require Mensa-level intellect to figure out! If Dems yield on this to the Ryan-led “fiscal cliff” wheeling and dealing Repukes, then all hell will break loose on the Left flank. The Left understands that those 65-67 yr. old seniors caught in the proposed ‘donut’ coverage wait, will be like I might have been – and postpone essential medical care rather than go broke. Then, when they do finally qualify for Medicare, their problems will be much worse and require far more resources, medical costs to fix. This ain’t rocket science! As it is, Medicare is NO freebie! This needs to be repeated over and over again! The supplemental Part F insurance that paid the balance of my prostate cancer treatment bill comes to $139 a month alone. This is in addition to the regular Medicare premium (Part B)  of $99 a month. In addition, no dental coverage exists, so my wife and I had to cough up over $2,700 recently to cover the costs of new crowns, fillings and dental cleanings. This isn’t any kind of luxury because most people know that once your dental health goes, the rest of your health generally follows. Healthy teeth, after all, are critical to good nutrition and avoidance of chronic inflammation! We aren’t talking ‘cosmetic” dentistry here!  And I won’t even add the $1, 500 or so every other year or so for new glasses. Another BIG Thankfulness acknowledgement here – that Ryan and Romney LOST the election! Imagine the path we’d now be on if the Ryanesque “vouchers” were the new Medicare? Hell, I’d have exhausted my $10,000 voucher in a heartbeat then have had to pay the balance of the $42,776 bill and that isn’t even looking at any other health problems that I’ve had the past six months (inlcuding ear infection, strained back muscle).   Under Ryan’s plan and with no government mandate for providing care, why should the profit -oriented insurance companies put themselves on a downward treadmill or “losing wicket” as we call it in Barbados? They wouldn’t if they had any grain of sense. Without a mandate or order from the government, you can also bet your sweet bippy they’d reject any elderly person with a pre-existing condition. This would be the proverbial no-brainer for them! Thus, by the time JFK proposed a government health plan linked to Social Security, in 1960, America’s seniors were more than ready. More than ready to stop being parasitized by commercial outfits, or humiliated by the likes of states under the odious Kerr-Mills plan (which required adult kids to cover costs). The only main opponents were the AMA which (One Nation Uninsured, p. 68):  “ran newspaper ads and TV spots declaring Medicare was socialized medicine and a threat to freedom” while blowhards like Ronnie Reagan made idiotic recorded talks trying to scare people by asserting (ibid.): “One of the traditional methods of imposing statism on a people has been by way of medicine”.  (Reagan also suggested Medicare was a means of “communist intervention in a free nation.”) Fortunately, most seniors who’d actually experienced the dregs of capitalist medical bestiality didn’t buy this hog swill. They organized under groups like the National Concil of Senior Citizens (see image) and turned the tables by imposing relentless pressure on representatives (the most intransigent of whom were Southern Democrats, who LBJ had to finally confront and read the ‘riot act’). Eventually, the opposing voices were muted and Medicare was passed in 1966. For those interested in what elder health care was like before Medicare get the Oxford University Press monograph, entitled: One Nation Uninsured, by Jill Quadagno, which also gets to the bottom of why there is such massive political aversion to any kind of genuine health care coverage in this country which doesn’t drag in the profit motive. As for the “fiscal cliff” – let’s not let our reps toss us over it for the sake of bankster slime (like Lloyd Blankfein) and return us to an era where seniors had to sink or swim medically!
Source: blogspot.com

Changes to dental services under Medicare

The Medicare Teen Dental Plan will close on 31 December 2013. Eligible teens will be able to access the program until this date. Benefits will continue to be paid for services provided to eligible teenagers before the date of closure. The Child Dental Benefits Schedule will be available to eligible children and replace the Medicare Teen Dental Plan from 1 January 2014.
Source: com.au

Preventive & screening services

Posted by:  :  Category: Medicare

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

Video: Medicare Open Enrollment Preparations

The New Medicare.gov: Making Medicare Information Clearer & Simpler

The new Medicare.gov is just one of our efforts to make Medicare easier to understand. Whether it’s putting our information in simple, straightforward language so you can understand it the first time you read it or improving the design of the “Medicare Summary Notice” (MSN) so beneficiaries can better understand their Medicare claims, we’re committed to making Medicare information clearer and simpler.
Source: cms.gov

Redesign of Medicare.gov site to improve online experience for beneficiaries

“We did a lot of research into what sort of information beneficiaries and their caregivers really wanted most at their fingertips, and I think users will find this redesign very helpful,” said Acting Administrator Marilyn Tavenner. “We’ve simplified the language and the homepage layout to make it easier and faster for visitors to get answers and a better understanding of Medicare necessary to get more control over their health care.”
Source: newsfromaoa.org

Medicare.gov dialysis finder: Find and Compare Dialysis Facilities

Dialysis or transplantation (Renal Replacement Therapy) is prominently required for patients suffering from kidney failure; thereby it is necessary to go for the perfect one by searching and comparing the selective options of dialysis centers in the U.S. Even, don’t forget that health should not be compromised for anything….. as Health is wealth. The providers and facilities you choose for dialysis can effectively impact your health, on the other hand, finding the right one may help speed your recovery and improve your outcomes. Give a lot of thanks to Medicare.gov for updating Dialysis Facility Compare feature on the www.medicare.gov/dialysis. With this, kidney patients can find out more about their dialysis facility than ever before! With the comfort of home, they can find services and quality information to compare centers and decide the best one, besides it offers tips to help you make informed choices about your care.
Source: webswiki.com

Medicare Open Enrollment Ends December 7

advocacy Alpha-1 anxiety asthma awareness bronchiectasis bronchitis caregiver caregiving CDC chronic bronchitis comorbidities COPD COPD awareness COPD education depression education emphysema exacerbation exacerbations exercise family FDA healthcare Healthy Living lung health lung transplant medicare motivation nutrition o2 osteoporosis oxygen pneumonia POCs pulmonary rehab pulmonary rehabilitation research smoking Smoking Cessation spirometry supplemental oxygen support traveling with oxygen world copd day
Source: copdfoundation.org

www.medicare.gov/Pubs/pdf/10050.pdf Medical nutrition therapy services

Medical nutrition therapy services Medicare may cover medical nutrition therapy and certain related services if you have diabetes or kidney disease, or you have had a kidney transplant in the last 36 months, and your doctor or other health care provider refers you for the service. You pay nothing for these services if the doctor or other qualified health care provider accepts assignment.
Source: wordpress.com

Find Out What Medicare Covers, on Medicare.gov | HelpingYouCare®

Medicare health plans provide Part A and Part B benefits to people with Medicare who enroll in these plans, which include Medicare Advantage Plans, Medicare Cost Plans, Demonstration/Pilot Programs, and Programs of All-inclusive Care for the Elderly (PACE).
Source: helpingyoucare.com

Is Medicare.gov the Best Option

I much prefer using the med.gov over the carriers because for one it has a spell checker and predictive spelling and suggest the generic alternative on the same page so you can get the clients drugs input correctly the first time. UHC ‘s agent and I believe also the consumers website formulary finder doesn’t have a spell checker and blocks my spell checker from working.Its so frustrating because many times the seniors cant even say or remember the name of the drug much less spell them and they will tell you the brand name because that’s what they took for so long when they had good drug coverage from their employer i.e many times they will tell you Flomax when they are actually taken the generic tamsulosin but to them its still Flomax..Med.gov will let you figure it out as you go along.Why in the heck would a giant PDP carrier like UHC not have a spell checker in there formulary search? Must be a liability issue I guess. And oh yeah i was reading the compliance information for UHC and it says that we must tell prospects they MIGHT go in donut hole if its a possibility but we can face disciplinary action up to termination if we tell a consumer with certainty they WILL go in the gap. Of course we are not allowed to ask them if they take drugs in the first place because that is considered underwriting or cherry picking and CMS has a special place for agents and companies that violate that rule.
Source: insurance-forums.net

New Radio Ad: Joe Garcia Will Keep Medicare Strong

Posted by:  :  Category: Medicare

Love It! Improve It! Medicare For All! Poster - Washington DC by Glyn Lowe PhotoworksMiami, FL – The 55,000 Florida members and retirees of the Service Employees International Union (SEIU) this week launched a new $160,000 radio ad in the race for the 26th Congressional District that will run for the final three weeks of the election cycle. The ad, narrated by Marjorie Craig, who is a nurse from Kendall and an SEIU member, highlights the difference between Tea Party extremist Rep. David Rivera and Joe Garcia on the critically important issue of Medicare. The ad also closes with a push for early voting with begins Saturday, October 27. “I have seen with my own eyes how important a strong Medicare safety net is for our seniors and our communities here in South Florida so I know that we need to send Joe Garcia to Congress to make sure that the program stays strong,” said Marjorie Craig. “David Rivera is out of touch, wanting to end Medicare as we know it by supporting the extremist plan proposed by Paul Ryan. But Floridians will have the last say and we will send Joe Garcia to Congress and Barack Obama back to the White House so we can keep Florida moving forward.” A copy of “Every Day,” which will air in the Miami area, can be heard here: http://bit.ly/TnIsaw. Marjorie: My name is Marjorie and I’m a nurse from Kendall. Every day I talk to patients concerned about their Medicare. They’ve earned their Medicare, but now Republicans like David Rivera are trying to end the Medicare guarantee. David Rivera voted for the Republican plan that would make seniors pay sixty-four hundred dollars a year more, and uses the money to give millionaires another tax cut. That’s why I’m supporting Joe Garcia for Congress. Joe Garcia knows you’ve earned your Medicare…and he’ll stand with President Obama to stop the Republicans from taking it away. President Obama appointed Joe Garcia to serve in his administration, so we can count on him to fight for us. Joe Garcia has President Obama’s back, but first he needs our vote. I hope you’ll join Florida healthcare workers and support Joe Garcia for Congress. Early voting begins October twenty-seventh. Announcer: Paid for by SEIU COPE, SEIU.org, which is responsible for the content of this advertisement. Not authorized by any candidate or candidate’s committee.
Source: seiu.org

Video: Company accused of massive Medicare fraud

Elisabete Jacinto finishes the Moroccan Rally on the podium

On reaching Zagora, the Portuguese race driver made a general survey of the competition: “Fortunately everything went on well, and we are very happy. Of course this good classification is due to my team’s excellent work. With expertise and imagination, the assistance solved all the problems which we had to face, and José Marques, though having suffered some moments of anxiety, did an excellent navigation. A word also about Marco Cochinho, who has been doing a brilliant maintenance work, which has enabled us to finish all the races. Now we are heading home with an enormous list of tasks to complete before Africa Eco Race. This is also a rally which is supposed to have a high competitive level, and we want to be well prepared”, she concluded.
Source: rallyraid.net

Ryan’s Medicare Rhetoric Could Hurt in Florida

Start with a person who was born in 1944, began work at age 21, retired at age 65 and enrolled in Medicare. Over the course of his life he paid the Medicare tax out of his wages. According to the 2009 Medicare Trustees Report, the average Medicare benefit per person in 2008 was $11,012. We subtract the average Medicare premium of $1,288 to produce an average net benefit of $9,724. I’ll assume that this person collects the average Medicare benefit from age 65 through age 83 (his life expectancy as of age 65).
Source: thetakeaway.org

DMP’s Negative Pressure Wound Therapy System Now Medicare Reimbursable

AAPPO / ADA / Cirix Synergy / Citrix / Devon Medical Products / EWMA / Giveaways / Inquirer / international business / lymphedema / Medtrade / Nantong / NPWT / Philadelphia / Philly 101 / Pulitzer Prize / SAWC / Sea Coach Boat Company / Sierra Leone / Social Media / Temple University Hospital / The Sierra Leone Excellence Awards / Trade Shows / TU / uwishunu
Source: devonintlgroup.com


Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

CFOdirect Network: PwC’s online resource for CFOs and senior financial executives.

The Eurozone debt crisis continues to persist, which some believe could lead to a country exiting the Euro and adopting a new local currency. What are the potential financial reporting implications of a country’s exit from the Euro for companies that report under US GAAP? Find out in our Dataline
Source: pwc.com

Clinic Workers Plead Guilty To Role In Medicare Fraud Ring

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(TM and Copyright 2012 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2012 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)
Source: cbslocal.com

Video: How to report Medicare Fraud

Daily Report: Medicare Is Faulted on Shift to Electronic Records

The report says Medicare, which is charged with managing the incentive program that encourages the adoption of electronic records, has failed to put in place adequate safeguards to ensure that information being provided by hospitals and doctors about their electronic records systems is accurate. To qualify for the incentive payments, doctors and hospitals must demonstrate that the systems lead to better patient care, meeting a so-called meaningful use standard by, for example, checking for harmful drug interactions.
Source: nytimes.com

Medicare and Medicaid Fraud: Breakdown of Types of Healthcare Provider Fraud and Abuse Cases

Together with state Medicaid agencies and state attorneys general, several federal offices, such as the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the Department of Justice (DOJ) Civil Division, work to root out abuses in those programs. The Government Accountability Office (GAO) considers Medicare and Medicaid at high-risk for fraud because of they are so large and complicated, and the GAO frequently publishes interesting reports on the Medicare and Medicaid program integrity.
Source: piperreport.com

Medicare fraud: giant drain on system

“We have to be diligent or it will be spent out,” she said of Medicare funding.  “Fraud costs every one of us,” she told the Davis County Senior Advisory Board recently, advising seniors not to keep their Medicare or Social Security card in their purse or wallets.
Source: utahislander.com

Examples of Medicare Fraud

“One doctor ordered so many unnecessary blood tests that he was given the nickname ‘Dracula’ investigators said. Similarly, a high level of fraud was found in the companion Medicaid program. One doctor received $2 million in Medicaid payments over two years for performing”abortions” on women who were not pregnant. The women were misled about the results of their pregnancy tests.”
Source: lewrockwell.com

Attention Seniors: Help Stop Medicare Fraud

The Wisconsin Council of Churches is partnering with the Coalition of Wisconsin Aging Groups (CWAG) to help seniors in our congregations control rising health care costs by helping to fight Medicare fraud. The Wisconsin Senior Medicare Patrol (SMP), overseen by CWAG, provides resources to Medicare beneficiaries, caregivers, and the professionals who serve them throughout the state to prevent, detect, and report healthcare fraud, waste, and abuse.  For more information, click here.
Source: wichurches.org

GAO Says CMS Should Do More To Prevent Health Care Fraud

In testimony released Wednesday, Government Accountability Office Health Care Director Kathleen King told a House panel that CMS has not followed GAO’s recommendations to curb health care fraud through the use of health IT and other measures, MedPage Today reports (Pittman, MedPage Today, 11/29).
Source: ihealthbeat.org

Report: Medicare EHR Incentive Program Vulnerable to Abuse

The report noted that although CMS officials are making sure that providers are checking off the necessary boxes in their submitted forms, the officials are not taking the additional steps to ensure that providers are providing truthful and accurate information. The agency also does not require physicians and hospitals to submit additional documentation illustrating evidence of their claims.
Source: ihealthbeat.org

Reporting Medicare Fraud 

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Source: wisconsinsmp.org

Report Medicare Fraud Just Before You Grow To Be A Victim

You or your loved one could be safe from Report Medicare Fraud when you use precaution during every professional health care circumstance. Preserve in thoughts that criminals do not often can be located in dark clothes with masks on their faces. Individuals who Report Medicare Fraud can seem to be typical caregivers or physicians, so sustain your guard up any time you give out personal facts which contain your Medicare card.
Source: freelongtermcareinsurance.com

Texas Lawyers Blog: Medicare Fraud Whistleblowers: Probate Lawyers and Executors Are Seeing More Medicare Fraud That Can Be The Basis of Medicare Fraud Whistleblower Reward Lawsuits by Medicare Fraud Whistleblower Lawyer Jason S. Coomer

Because of the growing number of Medicare eligible recipients, more and more people will pay for their health care including nursing homes, hospice, home health care, physical therapy, pharmacies, and medical equipment through Medicare.  The nursing homes and associated health care providers that accept Medicare payments too often find that it is more profitable to use fraudulent billing practices to increase their income from Medicare.  These nursing homes and elder care providers sometimes begin to use systematic Medicare Fraud including upcoding, manipulation of outlier payments to Medicare, illegal kickbacks, charging for unnecessary services, double billing for services, and falsely certifying goods or services that were not provided are all forms of Medicare fraud that cost United States taxpayers billions of dollars each year.  These forms of Medicare fraud can often be difficult to detect and often require the family of a senior or the administrator of the person’s estate to detect the fraud.  In these situations, it is important to determine if there is significant billing fraud taking place and if it may be systematic.  If this is the case, it can often be beneficial to work with a Medicare fraud whistleblower lawyer to determine the extent of the fraud and help build a whistleblower reward lawsuit that can expose the fraud as well as potentially result in a large financial recovery.
Source: texaslawyers.com

Why Medicare Supplement Plan F Will Be Chosen By Everyone

Posted by:  :  Category: Medicare

Just recently, the Medigap plans go on evolutional change as four out from the exiting plans were removed while just only two (2) new plans were added. However with all these metamorphoses, one plan still remains and is also stills the most popular one. This Medicare Supplement plan is plan F. It really is popular since it is comprehensive and possesses almost the cheapest monthly premium to be offered by the insurance policy agents and organizations. While there are so many plans being offered to customers, the coverage of plan F remains to be the most elaborate one. Other plans will still require more services, which require more payment than the original one.
Source: wordpress.com

Video: AARP Medicare Supplement Plan F

Anthem Blue Cross Blue Shield Medicare Supplement Plans Are Affordable…

Based in beautiful Jackson Hole, Wyoming, we currently market health insurance in 18 different states from our website IndividualHealth.com. I have worked in the domestic and international markets for most of my adult life. Recently we launched a newly revamped website www.tetonmarketing.com which has a primary focus on music and Native American Flutes and hand crafted items made in Wyoming. Check it out! I want the Insurance Simplified Blog to be a place you can visit from time to time and read about real world issues that individuals and families face daily. Our parent website IndividualHealth.com we like to think of as a virtual brochure. But with the blog I want to talk about the topics behind the brochure. Also check out our blog www.JacksonHoleTim.com which is “All Things Wyoming, Everything Jackson Hole” . If you love the Yellowstone basin this is blog for you! Then when you are ready check out our new Social Network site Jacksonholetim.ning.com – this is a place you can connect with other who visit and live in Wyoming. And finally we have just launched another new blog. Jackson Hole Tim (www.jacksonholetim.com) is a new place to visit that talks about “All things Wyoming, Everything Jackson Hole”. I hope you find these blog helpful.
Source: wordpress.com

Finding Medicare Supplement Plan F

The Medicare supplement plan f or so-called MediGap is a private health policy that pays part of the medical costs that standard Medicare cannot offer. All providers of Medicare supplement plan f cannot vary the plan coverage since it has already been standardized by the Centers for Medicare and Medicaid Services if you are looking for a cheap plan, you have to take some time to review options and research since the Medicare supplement plan f is one of the most expensive plans available. While it may be costly, the price is worth the coverage since it is very comprehensive and convenient to have. If you have a traditional Plan F and you go to an approved medical provider, chances are, you will not pay anything on your medical bill.
Source: onlineinsuranceportal.com

Medicare Supplement Plans

If you want to be able to budget how much you are going to have to spend on medical, hospital and prescription drug costs in a year, or if you calculated your costs under a Medicare Advantage Plan, and the total exceeded $2,400, then a Medicare Supplement Plan, also called a MediGap Plan, may be for you.  Remember, if you have a supplement plan, you also have to have a Part D Prescription drug plan.
Source: wordpress.com

Plan M is expected to be similar to Supplement Plan F 

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Source: techmaza.in

Finding a Medicare Supplement Plan

Popular Medigap Plan Overview There are currently 10 Medicare-approved supplement insurance plans being offered by Insurance Companies: A,B,C,D,F,G,K,L,M and N. But the most popular Medigap plans are F,G,C and the new supplement plan N. The Most Popular Plan is F Medicare Supplement Plan F is the most popular plan that seniors chose because it covers all expenses not covered by Medicare. The plan includes payment of  Medicare Part A and Part B deductibles, the 20 percent Medicare co-payment and any excess charges under Part B. Plan F is a very comprehensive plan with the highest premium rates. Plan G is the Second most popular plan Medicare Supplement plan G covers the Medicare Part A deductible and co-payments and excess charges from Medicare Part B. But the Part B $155 per year deductible is not covered under plan this plan. Premium rates on Plan G are somewhat lower than those of  Plan F. We specialize in Medicare Advantage plans and  Medicare Supplement plans so contact our agency and an agent can assist you and make sure you fully understand your options and make sure you get the best rates available. We cover Southern California,counties of Riverside, San Bernardino and surrounding area’s. We also cover Nevada and all of Utah.  Please visit  us online at Medicareplansdirect.net or call 760-413-9749. Sincerely, Tom Caress 760-413-9749
Source: blogspot.com

International Medical Coverage

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you’ll find that Early-Retirement.org is a great community to join. Best of all it’s totally FREE!
Source: early-retirement.org

Medicare Supplement and Medicare Advantage

As the annual enrollment period has begun, it is a good time to review the differences between Original Medicare, Medicare Supplements and Medicare Advantage.  Let’s start with Original Medicare.  This is a plan by the Federal Government for people 65 and older (there are also some ways to qualify if you are disabled in which you would qualify under age 65).  You have been paying for Medicare Part A (hospitalization) all of your life through a payroll deduction.  You will pay a Part B premium. It covers a lot of your health care, but NOT ALL of your health care.  There are a lot of “gaps”.  That is why Medicare Supplements are often times referred to as “Medigap” policies.  They are designed to fill the “gaps” in Medicare.  Medicare Supplements are offered by private insurance companies, but unlike the under 65 market, all Medicare Supplement plans are the same.  In other words, Plan F, is Plan F regardless if it is with United Health Care, or Blue Cross, or Aetna, or Mutual of Omaha.  So you do not have to wonder if Blue Cross is better coverage, or Aetna is better coverage, they are the same.  Now there are different supplement plans such as Plan N or Plan G, but again they are the same.
Source: isellhealth.com

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

Epps Financial: Why seniors should choose Traditional Medicare Supplements over a Medicare Advantage Plan

As many of you know Anthem Blue Cross and Blue Shield has canceled its Medicare Advantage Plan in the state of Virginia leaving over 28,000 seniors with out Health Care. The same thing happened with Optima last year. Starting to notice a trend? Due to all the harsh cuts from the government that these Advantage plans have received they just can no longer afford stay in the market. Slowly over the last few years these plans have been coming to their demise. In my personal opinion, I do not see them lasting but a few more years before they are totally removed from the Medicare Market. Traditional Medicare Supplements have been around since the beginning of Medicare, and they are not going ANYWHERE anytime soon! Yes they are slightly more expensive but they have tremendous benefits compared to these Advantage Plans. – All plans are the same no matter which Insurance Company you choose to purchase them from. The ONLY difference you will find is in the price. Yes, different companies charge different prices for the SAME EXACT plans. That is why you need a well educated Medicare Advisor/Broker to help you find the best plan for you in your state and zip code. – Depending on which Medicare Plan you choose, you get different benefits. I recommend Plan F because you pay only your monthly premium and nothing else. No Dr. copay’s, no Part B deductible, no out of pocket costs what so ever except that monthly premium. If you can afford Plan F it is the way to go! – No Dr. at anytime, anywhere in the United States can deny seeing you for any reason if you have a Traditional Medicare Supplement. If you have an Advantage plan, your Dr. can see you this week and choose to deny your coverage next week. – You can choose to switch your Medicare Supplement at any time you would like for any reason as long as your health still allows and you qualify. With the Advantage plans you can ONLY CHANGE ONCE A YEAR! So to recap in our personal, professional opinion if you were my parents or grandparents I would with out doubt recommend going with a Traditional Medicare Supplement and choose Plan F. You can find a definition to any of the terms in this post in our free informative Glossary and feel free to leave comments, we love to hear what you have to say!
Source: blogspot.com

Medicare fraud: giant drain on system

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“We have to be diligent or it will be spent out,” she said of Medicare funding.  “Fraud costs every one of us,” she told the Davis County Senior Advisory Board recently, advising seniors not to keep their Medicare or Social Security card in their purse or wallets.
Source: utahislander.com

Video: Dept. of Justice: Charges in Historical Medicare Fraud

Medicare and Medicaid Fraud: Breakdown of Types of Healthcare Provider Fraud and Abuse Cases

Together with state Medicaid agencies and state attorneys general, several federal offices, such as the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the Department of Justice (DOJ) Civil Division, work to root out abuses in those programs. The Government Accountability Office (GAO) considers Medicare and Medicaid at high-risk for fraud because of they are so large and complicated, and the GAO frequently publishes interesting reports on the Medicare and Medicaid program integrity.
Source: piperreport.com

Clinic Workers Plead Guilty To Role In Medicare Fraud Ring

(TM and Copyright 2012 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2012 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)
Source: cbslocal.com

Two Brooklyn Clinic Employees Plead Guilty in Connection with $71 Million Medicare Fraud Scheme

WASHINGTON—Two Brooklyn, New York residents pleaded guilty today for their roles in a $71 million Medicare fraud scheme, announced Assistant Attorney General Lanny A Breuer of the Justice Department’s Criminal Division; United States Attorney for the Eastern District of New York Loretta E Lynch; Acting Assistant Director in Charge Mary E Galligan of the FBI’s New York Field Office; and Special Agent in Charge Thomas O’Donnell of the United States Department of Health and Human Services Office of Inspector General (HHS-OIG). Katherina Kostiochenko, 34, pleaded guilty today before United States District Judge Nina Gershon in the Eastern District of New York to one count of conspiracy to commit health care fraud, one count of health care fraud, and one count of conspiracy to pay kickbacks. Sergey V Shelikhov, 51, pleaded guilty today before Judge Gershon to one count of conspiracy to commit health care fraud. Co-conspirator Leonid Zheleznyakov, 28, pleaded guilty yesterday before Judge Gershon to one count of conspiracy to commit health care fraud for his role in the scheme. Kostiochenko, Shelikhov, and Zheleznyakov were employees of a clinic in Brooklyn that operated under three corporate names: Bay Medical Care PC, SVS Wellcare Medical PLLC, and SZS Medical Care PLLC (Bay Medical clinic). According to court documents, owners, operators, and employees of the Bay Medical clinic paid cash kickbacks to Medicare beneficiaries and used the beneficiaries’ names to bill Medicare for more than $71 million in services that were medically unnecessary or never provided. The defendants billed Medicare for a wide variety of fraudulent medical services and procedures, including physician office visits, physical therapy, and diagnostic tests. According to the criminal complaint, the co-conspirators allegedly paid kickbacks to corrupt Medicare beneficiaries in a room at the clinic known as the “kickback room,” in which the conspirators paid approximately 1,000 kickbacks totaling more than $500,000 during a period of approximately six weeks from April to June 2010. Kostiochenko, Shelikhov, and Zheleznyakov pleaded guilty to conspiring to commit health care fraud for their roles in the Bay Medical scheme. Kostiochenko also pleaded guilty to paying cash kickbacks to Medicare beneficiaries as part of the scheme. At sentencing, Kostiochenko faces a maximum penalty of 25 years in prison, and Shelikhov and Zheleznyakov both face a maximum penalty of 10 years in prison. Kostiochenko and Zheleznyakov are scheduled for sentencing on March 12, 2013, and Shelikhov is scheduled for sentencing March 13, 2013. In total, 16 individuals have been charged in the Bay Medical scheme, including two doctors, nine clinic owners/operators/employees, and five external money launderers. To date, 10 defendants have pleaded guilty for their roles in the conspiracy. Six individuals await trial before Judge Gershon on January 22, 2013. The case is being prosecuted by Trial Attorney Sarah M Hall of the Criminal Division’s Fraud Section and Assistant United States Attorney Shannon Jones of the Eastern District of New York. The case was investigated by the FBI and HHS. The case was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the United States Attorney’s Office for the Eastern District of New York. The Medicare Fraud Strike Force operations are part of the Health Care Fraud Prevention and Enforcement Action Team (HEAT), a joint initiative announced in May 2009 between the Department of Justice and HHS to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country. Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion. In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, is taking steps to increase accountability and decrease the presence of fraudulent providers. To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to www.stopmedicarefraud.gov. Reported by: FBI
Source: 7thspace.com

House Bill Would Limit Document Requests in Medicare Fraud Cases

Graves said, “Doctors and nurses should be focused on caring for patients, not trying to comply with the ever-increasing requests for documents.” He added that the current audit process is especially burdensome for smaller, rural hospitals that are ill-equipped to handle the increased administrative work (Kasperowicz, “Floor Action Blog,” The Hill, 10/18).
Source: californiahealthline.org

Fausone Bohn, LLP: Michigan Medicare Fraud Strike Force

The investigation was triggered by the Medicare Fraud Strike Force. Since its inception in March 2007, the strike force has charged more than 1,330 defendants who collectively have fraudulently billed Medicare for more than $4 billion. Working in conjuncture with the FBI and HHS, the strike force hopes to increase accountability and decrease the presence of fraudulent providers.
Source: blogspot.com

Gynecologist Medicare Fraud

Once recruited, patients underwent medically unnecessary neurological tests during which they received electrical impulses through their arms and legs. Agbebiyi then billed Medicare for these tests, while patients never received any type of neurological follow-up.  Clearly, any legitimate purpose for the tests was non-existent.
Source: legalhelpforveterans.com

Medicare fraud: 'Much more needs to be done'

•    Neville Pattinson, senior vice president of government affairs, standards and business development, Gemalto, on behalf of the Secure ID Coalition; •    Dan Olson, director of fraud prevention, Health Information Designs; •    Alanna Lavelle, director investigations, East Region/Special Investigations Unit, Wellpoint; •    Michael Terzich, senior vice president, global sales and marketing, Zebra Technologies; and •    Louis Saccocccio, CEO, National Health Care Anti-Fraud Association
Source: hmenews.com

The fiscal cliff for dummies

Posted by:  :  Category: Medicare

For the unemployed, the implications are especially dire. Less household income for middle-class families means businesses may be less likely to hire and more likely to tighten their belts with layoffs, as many did in 2008 and 2009. The Congressional Budget Office estimates that 3.4 million jobs would be lost and that the unemployment rate could easily jump back up to 9.1 percent. The 2 million Americans who receive extended unemployment benefits will lose them. 
Source: current.com

Video: Medicare for Dummies

The Medicare cuts the GOP refuses to identify

Greg Sargent added some additional context that’s worth keeping in mind: “[T]he White House actually has made an opening offer of sorts on entitlements. The Obama budget contained $340 billion in Medicare cuts over 10 years, mostly targeting drugmakers, providers, and high-income beneficiaries. The White House has reiterated that those are on the table. For the left, hitting middle and low income beneficiaries with higher costs will be unacceptable. If Republicans don’t think the White House’s proposed cuts are enough, that’s fine, but it should be on them to say what they want.”
Source: msnbc.com

Medicare for dummies, please

Medicare doesn’t kick in for one year after the start of your disability. Most of your answers can be found on the medicare website. It costs me about $100/mo. You have to get Part A and B. Medicaid will depend on your income. Not many people on this site are NOT on Medicare and won’t be able to provide detailed answers. For line of duty injuries/illnesses, there should be no copay with the VA. The Medicare Co-pay (20%) would be if you had no secondary insurance (Tricare) and did not use military or VA facilities.
Source: pebforum.com

Medicare for “Dummies”

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Source: wordpress.com

Get Medicare Prescription Drug Coverage For Dummies [Repost] free downloads

Medicare Prescription Drug Protection For Dummies describes Element D in plain English and demonstrates you how to locate the ideal deal amid several drug-coverage plan options. No matter whether you are new to Medicare or currently in the software, you are going to navigate the technique with more simplicity and self-assurance, avoid pitfalls and cons, and have a great deal of aid picking the plan that is appropriate for you. This simple-to-recognize, customer-pleasant guide assists you locate out whether or not Element D has an effect on any drug protection you previously have and weigh the implications of heading without having coverage. You’ll uncover ways to evaluate ideas, identify the 1 that handles your medications at the least charge, and make positive you indication up at the right time. And you will discover how to minimize your expenses, use the “right” pharmacies, and troubleshoot any problems with your protection. Uncover how to: Decide no matter whether you need to have Component D Realize how Part D works, from costs to protection Decide on and enroll in the ideal strategy for you Get up and operating with Portion D Manage the coverage gap Reduced your drug costs Be a part of and swap plans Comply with lengthy-time period-treatment policies and legal rights Challenge prepare selections Avoid cons and difficult-sell marketing Now, much more than at any time, you want very clear, reputable info that assists you realize Part D and make wise, cost-preserving health care choices. You need to have Medicare Prescription Drug Protection For Dummies.
Source: ebooksfreedownload.org

The American Medicalcareisforrichpeople Association Secret Magic Decoder Ring

Defined contribution shifts more of the responsibility for health care spending to the patients’ pockets. Balance billing allows physicians to collect directly from the patient the balance of their full fees regardless of what any intermediary authorizes. Private contracting allows the physician to contract directly with the patient for full fees, again with no third party intervention. Health savings accounts are cash accounts which the physicians can tap directly. “Restructuring beneficiary cost-sharing in order to provide incentives for appropriate utilization” is code language for requiring patients to pay more in cash for any care they receive. Increasing Medicare eligibility age is a scheme to postpone the day that their patients become eligible for a public program that limits cash payments from patients. And there is much to be said about the Medicare Independent Payment Advisory Board (IPAB), good and bad, but the AMA fears this most of all since it would place control of their fees in the hands of an independent government board. (Much more needs to be said about IPAB, but not here.)
Source: correntewire.com

swat: Medicare for Dummies

WSJ edit: The thing about the bully pulpit is that Presidents can make the most fantastic claims and it takes days to sort the reality from the myths. So as a public service, let’s try to navigate the, er, remarkable Medicare discussion that President Obama delivered on Wednesday. It isn’t easy. Mr. Obama began by depicting a crisis in the entitlement state, noting that “our health-care system is placing an unsustainable burden on taxpayers,” especially Medicare. Unless we find a way to cauterize this fiscal hemorrhage, “we will eventually be spending more on Medicare than every other government program combined. Put simply, our health-care program is our deficit problem. Nothing else even comes close.”
Source: blogspot.com