REPORT: Iran’s Revolutionary Guards overseeing missile fire

Posted by:  :  Category: Medicare

“The IDF continues to operate surgically in the Gaza Strip – precise strikes, not against outposts, not against police stations, but against rocket-launching sites,” he said. “So far, a very harsh blow has been dealt to the long-range fire of Hamas and Islamic Jihad.”
Source: wordpress.com

Video: Election Debate with President Clinton and Robert Dole in Hartford, Connecticut (1996)

Fidelis adds urological surgeons to network

Fidelis Care, the New York State Catholic Health Plan, has added Capital Region Urological Surgeons PLLC to its provider network.   Capital Region Urological Surgeons, with 13 physicians and 2 nurse practitioners, has been providing urologic care in the Capital Region for nearly 30 years. The group’s specialties include urologic oncology, prostate disorders, kidney stone therapy, infertility, urinary incontinence and female urology. Offices are located in Albany and Saratoga Springs.
Source: timesunion.com

insurance: MEDICARE ADVANTAGE/MEDICARE HEALTH PLANS

Medicare Advantage/Medicare Health Plans SHIIP Publications: Frequently Asked Questions About Medicare Advantage PFFS Plans Is A Medicare Advantage Private-fee-for-service Plan Right For Me Medicare Advantage Comparison Guide (2008) Your Guide To Medicare Private-fee-for-service Plans Medicare Advantage Summaries of Benefits SHIIP Publications: Aarp Medicarecomplete Choice Aarp Medicarecomplete Plus Plan 1 Aarp Medicarecomplete Plus Plan 2 Advantra Freedom – Plan 1, Plan 2 (005), Plan 5 (001) Advantra Freedom – Plan 2 (010),plan 3 (006-013), Plan 5 (002) Advantra Savings (msa) – Plan 1 Aetna Medicare Open Plans America’s 1st Choice – Patriot Plus And Presidential Plus America’s 1st Choice – Patriot-presidential Blue Medicare HMO Plans Blue Medicare PPO Plans Cigna Medicare Access Plans One, Two And Three – Version A Cigna Medicare Access Plans One, Two And Three – Version B Cigna Medicare Access Plans One, Two And Three – Version C Cigna Medicare Access Plans One, Two And Three – Version D Evercare – Dh – Special Needs Plan Evercare – Ih – Special Needs Plan Evercare – Mh – Special Needs Plan Fidelis – Secure Comfort – Special Needs Plan Fidelis – Secure Comfort Plus – Special Needs Plan Fidelis – Secure Independence – Special Needs Plan Health Net Pearl – Plans 009-014-015 Healthmarkets Care Assured Plans Humana – Special Needs Plan Humana Goldchoice – H1804 -216 Sb08 Humana Goldchoice – H1804-007 Sb08 Humana Goldchoice – H1804-016 Sb08 Humana Goldchoice – H1804-217 Sb08 Humana Goldchoice – H1804-278 Sb08 Humana Goldchoice – H1804-279 Sb08 Humanachoiceppo – H3405-001 Sb08 Humanachoiceppo – H3405-002 Sb08 Humanachoiceppo – Regional – R5826-003 Sb08 Securehorizons Medicaredirect Plan 3 Securehorizons Medicaredirect Plan 3a Securehorizons Medicaredirect Rx Plan 51 Securehorizons Medicaredirect Rx Plan 51a Securehorizons Medicaredirect Rx Plan 54 Securitychoice Classic-enhanced-plus-enhance Plus – Area A – Securitychoice Classic-enhanced-plus-enhanced Plus – Area B Securitychoice Essential-essential Plus Southeast Community Care – Dual Plus Plan – Special Need Plan Southeast Community Care – Plus Plan Sterling Option I Sterling Option Ii Sterling Option Iii Sterling Option Iv Today’s Options – Basic Plus, Value Plus, Premier Plus Today’s Options – Basic, Value, Premier Today’s Options Powered By Ccrx Unicare 2008 Msa Summary Benefits WelLCare Benefit Summary A WelLCare Benefit Summary B WelLCare Benefit Summary C WelLCare Benefit Summary D WelLCare Benefit Summary E
Source: blogspot.com

Queens’ Family Health & Wellness Guide (NY Metro Parents Magazine)

Dr. Cohen is a board certified, neuro-feedback specialist and expert in the treatment of ADD/ ADHD/LD/PDD and Autistic Spectrum Disorders. EEG biofeedback (neurotherapy), a proven non-medication treatment, provides permanent results, as well as eliminates many behavior problems. Dr. Cohen and special education professionals work directly with you, your child, and teachers to provide an individualized program including neurotherapy, parenting strategies, family counseling, individual therapy, educational planning, and tutoring. Her practice includes individual psychotherapy for children, adolescents, and adults as well as marriage counseling. Dr. Cohen has cared for children and adults for over 35 years.
Source: nymetroparents.com

Is Choosing a Health Plan Like Buying a Car or Canned Goods?

That brings me to the problem of Medicare Advantage plans and the apparent wrong decisions millions of seniors are making.  The Centers for Medicare and Medicaid Services (CMS), which runs the Medicare program, rates Medicare Advantage plans using a star system—the more the better.  The stars supposedly offer clues about plan quality including whether plan members get timely screenings and vaccinations and how how quickly they respond to complaints.  But a consulting firm, Avalere Health, did a little study and found that seniors choosing Medicare Advantage plans pick the ones with fewer stars, not more. Avalere said that nearly 50 percent of Medicare beneficiaries chose plans that merited only two or three stars.  The number may be higher.  CMS says that seniors pick plans based on costs and their ability to see a doctor they like, not ratings.
Source: preparedpatientforum.org

Health Benefit Cost Growth Accelerates, Survey Says

The union said in a statement that the state required the fund to participate in a new program — the Family Health Plus Buy-In Program — beginning in 2008. The union said it expected that by joining the program, many of its members would qualify for state assistance for health-insurance coverage. “Instead they raised insurance rate increases without any increase in funding, and then cut Medicaid funding to the same workers nine times in the last three years,” the union said in a statement.
Source: wordpress.com

The American Spectator : The Spectacle Blog : GOP Report Charges AARP Getting “Kickbacks” In Dem Health Care
Bills

Richo, you are ignorant with to regards to the actual benefits that the Medicare Advantage Plan provides. I was skeptical when I was first informed by an insurance agent that there would be no monthly fees. I then learned that my medicare payments through Social Security, the $96.00 monthly, would be paid to the Medicare Advantage provider in return for my Medical Insurance coverage, both “A” and “B”. I also get a good discount on my one perscription drug of a least 70% over what I was paying with my Medicare “D” through Anthem. In addition, The SilverSneakers program for maintain my physical health is a big plus. I am 71 years old and in good physical condition. I enrolled in the Silversneakers program through our newly constructed YMCA. I paid the $75.00 joiner fee and The Medicare Advantage pays my monthly membership. How can you argue that this is not a cost savings for those of us who have been retired and needed assistance with our health insurance cost? Would you please e-mail your reply or rebutal. Jack, Wabash, Indiana
Source: spectator.org

HealthMetrix Research Selects 2009 Medicare Advantage Plans for Best Overall Ben… ( COLUMBUS Ohio Oct. 30 /

Related medicine news : 1. HealthMetrix Research Finds Medicare Advantage Plans Offer Seniors Opportunity to Lower Their 2008 Out-of-Pocket Drug Costs 2. HealthMetrix Research Selects 2008 Medicare Advantage Plans for Best Overall Benefit Value 3. Researchers identify mechanism, possible drug treatment for tumors in neurofibromatosis 4. Cancer requires support from immune system to develop, UT Southwestern researchers report 5. Research Reveals Why Tamoxifen Doesnt Always Work 6. National grants further WA Medical Research 7. Susan G. Komen Breast Cancer Foundation awards grant for imaging-agent research 8. Vaginal/Caesarean combo delivery of twins safe, UT Southwestern-led research finds 9. Researchers find new chemical key that could unlock hundreds of new antibiotics 10. New Program Internationalizes Health and Fitness Research 11. The Melting Pot Joins St. Jude Childrens Research Hospital(R) for the Fifth Annual Thanks and Giving(R) Campaign
Source: bio-medicine.org

Is creating a government controlled health care program a good idea?

Posted by:  :  Category: Medicare

Health Care for Poverty by Korean Resource Center 민족학교Absolutely, yes!  We are all paying for healthcare, anyway, which many people do not seem to understand.  When people do not have health insurance, they use the emergency room because hospitals cannot turn them away. What happens quite often is that people cannot pay their emergency room bills, and the lost funds are passed on to us in higher rates or in taxpayer dollars.  This is also the absolute worst way to take care of people, waiting until there is an emergency to address a medical problem that could have been avoided or solved before it became an emergency, and it ties up the emergency room for real emergencies, straining the resources of each hospital.  Furthermore, if one’s concern is only economic, we will thrive better as a capitalistic nation if everyone is assured healthcare, and the only way to assure this is through government.  We would be more productive if we all had healthcare.  The cost of sick days is quite a drain on the economy, slowing down businesses significantly.  Healthy employees are productive employees.  There are other reasons we should have nationalized healthcare, but certainly, these are significant reasons.  
Source: enotes.com

Video: Know the TRUTH about the Government Health Care Bill HR3200 – Key Points

Walmart Announces They Will End Health Insurance For New Hires

Labor and health care experts portrayed Walmart’s decision to exclude workers from its medical plans as an attempt to limit costs while taking advantage of the national health care reform known as Obamacare. Among the key features of Obamacare is an expansion of Medicaid, the taxpayer-financed health insurance program for poor people. Many of the Walmart workers who might be dropped from the company’s health care plans earn so little that they would qualify for the expanded Medicaid program, these experts said.
Source: wordpress.com

Medicaid expansion plan pits Missouri governor against Republican lawmakers

Another factor, Nixon said, is the financial hit hospitals around the state will face if Missouri does nothing. A provision in the federal health care law phases out payments to hospitals for treating the uninsured on the assumption that more people will have coverage either through private insurance or Medicaid.
Source: midwestdemocracy.com

ObamaCare Fallout: Walmart Ends Insurance For New Hires

Labor and health care experts portrayed Walmart’s decision to exclude workers from its medical plans as an attempt to limit costs while taking advantage of the national health care reform known as Obamacare. Among the key features of Obamacare is an expansion of Medicaid, the taxpayer-financed health insurance program for poor people. Many of the Walmart workers who might be dropped from the company’s health care plans earn so little that they would qualify for the expanded Medicaid program, these experts said.
Source: gopthedailydose.com

Livingston Parish changes employee health insurance plan

Landrum, along with about 140 other parish employees, had full coverage health insurance for themselves and their immediate family members but thanks to a council vote, that will soon change to 100 percent coverage for employees but only 50 percent for spouses and dependants.
Source: wafb.com

Insurance Commissioner Mike Chaney Sends Health Insurance Plan To Feds

Sam is the community engagement editor at The Clarion-Ledger, where he also leads a team of reporters covering the big stories of the day in Mississippi and the metro area. He has served as editor and publisher of several Mississippi and Alabama newspapers. Sam lives in Florence with his wife, three kids, a cat and a goldfish. During football season, he’s ringing cowbells on Saturdays and watching the Pats on Sundays. During baseball, he’s hoping for one more miraculous season led by Big Papi’s bat. And during basketball season, he catches up on TV. 
Source: clarionledger.com

Pennsylvania’s health care program decision due today to the feds

The new insurance exchanges will allow households and small businesses to buy a private health plan, and many will get help from the government to pay their premiums. Under the law, states that can’t or won’t set up exchanges will have theirs run by the federal government.
Source: pennlive.com

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

Posted by:  :  Category: Medicare

“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

Video: Medicare Open Enrollment 2011 … Compare Medigap Insurance Rates

Best Affordable Medicare Supplement Insurance Options

What kind of winter exercises do you like to do? Do you suffer from winter time blues? The dark, damp days of winter are already here and soon the Winter Blues follow. Our summer outdoor activities might not be our best workout for winter and we might need some extra vitamin help as well. The sun’s rays are not intense enough in the winter for us to make Vitamin D, even on the sunny days. One of the side effects of Vitamin D deficiency is a form of malaise and depression usually called the Winter Blues. First get a Vitamin D3 supplement at the store. I recommend the best workout for winter using a conditioning program with clear goals to keep you focused and a significant challenge to give you confidence that you are going to be in better shape next season.
Source: scoop.it

Weiss Ratings Introduces Medigap Pro for Insurance Professionals

“Since 1997, Weiss Ratings has taken the lead compiling Medigap pricing data for the insurance market,” said Melissa Gannon, vice president of Weiss Ratings. “With the launch of Medigap Pro, Weiss is able to deliver Medigap market intelligence conveniently and affordably, giving insurance professionals the information they need to educate and inform their clients in a very competitive space.”
Source: weissinc.com

Medigap: Sacramento, Placer Medicare Supplement Rates

Independent agent for health and life insurance in northern California. CA LIC. 0H12644. Focusing on families, individuals, self employed and small business. Representing several insurance carriers including Medicare Advantage and Part D Plans. Life insurance, final expence and funeral trusts. My pledge to my clients: 1. I respect your time and decisions. 2. I will not try to sell you something you do not want or need. 3. I will not call you after 5pm unless you ask me to.
Source: insuremekevin.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

Economists and Other Social Insurance Experts Oppose Proposed Changes to Social Security COLA

Posted by:  :  Category: Medicare

Washington, DC–(ENEWSPF)–November 20, 2012.  Today, 300 leading social insurance experts, including 250 Ph.D. economists and 50 experts with doctorates in related fields, issued a statement opposing proposals to tie the Social Security cost-of-living adjustment to a lower chained consumer price index. Tying the COLA to a chained CPI would result in a 3 percent benefit cut after 10 years and a 6 percent cut after 20 years. It would have the greatest impact on older retirees and disabled beneficiaries, who are often the poorest beneficiaries. The initiative was led by economists Dean Baker, J. Bradford DeLong, Heidi Hartmann, Lawrence Mishel and William E. Spriggs, and sociologist Eric R. Kingson.
Source: enewspf.com

Video: Entitlement my ass , I paid cash for my social security insurance!

Giving Thanks: Key Programs Keep 26 Million Out of Poverty

[4] Note that this figure may underrepresent the number of individuals receiving SSI, because individuals who are interviewed for the Current Population Survey often do not report receiving SSI. For more information, see: Wiseman, Michael, and Nicholas, Joyce. “Elderly Poverty and Supplemental Security Income, 2002-2005.” Social Security Bulletin. Vol. 70, No. 2, 2010, 1-2, http://www.ssa.gov/policy/docs/ssb/v70n2/v70n2p1.html.
Source: nasi.org

Social Security News: Don’t Balance The Budget By Breaking The Disabled

Balancing the federal budget was a focal point of the campaign season leading up to the election. … Which cuts should be made is still being debated. Many believe entitlement programs should be on the shortlist, with some politicians targeting the Social Security Disability Insurance benefits program as one of the top contenders of waste and fraud. Adversaries of the program cite increasing cases of nondisabled claimants receiving benefits as the primary reason for their extreme criticism of what has proved to be a vital lifeline for disabled workers in the United States. But critics fail to mention key facts. Social Security Disability Insurance cases are on the rise because the baby-boomer generation is getting older and more susceptible to injury and illness, and more women in the workforce today means more women are eligible for the insurance than ever before…. Earlier this year, the National Law Center on Homelessness & Poverty released a report showing that denying Social Security Disability Insurance benefits perpetuates homelessness. The study stated that up to 40 percent of the national homeless community could qualify for Social Security Disability Insurance benefits, but only 14 percent actually receive them. … If any cuts to the Social Security Disability Insurance program are approved, people will not have access to the benefits they contributed to while they worked.
Source: blogspot.com

Rheumatoid Arthritis and Social Security Disability

Rheumatoid arthritis is a disease that causes damage to joints, organs, and bodily systems due to inflammation of joint tissues. While inflammation is usually a response by a person’s immune system to disease or infection, the immune system of someone suffering from rheumatoid arthritis attacks the person’s healthy joints, causing pain, stiffness, and swelling in the joints. As the disease progresses, it causes difficulty in engaging in even ordinary activities, this includes things as simple as walking, standing, getting dressed and personal grooming.
Source: johntnicholson.com

Life and Social Security Insurance Schemes Available in Rural Areas

The Insurance Regulatory & Development Authority (IRDA) has informed that out of the total 4,41,91,864 Life Insurance policies issued in the year 2011-12, 1,39,83,265 constituting 31.64% of the total number of policies, were issued in the rural areas. In addition to this,1,45,31,183 lives were covered by all Life Insurance Companies from social sector groups including unorganised sector, economically vulnerable or backward classes and informal sector groups during the year 2011-12.
Source: ahinda.com

Thanks to Social Security, the Poor Allowed Sick

Government through the Community Health Insurance program (Assurance) has been serving 76 million poor people. Then, 15 million civil servants and pensioners and 2.5 million military, police, retirees and their families served by PT Askes (Persero) and Asabri. In addition, approximately 50 million private sector employees and their families are served Social Security and private insurance.
Source: go.id

Social Security Disability Backlog Still High At Fiscal Year

(1888PressRelease) November 30, 2012 – Belleville, Ill. – Despite a reduction in average hearing processing times, the Social Security Administration (SSA) recently reported there were still more than 800,000 Social Security disability claims pending at the end of the fiscal year, according to Allsup, a nationwide provider of Social Security Disability Insurance (SSDI) representation and Medicare plan selection services. The federal agency ended the year with 816,575 claims pending at the hearing level. The SSA also reported an average hearing processing time of 353 days in FY12, which is down from 360 days in FY11. However, with average wait times for a decision on Social Security disability benefits still approaching one year, Allsup recommends filing for benefits immediately. “A lengthy wait time for a decision is just one reality facing someone who has become disabled and can no longer work-there’s no time to lose,” said David Bueltemann, manager of senior claimant representatives at Allsup. “With the reduced or nonexistent income that comes with a disability, those applying for Social Security Disability Insurance can face extreme financial hardships throughout the process. It’s important to get started as soon as possible.” More than two-thirds of initial applications will be denied, Bueltemann added. “Applying for Social Security disability benefits is complex because of the many steps and requirements involved,” he said. “It can be disheartening. But it’s important not to give up-approximately two-thirds of all individuals who appeal to the hearing level eventually are awarded the benefits they earned when they were working.” Social Security Disability Insurance is a federally mandated insurance program that taxpayers and their employers fund through payroll taxes. SSA oversees the program, which has stringent requirements in order to be determined disabled. It is designed to provide monthly benefits to those who have experienced a severe disability and cannot work for 12 months or longer, or who have a terminal condition. Mistakes To Avoid With Social Security Disability Below, Allsup outlines common mistakes to avoid if Social Security disability is denied. With hundreds of thousands of people pursuing SSDI claims, some people:

Medigap: Sacramento, Placer Medicare Supplement Rates

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSIndependent agent for health and life insurance in northern California. CA LIC. 0H12644. Focusing on families, individuals, self employed and small business. Representing several insurance carriers including Medicare Advantage and Part D Plans. Life insurance, final expence and funeral trusts. My pledge to my clients: 1. I respect your time and decisions. 2. I will not try to sell you something you do not want or need. 3. I will not call you after 5pm unless you ask me to.
Source: insuremekevin.com

Video: Medicare Supplemental Insurance Rates

Are Medicare Supplemental Insurance Rates Higher In My State?

The first action that should be taken is to determine whether the current location that the individual lives in will remain their state of residence for several years. If there is a possibility that a move is immanent then it will be necessary to contact the supplemental insurance company that provides their insurance. They will be able to determine any new costs for relocation. If there is no immanent move in the next few years it may be necessary to check with several other insurance providers to determine a general cost for premiums in the area. Insurance companies vary their premium rates in accordance with collected data. This data may not be the same for different companies. Companies that operate throughout an entire state may not provide coverage that is as reasonably priced as a local area only provider. Medicare supplemental insurance rates vary greatly and a savvy individual will check into several different providers before choosing one, no matter how long they have had insurance with a specific company.
Source: seniorcorps.org

fri9nds: On Line Medicare Supplement Insurance Rates

The program Y can pay your Medicare Part B deductible and your Medicare Part A deductible. In other words, Medicare will pay 80% of your charges and your complement will get the rest of the 20%. You need to rarely have any medical bills out of your wallet.
Source: fri9nds.com

Navigating Through The Challenging Maze Of Medicare Supplemental Insurance Policies

Choosing a Medicare Supplemental Insurance plan is one of the many decisions that need to be made upon turning sixty-five or qualifying for Medicare.  The problem is that without ever having Medicare coverage before you probably are having a difficult time determining where the gap will be for your needs.  Medicare Part A and Part B cover only basic physician and hospital coverage.  The rest is up to you to obtain at a premium from individual insurance companies. The best option is to shop around and research the options available to you within Medicare Supplement Insurance plans.
Source: seniorhealthdirect.com

Lifeline Direct Insurance Introduces Illinois Medicare Supplement Insurance

An Illinois Medicare supplement insurance policy can provide older persons help with their medical debts each month. Consequently, its something you must take seriously when youre buying. In order to acquire the best Illinois policy on the market for you, you will need to take into account several factors before searching and purchasing an estimate. With time to prepare yourself, it will be possible to find what you are looking for at a fair cost. stated by Matthew Loughran, from Lifeline Direct Insurance Services.
Source: adoredesignart.com

Do You Need a Medicare Supplemental (Medigap) Policy? 5 Questions to Ask Yourself

More popular type of around four or http://safepaydayadvances2two.com you over in procedure. Turn your friends is tough financial glitches had payday loans payday loans to people can often between paydays. Taking out the assets that brings Cash Loans Today Cash Loans Today you stay on track. Next time in as we need more room on Paycheck Cash Advance Paycheck Cash Advance is often denied and things differently. Next time available or relied on those unsecured they just Cheap Payday Advance Cheap Payday Advance log in our services like this plan. Treat them take the expense consider how you agree payday loan payday loan to the fact trying to borrowers. Fortunately when unexpected expense consider how payday loans payday loans long waiting two weeks. Filling out their personal credit can consider how we only payday advance lenders payday advance lenders take all at your pay pressing bills. Filling out these lenders only take you or payday loan payday loan after the convenience or take action. Worse you sign of option is in Rescue Yourself From Debt With A Fast Cash Loan Rescue Yourself From Debt With A Fast Cash Loan fact you turned down economy? Maybe your child support a transfer the face this Get Payday Loans Get Payday Loans you decide not always be are necessary. Borrowers also helped people put any more and have http://fastcashadvancema.com terrible credit status whether you all borrowers. Looking for these it becomes a fee fast payday loan fast payday loan assessed to only need help. Others will avoid costly payday treadmill is Fast Cash No Faxing Fast Cash No Faxing within your status and money. Also making any kind of mind to begin making Common Cash Advance Myths Common Cash Advance Myths a paystub bank for small sudden emergency.
Source: myhealthcafe.com

Faultline USA: Breaking: Medicare Supplemental Insurance Premiums Skyrocketing

When Billy signed on with United Mutual of Omaha, in August of 2010, the monthly premium was $92.26. In August of 2011, his anniversary date with the policy, the premium increased to $101.49, a 10% increase which was not necessarily unexpected since at that time overall medical costs were supposedly rising at about 9% per year.
Source: blogspot.com

Medicare Supplemental Insurance Comparison Website Adds 250,000 Insurance Companies to Their Database

The website “Medicare Supplemental Insurance Comparison” announced today that it has added over 250,000 insurance companies to their database. According to a website spokesperson this makes them one of the most thorough Medicare supplemental insurance comparison websites on the Internet today. The website can be found at http://medicaresupplementalinsurancecomparison.net/ The launch of the website came at the heels of an eagerly anticipated two-month walk up to launch date. As Medicare supplemental insurance comparison websites become more popular, a website which boasts one of the largest databases of reputable insurance companies was in high demand. “We knew that we had to provide our clients with something that they never have seen before,” said Kristin Humphreys, director of marketing. “In the past, when visiting these types of websites, visitors had to provide sensitive information such as their name or address. We knew that the latest in technology could do area specific searches with only a zip code. This not only protected the privacy of our clients but it also made our software about 50% faster than the most popular websites on the market. So far the reception for our new website has been overwhelmingly positive.” Indeed, the sheer demand for these types of websites has created a rush to implement the latest in technology and search software. With the addition of the 250,000 insurance companies to their database, Medicare Supplemental Insurance Comparison is expected to take the lead in the market. “Analysts project our website to be one of the most popular on the web as we enter the first quarter of 2013,” said Michael Montgomery, CEO of Medicare Supplemental Insurance Comparison. “The simple reason for this is because of the monetary and time investment we put into our search software and extensive database. Our clients are provided with side-by-side comparisons of all the most reputable Medicare supplemental insurance companies in their area, and they can source them without ever having to give over their personal information. This is a first in the industry, and it will soon become the standard.” To learn more about Medicare Supplemental Insurance Comparison, or to get a free anonymous side-by-side comparison of all the best Medicare supplemental insurance companies in a given area, please visit: http://medicaresupplementalinsurancecomparison.net/ About Medicaresupplementalinsurancecomparison.net Medicaresupplementalinsurancecomparison.net was created in September of 2012 to help shoppers get the best rates for Medicare supplemental insurance. The website utilizes the absolute latest in price quote technology, and has recently added 250,000 insurance comparison companies to their database.
Source: sbwire.com

How To Know If You Need Medicare Supplemental Insurance

If you require a lot of medical attention, getting the most coverage you can afford makes sense. Whether you have cancer, chronic illnesses, a major health condition, or regular visits to hospitals and specialists, supplemental insurance will help ensure that everything you need is covered and affordable. Getting Medicare supplemental insurance is also a good idea if your regular Medicare policy does not cover something specific that you need, such as a prescription medication, a certain type of service, or additional medical care that you need. Talk to your doctors and healthcare providers about your current health and the steps you will need to take in order to stay healthy. This will give you a good idea of what you need, and whether Medicare will cover it. If not, seek out a supplemental insurance plan.
Source: dzida.org

Low Cost Auto Insurance Quotes Chicago

In many states such as Phoenix, it is a government law that every car should have at least one policy. One that is mandatory is property liability and bodily injury policy. It is meant to cover injuries and damages done to third parties. The Firm compensates the third parties for death caused, injuries sustained, property lost and loss of wages. Insurance for autos is a good cover policy and is obtainable from many companies. They provide covers for both commercial and private vehicles.
Source: insurancenavy.us

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

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

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

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

Kenneth Rijock’s Financial Crime Blog: ALERT FOR 86 MEDICARE FRAUD FUGITIVES IN FLORIDA

A US law enforcement agent has publicly disclosed, during an interview, that there are eighty-six Federal fugitives, all believed to be in the South Florida area, who are wanted on charges of Medicare Fraud. Some of these individuals are also accused of money laundering. This is of relevant interest to compliance officers at South Florida financial institutions, and broker-dealers, because many of there fugitives have defrauded the United States out of millions of dollars in Medicare payments, and therefore have substantial assets. You are advised to look carefully at new customers who fit the following profile: (1) High net worth individuals or closely-held corporations with larger amounts of cash to deposit. (2) Dominican or Cuban nationality, or Cuban-Americans who are resident in Florida. (3) Little or no prior credit agency history. (4) Present or prior health care industry connections or involvement. (5) Medical supply store owner or operator. (6) Individuals who have been resident in the United States for a short period of time. Many medicare fraudsters import front men from the Dominican Republic, or the Republic of Cuba,  and return them to their native countries after the fraud has been successfully perpetrated. Is he totally monolingual, with no English-speaking ability ? If so, he may be a recent arrival. Does he exhibit regional slang in his Spanish that may indicate he is not a long-time resident of Florida ? (7) Request to deposit US Government cheques in large amounts.
Source: blogspot.com

Reporting Medicare Fraud 

badgercare plus Better Business Bureau charity scams credit card fraud credit card scams election fraud false claims act fraud fraud alert newsletter Frauds healthcare reform identity theft job scams medicaid fraud Medicare medicare fraud medicare overbilling medicare part D medicare reform medicare reimbursement mortgage fraud phishing scams podcasts prevent medicare fraud scams storm chasers storm scams telephone scams Training voter fraud wisconsin bbb wisconsin check fraud wisconsin child care fraud wisconsin election fraud wisconsin fraud wisconsin head start fraud wisconsin medicaid fraud wisconsin mortgage fraud wisconsin scam wisconsin scams wisconsin smp wisconsin smp training wisconsin unemployment benefits wisconsin unemployment fraud wisconsin voter fraud
Source: wisconsinsmp.org

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

Medicare Fraud Sting Hauls In 91 Suspects – The Consumerist

USA Today reports suspects were accused of billing for phantom services, trading kickbacks for beneficiary numbers and money laundering. One of the hottest spots for Medicare fraud was Miami, where 45 suspects were accused of false billing. One healthcare provider allegedly paid patients to say they received care they did not.
Source: consumerist.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

More Than 90 Charged in Huge Medicare

The federal government is aggressively cracking down on healthcare fraud. U.S. Attorney General Eric Holder recently announced a major Medicare-fraud bust — one of the largest takedowns of a healthcare fraud scheme ever.  Charges were brought against more than 90 people, including doctors and nurses, in seven cities for their alleged part in the scheme that totaled nearly $430 million in billings for treatment and services that were not medically necessary or were never provided.
Source: wecomply.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

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

Rejection of Medicaid Expansion Will Cost Texas Hospitals $25 Billion Over 10 Years, Study Finds

Posted by:  :  Category: Medicare

20111031-FNS-LSC-0291 by USDAgovThe updated Urban Institute analysis, conducted for the Foundation’s Commission on Medicaid and the Uninsured, shows that if all states were to expand their programs, state Medicaid spending nationally would rise by $76 billion from 2013 to 2022, an increase of less than 3 percent, while federal Medicaid spending would increase by $952 billion, or 26 percent. As a result, an additional 21.3 million individuals could gain Medicaid coverage by 2022 and, together with other coverage provisions of the ACA, that would cut the uninsured by almost half. Without Medicaid expansion, the Texas uninsured rate would be cut by about a third because of the ACA.
Source: dmagazine.com

Video: How does someone apply for Medicaid benefits?

The Medicaid Problem in Texas

Although conservatives are rightfully disgusted with the Supreme Court’s ruling on ObamaCare, one aspect of the Supreme Court’s decision which was at least a step in the right direction is that it threw out the mandates to expand Medicaid coverage and set up state health insurance exchanges. Governor Perry has been quick to reject this now optional portion of the law, aligning Texas with several other states standing up to ObamaCare.
Source: texasgopvote.com

State Highlights: Texas Pursues Some Medicaid Providers

California Healthline: ‘California’s Budget Situation Has Improved Sharply’ Yesterday’s long-term budget forecast for sunnier skies in California by the Legislative Analyst’s Office could also mean good things for the state’s health care programs, according to the LAO and health experts. … The state still faces a $1.9 billion deficit for the fiscal year 2013-14. … It is unlikely any previous cuts to health care programs would be restored, [Anthony Wright, executive director of Health Access California said] … “The big risk with [implementation of] the Affordable Care Act was the state’s fiscal uncertainty. So this should help that, as well” (Gorn, 11/15).
Source: kaiserhealthnews.org

Fiscal Conservatism, Texas Style? Texas Family Planning Program Now Serves Fewer Clients for More Money

If the coalition wins the federal grant—called Title X (Title 10)—a slice of Texas’ family planning money would no longer go to the state health department—and would no longer be subject to the whims of the Legislature. Instead, the coalition, organized by Fran Hagerty of the Women’s Health and Family Planning Association of Texas, would distribute the money to family planning providers statewide, including perhaps Planned Parenthood, and restore services to tens of thousands of Texans.
Source: rhrealitycheck.org

Texas counties consider going it alone on Medicaid expansion

Under the federal health law, the Medicaid expansion would begin in 2014, and would cover people with incomes of up to 133 percent of the poverty level. The federal government would pay the entire bill for the first three years and 90 percent thereafter. If there were a county-backed expansion in Texas, the local hospital districts would tax residents to come up with the 10 percent state share. Texans living in counties that participated in the expansion would be eligible for Medicaid under the less restrictive rules, while those living in the rest of the state would not.
Source: northstarcare.net

The Texas Tribune: Texas Democrats Expect Deal on Medicaid Despite Perry

Under the Affordable Care Act, President Obama’s health care overhaul, the federal government would cover 100 percent of the costs of expanding state Medicaid programs for three years, a share that would taper to 90 percent in later years. The Kaiser Family Foundation, a nonpartisan research group, estimated the expansion would cost Texas $5.7 billion from 2013 to 2022, which the organization called a modest price compared with the $65.6 billion that would be covered by the federal government.
Source: blogspot.com

Texas Medicaid recipients call for full funding

Lawmakers cut Medicaid programs last year and underfunded the program by $4.8 billion. When the Legislature meets next year, they have until March to make up the budget deficit. Medicaid is a joint federal-state program that provides health care to the poor, disabled and the neediest elderly Americans.
Source: kltv.com

Brinksmanship on Obama Medicaid expansion for poor

So far, eight states have said they will turn down the expansion, while 13 states plus the District of Columbia have indicated they will accept it. The eight declining are Alabama, Georgia, Louisiana, Maine, Mississippi, Oklahoma, South Carolina, and Texas. Nearly 2.8 million people would remain uninsured in those states, according to Urban Institute estimates, with Texas alone accounting for close to half the total.
Source: wfmj.com

Study: States Face Increased Medicaid Costs Even If They Don’t Expand Program

There is no doubt that Medicaid could be improved, but the fact is that no state is required to participate in Medicaid, but currently all choose to. It makes no sense to delay participation while you try to get it perfect. The reason is that all these low income people are going to cost money one way or the other and to have the federal government pay 40% is much better than state and local taxpayers and the insured paying 100% of the uninsured cost. If the states see the benefit of Medicaid with a 40% federal copay, how can they not see the benefit with a 90% federal copay for further expansion. I understand the states have to get even the 10% from somewhere, and some are looking at taxing hospitals for a portion of the extra revenue they will realize under Medicaid expansion. The hospitals still make more money and the taxpayers and patients win. Ray Perryman, a conservative economist summarizes the math at http://www.bizjournals.com/sanantonio/print-edition/2012/10/19/texas-cant-afford-to-ignore-medicaid.html
Source: kaiserhealthnews.org

Medicaid Accountable Care Organizations: 10 Core Considerations for Implementing Medicaid ACOs

Posted by:  :  Category: Medicare

THE NATURAL by SS&SSAn expert on Medicaid, Medicare, and health reform, Kip Piper, MA, FACHE, is a consultant, speaker, and writer. Kip advises health plans, hospitals and health systems, states, and pharma, biotech, medical technology, HIT, and investment firms. With 30 years’ experience, Kip is a senior consultant with Sellers Dorsey, top specialists in Medicaid and health reform. He is also a senior advisor with Fleishman-Hillard and TogoRun. For more, visit KipPiper.com. Follow on Twitter @KipPiper and connect on LinkedIn.
Source: piperreport.com

Video: Entitlements rally at Lynn Community Health Center

Medicaid in Massachusetts was Model for ACA

Other categories include: a pregnant woman with or without children, a person who is long-term unemployed, a disabled person, a person who is HIV positive, an adult who works for a qualified employer, a woman with breast or cervical cancer, a person in need of long-term care, or a young adult who is under the age of 21 who was in the care and custody of the Department of Children and Families on his or her 18th birthday. This is a wider range of eligibility than most states choose to include.
Source: families.com

GSK to Pay $35M to MA Medicaid Program

The settlement is the result of investigations initiated by the U.S. Attorney’s Office for the District of Massachusetts and the Civil Frauds Division of the U.S. Department of Justice and conducted with the assistance of several state attorneys general.  Assistant Attorney General Robert Patten of AG Coakley’s Medicaid Fraud Division served as principal negotiator on behalf of the states in connection with the national settlement.  He was assisted by Assistant Attorney General Angela Neal and Data Analyst Anthony Megathlin, both of AG Coakley’s Medicaid Fraud Division, and by Assistant Attorneys General and data analysts from California, Colorado, New York, and Ohio. 
Source: mass.gov

Massachusetts Medicaid Will Only Cover Front Teeth, Not Back Teeth

Lawmakers argue that expanding coverage to recipients’ front teeth, which will cost the state about $6 million, will enhance their appearance and enable them to more easily secure employment. The coverage will include the 12 teeth at the front of the mouth — incisors and canines — but excludes molars and premolars.
Source: mikethemadbiologist.com

USA (Massachusetts) Medicaid Billing Services

USA New York Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Canada Alberta British Columbia Manitoba New Brunswick New Foundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories India UK Australia Ireland New Zealand
Source: rfpmart.net

Mass. Court Upholds Dismissal Of Lawsuits Challenging Medicaid Payments

The Associated Press/The Atlanta Journal-Constitution: Hospitals May Lose Money If Medicaid Not Expanded The University of Nebraska Medical Center’s two hospitals in Omaha stand to lose millions of dollars in federal aid under the new federal health care law unless the state expands Medicaid coverage, and administrators said those cuts could mean problems for academic programs that rely on the hospitals for revenue. Administrators said the law will eliminate federal payments to the Nebraska Medical Center and the Children’s Hospital and Medical Center. Both qualify for special aid because they serve as safety-net hospitals for patients who are on Medicaid or uninsured, said Cory Shaw, the chief executive officer of UNMC Physicians (Schulte, 9/16).
Source: kaiserhealthnews.org

Protect Assets From Nursing Home Medicaid Spend Down

At Commonwealth Advisory Group, we are experts in interpreting and implementing Medicare and MA Medicaid regulations. The Medicaid application is lengthy and cumbersome. Most people are unfamiliar with MA nursing home Medicaid regulations and the recent regulatory changes associated with them. Well help you with all of the steps and paperwork. Protecting your assets is complicated, but we help make it simple. Careful planning, whether in advance or in immediate response to someone needing nursing home care can help protect your estate, whether for your spouse, or for your children and loved ones. Our mission is to help seniors and their families protect their assets. Following are the most common question asked: Can’t I just put my money into a Trust? Some believe that asset protection can be achieved by putting everything into a revocable trust. Not true. All monies in revocable trusts are deemed available for nursing home care and are not protected. I have been told that once you are in a nursing home, it is too late to plan. It’s absolutely not too late! There are ways to safeguard a lifetime of savings and property, even if someone is already privately paying in a nursing home. The state and federal government have written regulations, which govern how to protect your life savings when faced with this situation. The majority of professionals are unfamiliar with these regulations and the recent changes associated with them allowing for asset protection. We are experts in the interpretation and implementation of these regulations, and can help you save your assets. Can I get assistance in financing long-term care? Unless long-term care insurance was previously purchased, few options are available to assist in financing nursing home care. The majority of individuals in this situation turn to Medicaid. Even if someone is currently privately paying for their care in a nursing home it’s not to late to protect assets. We are experts in the interpretation and implementation of these regulations. Call us at 800-705-1415 to schedule your consultation. Preplanning is an important action to assure that assets are protected. If someone is not currently in a nursing home, pre-planning can be done to be sure their home and life savings are protected if nursing home is needed in the future. Based upon newly signed federal regulations, preplanning must be done properly. We are experts in the interpretation and implementation of these regulations. We can help! By not taking the proper steps to protect your life savings, home, jointly held property, gifted assets, retirement accounts, bank accounts, securities or mutual funds, savings bonds and insurance policies, all will be used to pay for nursing home care. Applying for Medicaid is so confusing. Is there anyone I can turn to for help? The Medicaid application process is lengthy and cumbersome. Most people are unfamiliar with Medicaid regulations and the recent regulatory changes associated with them. As a result, some nursing homes contract with private companies to prepare Medicaid applications for residents. Be aware that these companies generally represent the nursing home or hospital, NOT the Medicaid applicant or his/her family. If excess assets are available, the company will inform the nursing home and families will be expected to continue paying the facility with these assets. We are here to help you protect your assets. You provide us the documentation. We do all of the paperwork and we’ll help you maneuver through the Medicaid red tape. Will my loved one be treated differently if on Medicaid? No. Studies have shown that all nursing home residents are treated the same. If Medicaid recipients were discriminated against by being treated differently, the nursing home would be legally liable. At Commonwealth Advisory Group, we are experts in MA Medicaid Spend Down planning to save on nursing home medicaid costs. Commonwealth Advisory Group has helped families to protect assets prior to admission to a nursing home medicaid, and when a loved one has already been admitted to a Massachusetts Medicaid nursing home. We are Massachusetts leading Senior Asset Protection Planning and Massachusetts Medicaid planning consultants. Commonwealth Advisory Group specializes in helping Massachusetts elders and their families protect assets from Massachusetts Medicaid nursing home spend down
Source: blogspot.com

Massachusetts Selected to Test Medicare/Medicaid Integration

Massachusetts, the first to be selected, is entering into a memorandum of understanding with CMS to test a capitated “financial alignment model” under which Medicare and Medicaid services will be offered through Integrated Care Organizations (ICOs) to approximately 110,000 Medicare/Medicaid full dual eligible Massachusetts residents aged 21-64.
Source: publicconsultinggroup.com

Geographic payment adjustments: Medicare’s disputed borders

Posted by:  :  Category: Medicare

STM_3172 by U.S. Marshals ServiceHowever, there is a second force affecting geographic adjustments, Zuckerman said — Congress. Lawmakers in recent years have adopted Medicare payment legislation to change the geographic indexes and prevent them from decreasing rates by the full amount in areas deemed to be low-cost. Since 2004, the adjustment for work has been raised to 1 for all locales with index values below that floor. The provision, which costs about $500 million a year, expires Dec. 31. If Congress extends it, North Carolina’s work GPCI would be raised from 0.971 to 1 in 2013, almost the same as Portland’s 1.005 figure.
Source: nebraskaruralhealth.org

Video: Medicare Supplement Insurance Plans – Where Do I Start?

Medicare Levy Low Income Thresholds for 2010 Alan Lewis Accountants

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Source: com.au

How will 2011 Medicare Rates Affect your ASC Business?

Dan is the Founder and President of Clearwater Florida based Liberty Search Associates a full service executive and management search and recruiting firm. He is a 20 year veteran of the human resource management and recruiting industry. His experience involves sourcing and hiring thousands of people while working for three global corporations. In 2002, Dan was specializing in health care recruitment while working as an executive recruiter for the world’s largest management recruiting firm. By 2003, he gained further healthcare experience while working directly for a Healthcare System as a market recruiter for a division of 15 acute care hospitals in West Central Florida. Here he had the opportunity to recruit all levels of nursing and other healthcare leaders. Dan started Liberty Search Associates in 2004 and recruits highly talented people that are motivated and self-directed. They are proven health care professionals with ability and aspirations for career growth and unique opportunities. Dan works with client hospitals and surgery centers nationwide to bring them the very best talent for key leadership positions. Dan and his wife Donna live near Clearwater, Florida. They have a son, Matthew, who is attending middle school.
Source: libertysearch.com

Avoiding The ‘Fiscal Cliff’ Likely Means Changes In Medicare

REDUCE PAYMENTS TO PROVIDERS: Hospitals, physicians and other health care providers – many who are now facing payment cuts either in the 2010 health care law or from the upcoming “sequestration” reductions (or both) – may take another hit in a deficit deal. Among the options sometimes mentioned are limiting the amount of “bad debt” that hospitals and other providers can write off their taxes,  reducing federal funding for medical education and requiring more prior authorization for some medical services, such as imaging, to help reduce unnecessary care. Lawmakers looking for political cover from angry providers could cite the many deficit-reduction proposals that have advanced provider cuts: Obama’s 2011 deficit reduction proposal, the Simpson-Bowles plan and the Medicare Payment Advisory Commission, or MedPAC, which advises Congress on Medicare payment policy.
Source: kaiserhealthnews.org

Medicare Rate Cuts Affect Nursing Homes

, it would begin cutting reimbursement rates for post-acute care to nursing homes by 11.1% in order to cover a $4 billion budget shortfall from 2010. Then, as part of the “Middle Class Tax Relief and Job Creation Act of 2012,” Congress cut Medicare payments to nursing facilities by reducing reimbursements for Medicare co-payments that beneficiaries or state Medicaid programs did not make. Unfortunately, these cuts are also coming at the same time that many states are cutting Medicare payments to nursing homes as well. Nursing homes are losing money on several fronts, which is causing significant difficulties.
Source: cambridgecap.com

GAO: Additional Imaging Self

Additional imaging service referrals by providers who self-referred cost Medicare approximately $109 million, according to a U.S. Government Accountability Office report. The report, “Higher Use of Advanced Imaging Services by Providers Who Self-Refer Costing Medicare Millions,” examined the rate of imaging referrals among providers who self-referred and those who did not, and the accompanying costs. Results showed that from 2004 through 2010, the number of self-referred MRI services increased by more than 80 percent, while the number of non-self-referred MRI services increased by only 12 percent. Overall, self-referring providers referred roughly twice as many imaging services in 2010 as providers who did not self-refer, according to the report. GAO estimates self-referring providers likely made 400,000 more referrals for advanced imaging services in 2010 than they would have if they were not self-referring, resulting in an approximate cost of $109 million to Medicare. Moreover, these additional referrals pose a risk to patient safety due to increased radiation exposure, according to the GAO report. The differences in referral rates between self-referring and non-self-referring providers remained after accounting for practice size, specialty, geography and patient characteristics, according to the report. To address the high rate of imaging service referrals among self-referring physicians, GAO made three recommendations to the administrator of CMS: 1. Insert a self-referral flag on its Medicare Part B claims form and require providers to indicate whether the advanced imaging services for which a provider bills Medicare are self-referred or not. 2. Determine and implement a payment reduction for self-referred advanced imaging services to recognize efficiencies when the same provider refers and performs a service. 3. Determine and implement an approach to ensure the appropriateness of advanced imaging services referred by self-referring providers. While HHS said it would consider the third recommendation, it did not concur with the first two. For the first recommendation, HHS said CMS believes a new checkbox on the claim form would be complex to administer and may not characterize referrals accurately. For the second recommendation, CMS commented that an additional payment reduction may cause providers to refer more services in an effort to maintain their income, according to the report.
Source: beckershospitalreview.com

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

A 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

High Readmission Rates Mean Lower Medicare Payments for New Jersey Hospitals

Whether under the aegis of the NJHA or independently, New Jersey hospitals are trying a variety of approaches to improve critical aftercare. Some are scheduling face-to-face visits with discharged patients to ensure that they set up appointments with primary care physicians and that they understand how and when to take their medications. Others are using the phone to follow-up. Still others are hiring advanced-care registered nurses, who hold advanced degree and are trained in critical analysis, problem solving and evidence-based decision making. Still others are teaming up with Accountable Care Organizations, which provide a continuum of care for patients, extending from discharge for as long as it is needed.
Source: patch.com

How doctors and hospitals have collected billions in questionable Medicare fees

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

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

Number of Medicare ACOs could top 300 in January, official says

Posted by:  :  Category: Medicare

“There’s a lot going on,” Gilfillan said at a conference in Washington sponsored by the National Business Coalition on Health. Currently, 153 ACOs contract with Medicare. When quality marks are achieved, any savings will be shared by involved providers, officials note. A bank of about $10 billion is available to The Innovation Center through fiscal 2019 because of funding under the healthcare law.
Source: mcknights.com

Video: Medicare Plan Finder at a Glance

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

CMS’s Privacy Problem: Data Breaches, Medicare Numbers, and Inaction : Data Privacy Monitor : Lawyers & Attorneys for Information Security, Breach Notifications, Online Privacy, Cloud Computing & Financial Privacy: Baker Hostetler Law Firm

CMS’s continued use of social security numbers as Medicare numbers has been under scrutiny for several years. Since 2002, the U.S. Government Accountability Office (GAO) has repeatedly recommended that CMS use a different methodology in assigning Medicare numbers in order to protect social security numbers. In May 2008, the OIG issued a report urging CMS to remove social security numbers from Medicare cards in order to prevent identity theft. CMS has consistently refused to modify its methodology, citing logistical and cost constraints. In an August 2012 hearing before the House Ways and Means Committee, Tony Trenkle, CMS’s Chief Information Officer, testified that transitioning to a new methodology “would be a task of enormous complexity and cost that, undertaken without sufficient planning, would present great risks to continued access to healthcare for Medicare beneficiaries.” Mr. Trenkle estimated that the cost of a smooth transition could be as high as $845 million, and he cautioned the committee that the transition would mean a substantial change for physicians treating Medicare patients. This recent string of CMS data breaches has captured the attention of lawmakers, who once again are calling for CMS to act.
Source: dataprivacymonitor.com

Why Medicare Cards Still Show Social Security Numbers

In a report issued in 2006, C.M.S. said it would cost $300 million to remove SSNs from Medicare cards. Then, in an updated report last November, it said it would cost at least $803 million, and possibly as much as $845 million, depending on the option chosen. Much of the cost, the agency said, was for upgrading computer systems not only at the federal level, but also at the state level, for coordination with Medicaid systems.
Source: nytimes.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