AOA, affiliates pressure MAC to withdraw restrictive policy

Posted by:  :  Category: Medicare

“The federal law governing Medicare is clear in that it requires the program to cover services provided by doctors of optometry within state scopes of practice and gives Medicare beneficiaries the freedom to seek care from the doctor of their choosing,” said AOA President Ron Hopping, O.D., MPH. “With this action, we are hopeful that seniors will no longer be improperly denied access to medically necessary, covered physician services that they need when they chose to legally obtain those services from optometrists rather than from other physicians.”
Source: newsfromaoa.org

Video: WPS Medicare

WPS Message for Indiana and Michigan ProvidersHall Render

Wisconsin Physicians Service (WPS) will soon begin to serve as the Medicare Administrative Contractor (MAC) for Jurisdiction 8, which includes the states of Indiana and Michigan.  According to listserve communications, Indiana Part A providers and Michigan Part A providers will transition to WPS effective July 23, 2012.  Indiana Part B suppliers will transition to WPS effective August 20, 2012.  WPS is currently the Part B contractor for Michigan suppliers.
Source: hallrender.com

Flash of Genius: Medical Matters: URGENT: WPS J8 MAC Medicare change starts at 2:00 Thursday 7/12/2012

. WPS officially starts payor id 08202 on Monday July 16, however they have announced “Dark Days” of Friday July 13 through Tuesday July 17. A dark day is a business day during the cut-over period when the Medicare claims processing system is not available for normal business operations. System dark days may occur between the time the outgoing claims administration contractor ends its regular claims processing activities and the incoming claims administrative contractor begins its first day of normal business operations. Genius is not certain what would happen if you sent Medicare claims with the new payor id between 2:01pm Thursday through 12:00am Monday.It is possible that BCBSM or WPS might hold them until they finish their dark days and process them normally, but we do not have any confirmation from BCBSM or WPS that this actually will happen. Therefore Genius recommends you do all of your Medicare billing before 2pm on Thursday July 12.Then do no Medicare billing until July 16 or later.On July 16 go to your Insurance Code Files and change payor id 00953 to 08202. Don’t change anything else and don’t change it before July 16. Click here for step-by-step instructions for changing the payor id in THOMAS. After you have changed your payor id on July 16 or later you should be able to resume sending your Medicare claims.
Source: blogspot.com

WPS Health Insurance, Wisconsins Largest Not

Founded in 1946, WPS is Wisconsin?s heading not-for-profit health insurer, charity affordable particular health insurance, family health insurance, high-deductible health plans, and short-term health insurance, as good as stretchable and affordable organisation skeleton and cost-effective advantage devise administration for businesses. In addition, a WPS Medicare multiplication administers Part A and B advantages for millions of seniors in mixed states, and a WPS TRICARE multiplication serves millions some-more members of a U.S. troops and their families. In 2010 and 2011, WPS was famous by a general Ethisphere? Institute as one of a World?s Most Ethical Companies, and is a usually health word association to acquire this distinction. For some-more information about WPS Health Insurance, revisit http://www.wpsic.com.
Source: typepad.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

Linda Joy Adams: WPS Medicare Part B Legacy eNews for Friday, August 6, 2010

An informal news letter of all kinds of news and comments on the news. Specific intent is to ‘track’ mergers and acquisitions at the highest levels in our world and the impact these have on individual rights. This blog was started to aid me keep track for my personal benefit. It evolved into a shared content with anyone interested.
Source: blogspot.com

Daily Kos: We must SAVE MEDICARE, MEDICAID, AND SOCIAL SECURITY!

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 marsmet524Consider 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

Video: Medicare Tax ~ HiltonHeadReal EstateNews.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

The Bush Tax Cuts MUST EXPIRE, but NOT in Exchange for Cuts to Medicare or Medicaid!

acuff AFL-CIO aflcio Barack Obama community organizing economic policy economy election elections Employee Free Choice Act Getting America Back To Work Green Jobs jobs Labor mitt romney mlk news obama paul ryan Playing BIgger Than You Are Playing Bigger Than You Are: A Life in Organizing poem poems poetry political political blog politics Politics News President Obama prose prounion romney ryan stewart acuff stewartacuff Union union jobs unions us US Economy us jobs Utility Workers Union Of America uwua workers workers rights
Source: stewartacuff.com

Daily Kos: The Bush Tax Cuts MUST EXPIRE, but NOT in Exchange for Cuts to Medicare or Medicaid!

go to work on the tax code and make the rich and corporate America pay their fair share.  We can then adjust the middle class tax structure accordingly so that we can afford the investment we need in infrastructure and education and research/innovation.  We are woefully behind other developed nations and it is time to make hard choices, we need to cut defense spending drastically, reform Medicare to help drive health care costs down and change the corporate welfare gravy train and the wealthy boondoogle.  I understand that if we incorporated Warren Buffet’s plan, we would raise a trillion over 10 years, that is a very good start.
Source: dailykos.com

New Medicare Scam Targets Seniors

The Better Business Bureau has a few tips incase scammers come after you.  First, do not give out personal information to anyone, ever.  Second, Medicare does not make phone calls regarding new cards, nor will they ask for sensitive financial information.  Lastly, if you suspect anything suspicious, just hang-up.
Source: klkntv.com

REMINDER: Medicare Open Enrollment Ends December 7th!

Health Insurance Exchanges: The Health Insurance Exchanges are a set of state-regulated and standardized health care plans where individuals may purchase health insurance that is eligible for federal subsidies. The intention of the Exchanges is to help insurers comply with consumer protections and to compete in cost-efficient ways that ultimately lower overall health costs. The Exchanges are state-run and are called American Health Benefits (AHB) Exchanges. For states that choose not to create an exchange, the federal government will create one for residents of that state.
Source: hydroassoc.org

Beware of fraud during Medicare enrollment

“Consumers should be suspicious of unsolicited calls from anyone claiming to be from Medicare,” Matthew Fehling, BBB president and CEO, said in a statement. “Medicare will generally not make unsolicited calls to update information, issue a new card or offer free medical equipment. We recommend seniors hang up and call a trusted Medicare number if they have questions regarding their benefits.”
Source: consumerinsuranceguide.com

Does Medicare Call Your House?? Or is this Medicare Fraud?? » Toni Says

I have a problem and I need your help.  I am a 79 year old female who lives alone in Meyerland. Yesterday, a representative from Medicare called me asking all types of personal questions. I told them, I did not give personal information over the phone.  I’m concerned this could be a scam, but then if it was Medicare, I’m concerned I could have made a mistake.  Can you please advise me what I should do or where I could call to see if Medicare is trying to contact me?  Thanks in advance…Alice from Houston,TX
Source: tonisays.com

Tips for Navigating Medicare Part D Open Enrollment

Yesterday kicked off the 2013 Medicare Part D open enrollment period, during which millions of Medicare-eligible Americans over 65 and persons with disabilities can choose a new Part D plan that best fits their needs. As Medicare Today recently highlighted in a survey, 90 percent of seniors are satisfied with their Part D plan, with more than six in 10 seniors reporting that they would not be able to fill all of their prescriptions without Part D. But if you aren’t one of those satisfied people, shop around. In the coming weeks, our hope is that we can assist in pointing people to helpful tools that enable comparing and evaluating options.
Source: phrma.org

RRB awards Palmetto GBA new Medicare contract

Posted by:  :  Category: Medicare

“While Palmetto GBA has held the Railroad Medicare contract for more than 10 years, many of the staff here at our Augusta office have processed claims and answered inquiries for Railroad Medicare beneficiaries for more than 35 years,” Jenkins said. “We look forward to being here for you and providing the highest levels of customer service that you have come to expect, and most certainly, deserve.”
Source: utu.org

Video: GBMC Primary Care – Debbie Jones, CRNP

Medical Billing Fundamentals: Railroad Medicare OPS

We can use this service if your provider had Electronic Data Interchange (EDI) agreement with Palmetto GBA. If we are submitting claims electronically for a provider then no need to submit the new EDI agreement. For providers we are submitting their claims through paper those need to complete the EDI agreement with Palmetto GBA to use this service.
Source: blogspot.com

Medicare For Those With Disabilities

• If you have End-Stage Renal Disease you are not automatically enrolled in Medicare, but you can apply if you have worked the required amount of time according to Social Security or the Railroad Retirement Board, or if you are the spouse or dependent child of someone who has. Contact Social Security for details. You would need both Medicare A and B to cover certain dialysis and kidney transplant services. The coverage usually starts the fourth month of dialysis treatments.
Source: medicareecompare.com

Update: Report Generation Delay for Multiple CPIDs

Update: The Intermediary has determined that claims submitted to the payers listed below on 11/08/2012 were not processed due to a processing issue, which is why the reports were not received. At the intermediary’s request, the claims were retransmitted on 11/12/2012. Original Notice Sent 11/12/2012: The following payers are experiencing issues affecting Institutional and Professional 5010 999 and 277CA report generation for claims submitted on 11/08/2012: CPID 1442 Virginia Medicare CPID 1443 Railroad Medicare CPID 1444 Southern California Medicare CPID 1446 Nevada Medicare CPID 1447 Ohio Medicare CPID 1449 Colorado Medicare CPID 1450 West Virginia Medicare CPID 1457 New Mexico Medicare CPID 1458 Oklahoma Medicare CPID 1464 North Carolina Medicare CPID 1560 South Carolina Medicare CPID 1987 RHHI Home Health Medicare Cahaba CPID 2452 South Carolina Medicare CPID 2467 Hawaii/ Guam Medicare CPID 2676 Mutual of Omaha CA, NV, HI CPID 3507 Ohio Medicare CPID 3563 North Carolina Medicare CPID 3597 RHHI Home Health Medicare Region IV (Gulf Coast/Midwest) CPID 4958 RHHI Home Health Medicare Region IV (Midwest) CPID 5544 Home Health Medicare Region IV (SE/SW) CPID 5567 Hawaii Medicare The clearinghouse is working diligently with the payer to resolve the issue and ensure reports are received. Please be aware of delays in the report for claims submitted during the timeframe above. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
Source: collaboratemd.com

Secret 101 to Medicare: Railroad Medicare

If you are wondering about the traditional Medicare program and Railroad Medicare insurance program, then you may be asking what the difference between the two is. You might even ask about what’s special about Railroad coverage where the people enrolled in this kind of health insurance preferred it rather than going with the traditional Medicare.
Source: blogspot.com

Business Legacy Institute: Created by Prospectus: IRS Issues Proposed Regs on Rules for Additional Medicare Tax

On December 3, the Internal Revenue Service (IRS) issued proposed regulations that provide guidance to employers and individuals on the implementation of the additional hospital insurance tax (additional Medicare tax) under the Affordable Care Act.  Specifically, the proposed regs provide rules for the withholding, computation, reporting, and payment of additional Medicare tax on wages, self-employment income, and Railroad Retirement Tax Act compensation. The proposed regs also provide rules for when and how employers may make an interest-free adjustment to correct an overpayment or an underpayment of additional Medicare tax and how employers and employees may claim refunds for over-payments of the tax.
Source: blogspot.com

Audit Proof Income: New Fax Service for RailRoad Medicare to Submit Documentation

Palmetto GBA Railroad Medicare now offers the availability of a fax service for electronic submitters to submit additional documentation with the claim. Certain services require a fax be submitted as acceptable documentation.
Source: blogspot.com

PHYLLIS CARTER’S JOURNAL: WHAT IS CANADA BUT THE RAILROAD, MEDICARE AND THE CBC ?

See, it doesn’t matter if CBC’s funding is cut by 5 per cent or 10 per cent today. The CBC must take a hit because CBC represents the Canada that is “a northern European welfare state in the worst sense of the term,” as OGL famously described Canada in a 1997 speech. Fifteen years later, a reduced CBC will be presented, like a head on a bayonet, another small but viciously achieved victory in the war against all that northern-European-welfare-state stuff. More important, there will be cheering among government supporters, those braying for the crushing of the CBC for years. The braying mob will get what it wants.
Source: blogspot.com

Utah works on ACO tenets in Medicaid overhaul

Posted by:  :  Category: Medicare

OBAMA: THE SOCIALIST/MARXIST/COMMUNIST -- UNMASKED FOR ALL TO SEE by SS&SSThe Utah Medicaid reform proposal says that the state now wants to improve Medicaid by adding more ACOs while tweaking the model to “implement payment reforms and more appropriately aligns financial incentives in the health care system.” As part of the Medicaid overhaul, the Central Utah Clinic and the proposed ACOs will handle 70 percent of Utahn Medicaid patients and, according to the Salt Lake Tribune, will have the goal of saving $770 million in tax payer money over seven years. But this process is in a state of flux at the moment as both the Utah Health Policy Project (UHPP) and Utah Medicaid Inspector General agree that Utah needs to thoroughly examine how it defines accountable care while keeping the patients in mind.  The UHPP is 501-C-3 nonprofit organization that is trying to work with both insurance payers and healthcare providers to offer quality, affordable healthcare.
Source: ehrintelligence.com

Video: Utah rally for Medicare and Medicaid

Medicare Out of Pocket Costs

Average out-of-pocket expenditures in the 5 years prior to death were $38,688 for individuals and $51,030 for couples in which one spouse dies. Spending was highly skewed, with the median and 90th percentile equal to $22,885 and $89,106, respectively, for individuals, and $39,759 and $94,823, respectively, for couples. Overall, 25% of subjects’ expenditures exceeded baseline total household assets, and 43% of subjects’ spending surpassed their non-housing assets. Among those survived by a spouse, 10% exceeded total baseline assets and 24% exceeded non-housing assets. By cause of death, average spending ranged from $31,069 for gastrointestinal disease and $66,155 for Alzheimer’s disease.
Source: utahhealthcareinitiative.com

DAR File No. 36871 (Section R414

Section R414-1-5 is changed to update the incorporation of the State Plan by reference to 10/01/2012, which includes any approved State Plan Amendments (SPAs). SPAs that became effective during the third quarter of Calendar Year 2012 include SPA 11-014-UT, Pharmacy Services, which simplifies the over-the-counter prescribed drug list and incorporates an interim replacement for the average wholesale price of prescription drugs; SPA 12-002-UT, Reimbursement for Physician and Anesthesia Services, which updates the frequency of rebasing for physician and anesthesia services as well as clarifies the methodology for making supplemental payments for physicians employed by the University of Utah Medical Group. SPA 12-003-UT, Quality Improvement Incentive; which updates and continues quality incentive programs for nursing facilities and intermediate care facilities for persons with intellectual disabilities in future state fiscal years and makes other clarifications. SPA 12-004-UT, Medical Education Payments, which updates the direct graduate medical education payment pool for 2013 and rewords the payment amount and time period for the payment pool so the Department does not have to update it each year; SPA 12-006-UT, Federally Qualified Health Centers, which clarifies that a federally qualified health center must calculate only covered beneficiary charges when it calculates the ratio of beneficiary charges to total charges applied to allowable cost as part of its agreement with the federal government; SPA 12-007-UT, Dental Services, which provides limited emergency dental services to non-pregnant clients and to non-EPSDT clients; SPA 12-009-UT, Disproportionate Share Hospital Payments, which allows non-government hospitals that have the support of a government entity (e.g., special services district, county government) for the non-federal match dollars to participate in disproportionate share hospital payments; and SPA 12-012-UT, Reimbursement for Home Health Services, which changes the effective date of home health rates from 07/01/2007 to 07/01/2012. This rule change also incorporates by reference the Medical Supplies Manual and List and the hospital services provider manual, effective 10/01/2012; incorporates by reference both the definitions and the attachment for the Private Duty Nursing Acuity Grid found in the Home Health Agencies Provider Manual, effective 10/01/2012; incorporates by reference the Speech-Language Services Provider Manual, effective 10/01/2012; incorporates by reference the Audiology Services Provider Manual, effective 10/01/2012; incorporates by reference the Hospice Care Provider Manual, effective 10/01/2012; incorporates by reference the Long Term Care Services in Nursing Facilities Provider Manual, with its attachments, effective 10/01/2012; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals 65 or Older Provider Manual, effective 10/01/2012; incorporates by reference the Personal Care Provider Manual, with its attachments, effective 10/01/2012; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals with Acquired Brain Injury Age 18 and Older Provider Manual, effective 10/01/2012; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals with Intellectual Disabilities or Other Related Conditions Provider Manual, effective 10/01/2012; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals with Physical Disabilities Provider Manual, effective 10/01/2012; incorporates by reference the Utah Home and Community-Based Waiver Services New Choices Waiver Provider Manual, effective 10/01/2012; incorporates by reference the Utah Home and Community-Based Waiver Services for Technology Dependent, Medically Fragile Individuals Provider Manual, effective 10/01/2012; the Office of Inspector General Administrative Hearings Procedures Manual, effective 10/01/2012; and the Pharmacy Services Provider Manual with its attachments, effective 10/01/2012.
Source: utah.gov

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

Amid Medicaid Hack Scandal, Utah Tech Director Resigns

The response, Herbert said, included a full-scale, independent audit of technology security systems, the appointment of a new health data security ombudsman, investigation by law enforcement, and personnel action. Mark VanOrden has been appointed acting director of DTS, following the resignation of Fletcher.   "The State of Utah must restore the trust placed in it. Cyber-security is the modern battlefront and we are all enlisted-you, me, our state agencies, the Legislature-all of us have a critical role to play," Herbert said at a conference.
Source: healthcare-informatics.com

Ohio Medicaid Program Raises Stakes For Nursing Homes

Posted by:  :  Category: Medicare

Double-Parked by elycefelizStates such as Colorado, Georgia, Kansas, Nevada, Oklahoma, Utah and Vermont have tried to change that by awarding a small bonus (from 60 cents to $6.16 per day) if facilities achieve various standards.  But industry representatives say those incentives are insufficient to generate significant enthusiasm for altering the status quo, according to Nicholas Castle, who has surveyed nursing home administrators and is a professor of health policy at the University of Pittsburgh.
Source: kaiserhealthnews.org

Video: Ohio Medicare Advantage Vs Ohio Medicare Supplement Plans

Ohio Health Policy Review: Medicare ‘doc fix’ tied to fiscal cliff negotiations

As negotiations over the so-called "fiscal cliff" continue in Washington, providers are watching to see if a potential 30 percent cut in pay to doctors who treat Medicare patients will be addressed (Source: "A Huge Pay Cut For Doctors Is Hiding In The Fiscal Cliff," NPR Planet Money blog, Nov. 29, 2012).
Source: healthpolicyreview.org

GOP plan would raise Medicare age, lower Social Security COLAs, while raising $800B in revenue

Here at Maclean’s, we appreciate the written word. And we appreciate you, the reader. We are always looking for ways to create a better user experience for you and wanted to try out a new functionality that provides you with a reading experience in which the words and fonts take centre stage. We believe you’ll appreciate the clean, white layout as you read our feature articles. But we don’t want to force it on you and it’s completely optional. Click "View in Clean Reading Mode" on any article if you want to try it out. Once there, you can click "Go back to regular view" at the top or bottom of the article to return to the regular layout.
Source: macleans.ca

Ohio Moves Forward to Integrate Care for Medicaid and Medicare Enrollees :: OAHP

Currently more than 182,000 Ohioans are enrolled in both the Medicaid and Medicare programs. These individuals are more likely to have multiple and complex chronic health conditions including behavioral health disorders, yet these two programs are designed and managed with little connection to one another.  Without a single point of accountability, consumers and their families are left to navigate two complex systems to meet their physical health, behavioral health, and long term care needs.  The result of these fragmented systems is higher costs to taxpayers and poor health outcomes for consumers.
Source: oahp.org

GOP proposes Medicare, Social Security changes in ‘fiscal cliff’ deal

Signing the letter was Boehner, House Majority Leader Eric Cantor, Majority Whip Kevin McCarthy and Rep. Paul Ryan, the chairman of the House Budget Committee and the unsuccessful GOP vice presidential candidate. Rep. Dave Camp, chairman of the Ways and Means Committee, Fred Upton, chairman of the Energy and Commerce Committee, and Cathy McMorris Rodgers, the Republican Conference chair, also signed the letter.
Source: nola.com

OH: Brown denies existence of $700b in Medicare cuts

The correct answer is that the “trust funds” are an IOU the government has written to itself because it wouldn’t make sense to issue $3 trillion in more in Treasury bonds to leave the proceeds sitting in an account. The federal government does pay interest on its IOUs, and the debt to Social Security and Medicare is included in the $16 trillion national debt figure.
Source: watchdog.org

Ohio Workers’ Comp Settlements & Medicare

 In Ohio attorneys for injured workers are normally paid a contingent fee on settlements of workers’ compensation claims.  The attorney fee (typically between 25 percent and 40 percent) is charged on the gross amount of the settlement.  The question has been raised as to whether an attorney can charge a contingent fee on the medical portion (MSA portion) of the settlement.  In Ohio there is no prohibition on an attorney charging a contingent fee on the medical portion of a settlement.  Rule 1:5 of the Rules of Professional Conduct permits a reasonable contingent fee with no restriction regarding the medical portion of a settlement. At least one court decision directly addressed this issue. In Hinsinger v. Showboat Atlantic City, 2011 N.J. Lexis 96 (January 21, 2011), the issue was whether the CMS regulations and directives permit an attorney to recover fees for a judgment or settlement obtained on behalf of a client from the Medicare set-aside itself.  The court held that the attorney could recover fees from the MSA.  The court recognized the value of the legal services of the attorney in achieving the entire settlement including the MSA portion of the settlement.  Keeping in mind that the attorney fee must be reasonable, I have been unable to find any prohibition to an attorney charging a contingent fee on the MSA portion of an Ohio workers’ compensation settlement.
Source: hnb-law.com

Deadline Looming for Medicare Open Enrollment

Posted by:  :  Category: Medicare

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

Video: Medicare Enrollment Advice

Medicare Open Enrollment: find comfort in convenience

Like most people, I take comfort in the things I’m familiar with. I choose to shop at the supermarket around the corner because I know exactly where to find the things I’m looking for. Sure, I might be able to save a little more money by shopping at a different store on the other side of town, but I choose to stick with what I’m most comfortable. We all like to get a good deal, but convenience is a big part of the value.
Source: medicare.gov

Medicare open enrollment: Did Obamacare secretly increase Part B premiums?

Here’s what’s happening. The 2003 law that set up these high-income premium surcharges also stated that the income thresholds were to increase every year to account for general inflation. But the Affordable Care Act freezes the thresholds at their current level through 2019, which will over the next six years snare more and more beneficiaries as incomes in general rise (or at least we hope they do). The Kaiser Family Foundation estimates that by 2019, about 14 percent of Medicare beneficiaries will be paying these higher premiums.
Source: consumerreports.org

More Time to Enroll in Medicare If You Live in Storm Areas

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Reminder: Optometrists subject to $500+ fee for Medicare DMEPOS enrollment

The Medicare DMEPOS registration fee is distinct from the health plan’s DMEPOS provider surety bond requirement, from which optometrists have been exempted unless they provide eyeglasses to the public without any sort of examination of the patient, and separate from the DMEPOS accreditation requirement, until the CMS decides to implement supplier standards for physicians.
Source: newsfromaoa.org

Medicare enrollment deadline extended for Sandy victims

Individuals affected by Hurricane Sandy who are unable to make a plan selection by Dec. 7 can enroll in health and prescription drug coverage for 2013 by calling 1-800-MEDICARE (1-800-633-4227) anytime, 24 hours a day, 7 days a week, the CMS says. Representatives at 1-800 MEDICARE have information available to help beneficiaries review their plan options and make a choice, and can complete an enrollment even after Dec. 7.
Source: benefitspro.com

Medicare enrollment help available

SHIIP was created in 1990 in response to the statewide need for senior health insurance information. SHIIP provides free informational materials as well as one-on-one assistance with questions and problems related to Medicare benefits, Medicare supplement insurance, Medicare and insurance claims and other related issues.  SHIIP does not recommend insurance companies, plans or agents; the volunteers answer questions and provide impartial information to help Iowans on Medicare make well-informed decisions.
Source: towncriernews.com

Florida Medicare 2013 Open Enrollment

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

Up channel headlines: Medicare Enrollment Deadline Is Dec. 7 As Changes Take Effect For Drug Coverage

Medicare Open Enrollment Deadline Offers Opportunity, Pitfalls Business Wire Medicare Enrollment Deadline Is Dec. 7 As Changes Take Effect For Drug Coverage FOX Medicare patients at risk without doctors’ fiscal cliff fix CNNMoney.com Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees access to health insurance for Americans ages …
Source: tearn.com

Medicare Supplement Insurance › Medicare Supplement Insurance

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSSo I decided to check into different types of Medicare insurance and how much they cost. I found that many insurance companies that offer regular insurance also offer the supplement plans. I also read testimonials from people who had Medicare supplement plans. Some people found them to help and others said they don’t help enough. After finding a plan that fit my budget I found that it did help cover some costs but there was still some left over that I still had to cover. I feel that some months when I have more bills the insurance is a lifesaver and other months when I don’t I feel as if I’m putting out more money than is necessary. I still have mixes emotions about the supplement plans and being that I have only invested in them for the past 3 years I will continue to purchase Medicare supplement insurance. The best advice I can give is to research the different plans, they are very similar but there is always the fine print that needs to be read and understood.
Source: savestvictors.org

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

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

Do You Know What Your Initial Enrollment Period Is For Medicare Supplement?

Medicare Supplement insurance is designed to pay some, or all, of the bills that Medicare A & B does not.  Although you will be able to buy a Medicare Supplement policy at any time, assuming that you can medically qualify, those who have pre-existing conditions or just do not want to fool with the limits of Medicare will need to act within their Initial Enrollment Period (IEP).
Source: wordpress.com

Navigating Your Medicare Options

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Source: premeranews.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

Social Networking Community

Insurance schemes and extra advantages of schemes are topic to transform based upon the country and organization. It was crucial to evaluate each and every scheme before using any kind of insurance coverage like health, vehicle, residence and daily life. Ways to decide finest scheme was briefed in on-line internet site with illustrations and on the internet movies. Wellness problems, injuries, disasters might arise without having any indications to keep track of the daily life with financial help, insurance coverage policy was helpful. Primarily based upon interest of folks, Texas Medigap ideas developers give help and sufficient facts of particular policy. Soon after certain age everybody suffers lot of complications because of pressure, perform pressure and residing atmosphere. As a way to overcome complications attributable to above elements people today have to spend particular health care amount but if they take right insurance coverage it aids to remain absolutely free from financial crisis. General details about Medicare Supplement Texas talked about by well being scientists supports to clarify the health complications alongside strategies to avail the insurance at appropriate time period. Coinsurance procedures give large amount of advantages with cost savings to client. By mentioning the name, deal with, message and well being challenges 1 can converse the well being supporters belong to Medigap supplement team. Prescription medication brochures translated by authors in various languages also in solitary look readers get unique interest on subjects covered below Medicare complement Texas. By creating chart or table with columns like Medicare components, extra charges and deductible array on can fully grasp the benefits of the coverage. Aside from United states, individuals from international countries also favor Medicare supplement due to its supports and ease. Reaction of customer executives plays an important role for enlarging customer assistance. Rankings given by patients about Medigap plans makes straightforward to know the advantages and make use of through emergency time period. Strategies provided by pros are supportive to meet representatives at shorter span and take care of from health challenges.
Source: younetco.com

Find Medicare Supplemental Insurance in Your Area With the Senior Advisor Group

The Senior Advisor Group is an independent insurance advisory group specializing in Medicare insurance and other insurance options for those on Medicare. Their role is to assists seniors in finding with the best Medicare Supplemental Insurance, including advice on Supplemental Plans, Advantage Plans, Medicare Part D insurance and other related supplemental insurance. By partnering with over 40 different insurance companies, the Senior Advisor Group works on the side of the client’s with no obligation to any one insurance company. For the individual client they will search from all of the top insurers to find the best products at the best price – as well as provide ongoing professional, personalized service to each Medicare beneficiary year after year. The Senior Advisors also provides clients on Medicare with dental, hearing, and vision coverage, as well as Rx discount cards at no cost to customers. As a national advisory group, Senior Advisor Group represents all of the top rated and the largest Medicare supplemental insurance providers available. Their objective is to provide unbiased advice on Medicare Supplemental Insurance from highly trained, Medicare insurance specialists. Each specialist is trained on the various Medicare Insurance options, and will assist each individual with a plan selection, and provide continual advice year after year on Medicare supplement plans and Medicare Part D coverage. As Medicare insurance specialist, Medicare Insurance is not just a part of their business it is their business. The Senior Advisor Group was established to deliver what insurance companies can’t – unbiased and objective advice. They will assist and complete enrollment in the best available plan for the client, not the best available plan for the provider. For those new to Medicare or just looking to compare coverage options simply submit a request and one of their specialist will call within 24 hours.
Source: sbwire.com

Florida Medicare 2013 Open Enrollment

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

Medicare, Medicare Advantage, And Medicare Supplement Plans

That is when Medicare supplement policies come in. A Medicare supplement policy is designed to fill in the gap in traditional Medicare coverage. There are numerous various kinds of Medicare supplement policies. At this time they are identified by the letters A through L, even though M by way of P will be introduced in the coming years. Each of these Medicare supplement policy has a diverse mixture of advantages, included services, premiums, deductibles, and so on. For that reason, it is crucial that consumers shop around very carefully to locate which Medicare supplement policy will very best meet their wants. Numerous of these Medicare supplement policies will also assist cover prescription expenses, which is Part D of conventional Medicare.
Source: pokhong-medical.com

Medicare Supplement plans to receive rebates

[…] 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 […]
Source: insuremekevin.com

Travel for Seniors: Colorado

Posted by:  :  Category: Medicare

CENTRAL CITY, COLORADO 1968 by roberthuffstutterThis post is a guest post by John Walters who is a freelance writer who attended the 1973 Clarion West science fiction writing workshop and is a member of Science Fiction Writers of America.  He writes mainstream fiction, science fiction and fantasy, and memoirs of his wanderings around the world.  For many years he lived in Greece with his Greek wife and five sons and taught English as a second language to help pay the bills, but he has recently moved back to the United States and now lives in San Diego. 
Source: medicareecompare.com

Video: SEIU/COPE Medicare Colorado

New Boehner budget offer: Lower tax rate for rich, cut Medicare

“The Republican letter released today does not meet the test of balance. In fact, it actually promises to lower rates for the wealthy and sticks the middle class with the bill. Their plan includes nothing new and provides no details on which deductions they would eliminate, which loopholes they will close or which Medicare savings they would achieve. Independent analysts who have looked at plans like this one have concluded that middle class taxes will have to go up to pay for lower rates for millionaires and billionaires. While the President is willing to compromise to get a significant, balanced deal and believes that compromise is readily available to Congress, he is not willing to compromise on the principles of fairness and balance that include asking the wealthiest to pay higher rates. President Obama believes – and the American people agree – that the economy works best when it is grown from the middle out, not from the top down. Until the Republicans in Congress are willing to get serious about asking the wealthiest to pay slightly higher tax rates, we won’t be able to achieve a significant, balanced approach to reduce our deficit our nation needs.”
Source: americablog.com

Medicare top issue for surge of older voters in Colorado

Colorado has a significantly smaller percentage of seniors — about 11 percent — than traditional magnets for retirees like Florida, where about 22 percent of the population is 65 and older. But the unprecedented population growth among older adults is far outpacing other population growth across Colorado. Between 2000 and 2010, the population of adults ages 60 to 64 who were on the cusp of Medicare eligibility, increased by a whopping 86 percent in Colorado, while the population as a whole grew by 17 percent.
Source: healthpolicysolutions.org

Week before Obama visit, report finds Colorado Democrats cut Medicare by $6 billion for seniors in Colorado

“Seniors are among those in Colorado hit hardest by this recession,” Call concluded. “With many seniors living on fixed incomes, hundreds of thousands of Coloradans struggling to find work and a debt level that threatens to downgrade America’s credit rating again, we can’t afford another four years of Obama and the Democrats’ failed economic policies.”
Source: cologop.org

THE Consortium: Colorado Medicare Claims Transition from Trailblazers to Novitas Solutions

As of October 19,  Trailblazers stopped receiving all mail and requests in their role as the Medicare Contractor and forwarded these to Novitas Solutions. All future communication must go through Novitas. Since Novitas has prior experience as a MAC for a number of eastern states, CMS anticipates that the transfer to a new MAC will go smoothly, with few disruptions for Medicare beneficiaries or providers. However, providers should prepare for possible delays and implementation glitches.
Source: blogspot.com

Paul Ryan and Medicare Reform

In stark contrast, the current plan, The Affordable Healthcare Act, also known as Obamacare, removes $716 billion out of Medicare and transfers it to Obamacare.  The current administration believes they can replace this withdrawal by paying doctors, hospitals and nursing homes less.  Unfortunately many service providers have already stated they would have no choice but to stop accepting senior patients if this reduction in payment amount occurs. They simply cannot afford to offer the care necessary at these lowered rates resulting in decreased services, outdated products, increasing premiums and prices.
Source: mycoloradoview.com

Getting Medicare In Colorado

Colorado residents are eligible for Medicare offerings. The program offers a definite benefit to its members. Medicare programs come in two parts known as Part A and B. Part A refers to hospital care while Part B covers outpatient health care. In order to afford coverage for Parts A and B; a patient can choose the original Medicare coverage or a Medicare advantage plan or Part C. On the other hand, to cover prescription drugs; Medicare has a part D which is an extension of Part C.
Source: nolamarketingseo.com

How to Choose Your Medicare Part D Plan

Here is a sobering statistic pulled by a posting over at the New Old Age blog on the New York Times: “only 5.2 percent of Medicare Part D beneficiaries manage to choose the most economical plan” (see “Part D, Part 2”). And why would that be? The market shifts greatly from year to year and providers frequently hide the gritty details with broad promises, but it’s those very details that determine your day-to-day life and much of your finances.
Source: thehugheslawfirm.net

Preventive & screening services

Posted by:  :  Category: Medicare

Press Conference on Benefits of Health Insurance Reform to Seniors by Leader Nancy PelosiThe 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 Explained

Medicare Benefits Schedule (MBS) iPhone App: 25 PROMO CODES AVAILABLE & $1.99 (Normally $5.49)

Designed for Aussie health professionals (doctors, nurses, proceduralists), myMBS offers the entire Australian Medicare Benefits Schedule directly on your mobile device. Made #2 ranking in the Medical section of the Apple App Store – now comes the latest update – myMBS 3.0.
Source: com.au

Medicare Benefits at Point of Sale

“We are extremely pleased to have OTCNetwork™ recognized and accepted at Family Dollar, one of the nation’s leading discount retailers,” said Devin Wade, CEO of Medagate. “Family Dollar understands and supports our mission of empowering Medicare Advantage plan members with the ability to treat less serious ailments via self-care with OTC medications, increasing member satisfaction, improving overall health, and dramatically reducing healthcare costs.”
Source: pointofsale.com

Obama Administration To Relax Medicare Benefit Rules

Modern Healthcare: Class-Action Settlement Would Widen Medicare Chronic-Care Benefits A federal judge in Vermont may approve a proposed legal settlement intended to guarantee Medicare benefits for people with chronic health conditions who need nursing and therapy services at home or in skilled-nursing and outpatient facilities. The settlement would resolve (PDF) a national class-action lawsuit that alleges HHS, Medicare contractors and administrative review boards across the country have rolled out a “clandestine” policy to limit Medicare coverage for nursing and therapy services even though official CMS rules say those benefits should be covered (Carlson, 10/23).
Source: kaiserhealthnews.org

My Left Nutmeg:: Joe Lieberman: Obama Must 'Courageously' Cut Medicare Benefits, Raise Retirement Age

Powered By – SoapBlox Connecticut Blogs – Capitol Watch – Colin McEnroe – Connecticut2.com – Connecticut Bob – ConnecticutBlog – CT Blue Blog – CT Energy Blog – CT Local Politics – CT News Junkie – CT Smart Growth – CT Voices for Civil Justice – CT Voters Count – CT Weblogs – CT Working Families Party – CT Young Dems – Cool Justice Report – Democracy for CT – Drinking Liberally (New Milford) – East Haven Politics – Emboldened – Hat City Blog (Danbury) – The Laurel – Jon Kantrowitz – LieberWatch – NB Politicus (New Britain) – New Haven Independent – Nutmeg Grater – Only In Bridgeport – Political Capitol (Brian Lockhart) – A Public Defender – Rep. David McCluskey – Rep. Tim O’Brien – State Sen. Gary Lebeau – Saramerica – Stamford Talk – Spazeboy – The 40 Year Plan – The Trough (Ted Mann: New London Day) – Undercurrents (Hartford IMC) – Wesleying – Yale Democrats CT Sites – Clean Up CT – CT Citizen Action Group – CT Democratic Party – CT For Lieberman Party – CT General Assembly – CT Secretary of State – CT-N (Connecticut Network) – Healthcare4every1.org – Judith Blei Government Relations – Love Makes A Family CT CT Candidates – Chris Murphy for Senate – John Larson for Congress – Joe Courtney for Congress – Rosa DeLauro for Congress – Jim Himes for Congress – Elizabeth Esty for Congress
Source: myleftnutmeg.com

AARP uses its power to oppose Social Security, Medicare benefit cuts for retirees

WASHINGTON — Social Security recipients shouldn’t expect a big increase in monthly benefits come January. Preliminary figures show the annual benefit boost will be between 1 percent and 2 percent, which would be among the lowest since automatic adjustments were adopted in 1975. Monthly benefits for retired workers now average $1,237, meaning the typical retiree can expect a raise of between $12 and $24 a month. The size of the increase will be made official Tuesday, when the government releases inflation figures for September. The announcement is unlikely to please a big group of voters — 56 million people get benefits — just three weeks before elections for president and Congress. The cost-of-living adjustment, or COLA, is tied to a government measure of inflation adopted by Congress in the 1970s. It shows that consumer prices have gone up by less than 2 percent in the past year. “Basically, for the past 12 months, prices did not go up as rapidly as they did the year before,” said Polina Vlasenko, an economist at the American Institute for Economic Research, based in Great Barrington, Mass. This year, Social Security recipients received a 3.6 percent increase in benefits after getting no increase the previous two years. Some of next year’s raise could be wiped out by higher Medicare premiums, which are deducted from Social Security payments. The Medicare Part B premium, which covers doctor visits, is expected to rise by about $7 per month for 2013, according to government projections. The premium is currently $99.90 a month for most seniors. Medicare is expected to announce the premium for 2013 in the coming weeks. “The COLA continues to be very critical to people in keeping them from falling behind,” said David Certner, AARP’s legislative policy director. “We certainly heard in those couple of years when there was no COLA at all how important it was.”
Source: civiccouncil.org

Medicare Open Enrollment: More is better

For those choosing Original Medicare, the benefit package continues to grow stronger and provide greater value. For example, EVERYONE with Medicare has access to a variety of preventive services and screenings, most at no cost to them when furnished by qualified and participating health care professionals. This includes things like diabetes and cancer screenings, and a yearly “wellness” visit. During the first 9 months of this year, over 20 million people with Original Medicare received at least one preventive service at no cost.
Source: medicare.gov

House Republicans Propose Raising Medicare Eligibility Age to Avoid Fiscal Cliff

House Republicans sent a counterproposal to the White House today that would avoid the “fiscal cliff,” proposing a $4.6 trillion deficit reduction that would increase the eligibility age for Medicare benefits, among other provisions. According to a USA Today report, the proposal is based on an outline by former Clinton administration chief of staff Erskine Bowles, who co-chaired President Obama’s debt commission. The plan did not specify a new eligibility age for the Medicare program, though Ms. Bowles has publicly supported raising the age to 67. The age currently stands at 65. Democrats maintain that without raising tax rates on the wealthiest of Americans — a proposal that many Republicans staunchly oppose — the country cannot avert the “fiscal cliff” that will occur when George W. Bush-era tax rates expire. The expiration will trigger $1.2 trillion in spending cuts over 10 years. The House Republicans’ proposal calls for $900 billion in healthcare and other mandatory spending cuts, in addition to other cuts. The GOP plan aims to achieve enough in deficit reduction to turn off the $1.2 trillion automatic spending cuts at the end o the year to resolve that aspect of the “fiscal cliff,” according to the report. Related Articles on Coding, Billing and Collections: OIG Calls for Audits Prior to Meaningful Use Payments Hospital ERs Begin Charging Fees for Non-Emergency Problems Adams Health Network Approves $500K for EMR Billing Improvements
Source: beckersasc.com

GOP plan would raise Medicare age, lower Social Security COLAs, while raising $800B in revenue

Here at Maclean’s, we appreciate the written word. And we appreciate you, the reader. We are always looking for ways to create a better user experience for you and wanted to try out a new functionality that provides you with a reading experience in which the words and fonts take centre stage. We believe you’ll appreciate the clean, white layout as you read our feature articles. But we don’t want to force it on you and it’s completely optional. Click "View in Clean Reading Mode" on any article if you want to try it out. Once there, you can click "Go back to regular view" at the top or bottom of the article to return to the regular layout.
Source: macleans.ca

Medicare Benefits Restored Because of Clark v. Astrue

Thanks to the efforts of NSCLC, class members in the Clark v. Astrue case who lost their Medicare Part B benefits when their Social Security benefits were stopped and they could no longer pay the premium will be able to have their Medicare Part B benefits restored without having to pay the lifetime premium penalty.  They will be able to choose between reinstatement for future months only or full reinstatement back to the date their coverage stopped.  If they choose retroactive reinstatement they will be required to pay the premiums for that period, but will be able to arrange for affordable payment plans.
Source: nsclc.org

Medicare Targets Health Plans With Low Ratings

Posted by:  :  Category: Medicare

Congressman Kendrick B. Meek by cliff1066™Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Video: Understanding Medicare Advantage Plans

Insurer halts Medicare Advantage sales in Georgia

Public HealthHealth InsuranceHealth CostsHospitalsHealth ReformMedicaidDelivery of CareChildren’s HealthPhysiciansMental HealthSafety NetDisabilitiesCaregivingMedicareUninsuredHealth DisparitiesPrescription DrugsLong-Term CareNursesHealth QualityQuality of CarenursingRural Healthhospital
Source: georgiahealthnews.com

Managing care and competition

Medicare Advantage (MA), with more than 10 million enrollees, is the largest alternative to traditional Medicare. MA’s managed care approach was designed to provide coordinated, integrated care for patients and savings for taxpayers, but since the program launched as Medicare Part C in 1985, critics have said that the system limited enrollee freedom of choice without significant benefit or savings to the Medicare program. They also pointed to the tendency of some private payers to design benefit plans and marketing campaigns that attracted healthier patients, leaving sicker, moreexpensive patients in traditional Medicare— a process known as favorable selection.
Source: sciencecodex.com